Weight Loss Concerns: Understanding Gastrointestinal Issues and Stress
Weight loss over the past year? Hello, doctor. I am a 32-year-old male, 172 cm tall and weighing 56 kg. Since November 2021, I have been experiencing belching and bloating after meals. I have consulted both Western and Traditional Chinese medicine, and they suggested possible gas...
Dr. Chen Shidian Reply:
Please discuss with the attending physician about increasing caloric intake and whether to consult or refer to other specialties for assistance in diagnosis and treatment.[Read More] Weight Loss Concerns: Understanding Gastrointestinal Issues and Stress
Understanding Sudden Left Abdominal Pain: Causes and Concerns
Pain in the left abdomen that feels like an electric shock? Hello, doctor. After undergoing an upper gastrointestinal endoscopy on Thursday (results: mild gastritis and gastroesophageal reflux), I started experiencing a sudden electric shock-like sensation in my left abdomen on F...
Dr. Cai Anshun Reply:
Hello: The sensation of being shocked is typically associated with nerve activity. If there is no improvement, you may consider consulting a gastroenterologist or neurologist at Changhua Hospital to address your health concerns. Dr. Cai Anshun.[Read More] Understanding Sudden Left Abdominal Pain: Causes and Concerns
Understanding Abdominal Petechiae: Causes and Treatment Options
Regarding multiple petechiae in the abdomen? Hello Doctor, I recently had an endoscopy, and the doctor mentioned that there are many small bleeding points in my stomach, as well as a hiatal hernia. I asked the doctor if these small bleeding points are serious, and he said he thin...
Dr. Cai Anshun Reply:
Hello: You may be dealing with hemorrhagic gastritis, which could be a result of excessive gastric acid. Medication and dietary changes (such as avoiding spicy foods) can help improve the condition. If you have a mild hiatal hernia, it may be caused by being underweight, so pleas...[Read More] Understanding Abdominal Petechiae: Causes and Treatment Options
Chronic Gastrointestinal Issues: Seeking Solutions for Morning Nausea
Chronic gastrointestinal issues Hello, doctor. I have had gastrointestinal issues since around middle school, and even now, when I wake up in the morning, if my stomach gets cold or I smell even a little bit of something, I feel nauseous and gag. This happens whether I smell brea...
Dr. Chen Shidian Reply:
It may be due to a personally sensitive constitution. Symptomatic treatment in conjunction with a gastroenterologist, along with relaxation of the body and mind, is recommended.[Read More] Chronic Gastrointestinal Issues: Seeking Solutions for Morning Nausea
Understanding Submucosal Tumors: Your Questions After Gastroscopy
Questions After Gastroscopy Hello, doctor. Today I had an upper gastrointestinal endoscopy, and the examining physician informed me that I have mild gastritis and slight gastroesophageal reflux. However, there is a submucosal tumor in my stomach measuring about one centimeter. Th...
Dr. Cai Jinji Reply:
Hello Ms. Anonymous: Submucosal tumors of the stomach can be initially diagnosed using endoscopic ultrasound. If you have concerns, you can discuss with your physician whether it is possible to perform the endoscopic ultrasound earlier, or if a definitive diagnosis is needed firs...[Read More] Understanding Submucosal Tumors: Your Questions After Gastroscopy
Understanding Gastrointestinal Issues: Abdominal Pain and Black Stool Concerns
Bowel movements and gastrointestinal issues? Recently, I have been experiencing frequent abdominal pain, and the clinic diagnosed me with gastrointestinal dysfunction. Last night, I consumed dragon fruit, and today, I noticed an unusual odor in the ground pork I ate. Tonight, I s...
Dr. Lin Minghui Reply:
The consumption of dragon fruit and foul-smelling ground pork can lead to the passage of black stools. The reasons for black stools can include the intake of iron-rich foods or pigmented foods such as red dragon fruit, hibiscus, and beets, which can cause stools to appear reddish...[Read More] Understanding Gastrointestinal Issues: Abdominal Pain and Black Stool Concerns
Understanding Abnormal CEA Levels: What You Need to Know
Abnormal CEA (Carcinoembryonic Antigen) levels in health checkup? Hello, doctor. At the end of last year, my CEA level was abnormal at 6.71. I have gastroesophageal reflux disease, and in March of last year, I underwent an upper gastrointestinal endoscopy and a colonoscopy. Aside...
