Understanding Bloating and Loss of Appetite: Causes and Solutions
Bloating, loss of appetite? I often experience bloating in my left flank and a lack of appetite. What should I do? I have seen a doctor who mentioned that my lack of appetite is caused by anxiety; is that really the case? I have undergone an endoscopy, which showed only gastritis...
Dr. Chen Shidian Reply:
It is recommended to consult with a physician for discussion, maintain regular meal times, and engage in regular exercise to support metabolic circulation.[Read More] Understanding Bloating and Loss of Appetite: Causes and Solutions
Understanding Umbilical Pain: Causes and Solutions for Digestive Issues
Umbilical pain or discomfort? Hello doctor, I often experience a dull pain around my navel, accompanied by flatulence and belching, especially before bedtime. The pain doesn't quite feel like bloating or the urge to have a bowel movement. I drink yogurt every day, but I don&...
Dr. Cai Anshun Reply:
Hello: If there is discomfort near the navel accompanied by constipation or diarrhea, it may be necessary to address the bowel movement issues. If there are no accompanying symptoms of constipation or diarrhea, it may be important to consider whether there is excessive gastric ac...[Read More] Understanding Umbilical Pain: Causes and Solutions for Digestive Issues
Understanding Gastritis: Symptoms, Treatment, and Dietary Tips
Gastritis, decreased appetite, weight loss, nausea, and loss of appetite? Recently, I have been experiencing loss of appetite, nausea, and vomiting, with a decreased food intake (feeling full after eating a little), weight loss, stomach pain, and constipation. These symptoms have...
Dr. Lin Minghui Reply:
The gastroscopy examination shows mild inflammation. However, it is important to identify the underlying cause of gastritis, which could be due to improper diet, infections, medications, chemicals, allergies, alcohol consumption, stress, or immune responses. Symptomatic treatment...[Read More] Understanding Gastritis: Symptoms, Treatment, and Dietary Tips
Understanding Suspicious Curvilinear Bacilli in Gastric Pathology Reports
I saw this sentence in my pathology report and I don't quite understand it; I would like to consult a doctor? A few suspicious curvilinear bacilli are found in the superficial gastric pits by H&E staining. Giemsa stain shows no definite evidence of Helicobacter pylori. T...
Dr. Lin Minghui Reply:
Helicobacter pylori is a type of bacterium associated with various gastrointestinal diseases, including gastritis, gastric ulcers, gastric cancer, and gastric lymphoma. The clinical significance of other spiral-shaped bacteria is not well understood. Detection methods include his...[Read More] Understanding Suspicious Curvilinear Bacilli in Gastric Pathology Reports
Understanding Your Gastrointestinal Biopsy Results: Chronic Gastritis and Carcinoid Tumor Explained
Gastrointestinal biopsy and colonoscopy? GASTROSCOPY REPORT PATHOLOGICAL DIAGNOSIS: Stomach, antrum; biopsy: Chronic gastritis without Helicobacter infection. GROSS FINDING: The specimen is a piece of tissue, measuring 0.2 x 0.2 x 0.1 cm in size. It is tan. All are embedded i...
Dr. Chen Shidian Reply:
Gastric biopsy: within normal limits. Colon biopsy: Carcinoid tumor (a slightly malignant benign tumor) → follow-up appointment to discuss with the attending physician.[Read More] Understanding Your Gastrointestinal Biopsy Results: Chronic Gastritis and Carcinoid Tumor Explained
Understanding Nausea, Appetite Loss, and Stomach Discomfort: Causes and Solutions
Nausea, loss of appetite, and discomfort in the stomach? Hello Doctor: Around the end of January, I experienced nausea and a desire to vomit after eating fried food. I visited a clinic during that time, but during the Lunar New Year, I started to lose my appetite again, feeling n...
Dr. Chen Shidian Reply:
There could be many possible causes. It is recommended to return to the gastroenterology outpatient clinic to discuss with a physician, and if necessary, be referred to the relevant specialty. The dietary advice is to eat small, frequent meals and avoid foods that may trigger sym...[Read More] Understanding Nausea, Appetite Loss, and Stomach Discomfort: Causes and Solutions
Understanding Nausea and Gastrointestinal Issues After Eating
Nausea and gastrointestinal issues? Hello Doctor: Last week, I went to a night market and ate some food (egg cake, quail eggs, and fried chicken leg). After returning, I felt nauseous and wanted to vomit. The next day, I went to see a doctor who diagnosed me with gastritis and pr...
