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
Persistent Digestive Issues: Seeking Solutions for Ongoing Discomfort
I have not been feeling well in my gastrointestinal tract for several months? Hello, doctor. I've been experiencing gastrointestinal discomfort since around September. A few hours after eating, I feel nauseous for about 30 minutes. I've seen doctors who all said it'...
Dr. Lin Minghui Reply:
Frequent episodes of gastrointestinal discomfort, feeling nauseous after meals, suggest paying attention to your diet. It is also recommended to schedule an upper gastrointestinal endoscopy to check for any signs of inflammation, ulcers, or strictures, or to determine if the issu...[Read More] Persistent Digestive Issues: Seeking Solutions for Ongoing Discomfort
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
Understanding Gastrointestinal Medications for Bloating and GERD
Doctor's prescription label inquiries? Hello, doctor. I would like to ask about my recent frequent hiccups. Last week, I went to a small clinic for a gastrointestinal check-up and had an endoscopy. There were no significant issues, and my Helicobacter pylori test came back n...
Dr. Cai Anshun Reply:
Hello: Gas-X (Dimethicone) and Primperan (Metoclopramide) both have effects on gas absorption and promoting gastrointestinal motility. You should pay attention to whether there are issues with your diet or if you are experiencing irregular bowel movements. If you still have quest...[Read More] Understanding Gastrointestinal Medications for Bloating and GERD
Understanding Gastroesophageal Reflux: When Acid Reaches the Nasal Cavity
Gastroesophageal reflux that reaches the nasal cavity? Hello Doctor: It all started on January 23 with "heartburn," which I thought was a mild symptom, so I first consulted a traditional Chinese medicine practitioner. On the night of January 26, I noticed that I experie...
Dr. Cai Anshun Reply:
Hello: 1. During the period of significant symptoms, it is recommended to use medication regularly, and once symptoms improve, gradually reduce the dosage. 2. If you have already been careful with your diet, consider whether constipation is causing indigestion or delayed gastric ...[Read More] Understanding Gastroesophageal Reflux: When Acid Reaches the Nasal Cavity
Understanding Persistent Hiccups and Bloating: Gastrointestinal Insights
Gastrointestinal issues I have been experiencing persistent hiccups and bloating for a while now. Recently, I had inflammation of the lymph nodes and tonsils. I'm not sure if it's due to taking too many Western medications or if it's a gastrointestinal issue, but m...
Dr. Cai Anshun Reply:
Hello: If you are feeling unwell or taking medication, it may lead to gastritis or indigestion. If there is no improvement, it is recommended to consult a gastroenterologist. Recently, please pay attention to a light diet and eat small meals frequently. Changhua Hospital cares ab...[Read More] Understanding Persistent Hiccups and Bloating: Gastrointestinal Insights
Understanding Changes in Bowel Movements: When to Seek Medical Advice
Bowel issues Recently, my stools have become thin, short, and loose, with an increased frequency of gas and a burning sensation in the anus when passing foul-smelling stools. Should I be concerned about this, doctor?
Dr. Chen Qifeng Reply:
Based on the symptoms, it appears to be indigestion. It is recommended to have a diet low in oil, low in dairy, and low in irritating foods, while increasing the intake of fruits and vegetables. If there is no improvement, a visit to a gastroenterologist is advised.[Read More] Understanding Changes in Bowel Movements: When to Seek Medical Advice
Understanding Gastroesophageal Reflux: Symptoms, Diet Tips, and Management
Gastroesophageal reflux disease (GERD) Hello, doctor. Before the Lunar New Year, I visited a doctor due to frequent bloating and underwent an endoscopy. The doctor mentioned that there were no significant issues with my stomach, and the bloating might be due to poor digestion. Ho...