Dr. Lin Minghui Reply:
Hello: Carcinoembryonic antigen (CEA) levels can be elevated in cases of mucosal lesions, inflammation, and carcinogenesis. CEA is a tumor marker primarily associated with colorectal cancer. In addition to colorectal cancer, elevated CEA levels can also be seen in other cancers s...[Read More] Understanding Abnormal CEA Levels: What You Need to Know
Understanding Bloating and Abdominal Noises: When to Seek Medical Advice
Abdominal bloating and borborygmi? Hello Doctor, I would like to ask about a recent issue. I have been experiencing abdominal rumbling before sleep, which lasts for about 5 to 10 minutes, followed by gas and flatulence that continues until I fall asleep. I usually go to bed aroun...
Dr. Cai Anshun Reply:
Hello: Abdominal rumbling may be associated with excessive intestinal gas and rapid peristalsis, which can arise from various causes such as irritant foods, gastroenteritis, or abnormal peristalsis. It is recommended to consult a gastroenterologist for an appropriate evaluation a...[Read More] Understanding Bloating and Abdominal Noises: When to Seek Medical Advice
Understanding Gastrointestinal Health: Anemia and Gallbladder Polyps Explained
Medical consultation Hello Doctor, I would like to ask if the following report indicates normal findings or bleeding? Is this related to anemia? Chief Complaint: Anemia Findings: 1. Esophagus: Neither ulcer nor varix was detected. 2. Stomach: Multiple hyperemic patches we...
Dr. Cai Anshun Reply:
Hello: The conclusion of the gastroscopy report is as follows: Superficial gastritis in the antrum, with only superficial gastritis present in the gastric antrum. There is a 0.4 cm gallbladder polyp, and it is recommended to monitor and follow up until it exceeds 1 cm, at which p...[Read More] Understanding Gastrointestinal Health: Anemia and Gallbladder Polyps Explained
Understanding Gastrointestinal Issues: Is It Bowel Obstruction or Something Else?
Gastrointestinal issues Hello, doctor. Recently, while having breakfast, I experienced a cramping pain in my abdomen, similar to the sensation of doing a sit-up. It took about 20 minutes for it to gradually return to normal. However, I haven't engaged in any exercise lately....
Dr. Cai Anshun Reply:
Hello: In cases of intestinal obstruction, there typically would be no passage of gas or stool, and there may even be vomiting. It is more likely to be a condition related to the stomach, such as gastritis or a gastric ulcer. You should consult a gastroenterologist for further ex...[Read More] Understanding Gastrointestinal Issues: Is It Bowel Obstruction or Something Else?
Managing Stomach Issues: Insights on Medication and Gastrointestinal Health
Medication Consultation for Gastrointestinal Issues Hello Doctor: Over a year ago, I experienced discomfort in my stomach and was diagnosed with Helicobacter pylori, for which I underwent eradication therapy and confirmed successful treatment. However, since then, I have frequent...
Dr. Cai Anshun Reply:
Hello: 1. If there is no improvement, you can return for a consultation, where the physician will assess whether a colonoscopy is necessary or if you should consider a self-paid colonoscopy as part of an advanced health check-up. 2. Taking gastric medication for a year and a half...[Read More] Managing Stomach Issues: Insights on Medication and Gastrointestinal Health
Understanding Bloating After H. Pylori Treatment: Causes and Solutions
Medication Consultation for Gastrointestinal Bloating Hello Doctor: Over a year ago, I experienced discomfort in my stomach and was diagnosed with Helicobacter pylori, for which I underwent eradication therapy and confirmed successful eradication. However, since then, I have freq...
Dr. Chen Shidian Reply:
Bloating (after excluding gastrointestinal disorders) can only be managed symptomatically with medications, including dietary adjustments. Probiotics have no definitive evidence of effectiveness, but they are harmless and can be tried.[Read More] Understanding Bloating After H. Pylori Treatment: Causes and Solutions
Throat Sensation and Unformed Stool: Gastrointestinal Concerns Explained
Sensation of a foreign body in the throat + unformed stools? Since the end of June, I have been experiencing a sensation of something stuck in my throat, along with frequent yellow watery stools. I have seen three doctors and underwent an upper gastrointestinal endoscopy. The phy...
Dr. Zhang Kebin Reply:
Hello, Xiao Hong. If your symptoms do not improve with medication, it is recommended to return for a follow-up consultation with your primary physician or to seek care from a colorectal surgeon. Thank you.[Read More] Throat Sensation and Unformed Stool: Gastrointestinal Concerns Explained
Understanding Bowel Shape and Gastrointestinal Issues: Expert Insights
I would like to ask the doctor about issues related to the stomach and the shape of stool? Hello Doctor, 1. I would like to ask you about my ongoing issue with irregular bowel movements (constipation). I have noticed some improvement after taking probiotics, but the stools I pas...
