Feeling of Something Stuck in Throat: Causes and Concerns
Throat and esophageal obstruction? Hello doctor, I have been feeling like there is something stuck in my throat near the Adam's apple for the past few days. Drinking water and swallowing solid food does not improve the sensation, but there is no pain in my throat. I just fee...
Dr. Chen Shidian Reply:
Hello, it is possible that the medication dissolved and caused irritation to the esophagus. A gastroscopy can clarify the situation. Changhua Hospital cares about your health. Chen Shidian.[Read More] Feeling of Something Stuck in Throat: Causes and Concerns
Understanding Liver and Spleen Issues: Seeking Answers for Chronic Fatigue
I apologize for the trouble, doctor? Hello, doctor! I had an ultrasound that showed an enlarged spleen, a rough surface on the liver, and a portal vein measuring 1.15 cm. There is also a hyperechoic nodule in segment 5 of the liver, which is currently being monitored. I have a hi...
Dr. Cai Anshun Reply:
Hello: If you have not seen a hematologist, you can consult a hematology specialist to investigate the causes of anemia and splenomegaly. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Liver and Spleen Issues: Seeking Answers for Chronic Fatigue
Understanding Chronic Abdominal Bloating: Causes and Concerns
Chronic abdominal bloating Hello, doctor. I have been suffering from bloating for a long time. Since childhood, I have been prone to gastric bloating, which occurs when I eat too much, eat too late, or consume fatty foods. However, it was only gastric bloating. In the past year, ...
Dr. Chen Shidian Reply:
Hello, Miss. 1. Your symptoms are likely related to peristaltic digestive issues. Eating smaller, more frequent meals, along with exercise and medication, may help improve your symptoms. 2. It is recommended to at least check for occult blood in your stool and monitor for any ...[Read More] Understanding Chronic Abdominal Bloating: Causes and Concerns
Could My Digestive Issues Be Caused by H. Pylori Infection?
Could it be caused by Helicobacter pylori? Doctor, it has been three weeks since my gastroscopy. The doctor mentioned that my stomach is red and slightly inflamed, but did not test for Helicobacter pylori. Why have I been experiencing indigestion, frequent belching, and sometimes...
Dr. Chen Shidian Reply:
Hello, sir. Hiccups and digestive motility disorders are not necessarily caused by Helicobacter pylori. However, if tests (which can be done through out-of-pocket blood tests) reveal the presence of bacteria, you may opt for out-of-pocket eradication treatment (insurance coverage...[Read More] Could My Digestive Issues Be Caused by H. Pylori Infection?
Can Swallowed Chicken Bones Cause Stomach Pain? Expert Insights
Abdominal pain? On the 17th, I accidentally swallowed a chicken bone while eating. On the 18th, I felt a foreign body sensation in my throat, so I went to see an ENT specialist. The doctor performed an endoscopy but did not find any bone inside. Then, on the morning of the 19th, ...
Dr. Chen Qifeng Reply:
Please undergo a gastroscopy examination.[Read More] Can Swallowed Chicken Bones Cause Stomach Pain? Expert Insights
Understanding Bloating and Hiccups: A Teen's Gastrointestinal Concerns
My stomach gets very bloated after eating, and I keep burping? Hello Doctor: I am 15 years old and have been experiencing abdominal bloating for the past seven to eight months. This never happened before; now, whenever I eat a full meal, my stomach becomes extremely distended, al...
Dr. Cai Anshun Reply:
Hello: To see a gastroenterologist, it's important to adjust not only medications but also lifestyle habits, diet, and bowel habits for significant improvement. Avoid foods that are high in fat and protein, and beverages should also be limited. Establish a daily bowel moveme...[Read More] Understanding Bloating and Hiccups: A Teen's Gastrointestinal Concerns
Understanding Bile Duct Swelling: Causes and Diagnostic Insights
Bile duct dilation Hello, doctor. Recently, my mother has been experiencing abdominal pain for several days and visited a clinic. The clinic indicated that there are gallstones in the bile duct and that she can only manage it with medication. The next day, she went to a teaching ...
Dr. Cai Anshun Reply:
Hello: 1) After gallbladder removal, dilation of the bile duct is a normal phenomenon. As long as there is no obstruction in the bile duct, it is not a concern. Typically, the presence of obstruction can be assessed through blood tests measuring bilirubin and alkaline phosphatase...[Read More] Understanding Bile Duct Swelling: Causes and Diagnostic Insights
Morning Abdominal Discomfort and Rectal Pressure: Causes and Solutions
Abdominal discomfort upon waking up accompanied by a sensation of a foreign body in the anus? Hello, Dr. Tsai. I previously underwent gastroscopy and colonoscopy, and my attending physician indicated that aside from mild internal hemorrhoids and mild gastroesophageal reflux, ther...
