Managing Bloating and Burping in Bedridden Patients with Feeding Tubes
Bloating and belching? Hello Doctor, my father is 73 years old and has been bedridden for over three years. He suffers from gastroesophageal reflux disease and ulcers. He is currently being fed through a nasogastric tube. Due to his inability to move, his digestion is poor, and h...
Dr. Yuan Hongdao Reply:
Hello, I am not sure about the reason for your father's bed confinement. Common causes include stroke and Parkinson's disease. Prolonged bed rest, combined with conditions like diabetes or certain medication side effects, can affect the function of the intestinal muscle...[Read More] Managing Bloating and Burping in Bedridden Patients with Feeding Tubes
Understanding Esophageal Pain and Difficulty Swallowing: Causes and Treatments
Esophageal dysphagia and pain? I have been experiencing chest pain whenever I take a deep breath, and recently, I also feel pain when swallowing, especially when drinking hot liquids. The pain has been becoming more pronounced. I would like to know what symptoms this might indica...
Dr. Chen Zhiping Reply:
Hello, difficulty or pain while swallowing usually indicates a condition affecting the esophagus. Mild conditions may include esophagitis or esophageal ulcers, while more severe cases could involve esophageal cancer. If symptoms do not improve on their own, it is advisable to see...[Read More] Understanding Esophageal Pain and Difficulty Swallowing: Causes and Treatments
Can Long-Term Acid Reflux Cause Esophageal Tumors? Understanding Your Diagnosis
Chronic gastroesophageal reflux disease (GERD) can lead to the development of esophageal tumors? Hello, I previously underwent an endoscopy at another hospital, where it was found that in addition to a mild gastric ulcer, there was also a tumor in my esophagus (approximately one-...
Dr. Yuan Hongdao Reply:
Hello, esophageal tumors may be congenital, caused by viral infections, result from chronic inflammation (such as gastroesophageal reflux disease), or related to individual predispositions. Generally, an upper endoscopy can provide a preliminary assessment of whether the tumor is...[Read More] Can Long-Term Acid Reflux Cause Esophageal Tumors? Understanding Your Diagnosis
Understanding Right Upper Abdominal Pain and Dark Brown Stool Causes
Right upper quadrant pain with bloody stools? I have a slight dull pain in my upper right abdomen, and during bowel movements, I notice some dark brown discoloration (though I don't believe it's blood in the stool). The doctor tested and found a positive reaction for oc...
Dr. Yuan Hongdao Reply:
Hello, in general, bleeding from the stomach, esophagus, or duodenum can cause stools to appear tarry (very dark). Bleeding from the colon, rectum, or anus typically results in stools that are dark red, bright red, or deep brown, which is considered normal. A positive fecal occul...[Read More] Understanding Right Upper Abdominal Pain and Dark Brown Stool Causes
Chronic Stomach Pain: Seeking Answers Beyond Endoscopy and Ultrasound
Chronic stomach pain? Hello Doctor, I have been experiencing a long-term issue for about six to seven years. Due to my busy work schedule, I often ate irregularly or sometimes not at all. Subsequently, I began to have symptoms similar to acid reflux. The symptoms are not characte...
Dr. Yuan Hongdao Reply:
Hello, the initial symptom of burning in the chest is caused by gastric acid reflux into the esophagus. At this time, using proton pump inhibitors typically results in significant improvement. The size of the ulcer does not necessarily correlate with the symptoms of upper abdomin...[Read More] Chronic Stomach Pain: Seeking Answers Beyond Endoscopy and Ultrasound
Understanding Green Stool: Causes and When to Seek Medical Advice
Stool color Today, I noticed that my stool is dark green. Later in the evening, I started feeling a bit nauseous (previously, my stool was somewhat black and this has been ongoing for about 3-4 times). Could this be related to the medications I'm taking? (If I have a strong ...
Dr. Chen Zhiping Reply:
Hello, if the stool is black and tarry, it is generally indicative of upper gastrointestinal bleeding (from the esophagus, stomach, or duodenum). As for dark green stool occurring once every one to two days, it is difficult to determine if there is bleeding. It is advisable to go...[Read More] Understanding Green Stool: Causes and When to Seek Medical Advice
Understanding Pain Under the Ribs: Possible Causes and Organs Involved
Could you please provide more context or specify your question? Doctor, I sometimes experience pain in the area just below the ribs on both sides of my lungs, near the upper part of my stomach. What organs are located in that area? What could be the possible issues? Thank you for...