Dr. Cai Anshun Reply:
Hello: 1. If you experience discomfort between 3-4 PM, it is advisable to review what you ate for lunch to identify any foods that may have caused indigestion. 2. Consider whether you consumed: tea, coffee, soda, chocolate, sweets, glutinous rice products, high-fat/high-protein f...[Read More] Understanding Gastroesophageal Reflux: Symptoms, Diet Tips, and Management
Understanding Constipation: Symptoms, Causes, and When to Seek Help
Bowel issues Hello, doctor. I have some questions. I have a habit of constipation and usually rely on drinking milk to help me have bowel movements (I am lactose intolerant). Sometimes after drinking milk, I need to go to the bathroom (the stool is normal), but other times it...
Dr. Chen Qifeng Reply:
Based on the symptoms, it appears to be functional gastrointestinal disorder. It is recommended to increase the intake of fruits and vegetables, drink plenty of water, maintain adequate physical activity, and perform abdominal massage during bowel movements. Additionally, adjustm...[Read More] Understanding Constipation: Symptoms, Causes, and When to Seek Help
Understanding Bloating, Gas, and Stomach Pain After Eating
Experiencing gastrointestinal discomfort with excessive flatulence, bloating, and stomach pain? Hello Doctor, I had gastroesophageal reflux last October. Recently, for the past month, I have been experiencing bloating after eating, followed by excessive flatulence with a foul odo...
Dr. Cai Anshun Reply:
Hello: If you have been taking medication for a long time without improvement, and have not undergone an endoscopy or ultrasound, you should seek medical attention. A physician can assess the necessity of these examinations. Changhua Hospital cares about your health. Dr. Tsai An-...[Read More] Understanding Bloating, Gas, and Stomach Pain After Eating
Understanding Chronic Bloating: Causes and Solutions for Digestive Discomfort
Frequent bloating discomfort? Hello doctor, since the second half of last year, I've been experiencing frequent bloating and poor digestion. Sometimes my stool contains food remnants. Initially, I consulted a doctor and took medication, which seemed to help, but once I stopp...
Dr. Cai Anshun Reply:
Hello: The symptoms have not been completely resolved. I'm not sure if you have undergone a fecal occult blood test. If the location you described is caused by the same issue, it could be related to the distribution in the colon, either on the left or right side, or it may i...[Read More] Understanding Chronic Bloating: Causes and Solutions for Digestive Discomfort
Is Overusing Enemas Harmful? Understanding Risks and Concerns
Is using too many enemas harmful? I'm not sure since it's my first time using one? Hello, doctor. I have been experiencing indigestion, which has caused my stools to be somewhat soft or even diarrhea. I visited a small clinic, and the doctor prescribed me medication for...
Dr. Cai Anshun Reply:
Hello: When using an enema, it is advisable to hold it in for a certain period, approximately 10 minutes, to enhance its effectiveness, soften the stool, and stimulate peristalsis. The presence of mucus may be related to irritation of the intestinal wall, and there is generally n...[Read More] Is Overusing Enemas Harmful? Understanding Risks and Concerns
Understanding Your Child's Digestive Issues: Gas and Mucus in Stool
Passing gas with a small amount of fecal matter? Hello Doctor, I have a question: My 6-year-old child has been going to the bathroom 2-3 times recently. The first time was normal without diarrhea, and the stool was somewhat hard. However, in the evening after dinner (which wasn&#...
Dr. Lin Minghui Reply:
Abdominal bloating and abnormal bowel movements may be caused by indigestion, gastroenteritis, or constipation. It is important to pay attention to dietary hygiene. If symptoms such as fever, bloody stools, or abdominal pain occur, seek medical attention promptly.[Read More] Understanding Your Child's Digestive Issues: Gas and Mucus in Stool
Understanding Weight Loss and Bloating: When to Seek Medical Advice
Abdominal bloating and weight loss? Hello Dr. Lin, about a month ago, I noticed that my stools have become thinner (no blood in the stool and normal color). However, two weeks ago, I started researching on Google, and the results were quite concerning (such as cancer, etc.). Afte...
