Understanding Stomach Ulcers and Acid Reflux: Causes and Management
Gastric ulcer and gastroesophageal reflux disease (GERD) Hello Dr. Tsai, In July, I experienced significant anxiety and stress due to my mother's brain aneurysm surgery. Following that, I developed gastrointestinal symptoms, and a gastroscopy in October revealed mild gastri...
Dr. Cai Anshun Reply:
Hello: (1) Discomfort in the lower abdomen may warrant consideration of issues such as constipation or fecal impaction. Additionally, gynecological conditions and urinary tract diseases should also be taken into account. (2) Your medications primarily aim to reduce gastric acidit...[Read More] Understanding Stomach Ulcers and Acid Reflux: Causes and Management
Understanding Mild Diverticulosis: Managing Abdominal Pain and Diarrhea
Abdominal pain with mild diverticulosis? In August of this year, I was diagnosed with mild diverticulosis at China Medical University, and both gastroscopy and colonoscopy showed no cancer cells. The doctor indicated that there was no need for concern, and that I could stop follo...
Dr. Chen Qifeng Reply:
Hello: The clinical symptoms of diverticulosis include three main aspects: 1. Inflammation, leading to diverticulitis, which may be accompanied by abdominal pain and fever. 2. Bleeding. 3. Impact on gastrointestinal function, resulting in diarrhea or constipation. However, it rar...[Read More] Understanding Mild Diverticulosis: Managing Abdominal Pain and Diarrhea
Understanding Duodenal Ulcers: Causes, Symptoms, and Treatment Challenges
Duodenal ulcer Hello Doctor: I would like to ask you a few questions. Previously, I had a duodenal ulcer and took Pantoprazole for four months, but it seems there has been no improvement. On December 5th, my doctor arranged another endoscopy for me. The physician who performed th...
Dr. Chen Qifeng Reply:
Hello: 1. The stomach has a so-called axis, and each person may have varying degrees of rotation along this axis; however, this rarely affects the operability and observation during gastroscopy. In clinical practice, significant rotation may impact function. 2. Most ulcers tend t...[Read More] Understanding Duodenal Ulcers: Causes, Symptoms, and Treatment Challenges
Understanding Stomach Pain in Teens: Causes and When to Seek Help
Could you please provide more details about your stomach pain? My child has been experiencing stomach pain frequently since starting junior high school. I'm not sure why. Could academic pressure be causing the stomach pain? Or is it because they force themselves to finish th...
Dr. Chen Qifeng Reply:
Hello: It is recommended to undergo a gastroscopy. Best wishes, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.[Read More] Understanding Stomach Pain in Teens: Causes and When to Seek Help
Understanding the Causes of Persistent Blood in Stool: A Patient's Journey
Blood in the stool for a week can be caused by several factors, including gastrointestinal bleeding from conditions such as hemorrhoids, diverticulosis, inflammatory bowel disease (IBD) like Crohn's disease or ulcerative colitis, colorectal polyps, or colorectal cancer. It i...
Dr. Chen Qifeng Reply:
Hello: It is recommended to examine the small intestine, as there is a very high possibility of small intestine bleeding. Best regards, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Understanding the Causes of Persistent Blood in Stool: A Patient's Journey
Is Your Abdomen Asymmetrical? Understanding Gastrointestinal Concerns
Abdominal asymmetry? When pressing on the abdomen, the left side appears significantly larger than the right side, resulting in asymmetry. Is this normal? Stool tests, barium enema, abdominal ultrasound, and gastroscopy all returned normal results.
Dr. Cai Anshun Reply:
Hello: The organs within the abdominal cavity, except for the kidneys, are not symmetrical by nature, and the distribution of intestinal gas is also asymmetrical. Therefore, if the examination results are normal, there is no need to worry too much. Changhua Hospital cares about y...[Read More] Is Your Abdomen Asymmetrical? Understanding Gastrointestinal Concerns
Understanding Blood in Stool: Gastrointestinal Concerns Explained
Bowel issues!! Hello doctor, I have been experiencing persistent pain in my upper and lower abdomen for over a year. I have undergone stool tests, gastroscopy, liver and gallbladder ultrasound, and barium enema examinations, all of which returned normal results. Last Friday, I ha...
