Chronic Liver Abscess: Unresolved Symptoms and Treatment Challenges
Liver abscess that does not heal over a long period? Hello: My father is 72 years old. In mid-April, he began experiencing abdominal pain and sought treatment at an internal medicine clinic. An ultrasound indicated bowel gas, and after medication, the abdominal pain persisted. In...
Dr. Chen Shidian Reply:
Mr. Peter: Due to the complexity of the condition, I cannot provide specific recommendations. Fever of unknown origin is a challenging issue in medicine. Please cooperate with your physician to carefully monitor changes in your condition and adhere to the prescribed medication. D...[Read More] Chronic Liver Abscess: Unresolved Symptoms and Treatment Challenges
Understanding Stomach Ulcers: Dietary Habits vs. Stress Factors
Stomach Hello, the doctor mentioned that I have an ulcer after my gastroscopy. I would like to ask if the cause of the ulcer could be due to irregular eating habits, or is it more likely due to stress? Thank you.
Dr. Lin Minghui Reply:
Hello: The causes of peptic ulcers are numerous, including: 1. The causes of peptic ulcers include Helicobacter pylori infection, excessive gastric acid, medication-induced damage to the gastric mucosa, bile reflux, smoking and alcohol consumption, stress, and the loss of protect...[Read More] Understanding Stomach Ulcers: Dietary Habits vs. Stress Factors
Understanding Chronic Gastrointestinal Issues: Seeking Solutions for Persistent Pain
Chronic gastrointestinal issues? I am 26 years old and have been experiencing stomach pain recently. I have undergone three gastroscopies in the past—twice in high school and once in college—where I was diagnosed with gastritis and duodenal ulcers. The medications prescribed afte...
Dr. Chen Shidian Reply:
Hello, sir: If you are willing to receive treatment, please return to the hospital for an examination. Changhua Hospital cares about your health. Dr. Chen Shidian.[Read More] Understanding Chronic Gastrointestinal Issues: Seeking Solutions for Persistent Pain
Are Stomach Ulcers and GERD the Same Condition? Understanding the Differences
Is a gastric ulcer the same as gastroesophageal reflux disease (GERD)? View Count: [Date of Inquiry] 2011/05/19 [Question] Inquirer: Ayi / Male / 30 "Hello Doctor: During my last gastroscopy, the doctor said I have an ulcer at the junction of my stomach and esophagus, and th...
Dr. Chen Qifeng Reply:
Hello: If esophageal ulcers are caused by gastroesophageal reflux disease (GERD), the symptoms are generally similar to those of GERD, although there may be symptoms of odynophagia (painful swallowing). Common symptoms of GERD include heartburn, regurgitation of gastric acid, and...[Read More] Are Stomach Ulcers and GERD the Same Condition? Understanding the Differences
Are Esophageal Ulcers and GERD the Same Condition?
Is a gastric ulcer the same as gastroesophageal reflux disease (GERD)? Hello, Doctor: During my last gastroscopy, the doctor mentioned that I have an ulcer at the junction of my stomach and esophagus, and also diagnosed me with gastroesophageal reflux disease (GERD). Are these th...
Dr. Chen Qifeng Reply:
Hello, regarding your questions, here are the responses: 1. More severe gastroesophageal reflux disease (GERD) can cause ulcers at the distal end of the esophagus. However, not all esophageal ulcers are caused by GERD. 2. Chronic gastroesophageal reflux can potentially lead to ...[Read More] Are Esophageal Ulcers and GERD the Same Condition?
Cost of Gastroscopy: What to Expect in Taiwan's Gastroenterology Care
Gastrointestinal endoscopy How much does an upper gastrointestinal endoscopy cost?
Dr. Chen Qifeng Reply:
Hello, if there is a need for an endoscopy in clinical practice, the National Health Insurance does cover it. Best wishes for health from Dr. Chi-Feng Chen at Taoyuan Hospital, Department of Health.[Read More] Cost of Gastroscopy: What to Expect in Taiwan's Gastroenterology Care
Understanding Persistent Bloating: Dietary Tips and Medical Insights
My bloating has not improved? My bloating has not improved; what should I avoid eating? Response Date: 2010/12/07 Response from Dr. Chi-Feng Chen, Department of Gastroenterology, Taoyuan Hospital: Hello, the discomfort on the left side of your abdomen near the navel is most...