Dr. Chen Zhiping Reply:
Hello, this area is close to the gastroesophageal junction, specifically the cardia. Sometimes, inflammation at the lower end of the esophagus may occur due to acid reflux, which can lead to symptoms such as burning sensation (heartburn) or regurgitation of acidic fluid. It is re...[Read More] Understanding Pain Under the Ribs: Possible Causes and Organs Involved
Understanding Gastrointestinal Issues: Constipation or Indigestion?
Please ask your question? I have been experiencing gastrointestinal issues for a long time, and I'm not sure whether to classify it as constipation or indigestion, as the food I consume seems difficult to digest in the small intestine. It used to be intermittent, but recentl...
Dr. Chen Zhiping Reply:
Hello, this seems more like a case of dyspepsia. You may want to visit a gastroenterology clinic for an upper gastrointestinal examination, such as an endoscopy or upper GI series, to assess for factors such as ulcers, strictures, or even tumors that could be causing poor gastric...[Read More] Understanding Gastrointestinal Issues: Constipation or Indigestion?
Understanding Persistent Hiccups: Causes and Solutions
Persistent hiccups? Doctor, I often hiccup, and even a long time after I've eaten, I still experience loud hiccups. What could be the reason for this? Thank you.
Dr. Chen Zhiping Reply:
Hello, hiccups and belching are usually caused by gastric distension, excessive gas, or digestive issues such as abnormal peristalsis. It is advisable to avoid carbonated beverages, refrain from consuming irritating foods (such as spicy foods), limit chewing gum (which can introd...[Read More] Understanding Persistent Hiccups: Causes and Solutions
Understanding Dark Green Stool: Causes and Concerns for Your Health
Regarding bowel movements..? Hello Doctor, I would like to ask about my recent bowel movements. The color has been a dark greenish-black. Is there something wrong? A few days ago, I experienced stomach pain and abdominal pain, and I took some medication. Could this be related to ...
Dr. Chen Zhiping Reply:
Hello, black stools may indicate suspected upper gastrointestinal bleeding (from the esophagus, stomach, or duodenum) or could be caused by consuming foods such as pig's blood or duck's blood. Dark green stools are more difficult to interpret and may still be related to...[Read More] Understanding Dark Green Stool: Causes and Concerns for Your Health
Understanding Upper Left Abdominal Pain: Possible Causes and Concerns
Regarding pain in the upper left abdomen? Hello Doctor: About three days ago, I seemed to have caught a cold, feeling extremely cold and shivering even with a slight breeze, but I did not have any other cold symptoms. After about two days, the chills almost disappeared, but my st...
Dr. Chen Zhiping Reply:
Hello, your symptoms resemble those of acute gastroenteritis, which may be related to your previous alcohol consumption or could be gastrointestinal symptoms associated with a cold. If your condition gradually improves, you may monitor it for now. However, if it does not improve,...[Read More] Understanding Upper Left Abdominal Pain: Possible Causes and Concerns
Is Your Liver in Trouble? Signs and Symptoms You Shouldn't Ignore
Is it true that liver damage is being circulated on the internet? I have been experiencing a slight pressure sensation in the cartilage located in the middle of my ribs, slightly to the right, for the past two months. It feels as if something is swollen inside. I am unsure if thi...
Dr. Chen Zhiping Reply:
Hello, the content of the letter you received seems to reflect some misconceptions. It appears to incorporate certain concepts from traditional Chinese medicine, but there are also some inaccuracies. However, if you are experiencing these symptoms, it is advisable to seek medical...[Read More] Is Your Liver in Trouble? Signs and Symptoms You Shouldn't Ignore
Understanding Frequent Vomiting After Dinner: Possible Causes and Solutions
Occasional vomiting? My girlfriend has been experiencing frequent episodes of vomiting, almost every day after dinner. She insists that she is fine, so I would like to consult a physician to see if there might be some underlying condition causing her recurrent vomiting. She is no...
Dr. Chen Zhiping Reply:
Hello, frequent vomiting can have many causes, such as lesions in the stomach, duodenum, or esophagus, or liver disease leading to nausea and vomiting. Additionally, issues in the brain that cause increased intracranial pressure can also result in severe vomiting, often seen in p...[Read More] Understanding Frequent Vomiting After Dinner: Possible Causes and Solutions
Understanding Esophageal Dysfunction: Causes and Solutions for Bloating and Pain
Esophageal incompetence? I have been troubled by bloating for a long time, experiencing stomach pain that has not improved. After eating, the food I just swallowed sometimes comes back up, and occasionally, a substance resembling stomach acid also comes up. My abdomen is constant...