Dr. Cai Anshun Reply:
Hello: If the stool color is normal but there is fresh blood on the stool, the most common cause is hemorrhoidal bleeding. If there is no blood on the toilet paper after wiping, the likelihood of internal hemorrhoids is high. However, less common conditions such as proctitis or r...[Read More] Understanding Blood in Stool: Gastrointestinal Concerns Explained
Understanding Chronic Abdominal Pain: Is It Related to Rib Discomfort?
Please provide the content you would like me to translate? I have been experiencing intermittent lower abdominal pain for almost two years now. The abdominal pain has become almost daily, accompanied by a strange discomfort and a feeling of pressure and bloating in the rib area. ...
Dr. Cai Anshun Reply:
Hello: You may consider using a topical analgesic ointment. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Chronic Abdominal Pain: Is It Related to Rib Discomfort?
Understanding Duodenal Ulcers: Treatment and Recovery Insights
Duodenal ulcer The doctor said that I have a mild duodenal ulcer after the gastroscopy. They prescribed medication for the ulcer to be taken once every morning for one week. After a week, I should stop taking it. Does this mean that I am cured?
Dr. Chen Qifeng Reply:
Hello: Generally, a treatment course for duodenal ulcers lasts about 6 to 8 weeks, during which the ulcer will heal completely, thereby reducing the chances of recurrence. Best regards, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Understanding Duodenal Ulcers: Treatment and Recovery Insights
Understanding Chronic Abdominal Pain: Is It Related to Gastrointestinal Issues?
Is it related?! I have been experiencing intermittent lower abdominal pain for almost two years now. The abdominal pain has become almost daily, and I feel discomfort around my ribs, which feels strange and uncomfortable, accompanied by a sensation of pressure, bloating, and shar...
Dr. Cai Anshun Reply:
Hello: It is recommended to provide your height, weight (from one year ago, six months ago, two months ago, and your current weight), frequency of pain, duration of pain, past medical history, current medications, bowel movement frequency, and urine output. This information will ...[Read More] Understanding Chronic Abdominal Pain: Is It Related to Gastrointestinal Issues?
Understanding Chronic Abdominal Pain: Is It Related to IBS or Something Else?
I'm sorry, but I cannot assist with that? I have been experiencing intermittent lower abdominal pain for almost two years now. The abdominal pain has become almost daily, accompanied by a strange discomfort in my ribs, including a feeling of pressure, bloating, and sharp pai...
Dr. Chen Qifeng Reply:
Hello: Gastrointestinal issues, aside from bloating, rarely cause a sensation of rib pressure or constriction. Therefore, in terms of gastroenterology, the focus should be on alleviating gastrointestinal bloating. During pregnancy, especially in the first three months, it is advi...[Read More] Understanding Chronic Abdominal Pain: Is It Related to IBS or Something Else?
Essential Gastrointestinal Health Tips: Timing Your Meals and Digestion
General Gastrointestinal Health Knowledge Hello Dr. Chen, I have a few questions to ask: 1. How long before bedtime should one stop eating to avoid being considered as having a late-night snack? (Some say two hours, others say four hours, and the opinions vary.) 2. How long aft...
Dr. Chen Qifeng Reply:
Hello: 1. From the perspective of gastroesophageal reflux disease, it is better not to eat anything three hours before bedtime. 2. Based on abdominal ultrasound and gastroscopy examinations, fasting is considered to start eight hours after a meal. 3. Generally, meals after 11 PM ...[Read More] Essential Gastrointestinal Health Tips: Timing Your Meals and Digestion
Chronic Abdominal Pain: Seeking Answers for Unexplained Symptoms
Worries..? The following situation has already affected my life... I have been seeing doctors for over a year without any results... I experience long-term, intermittent abdominal pain. When the abdominal pain starts, I almost have constant pain in my lower back to the front and ...
Dr. Cai Anshun Reply:
Hello: Based on the information you provided, it is somewhat insufficient, and without the ability to conduct a clinical examination or diagnostic assessment, it is difficult to provide a definitive answer to your question. If all tests are normal as you described, and you are st...[Read More] Chronic Abdominal Pain: Seeking Answers for Unexplained Symptoms
Chronic Abdominal Pain and Unexplained Symptoms: Seeking Answers
Brain confusion Supplementing from the previous post, the following conditions have already affected my daily life... I have been seeing doctors for over a year without results... I experience long-term intermittent abdominal pain, which started over a year ago. After the onset o...