Dr. Chen Shidian Reply:
It may take some time to recover, and medication can be taken again if necessary. If you consume food that causes discomfort, take a break from eating.[Read More] Understanding Nausea and Gastrointestinal Issues After Eating
Frequent Nausea After Eating: Understanding Gastrointestinal Issues
Feeling nauseous after eating or after just a few bites? Experiencing nausea and the urge to vomit frequently after eating, often resulting in dry heaving, along with a reduced appetite and not feeling hungry for several hours, can indicate a gastrointestinal issue. These symptom...
Dr. Hu Guozheng Reply:
It is recommended that you seek medical treatment at the Gastroenterology and Hepatology outpatient clinic as soon as possible. Thank you.[Read More] Frequent Nausea After Eating: Understanding Gastrointestinal Issues
Understanding Pathology Reports: Insights on Gastrointestinal Biopsies
I would like to inquire about the test results of the gastroscopy and colonoscopy (a total of three pathology diagnoses)? FIRST PATHOLOGICAL DIAGNOSIS: Rectum, biopsy -- Chronic follicular inflammation. GROSS: The specimen submitted consists of 2 pieces of grayish tissue measurin...
Dr. Hu Guozheng Reply:
It is recommended that you bring the report to the gastroenterology and hepatology outpatient clinic for a face-to-face consultation with the physician. Thank you.[Read More] Understanding Pathology Reports: Insights on Gastrointestinal Biopsies
Understanding Your Endoscopy Report: Key Findings and Next Steps
I would like to inquire about the results of the gastroscopy examination report? Hello Doctor, here is a report from an endoscopy examination, and I would like to inquire about the results. ENDOSCOPY FINDINGS: Esophagus: normal appearance Esophagogastric junction: mucosal break ...
Dr. Lin Minghui Reply:
The endoscopy report indicates: 1. Mild gastroesophageal reflux. 2. Inflammation in the gastric antrum with biopsy performed. 3. A small polyp measuring 0.1 cm in the gastric body, suspected to be a fundic gland polyp, with biopsy performed. Please return for a follow-up to revie...[Read More] Understanding Your Endoscopy Report: Key Findings and Next Steps
Understanding Your Endoscopy Report: Key Findings and Recommendations
Inquiry about the gastroscopy report? ENDOSCOPY FINDINGS: Esophagus: normal appearance Esophagogastric junction: mucosal break < 5 mm (Minimal change) Fundus: normal appearance Body: One 1 mm sessile polyp in the lower body, GCS s/p biopsy (A) Angularis: normal appea...
Dr. Lin Minghui Reply:
Hello: The gastroscopy report indicates 1. mild gastroesophageal reflux. 2. inflammation in the gastric antrum with biopsy performed. 3. a small polyp measuring 0.1 cm in the gastric body, suspected to be a fundic gland polyp, with biopsy performed. Please return for a follow-up ...[Read More] Understanding Your Endoscopy Report: Key Findings and Recommendations
Understanding Chronic Gastrointestinal Issues: IBS vs. Crohn's Disease
Recurrent gastroenteritis? Irritable bowel syndrome? Crohn's disease? Hello Doctor, in early September of this year, I developed gastroenteritis after consuming something unclean. Just as I was recovering, I ingested something unclean again, causing my gastroenteritis sympto...
Dr. Lin Minghui Reply:
Blood and stool tests showed no issues. It is advised to pay attention to the problematic areas and monitor your diet. Limit the intake of foods that can increase stomach acid, such as coffee, chocolate, carbonated beverages, and fried foods. Additionally, reduce smoking, as it c...[Read More] Understanding Chronic Gastrointestinal Issues: IBS vs. Crohn's Disease
Why Am I Hungrier After Starting Triple Therapy for H. Pylori?
Taking the triple therapy for Helicobacter pylori makes me feel very hungry? Recently, I was diagnosed with duodenal ulcer, gastritis, and positive Helicobacter pylori. I am currently following my doctor's advice and taking a triple therapy medication (Nexium + Amoxicillin +...
Dr. Hu Guozheng Reply:
Please follow the doctor's instructions regarding medication. During the treatment period, try to choose a mild and non-irritating diet, avoiding spicy foods, milk, caffeine, or alcoholic beverages. If you are experiencing significant discomfort from hunger, please return fo...[Read More] Why Am I Hungrier After Starting Triple Therapy for H. Pylori?