Dr. Chen Shidian Reply:
It is likely a mild abnormality in peristaltic digestion. Maintaining a normal diet and routine, along with appropriate medication to control symptoms, should suffice. If concerned, a stool occult blood test can be added.[Read More] Understanding Bowel Shape and Gastrointestinal Issues: Expert Insights
Chronic Gastritis or Ulcer? Seeking Answers After Months of Treatment
If gastritis has not improved after more than four months, could it be a chronic ulcer? Should I change clinics? Hello Dr. Chen, my questions are as follows: My illness history: On the evening of April 20, I ate a large bowl of beef noodles and drank iced asparagus juice, which l...
Dr. Chen Shidian Reply:
It is likely a case of impaired gastrointestinal motility, and there is no need to worry excessively. I have no objections to changing doctors.[Read More] Chronic Gastritis or Ulcer? Seeking Answers After Months of Treatment
Understanding Stomach Pain: Causes, Symptoms, and When to Seek Help
Stomach pain issues? Thank you, doctor. I would like to ask about my condition. About two months ago, I started experiencing discomfort in my stomach that lasted for one to two weeks. Sometimes I had constipation, and occasionally diarrhea, but I did not have a fever. My bowel mo...
Dr. Lin Minghui Reply:
Hello: It is advisable to pay attention to your diet and treat gastroesophageal reflux disease (GERD). Common causes of pancreatitis include alcohol consumption, biliary issues, and hyperlipidemia. It is recommended to avoid overly greasy and sweet foods. Blood tests and imaging ...[Read More] Understanding Stomach Pain: Causes, Symptoms, and When to Seek Help
Persistent Throat Sensation and Abdominal Discomfort: Causes and Solutions
Persistent sensation of a foreign body in the throat, accompanied by gastrointestinal discomfort and pain? I have been experiencing a sensation of a foreign body in my throat for an extended period since the beginning of the year, along with a feeling of gas rising. Earlier this ...
Dr. Cai Anshun Reply:
Hello: If you haven't seen an otolaryngologist or an endocrinologist (thyroid specialist), it would be a good idea to do so. However, the likelihood of experiencing a sensation of a foreign body in the throat due to gastroesophageal reflux is relatively high. In addition to ...[Read More] Persistent Throat Sensation and Abdominal Discomfort: Causes and Solutions
Understanding Barrett's Esophagus: Diagnosis, Treatment, and Management Tips
Barrett's esophagus Hello, Doctor. Below is my esophagogastroduodenoscopy (EGD) pathology report. **Report of EGD** **Esophagus:** A shallow ulcer noted at the esophagogastric (EG) junction, s/p biopsy *1 for pathology. Mucosal break less than 5mm noted at the EG junction...
Dr. Lin Minghui Reply:
1. The esophageal mucosal biopsy from the upper gastrointestinal endoscopy shows intestinal metaplasia, which raises the suspicion of Barrett's esophagus. There is a certain degree of chronic inflammation present in the intestinal metaplasia. 2. Treatment for Barrett'...[Read More] Understanding Barrett's Esophagus: Diagnosis, Treatment, and Management Tips
Managing Gastroesophageal Reflux: Symptoms and Treatment Options
Gastroesophageal reflux disease (GERD) Hello Dr. Chen: I previously underwent an endoscopy which indicated that my lower esophageal sphincter is relatively loose, and I have gastritis accompanied by esophagitis. I experience gastroesophageal reflux, which leads to bloating and be...
Dr. Chen Shidian Reply:
Please return for a follow-up appointment to discuss medication adjustments with your physician.[Read More] Managing Gastroesophageal Reflux: Symptoms and Treatment Options
Managing Appetite Loss and Diet After Gastritis Diagnosis
Loss of appetite... Diet for gastritis? Hello, I had an upper gastrointestinal endoscopy this morning, and it was found that I have gastritis. I have been having difficulty eating these past few days, and my gallstones are normal. I do not have a fever, and my shoulders are not s...
Dr. Cai Anshun Reply:
Hello: Try to maintain a light diet and consider eating smaller, more frequent meals. If there is no improvement, you may consult a gastroenterologist for medication. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Managing Appetite Loss and Diet After Gastritis Diagnosis