Dr. Cai Anshun Reply:
Hello: The symptoms you described may indicate a feeling of incomplete evacuation (the urge to defecate but unable to do so). You should pay attention to whether there is any fecal impaction. Hemorrhoids can sometimes cause anal pain or a sensation of a foreign body. In both case...[Read More] Morning Abdominal Discomfort and Rectal Pressure: Causes and Solutions
Understanding Gastroscopy: Insights on Stomach Inflammation and Duodenum Examination
Please provide the content you would like me to translate? Hello Dr. Tsai, I recently had an upper gastrointestinal endoscopy at Chang Gung Memorial Hospital in Kaohsiung. The doctor told me that I have gastritis. After hearing this, I left the office. I would like to ask, during...
Dr. Cai Anshun Reply:
Hello: A complete gastroscopy examination includes the esophagus, stomach, and the first and second parts of the duodenum (the duodenum is divided into four parts). If the examination reveals that the issue is caused by a gastrointestinal ulcer, treatment may be necessary for imp...[Read More] Understanding Gastroscopy: Insights on Stomach Inflammation and Duodenum Examination
Understanding Gastroscopy: Benefits, Medication, and Comfort Concerns
Gastroscopy and medication prescription? Hello, doctor. Last month, I experienced a sensation of a foreign body in my throat and persistent hiccups. Occasionally, I felt like I needed to vomit, and I have a burning sensation in my stomach. The doctor suggested that I undergo an e...
Dr. Yang Zhichao Reply:
Hello, Student Peng. You will be undergoing an endoscopy and picking up your medication. The purpose of the endoscopy is to assess the condition of your stomach, so it is not related to picking up your long-term stomach medication. To ensure appropriate treatment, we recommend th...[Read More] Understanding Gastroscopy: Benefits, Medication, and Comfort Concerns
Understanding Hiccups and Hoarseness: Insights from Gastroenterology
Hiccups in the throat? Hello Doctor, In March of this year, I underwent an upper gastrointestinal endoscopy at Taipei United Hospital, which revealed mild gastroesophageal reflux disease (GERD). I am currently on medication. At present, I do not experience acid reflux, but I ha...
Dr. Yang Zhichao Reply:
Dear Paul, you have already undergone a gastroscopy and are currently on medication. If you continue to experience symptoms, please discuss the possibility of changing your medication with your attending physician. Regarding your hoarseness, if it does not improve after treatment...[Read More] Understanding Hiccups and Hoarseness: Insights from Gastroenterology
Post-Polypectomy Diet and Medication Guidance After Gastroscopy and Colonoscopy
Diet and Medication After Polypectomy via Gastroscopy and Colonoscopy Hello Dr. Chen, I underwent a painless gastroscopy and colonoscopy on June 6. My doctor removed one gastric polyp (I'm not sure what the unit for polyps is) and two colonic polyps. I would like to ask you,...
Dr. Chen Qifeng Reply:
In general, the symptoms of polyps are not very pronounced, and there may even be no symptoms at all. Your situation seems to be related to constipation and gastrointestinal dysfunction. It is recommended to consume less oily, less dairy, and less irritating foods, while increasi...[Read More] Post-Polypectomy Diet and Medication Guidance After Gastroscopy and Colonoscopy
Understanding Liver Fibrosis: Is It the Same as Cirrhosis?
Is liver fibrosis the same as cirrhosis? Dear Doctor, I am HBsAg negative, HBsAb positive, and HBcAb positive, with no prior treatment and antibodies produced naturally. The key point is that the ultrasound examination shows liver fibrosis and a hemangioma. My spleen measures 6....
Dr. Cai Anshun Reply:
Hello: 1) You can return for a follow-up consultation with the physician to inquire why blood tests were not performed. 2) A white blood cell count of 3730 is still within the normal range. 3) For hair loss issues, you may consult a dermatologist, as it is not related to the live...[Read More] Understanding Liver Fibrosis: Is It the Same as Cirrhosis?
Persistent Right Upper Abdomen Pain After Meals: What to Do?
