Understanding Bright Red Blood in Stool: Causes and Concerns
The stool has appeared with bright red blood? Dr. Chang: Hello, I am a 20-year-old female. I often experience bloating, and my bowel movements have been consistently soft lately, but they have a sour smell. In the past two days, I have noticed bright red blood in my stool. On May...
Dr. Zhang Siyuan Reply:
To eloha666: Your symptoms may be related to conditions that can cause rectal or anal bleeding, commonly including hemorrhoids, hemorrhagic proctitis, and anal inflammation. An endoscopy is needed for an initial diagnosis. It is recommended that you visit a gastroenterologist for...[Read More] Understanding Bright Red Blood in Stool: Causes and Concerns
Understanding Esophageal Pain: Insights for Office Workers
Esophagus Hello Dr. Zhang, I am 155 cm tall and work in a computer-related job. I have been suffering from severe back pain for three years and have not found any relief. Currently, I am taking Ultracet (tramadol), Tonec (aceclofenac), and amitriptyline HCl (for about four mont...
Dr. Zhang Siyuan Reply:
To May: Based on your symptom history, the respiratory infection issue has not been completely resolved, and combined with weight loss and hemoptysis, the primary task ahead is to conduct a chest X-ray examination and detailed interpretation to rule out conditions such as asthma,...[Read More] Understanding Esophageal Pain: Insights for Office Workers
Understanding Unexplained Abdominal Pain: Possible Gastrointestinal Issues
Gastrointestinal diseases I have been experiencing unexplained abdominal pain recently. It feels somewhat like the pain associated with diarrhea, but I haven't eaten anything that would upset my stomach, nor do I have the urge to have a bowel movement. My bowel movements are...
Dr. Zhang Siyuan Reply:
To Zhang: Based on your description, the pattern of your abdominal pain seems to resemble a type of cramping similar to diarrhea. Since it does not induce the urge to defecate, the location of the pain may be in the ascending, transverse, and descending colon, excluding the sigmo...[Read More] Understanding Unexplained Abdominal Pain: Possible Gastrointestinal Issues
Understanding Gastroenteritis: Causes, Symptoms, and Dietary Tips
Gastroenteritis I tend to have a cold constitution, so I can't eat certain cold foods. I have experienced gastroenteritis; once it was acute gastroenteritis, and another time it was chronic gastroenteritis, where I feel the urge to use the restroom every time after eating. C...
Dr. Zhang Siyuan Reply:
To Ah-Fang: The urge to use the restroom immediately after eating is a symptom of a pathological Gastrocolic Reflex. Normally, this reflex is a protective mechanism of the body that responds to specific emergency situations, such as indigestion caused by overeating in a short per...[Read More] Understanding Gastroenteritis: Causes, Symptoms, and Dietary Tips
Understanding the Causes of Black Stool: When to Seek Medical Attention
Feces What could cause black stools? I understand that consuming blood-rich foods or iron supplements can lead to this. If I only eat a small amount, like pig's blood, would that still cause black stools? About 2-3 months ago, I suddenly had black stools for three consecutiv...
Dr. Zhang Siyuan Reply:
To Monkey: Your recurrent black stool may not necessarily indicate a new problem; it could be a recurrence of your previous hemorrhagic gastritis. You should consult the physician who performed your endoscopy to confirm this. The most common cause of black stool is gastrointestin...[Read More] Understanding the Causes of Black Stool: When to Seek Medical Attention
Can Drinking Too Many Beverages Lead to Kidney Issues?
Does drinking beverages excessively really lead to kidney deficiency? I'm worried? Does drinking a lot of beverages really lead to kidney deficiency? I'm worried that continuously drinking beverages could cause kidney issues. I'm concerned because I haven't be...
Dr. Zhang Siyuan Reply:
Dear Student Chen, I am very concerned that if you continue to drink beverages and reduce your water intake, over time this may lead to excessive strain on your kidneys. This condition is referred to in Western medicine as renal insufficiency, meaning that while kidney function ...[Read More] Can Drinking Too Many Beverages Lead to Kidney Issues?
Understanding Nausea After Eating: Possible Causes and Solutions
nausea Dr. Chang: I would like to ask, my friend experiences nausea and vomiting shortly after consuming foods other than bread and desserts, such as rice or certain vegetables. What could be the possible causes of this? Thank you!
Dr. Zhang Siyuan Reply:
To Paul: Generally speaking, vomiting caused by gastrointestinal diseases is not typically associated with specific types of food. When nausea occurs only in response to a certain category of food, it is often necessary to consider psychological factors that may stimulate the vom...[Read More] Understanding Nausea After Eating: Possible Causes and Solutions
Understanding Gastrointestinal Issues: Reduced Bowel Movements and Gas
Abdominal bloating with a sudden decrease in bowel movements? Hello Doctor, my symptoms have been present for about a month. I have noticed a significant decrease in my bowel movements; sometimes they are thin and at times I can hardly pass anything. Even when I do have a bowel m...
Dr. Zhang Siyuan Reply:
To Jin: Your gastrointestinal symptoms can be analyzed as chronic intestinal gas accumulation. Although intestinal peristalsis is frequent, it is not effectively transporting contents. Over time, unabsorbed liquid material begins to accumulate in the intestines. When the pressure...[Read More] Understanding Gastrointestinal Issues: Reduced Bowel Movements and Gas
Understanding Gastrointestinal Issues: Possible Causes and Diagnostic Tests
Gastroenterology Gastroenterology: Due to my unfortunate experiences during military service, I had an irregular diet, often going several meals without eating, and even when I did eat, I had to lift heavy objects immediately afterward. As a result, my gastrointestinal system was...
