Understanding Liver and Kidney Health: When to Seek Medical Attention
Liver and kidney related? Hello Doctor, I am 23 years old. For the past few years, I have been experiencing bloating and pain near my left side next to the navel. I went to a large hospital for examination, and during an abdominal ultrasound, a hepatic hemangioma was found, which...
Dr. Chen Shidian Reply:
It is likely not jaundice; it is just bloating. You can first adjust your diet or consult a clinic for evaluation.[Read More] Understanding Liver and Kidney Health: When to Seek Medical Attention
Understanding Nighttime Chest Discomfort: Is It GERD?
Waking up in the middle of the night with a burning sensation in the chest, palpitations, and chest tightness, followed by a white-coated tongue, a bitter taste in the mouth, and a feeling of something stuck in the throat upon waking? I initially thought it was a heart issue, but...
Dr. Chen Shidian Reply:
If the symptoms are consistent, medication treatment can be initiated, and it is advisable to reduce the intake of sweets, tea, coffee, and late-night snacks.[Read More] Understanding Nighttime Chest Discomfort: Is It GERD?
Managing GERD and Esophagitis: Duration of PPI Use and Symptoms Explained
How long does it take for gastroesophageal reflux disease (GERD) to improve when taking proton pump inhibitors (PPIs)? What should I do if I experience a bitter taste and acid reflux after stopping PPIs? Hello: In February of this year, I underwent an upper gastrointestinal endos...
Dr. Cai Anshun Reply:
Hello: Gastroesophageal reflux disease (GERD) is classified into four grades (A, B, C, D) based on the extent of esophageal mucosal injury due to gastric acid, according to the Los Angeles Classification. Under the National Health Insurance regulations, grades A and B allow for p...[Read More] Managing GERD and Esophagitis: Duration of PPI Use and Symptoms Explained
Understanding the Link Between GERD and Helicobacter Pylori Infection
Gastroesophageal reflux disease (GERD) and Helicobacter pylori? I have gastroesophageal reflux disease (GERD) and underwent an endoscopy. The doctor confirmed the presence of reflux and asked if I wanted to undergo eradication therapy for Helicobacter pylori. I would like to unde...
Dr. Cai Anshun Reply:
Hello: It is recommended to eradicate Helicobacter pylori if there is a gastric ulcer. However, if there is no gastric ulcer, eradication is not necessarily required, except in cases of anemia or a family history of gastric cancer. In my opinion, when treating gastroesophageal re...[Read More] Understanding the Link Between GERD and Helicobacter Pylori Infection
Does Vitamin C Worsen Acid Reflux and Harm Vocal Cords?
Gastroesophageal reflux disease (GERD) I would like to ask if vitamin C can worsen gastroesophageal reflux disease (GERD). Can GERD cause irreversible damage to the vocal cords? As a voice professional, I have been troubled by GERD affecting my vocal cords, and I was thinking of ...
Dr. Chen Shidian Reply:
Both acidic and sweet foods can potentially trigger reflux. Potent acid suppressants can be used.[Read More] Does Vitamin C Worsen Acid Reflux and Harm Vocal Cords?
Understanding Medication Side Effects: Dizziness and Nausea from Common Gastro Drugs
Drug side effects I would like to ask the doctor, a few weeks ago I experienced symptoms such as daily bloating, occasional stomach pain, and nausea before bedtime. I visited three clinics for medication, but I did not recover. Yesterday, I went to a clinic for an endoscopy, and ...
Dr. Cai Anshun Reply:
Hello: You can try discontinuing mosapride and domperidone first. If there is no improvement, you may return to the gastroenterology department at Changhua Hospital for further evaluation of your health. Dr. Tsai An-Shun.[Read More] Understanding Medication Side Effects: Dizziness and Nausea from Common Gastro Drugs
Consultation on GERD Medication: Rabeprazole and Drug Interactions
Gastroesophageal reflux disease (GERD) medication consultation? Hello Doctor, I recently sought medical attention for gastroesophageal reflux disease, and the doctor prescribed me Rabeprazole. However, I am also taking a medication for chronic prostatitis called Levofloxacin. Bot...