Postprandial pain and discomfort in the upper right abdomen, recurring episodes? Hello doctor, I often experience pain in the upper right abdomen after meals, and it also hurts when I press on it. I have undergone colonoscopy and gastroscopy without any issues found, and the ultr...
Dr. Yang Zhichao Reply:
Dear Ms. Yang, If you are experiencing abdominal pain, it is important to consult a gastroenterologist. If tests have been conducted and no issues were found, gastric spasms should still be considered. We recommend that you have a thorough evaluation by a gastroenterology speci...[Read More] Persistent Right Upper Abdomen Pain After Meals: What to Do?
Could Severe Ulcers Found During Colonoscopy Indicate Colon Cancer?
A colonoscopy revealed severe ulceration at 40 centimeters. Could this be colon cancer? Hello Doctor: My wife is currently 35 years old. Last June, during a colonoscopy at Taipei Medical University, a 0.2 cm hyperplastic polyp was found 15 cm from the anus, and no other abnormali...
Dr. Cai Anshun Reply:
Hello: The appearance of ulcerative colitis and colorectal cancer differs under endoscopy. It is recommended to consult a gastroenterologist and arrange for endoscopic follow-up. If necessary, a biopsy can be performed to distinguish between inflammation and colorectal cancer. Ch...[Read More] Could Severe Ulcers Found During Colonoscopy Indicate Colon Cancer?
Understanding Stomach Issues: Insights on GERD and Ulcers
Gastric issues? I previously experienced persistent bloating in my stomach, and after taking medication without improvement, I went to the hospital for an endoscopy. The results showed that the upper esophageal sphincter had some abrasions due to gastroesophageal reflux, and the ...
Dr. Chen Shidian Reply:
Hello, sir. The chances of misinterpretation during the gastroscopy are low, so you can feel assured and follow the dietary and medication guidelines for management. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Stomach Issues: Insights on GERD and Ulcers
Understanding Gastrointestinal Issues: Causes and Solutions
Gastrointestinal issues Experiencing bloating after eating and losing weight progressively. I have undergone gastroscopy, and traditional Chinese medicine treatments have not shown significant improvement. I have also consulted many major hospitals.
Dr. Cai Anshun Reply:
Hello: If you have undergone an upper gastrointestinal endoscopy, it is recommended to have your physician prescribe medication for adjustment. If there is no improvement, it is advisable to return for a follow-up appointment to assess whether further lower gastrointestinal exami...[Read More] Understanding Gastrointestinal Issues: Causes and Solutions
Can I Undergo Gastroscopy While Taking Heart Medications?
It is possible to undergo a gastroscopy while taking heart medications? Hello Dr. Chen, I often experience stomach pain while working. Yesterday, I went to a large hospital and consulted the gastroenterology department. The doctor asked if I wanted to have an endoscopy, and since...
Dr. Chen Shidian Reply:
Hello, please do not take any medication on the day of the examination (you need to be completely fasting). You may take your medication after the examination. In the future, you can bring your medications for the doctor’s reference during outpatient visits. Changhua Hospital car...[Read More] Can I Undergo Gastroscopy While Taking Heart Medications?
Diagnosing Helicobacter Pylori: Endoscopy vs Molecular Testing
Helicobacter pylori If there is a suspicion of Helicobacter pylori infection, after sampling via gastroscopy, what methods are typically used for diagnosis? Is it through histological examination or molecular diagnostics? Is it necessary to go to a large hospital to perform molec...
Dr. Cai Anshun Reply:
Hello: Gastric biopsy can be performed for (1) urease test and (2) histological examination. These methods are sufficient for diagnosis without the need for molecular diagnostics. Changhua Hospital cares about your health. Dr. Cai Anshun.[Read More] Diagnosing Helicobacter Pylori: Endoscopy vs Molecular Testing
Managing Recurrent Gastroesophageal Reflux: Seeking Effective Treatment
Recurrent gastroesophageal reflux disease (GERD)? Hello, Doctor: I am a patient with gastroesophageal reflux disease (GERD). I had an endoscopy at another hospital, and the report indicated gastritis and Grade A gastroesophageal reflux. I did not receive satisfactory treatment at...
Dr. Chen Shidian Reply:
Hello, sir. 1. We can try our best to assist you, but it may not be possible to be completely symptom-free due to individual physiological factors, and there is a risk of relapse upon discontinuation of medication. 2. A copy of the gastroscopy report is required to comply with me...[Read More] Managing Recurrent Gastroesophageal Reflux: Seeking Effective Treatment