Understanding PPI Use for GERD: When to Continue or Reassess Treatment
Regarding the issue of discontinuing the use of proton pump inhibitors (PPIs) for gastroesophageal reflux disease (GERD)? Hello, Doctor. I underwent an endoscopy at the Taipei Hospital of the Ministry of Health and Welfare around December 30, 2016. Following that, I regularly too...
Dr. Cai Anshun Reply:
Hello: Essentially, PPIs (proton pump inhibitors) suppress gastric acid secretion and should not be used long-term, as they may affect digestion, bacterial balance, and calcium absorption. For gastroesophageal reflux disease (GERD), it is recommended to improve lifestyle and diet...[Read More] Understanding PPI Use for GERD: When to Continue or Reassess Treatment
Understanding Diarrhea and Weight Issues: A Gastroenterology Perspective
Diarrhea and weight issues? I have been experiencing persistent diarrhea for the past four days. My stools have been somewhat formed, resembling mud, but at times they are watery. Normally, I have a bowel movement once every morning and drink 1000 to 2000 cc of water daily. Howev...
Dr. Cai Anshun Reply:
Hello: If symptoms occur recently while on long-term medication, they are likely not caused by the medication. Sometimes, changing positions can lead to temporary orthostatic hypotension, which is not necessarily related to hemoglobin levels. If you have not been evaluated for en...[Read More] Understanding Diarrhea and Weight Issues: A Gastroenterology Perspective
Understanding Bloating and Diarrhea: Possible Gastrointestinal Issues
Abdominal bloating with a small amount of loose stools? Hello, Dr. Lin. I have been experiencing bloating and a small amount of diarrhea in the past few days. I'm not sure why, but I haven't had any vomiting or nausea, and I still have an appetite. What could be the iss...
Dr. Lin Minghui Reply:
Abdominal pain with bloating and occasional loose stools may commonly be caused by indigestion or gastroenteritis. It is advisable to pay attention to dietary hygiene and habits, and to reduce the intake of irritating and gas-producing foods. If symptoms persist, or if there are ...[Read More] Understanding Bloating and Diarrhea: Possible Gastrointestinal Issues
Mild Stabbing Pain Above Navel: Possible Gastrointestinal Issues?
There is often a mild stabbing pain 5 centimeters above the navel and 1 centimeter to the right? Hello doctor, I have been experiencing a mild sharp pain in the area located 5 centimeters above and 2 centimeters to the right of my navel. The pain occurs occasionally and lasts abo...
Dr. Chen Shidian Reply:
Hello, if you do not have gastrointestinal symptoms such as abdominal pain or diarrhea, it is less likely to be inflammation. You may consider visiting the gastroenterology clinic for an examination. Changhua Hospital cares about your health. Chen Shidian[Read More] Mild Stabbing Pain Above Navel: Possible Gastrointestinal Issues?
Post-Colonoscopy Concerns: Understanding Symptoms and Treatment Options
Questions regarding post-colonoscopy? Thank you, doctor, for your previous response. I have completed the colonoscopy, and there are no signs of colorectal cancer or polyps, only mild internal hemorrhoids. I have a couple of questions: 1. I underwent a painless colonoscopy, and...
Dr. Cai Anshun Reply:
Hello: 1. This should be considered a normal phenomenon. 2. Nevus should be addressed with surgical intervention. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Post-Colonoscopy Concerns: Understanding Symptoms and Treatment Options
Understanding Left Abdominal Pain: Causes and Concerns
Sharp pain in the left abdomen? I would like to inquire about a sharp pain in my left abdomen that has persisted for a week, accompanied by a burning sensation. Initially, it was only in the front, but recently I have also felt burning in my back. I have been experiencing excessi...
Dr. Cai Anshun Reply:
Hello: If the pain becomes more pronounced and there is a change in the color of your stool, you should consult a gastroenterologist to determine the cause, especially regarding the possibility of ulcers. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Left Abdominal Pain: Causes and Concerns
Persistent Gastrointestinal Issues: Seeking Answers for Bloating and Pain
Persistent gastrointestinal issues? Hello, doctor. I have been struggling with gastrointestinal issues for a long time. For the past two to three years, I have experienced frequent burping and flatulence, especially severe when lying flat before bed and right after waking up. Dur...