Dr. Su Baojia Reply:
Your symptoms are very similar to gastroesophageal reflux disease (GERD). You can manage this condition by changing your lifestyle, avoiding foods that irritate the stomach, such as coffee, tea, and fried foods, while also relieving stress. It is advisable to avoid medications li...[Read More] Understanding Esophageal Dysfunction: Causes and Solutions for Bloating and Pain
Understanding Stomach Pain: Causes and Concerns in Digestive Health
Regarding stomach pain? I would like to ask about experiencing stomach pain sometimes before meals, occasionally a few hours after eating, and even having stomach pain halfway through a meal. What could this indicate? Additionally, I sometimes wake up with a sour feeling in my th...
Dr. Su Baojia Reply:
Experiencing pain before and after meals may indicate the presence of a gastric ulcer. Waking up with a sour sensation in the throat or esophagus suggests the occurrence of acid reflux into the esophagus.[Read More] Understanding Stomach Pain: Causes and Concerns in Digestive Health
Understanding Gastrointestinal Issues: Symptoms and Solutions
Gastrointestinal issues Hello Doctor: A year ago, I would feel uncomfortable if I ate too much food, sometimes leading to stomach pain, but this situation would improve once I vomited. However, in the past few months, after finishing a regular-sized meal, I often feel discomfort ...
Dr. Chen Zhiping Reply:
Hello, based on your symptoms, it seems that you may be experiencing some signs of indigestion. However, it is best to rule out any lesions in the esophagus, stomach, and duodenum. Therefore, I recommend that you undergo an upper gastrointestinal examination (such as an endoscopy...[Read More] Understanding Gastrointestinal Issues: Symptoms and Solutions
Signs of Serious Liver Issues: Dark Spots, Poor Appetite, and Swallowing Difficulties
Large black spots all over the body, poor appetite, and difficulty swallowing..? I have been drinking alcohol and consuming betel nut for a long time, and due to driving for work at night, I recently found that I can't sleep without drinking. I have developed large dark spot...
Dr. Chen Zhiping Reply:
Hello, you have developed a large dark spot on your skin. I recommend that you visit a dermatologist for an examination to rule out any serious skin conditions, such as melanoma. Regarding your other symptoms, including poor appetite, difficulty swallowing, and weight loss, pleas...[Read More] Signs of Serious Liver Issues: Dark Spots, Poor Appetite, and Swallowing Difficulties
Understanding Massive Upper Gastrointestinal Bleeding After Duodenal Surgery
Ampullectomy Why does massive bleeding occur near the esophagus above the stomach after a choledochotomy for gallstones, necessitating a subsequent gastric surgery to control the bleeding?
Dr. Chen Zhiping Reply:
Reply: Hello, When you refer to "ampullary incision for gallstones," are you talking about endoscopic ampullectomy for bile duct stones or a surgical procedure performed through an open abdominal approach? Generally, this should not be related to significant bleeding ...[Read More] Understanding Massive Upper Gastrointestinal Bleeding After Duodenal Surgery
Dealing with Esophageal Issues: Persistent Vomiting After Eating
If someone is experiencing persistent difficulty swallowing and vomiting shortly after eating, it is important to seek medical attention. Here are some steps to consider: 1. **Consult a Healthcare Professional**: Schedule an appointment with a gastroenterologist for a thorough e...
Dr. Chen Zhiping Reply:
Hello, vomiting after eating can be related to issues with the esophagus, stomach, or intestines. However, if vomiting occurs immediately after eating or shortly thereafter, it is more likely to be a problem with the esophagus or stomach. Are there any symptoms of obstruction? Ar...[Read More] Dealing with Esophageal Issues: Persistent Vomiting After Eating
Feeling a Lump in My Throat: Gastrointestinal Concerns Explained
I have a foreign body sensation in my throat! Recently, I have been feeling like there is something stuck in my throat for over a week! I went to see an otolaryngologist, and they said everything is fine! It feels like I can't even burp! Previously, this issue triggered arrh...
Dr. Chen Zhiping Reply:
Hello: Do you experience symptoms such as chest burning, acid reflux, or chest pain? Sometimes unexplained throat pain, hoarseness, or wheezing may be caused by acid reflux into the esophagus. Of course, it can also stem from conditions affecting the esophagus itself, such as con...[Read More] Feeling a Lump in My Throat: Gastrointestinal Concerns Explained