Dr. Chen Shidian Reply:
No aluminum... rest assured.[Read More] Consultation on GERD Medication: Rabeprazole and Drug Interactions
Long-Term GERD and the Impact of Helicobacter Pylori Infection
Long-term gastroesophageal reflux disease (GERD) followed by the detection of Helicobacter pylori? Hello, Doctor. I have been experiencing gastroesophageal reflux disease (GERD) for three years now. I previously consulted with an otolaryngologist and a pulmonologist, and finally ...
Dr. Chen Shidian Reply:
Symptoms may be related to reflux; medication can be taken to see if there is any improvement, and discontinuation of the medication can help determine if symptoms recur. Additionally, it is recommended to eradicate Helicobacter pylori. Whether this will increase reflux can be mo...[Read More] Long-Term GERD and the Impact of Helicobacter Pylori Infection
Understanding Positive Fecal Occult Blood Test Results: What You Need to Know
Positive fecal occult blood test? Hello doctor, I went to the hospital on Monday, March 22, for treatment of gastroesophageal reflux disease and underwent a fecal occult blood test. Today, March 24, the report came back positive with a result of 3+. I usually do not see any blood...
Dr. Chen Shidian Reply:
Further examination (colonoscopy) and follow-up should be coordinated with the physician.[Read More] Understanding Positive Fecal Occult Blood Test Results: What You Need to Know
Understanding Upper Abdominal Pain: Causes and Remedies
Upper abdominal pain Hello, doctor. Recently, I've been experiencing discomfort in my upper abdomen. It feels like my stomach is prone to bloating, and there's a heavy sensation along with some chest tightness. My abdomen often makes sounds that feel like it's chur...
Dr. Cai Anshun Reply:
Hello: It is recommended to avoid tea (black tea/green tea/milk tea), coffee, spicy foods, fried foods, high-fat foods, and high-protein foods. If there is no improvement, you may consult a gastroenterologist to determine if it is gastroesophageal reflux disease, gastritis, or ev...[Read More] Understanding Upper Abdominal Pain: Causes and Remedies
Understanding Frequent Belching: GERD or Gastroenteritis?
Frequent belching? Hello Dr. Chen, about three months ago, I started experiencing throat swelling, a sensation of mucus, and chest tightness (which is more severe during the day and slightly alleviated after exercise or upon waking). I visited an ENT specialist who diagnosed me w...
Dr. Chen Shidian Reply:
It may be caused by reflux; reduce intake of acidic and sweet foods, coffee, and tea. Avoid lying flat after a heavy meal, and medication may be necessary. If symptoms worsen, an endoscopy may be needed for confirmation.[Read More] Understanding Frequent Belching: GERD or Gastroenteritis?
Understanding Abdominal Bloating and Throat Issues: Which Specialist to See?
For abdominal bloating and throat issues, you should consult a gastroenterologist for the abdominal symptoms and an otolaryngologist (ENT specialist) for the throat problems? Hello, doctor. 1. For the past couple of months, I have been experiencing bloating and significant belc...
Dr. Chen Shidian Reply:
The initial assessment suggests that it is likely a peristaltic digestion issue. Further discussion with the attending physician regarding treatment is recommended, along with patient cooperation for management, and continued follow-up is advised.[Read More] Understanding Abdominal Bloating and Throat Issues: Which Specialist to See?
Understanding Left Upper Abdominal Pain: Causes and Concerns
Left upper abdominal tenderness, nausea, and bloating? Hello, doctor. At the beginning of February, I visited the clinic three times due to frequent belching and nausea occurring 1 to 2 hours after meals. Twice, my family physician prescribed medication for gastroesophageal reflu...
Dr. Chen Shidian Reply:
Due to weight loss, it is recommended to undergo an upper gastrointestinal endoscopy or ultrasound for peace of mind.[Read More] Understanding Left Upper Abdominal Pain: Causes and Concerns
Understanding One-Sided Throat Pain and Headaches: When to Seek Help
Unilateral sore throat, unilateral headache, discomfort in the neck, and occasional bone pain? Hello Doctor: I apologize for the many questions. Since a severe cold I had once, the cold symptoms have almost disappeared, but now, after a month, I still have pain in the left side o...