Dr. Zhang Siyuan Reply:
To Mr. Chen: Your symptoms do not seem to follow the typical course of appendicitis, nor do they appear to be related to spinal injury. Instead, they resemble gastrointestinal dysfunction, potentially including dysfunction of the important gastrointestinal sphincters. These issue...[Read More] Understanding Gastrointestinal Issues: Possible Causes and Diagnostic Tests
Understanding Hepatitis B Vaccine Results: What Does Negative Mean?
Please ask your question? Hello Doctor: 1. When I was in fifth grade, my blood test indicated "please receive the hepatitis B vaccine," but today's test report states "negative." Is that normal? Do I have antibodies?
Dr. Chen Shidian Reply:
Hello Mr. Lai: If the result is negative for hepatitis B antibodies, it indicates that there are no antibodies present. You may visit the gastroenterology and hepatology outpatient clinic to confirm whether you need to receive another dose of the hepatitis B vaccine (which will c...[Read More] Understanding Hepatitis B Vaccine Results: What Does Negative Mean?
Understanding Liver Function Tests: What Do Your GOT and GPT Levels Mean?
Liver function tests Hello, doctor: I would like to ask you a question. I recently had my liver function tests, and my AST (GOT) level is 39 U/L, while my ALT (GPT) level is 69 U/L.
Dr. Chen Shidian Reply:
Hello, Lai Wenzheng: Please visit the Gastroenterology and Hepatology outpatient clinic to determine the cause of your condition (such as Hepatitis B, Hepatitis C, or fatty liver, etc.). Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Liver Function Tests: What Do Your GOT and GPT Levels Mean?
Could Your Fatigue and Symptoms Indicate Liver Issues?
Am I having liver problems? I have been feeling very sleepy and fatigued lately, even after sleeping for more than 10 hours, and I still don’t feel rested. I often feel unwell, sometimes experiencing palpitations and shortness of breath, along with dizziness, eye strain, and a lo...
Dr. Lin Minghui Reply:
Hello: Pregnancy, excessive work fatigue, high stress, and endocrine disorders can all contribute to fatigue. It is recommended to consult with an internist or a family medicine specialist. Sincerely, Dr. Lin Ming-Hui, Internal Medicine.[Read More] Could Your Fatigue and Symptoms Indicate Liver Issues?
Understanding Abdominal Issues: Symptoms and When to Seek Help
Could you please provide more details about the abdominal issues you are inquiring about? Hello: Recently, I have been experiencing some strange symptoms in my abdomen. It feels distended to the extent that it seems like I am three months pregnant (but I have tested negative). Ad...
Dr. Lin Minghui Reply:
Hello, I recommend seeing an internist (general medicine or gastroenterology and hepatology) to check if there is any ascites and to evaluate for any liver or gallbladder issues. Sincerely, Dr. Lin Ming-Hui, Internal Medicine.[Read More] Understanding Abdominal Issues: Symptoms and When to Seek Help
Is My Liver in Trouble? Understanding Symptoms and Risks
Is there something wrong with my liver? Hello Doctor: I have had a drinking habit for nearly 20 years. I was involved in a car accident in 1994, which resulted in a ruptured liver. I have had follow-up visits since then, and everything was normal. However, my last follow-up visit...
Dr. Cai Junyan Reply:
Dear Mr. Zheng: Your symptoms are very similar to an outbreak of hepatitis. It is best to go to the hospital for a blood test to check your liver function and to undergo an abdominal ultrasound to determine whether it is alcoholic hepatitis or hepatitis A, B, or C. Chronic hepati...[Read More] Is My Liver in Trouble? Understanding Symptoms and Risks
Do You Need Gallbladder Removal for Acute Cholecystitis?
Acute cholecystitis Is it necessary to remove the gallbladder in cases of acute cholecystitis? Will removing it have any effects on the body?
Dr. Yang Peizhen Reply:
Hello! Acute cholecystitis poses a risk of gallbladder rupture or sepsis, which can lead to life-threatening situations. Therefore, an assessment for the need for emergency surgery is typically conducted within the first 24 to 48 hours of the initial episode, especially for patie...[Read More] Do You Need Gallbladder Removal for Acute Cholecystitis?
Assessing Medical Oversight: A Case Study of Jaundice Diagnosis in Hepatitis B
請提供您想詢問的內容，我將協助您進行翻譯。 I would like to ask how other physicians would diagnose a patient during their first visit on October 12. Does this constitute medical negligence? The patient, Xu Zhanwei, a 23-year-old male senior student, was confirmed to be a carrier of hepatitis B two ye...
Dr. Yang Peizhen Reply:
Hello! First, I must clarify that I am not a member of the Medical Evaluation Committee and do not have the authority to determine whether a physician has committed medical malpractice. Furthermore, I was not present during the consultation between the doctor and the patient, so ...[Read More] Assessing Medical Oversight: A Case Study of Jaundice Diagnosis in Hepatitis B
Small Hard Lump in Right Abdomen: Possible Causes and Specialist Guidance
There is a small hard lump in the right abdomen? I have a small hard lump in my right abdomen, about two fingerbreadths below the rib cage, which is slightly painful when touched. I have undergone an endoscopy, but no issues were found. What could this possibly be? If I need to g...
Dr. Chen Shidian Reply:
Dear Dino, I have received your letter regarding the small hard lump located beneath the rib cage in the abdominal area. It is unclear whether this lump is subcutaneous or deeper within the abdomen, as well as its size and the duration since its discovery. Is it situated in the ...[Read More] Small Hard Lump in Right Abdomen: Possible Causes and Specialist Guidance