Dr. Lin Minghui Reply:
Abdominal bloating, weight loss, thinner stools, and loss of appetite may have several potential causes, including indigestion, enteritis, or issues with the intestines. It is advisable to adjust dietary habits by avoiding eating too quickly and limiting gas-producing foods. Ensu...[Read More] Understanding Weight Loss and Bloating: When to Seek Medical Advice
Understanding Gastrointestinal Issues: Night Shift Work and Its Effects
Gastrointestinal issues Due to my work schedule, I have to work night shifts. Although I usually experience constipation, I don't have stomach pain. However, in the past few days, I'm not sure if it's because of the sudden drop in temperature or if the work stress ...
Dr. Lin Minghui Reply:
Stomach pain is related to irregular eating habits, such as eating too quickly, consuming overly sweet or greasy foods in cold weather, poor digestion, and frequent intake of caffeinated beverages like coffee and tea. High work stress can also lead to increased gastric acid secre...[Read More] Understanding Gastrointestinal Issues: Night Shift Work and Its Effects
Understanding Dark Green Fluid in Nasogastric Tube: Causes and Concerns
The nasogastric tube contains dark green fluid? Hello Dr. Chen: My father has been bedridden for over six months and is currently being fed liquid milk through a nasogastric tube. Recently, he has been coughing, and deep green liquid has been coming out of the nasogastric tube. I...
Dr. Chen Shidian Reply:
Hello, sir. It is likely that bile has refluxed into the stomach and caused vomiting, which is why it appears yellow-green. Antiemetic and prokinetic medications may be added. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Dark Green Fluid in Nasogastric Tube: Causes and Concerns
Persistent Bloating: When to Seek Further Gastrointestinal Evaluation
Abdominal issues? I have been experiencing bloating for some time. When I visited the clinic, the doctor said it was a gastrointestinal flu, but I have no other symptoms. After a while, my stomach still feels bloated. I have been taking my medication on time and have a bowel move...
Dr. Chen Qifeng Reply:
Based on the symptoms, the highest likelihood of indigestion can be addressed by first adjusting the diet. It is advisable to reduce the intake of oily foods, dairy products, and irritants, as well as to avoid foods that are prone to causing bloating. If there is no improvement, ...[Read More] Persistent Bloating: When to Seek Further Gastrointestinal Evaluation
Understanding Digestive Issues: Abdominal Noises and Mucus in Stool
Persistent stomach rumbling with mucus in the stool? In the past two weeks, I've experienced a slight burning sensation in my chest, and sometimes after eating, I feel like there's a lump in my throat. Initially, I consulted a traditional Chinese medicine practitioner, ...
Dr. Chen Shidian Reply:
Hello, your symptoms are likely due to increased colonic motility, resulting in softer stools and bowel sounds. This is related to stress and diet. Please pay attention to reducing oil and dairy intake. If necessary, you may use gastrointestinal medications to adjust your symptom...[Read More] Understanding Digestive Issues: Abdominal Noises and Mucus in Stool
Understanding Left Lower Abdominal Pain: Causes and Concerns
Left lower abdominal pain? Hello Dr. Chen, I would like to ask about some symptoms I've been experiencing for about two weeks. I have been having persistent dull pain in my lower left abdomen (intermittent), and my bowel movements have become irregular. I used to have a bowe...
Dr. Chen Shidian Reply:
Hello, based on the symptoms you described, it seems to be just a short-term issue related to gastrointestinal motility and digestion, which should not be a concern. However, if the symptoms persist for a month, you may want to visit a gastroenterology clinic for an examination. ...[Read More] Understanding Left Lower Abdominal Pain: Causes and Concerns
Managing Chronic Indigestion: Solutions for Bloating and Acid Issues
Dyspepsia, gastric acid, bloating? I have been experiencing indigestion for 5 years, and despite taking many medications, I have not been able to return to normal. I often feel very bloated after eating just a little, sometimes only a few bites. Occasionally, I eat very little in...
Dr. Cai Anshun Reply:
Hello, Additionally, it is important to pay attention to whether there is constipation or fecal impaction. Gastroparesis refers to the condition where the stomach is excessively distended by food, leading to inefficient gastric motility and prolonged gastric emptying time, whic...[Read More] Managing Chronic Indigestion: Solutions for Bloating and Acid Issues