Post-Treatment Care for Mild Stomach and Duodenal Ulcers: Is It Necessary?
Helicobacter pylori, mild gastric ulcer, mild duodenal ulcer, issues after 16 weeks of medication? Hello Doctor, in July of this year, I went to a gastroenterology clinic for a self-paid gastroscopy. The doctor mentioned that I have mild gastric ulcers and mild duodenal ulcers, a...
Dr. Chen Shidian Reply:
After sterilization, a confirmation of successful sterilization is performed (often using the blow test). It may be considered to discontinue medication or to keep maintenance medication to be taken only when symptoms arise.[Read More] Post-Treatment Care for Mild Stomach and Duodenal Ulcers: Is It Necessary?
Understanding Gallbladder Stones: When to Consider Surgery?
Gallbladder surgery Hello, for the past 2-3 years, I have frequently experienced abdominal bloating and discomfort after meals. Taking antacids or medications for bloating is sometimes effective and sometimes not. A few months ago, I had severe bloating and a feeling of pressure,...
Dr. Chen Shidian Reply:
It does not resemble gallstone symptoms; we can try medication management.[Read More] Understanding Gallbladder Stones: When to Consider Surgery?
Can You Get H. Pylori from Sharing Drinks? Expert Insights
Helicobacter pylori Hello Doctor, I recently had an endoscopy and tested negative for Helicobacter pylori. However, a few days ago, I accidentally drank a small sip of a beverage from a friend who has Helicobacter pylori. Is there a high chance that I will contract Helicobacter p...
Dr. Hu Guozheng Reply:
Helicobacter pylori is primarily transmitted through the fecal-oral route and can be contracted by inadvertently consuming food or water contaminated with the bacteria. Most individuals infected with H. pylori do not exhibit symptoms; however, some may experience various symptoms...[Read More] Can You Get H. Pylori from Sharing Drinks? Expert Insights
Understanding Post-Meal Bloating: H. Pylori or Functional Dyspepsia?
Helicobacter pylori? Functional dyspepsia?? Others??? Hello Doctor, since February 2023, I have been experiencing a feeling of abdominal bloating in the upper stomach about an hour after meals, which lasts for 4 to 6 hours before returning to normal. I have seen a doctor and unde...
Dr. Chen Shidian Reply:
If the bacteria have not been tested, one can proceed with examination or sterilization. If symptoms persist and are still functional in nature, dietary or pharmacological adjustments may be made.[Read More] Understanding Post-Meal Bloating: H. Pylori or Functional Dyspepsia?
Managing GERD: When to Consider Endoscopy and Continued PPI Therapy
Gastroesophageal reflux disease (GERD) In May, I underwent an upper gastrointestinal endoscopy, which revealed chronic gastritis, Helicobacter pylori infection, and gastroesophageal reflux disease (GERD). Occasionally, I experience throat pain due to acid reflux. The H. pylori in...
Dr. Chen Shidian Reply:
Low-dose or non-endoscopic PPI can be used under the National Health Insurance, occasionally supplemented with self-paid high-dose PPIs as needed to control symptoms. Alternatively, a repeat endoscopy can be performed to meet the criteria for insurance-covered medications. It is ...[Read More] Managing GERD: When to Consider Endoscopy and Continued PPI Therapy
Understanding GERD and Superficial Gastritis: Treatment and Medication Insights
Gastroesophageal reflux disease (GERD) and superficial gastritis? Dear Vice President Chen, I underwent an upper gastrointestinal endoscopy at the hospital on July 31, 2023, and the results are as follows: Examination time: Start time: 10:32:06 End time: 10:36:13 Clinica...
Dr. Chen Shidian Reply:
Medication can be reduced or discontinued; this can be discussed with the attending physician without conflict.[Read More] Understanding GERD and Superficial Gastritis: Treatment and Medication Insights
Understanding Morning Abdominal Tightness and Pain: Causes and Solutions
Abdominal muscles Experiencing tightness and soreness in the upper abdomen on both sides during the night until morning, along with occasional back pain, could be related to several factors. It may be due to poor sleeping posture, muscle strain, or gastrointestinal issues such as...
Dr. Hu Guozheng Reply:
Please observe for any accompanying discomfort and then consult and evaluate at the outpatient clinic. Thank you.[Read More] Understanding Morning Abdominal Tightness and Pain: Causes and Solutions