Dr. Cai Anshun Reply:
Hello: It has been two to three years since your last gastroscopy. If there are new issues, you should consult a gastroenterologist, who will determine the necessity of an endoscopy. The results from two to three years ago cannot be used to explain your current condition. Changhu...[Read More] Persistent Gastrointestinal Issues: Seeking Answers for Bloating and Pain
Improving Digestive Health: Solutions for Loose and Irregular Bowel Movements
Gastrointestinal issues I have been experiencing loose or elongated stools for over two years, occasionally having diarrhea, and sometimes the stools are curled. I go to the bathroom 1 to 2 times a day, and I do not experience abdominal pain after bowel movements. Sometimes, ther...
Dr. Cai Anshun Reply:
Hello: It is recommended to maintain a balanced diet and observe if the condition improves. Avoid consuming irritating foods or those that may stimulate intestinal motility. If you still have concerns, you may return for a consultation with a gastroenterologist. Changhua Hospital...[Read More] Improving Digestive Health: Solutions for Loose and Irregular Bowel Movements
Understanding Weight Loss Concerns in Cancer Patients: Key Insights
Regarding the issue of weight loss? Dear doctors, if a person has cancer, will their weight continuously decrease? Is it possible that their weight never increases at all? Last November, I weighed 80 kilograms. Recently, I have been eating a more balanced diet and have developed ...
Dr. Cai Anshun Reply:
Hello: If you are intentionally exercising and have lost weight as a result, there is no need to worry too much, especially since you have already undergone basic examinations, including blood tests, urine tests, stool tests, abdominal ultrasound, and colonoscopy. Additionally, m...[Read More] Understanding Weight Loss Concerns in Cancer Patients: Key Insights
Understanding Diarrhea: When to Seek Gastroenterology Help
Bowel issues Hello, doctor. This morning, after getting up and moving around a bit, I didn't have any stomach pain or urge to defecate. Suddenly, I felt my bottom was wet, and when I went to the bathroom, I found a little bit of watery stool on my underwear, and then I had d...
Dr. Chen Shidian Reply:
Hello, please visit the gastroenterology outpatient clinic for treatment. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Diarrhea: When to Seek Gastroenterology Help
Frequent Diarrhea and Stomach Pain: Should You Get Checked?
Frequent diarrhea and stomach pain, should I get checked? Hello, doctor. I have had gastrointestinal issues since childhood, and even when I don't eat poorly, I often experience diarrhea, so I've gotten used to it. However, I feel that my stomach pain has become more fr...
Dr. Chen Qifeng Reply:
It is recommended to undergo an upper gastrointestinal endoscopy.[Read More] Frequent Diarrhea and Stomach Pain: Should You Get Checked?
Persistent Digestive Issues: Seeking Solutions for Stomach Discomfort
Prolonged gastrointestinal discomfort? Hello Doctor, I have been experiencing gastrointestinal issues for about three to four months. I have taken traditional Chinese medicine, but the problem persists after finishing the treatment. I have also tried two Japanese brands of Wester...
Dr. Cai Anshun Reply:
Hello: It is not recommended to self-medicate with over-the-counter drugs. Your description seems to indicate a rapid intestinal motility phenomenon. It is advisable to consult a gastroenterologist for appropriate treatment. In terms of diet, avoid spicy foods and caffeinated bev...[Read More] Persistent Digestive Issues: Seeking Solutions for Stomach Discomfort
Understanding Blood in Stool: Gastrointestinal Concerns and Solutions
Blood in the stool? Hello Doctor: I have been experiencing diarrhea for almost two weeks, starting three weeks ago, with a couple of instances of constipation in between. Most of my stools have been yellow and watery, accompanied by stomach discomfort, bloating, and nausea. I hav...
Dr. Cai Anshun Reply:
Hello: If you are very concerned, you can consult a gastroenterologist or a colorectal specialist. Anal pain with slight bleeding is mostly caused by hemorrhoids or anal fissures. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Blood in Stool: Gastrointestinal Concerns and Solutions
Understanding Symptoms: Blood in Stool and Digestive Discomfort
Colorectal cancer Hello, doctor. A few days ago, I experienced diarrhea and, due to urgency, I held it in for a moment before going to the restroom. I later noticed blood (bright red on the toilet paper, darker in the toilet). At that time, I was also suffering from a severe cold...