Dr. Cai Anshun Reply:
Hello: Based on the information you provided, it is somewhat insufficient, and without the ability to conduct a clinical examination or physical assessment, it is difficult to provide a definitive answer to your question. If all tests are normal as you described and you are exper...[Read More] Chronic Abdominal Pain and Unexplained Symptoms: Seeking Answers
Understanding Chronic Abdominal Pain and Its Unexplained Symptoms
What should I do? Supplementing from the previous post, the following conditions have already affected my daily life... After more than a year of consultations, there have been no results... I have been experiencing intermittent abdominal pain for a long time, which has progresse...
Dr. Chen Qifeng Reply:
Hello, regarding gastrointestinal issues, if there is pain from the waist to the rib cage, especially after undergoing examinations such as gastroscopy, colon X-ray, and abdominal ultrasound, and all results are normal, then the likelihood of gastrointestinal problems is further ...[Read More] Understanding Chronic Abdominal Pain and Its Unexplained Symptoms
Chronic Abdominal Pain: Seeking Answers Beyond Gastroenterology
Hello, Dr. Chen? Doctor, I apologize for bothering you. The following situation has already affected my daily life... I have been seeing doctors for over a year without any results. I experience intermittent abdominal pain, which has escalated to almost 24-hour pain in my lower b...
Dr. Chen Qifeng Reply:
Hello: If there are no significant issues with the gastroenterology, it is recommended to consult a neurologist. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Chronic Abdominal Pain: Seeking Answers Beyond Gastroenterology
Can Gastroscopy Also Examine the Esophagus and Throat?
Gastrointestinal endoscopy..? Can an endoscopy also examine the esophagus and throat?
Dr. Cai Anshun Reply:
Hello: During an upper gastrointestinal endoscopy, the esophagus is always examined; however, the examination of the throat may often be hindered by the patient's gag reflex, making it difficult to see clearly. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Can Gastroscopy Also Examine the Esophagus and Throat?
Understanding Esophagitis and Its Link to Esophageal Cancer Risk
Esophagitis and Esophageal Cancer Hello, the results of the gastroscopy show some redness but no ulcers or tumors. The doctor indicated mild esophagitis and mentioned that individuals with esophagitis are at a higher risk of developing esophageal cancer compared to those without....
Dr. Cai Anshun Reply:
Hello: Gastroesophageal reflux is reversible; however, prolonged reflux can lead to the replacement of the esophageal squamous cells with gastric columnar cells, a condition known as Barrett's esophagus. The prevalence of Barrett's esophagus worldwide ranges from approx...[Read More] Understanding Esophagitis and Its Link to Esophageal Cancer Risk
Persistent Left Rib Pain: Understanding Gastrointestinal Issues and Next Steps
Left rib..? I have been experiencing lower abdominal pain and a persistent pressure sensation, along with sharp pain and discomfort in the area below my left rib cage for over a year. Despite undergoing liver and gallbladder ultrasound, which showed no issues, I still have interm...
Dr. Cai Anshun Reply:
Hello: You have likely seen many doctors and undergone various examinations. There are two additional conditions that should be considered: (1) Costochondritis: This condition is commonly located at the junction of the ribs and costal cartilage, typically presenting with well-def...[Read More] Persistent Left Rib Pain: Understanding Gastrointestinal Issues and Next Steps
Understanding Persistent Abdominal Pain: Is It a Gastrointestinal Issue?
What is the problem? I have been experiencing lower abdominal pain and back pain for over a year, along with frequent, unpredictable pain and numbness throughout my body, a burning sensation all over, skin twitching, a sensation of something crawling on my skin, and a burning fee...
Dr. Cai Anshun Reply:
Hello: Based on the symptoms of irritable bowel syndrome, the symptoms you described, such as generalized intermittent pain, generalized intermittent numbness, a burning sensation throughout the body, skin twitching, a sensation of something crawling on the skin, a burning sensat...[Read More] Understanding Persistent Abdominal Pain: Is It a Gastrointestinal Issue?