Dr. Zhang Kebin Reply:
Hello Danny: You reported that one month after your cold, you still experience left-sided headache, sharp pain in the left throat, tinnitus, chest pain, right lower abdominal pain, some bone pain in various areas, and throat discomfort. These symptoms may suggest gastroesophageal...[Read More] Understanding One-Sided Throat Pain and Headaches: When to Seek Help
Managing Hemorrhoids During Fertility Treatments: Essential Tips and Advice
During the preconception period, how should mixed hemorrhoids be managed? Hello, doctor. I have been experiencing intermittent issues with hemorrhoids for many years, primarily noticing them when there is blood in my stool. However, in the past six months, I am not sure if it is ...
Dr. Cai Anshun Reply:
Hello: Hemorrhoids can be managed with warm baths, topical ointments, or suppositories, and it is not always necessary to take medication. Additionally, avoid prolonged sitting or standing, and increase your intake of fruits and vegetables to stay hydrated and prevent constipatio...[Read More] Managing Hemorrhoids During Fertility Treatments: Essential Tips and Advice
Understanding GERD: Causes, Symptoms, and Treatment Options
Gastroesophageal reflux disease (GERD) 1. Can gastroesophageal reflux disease (GERD) cause abdominal pain? 2. I would like to ask the doctor if there are other methods to improve gastroesophageal reflux disease besides medication? 3. I experience abdominal pain that is not te...
Dr. Chen Shidian Reply:
Reflux often presents as heartburn or discomfort in the chest. Dietary adjustments and medication management are necessary. It may also be indicative of irritable bowel syndrome, which should be monitored further.[Read More] Understanding GERD: Causes, Symptoms, and Treatment Options
Understanding Throat Discomfort in GERD: Causes and Solutions
Gastroesophageal reflux causing throat irritation and sensation of a lump in the throat? Hello Doctor, I started experiencing chest tightness suddenly since the year before last. After undergoing an upper gastrointestinal endoscopy, the doctor indicated that I have a relaxed lowe...
Dr. Zhang Kebin Reply:
Hello, Jun-Ting! You reported that you have been experiencing chest tightness since the year before last, and you were diagnosed with gastroesophageal reflux disease (GERD). After treatment for peptic ulcers, you have been feeling a persistent sensation of tightness and numbness ...[Read More] Understanding Throat Discomfort in GERD: Causes and Solutions
Understanding Chronic GERD: Causes of Bad Breath and Throat Pain
Long-term gastroesophageal reflux disease (GERD) has been present for a long time? Hello doctor, I have very severe halitosis that has become so bad that even when others wear masks, they can still smell it. This has significantly affected my life. I also have severe gastroesopha...
Dr. Zhang Kebin Reply:
Dear Miss, Regarding your inquiry about long-term severe gastroesophageal reflux disease (GERD), it is noted that your symptoms improve with medication. I recommend discussing long-term medication management with your primary physician. If you are experiencing issues with being...[Read More] Understanding Chronic GERD: Causes of Bad Breath and Throat Pain
Understanding Bloating, Belching, and Rib Pain: A Teen's Health Journey
Belching, diarrhea, and pain in both sides of the rib cage? Hello, doctor. I am currently a sophomore in high school. Since starting high school, my body has experienced many issues that were not common before. The story begins in May 2020, during the second midterm exams. I sudd...
Dr. Cai Anshun Reply:
Hello: Do not eat late-night snacks before bed, avoid eating too quickly, and do not bend over, lie face down, or lie flat after eating. Try to consume easily digestible foods, and you may consider taking probiotics, which could help improve your condition. If there is still no i...[Read More] Understanding Bloating, Belching, and Rib Pain: A Teen's Health Journey
Understanding Incomplete Bowel Movements: When to Seek Medical Advice
Incomplete bowel evacuation? Hello Doctor, for the past few days (about a week), I have been experiencing the sensation of needing to have a bowel movement even after I have just finished. I usually go twice, but sometimes I also have a bowel movement at night, and I do pass stoo...
Dr. Cai Anshun Reply:
Hello: Individual hard stools may indicate constipation, and symptoms such as the presence of blood or the need to have a bowel movement more than twice could also be related to constipation. It is advisable to increase your intake of fruits and vegetables and stay hydrated. If t...[Read More] Understanding Incomplete Bowel Movements: When to Seek Medical Advice