Dr. Chen Qifeng Reply:
Based on the symptoms, it appears to be more like gastroenteritis. The presence of blood in the stool may be due to diarrhea from gastroenteritis causing straining at the anal opening, which can lead to hemorrhoidal bleeding. However, if the bleeding persists, it is necessary to ...[Read More] Understanding Symptoms: Blood in Stool and Digestive Discomfort
Understanding Bloating, Weight Loss, and Gastrointestinal Health Concerns
Abdominal distension and weight loss? Hello, I tend to be a person who gets anxious easily and have been experiencing insomnia for a year. I'm not sure if it's because I eat too quickly and have an unstable meal schedule. About a month ago, I started having bloating and...
Dr. Cai Anshun Reply:
Hello: It is recommended to start with a light diet and avoid irritating foods. If there is no improvement, you may want to consult a gastroenterologist to see if an endoscopy is necessary. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Bloating, Weight Loss, and Gastrointestinal Health Concerns
Post-Sexual Gastrointestinal Discomfort: Causes and Solutions
Experiencing gastrointestinal discomfort and diarrhea after each sexual encounter? Hello, every time I have intercourse with my boyfriend, I start to feel gastrointestinal discomfort shortly afterward, with rapid bowel movements followed by persistent diarrhea. I also experience ...
Dr. Cai Anshun Reply:
Hello: If the intestines are inherently more sensitive and have a faster motility, they may respond with even quicker movements when stimulated indirectly. You can consult a gastroenterologist, who will provide appropriate treatment based on the speed of bowel sounds. Changhua Ho...[Read More] Post-Sexual Gastrointestinal Discomfort: Causes and Solutions
Understanding Bloating and Vomiting: Gastrointestinal Distress Explained
Abdominal distension accompanied by vomiting, and in severe cases, vomiting and diarrhea with gastric cramping? Hello Doctor, first of all, I am very grateful for your time in helping the public with various health issues. I do not smoke, drink only occasionally, and maintain a g...
Dr. Lin Minghui Reply:
Recently, I have been experiencing recurrent abdominal bloating, burning sensations, and abdominal pain. It is recommended to undergo an upper gastrointestinal endoscopy to examine the esophagus, stomach, and duodenum for any signs of inflammation, ulcers, or other mucosal lesion...[Read More] Understanding Bloating and Vomiting: Gastrointestinal Distress Explained
Understanding Diarrhea with Blood: Gastrointestinal Concerns Explained
Diarrhea with solid blood in the stool? Hello, I have been experiencing severe bloating for two months now, even feeling bloated when I don't eat. After seeing a doctor and taking traditional Chinese medicine, there has been some improvement, but I still experience occasiona...
Dr. Yang Zhichao Reply:
Hello, Ms. Anonymous. Regarding the issue of rectal bleeding, it is essential to have a physician evaluate your condition. Unfortunately, it cannot be resolved through online inquiries. Please arrange for an examination at a nearby medical facility. Thank you for your question. C...[Read More] Understanding Diarrhea with Blood: Gastrointestinal Concerns Explained
Understanding Upper Right Abdominal Pain: Causes and Concerns
Abdominal tenderness and right upper quadrant pain? Hello, doctor. I am currently a university student and have been experiencing discomfort for about three months. I feel a pain in my upper right abdomen, near the rib cage, which feels more like a dull ache or an odd sensation (...
Dr. Cai Anshun Reply:
Hello: If the pain persists, it is recommended to consult a gastroenterologist to check for gallstones, liver diseases, or peptic ulcers (especially duodenal ulcers). Additionally, pay attention to any poor posture or situations involving heavy lifting, as sometimes the issue may...[Read More] Understanding Upper Right Abdominal Pain: Causes and Concerns
Frequent Diarrhea and Abdominal Discomfort: What Could Be Wrong?
Frequent diarrhea? Hello doctor, about four days ago, I ate something that upset my stomach. The next day, I woke up with abdominal cramps and diarrhea. I thought it was just food poisoning. However, for the next three days until today, I've been experiencing occasional disc...
Dr. Cai Anshun Reply:
Hello: Please ensure adequate hydration and electrolyte supplementation. If symptoms do not improve, it is recommended to consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Frequent Diarrhea and Abdominal Discomfort: What Could Be Wrong?