Dr. Chen Qifeng Reply:
1. Loose stools associated with bloating may be due to intestinal inflammation. It is advisable to avoid greasy and irritating foods and to limit milk intake. 2. General bleeding is characterized by black stools, which can be abundant and may even appear as a black, tarry consi...[Read More] Understanding Persistent Bloating: Dietary Tips and Medical Insights
Understanding Risks and Locations for Gastroscopy Procedures
Gastrointestinal endoscopy? 1. What are the risks associated with undergoing an upper gastrointestinal endoscopy? 2. Can an upper gastrointestinal endoscopy be performed at a clinic, or is it necessary to go to a large hospital?
Dr. Lin Minghui Reply:
Hello, 1. The need for an upper gastrointestinal endoscopy must be evaluated by a physician. Patients with poor cardiopulmonary function or those who cannot cooperate cannot undergo the procedure. 2. The risks associated with upper gastrointestinal endoscopy include: 1. A...[Read More] Understanding Risks and Locations for Gastroscopy Procedures
Understanding Gastrointestinal Issues: GERD, Gastritis, and Cancer Concerns
Issues related to the stomach? Regarding the previous inquiries about gastrointestinal issues, I have gastroesophageal reflux disease (GERD) and gastritis. Following Dr. Chen's advice, I have been taking medications for bloating and antacids, which have shown improvement. Re...
Dr. Chen Qifeng Reply:
Hello, there is no need for another gastroscopy; please have the physician adjust the medication. Wishing you good health. Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.[Read More] Understanding Gastrointestinal Issues: GERD, Gastritis, and Cancer Concerns
Understanding Gastritis Treatment: Recovery Tips and Medication Advice
Treatment of Gastritis Hello: Last Wednesday, I underwent my second gastroscopy, as the first one was done in January. Recently, after taking cold medication, I experienced nausea in my stomach. The gastroscopy report indicated gastric inflammation. The doctor advised me to conti...
Dr. Chen Qifeng Reply:
Hello, medications for colds may irritate the stomach and lead to the recurrence of gastritis or ulcers. In addition to taking medications as prescribed by your physician, it is advisable to avoid irritating foods, particularly acidic and cold items, which can further aid in impr...[Read More] Understanding Gastritis Treatment: Recovery Tips and Medication Advice
Understanding Right Abdominal and Back Pain: Possible Causes and Solutions
Pain in the right abdomen and back? Hello Doctor: I have been experiencing pain in my right abdomen (to the right of my navel) for about a month. Each episode lasts around 1-2 hours and feels somewhat warm to the touch. The pain sometimes wakes me up at night, and I also feel dis...
Dr. Chen Qifeng Reply:
Hello, if all the above examinations show no issues, we can almost say there are no significant problems. Perhaps it is just a case of poor gastrointestinal function. Wishing you good health. Dr. Chen Qifeng, Taoyuan Hospital, Department of Health.[Read More] Understanding Right Abdominal and Back Pain: Possible Causes and Solutions
Managing GERD: Transitioning from Nexium to FOMA and Medication Duration
Gastroesophageal reflux disease (GERD) Hello: The gastroscopy examination shows NERD... I am currently taking Nexium, and my symptoms are under control (purchased out of pocket)... May I ask when I can gradually switch to FOMA? How long should I take FOMA? Once the symptoms are r...
Dr. Chen Qifeng Reply:
Hello, generally speaking, the efficacy of PPIs (such as Nexium) far exceeds that of H2 blockers (such as FOMA) for both NERD and GERD. Based on accumulated clinical experience, it is now believed that the role of H2 blockers in reflux esophagitis is diminishing. After symptom re...[Read More] Managing GERD: Transitioning from Nexium to FOMA and Medication Duration
Understanding Gastrointestinal Discomfort: Causes and Dietary Solutions
Gastrointestinal discomfort Hello, Doctor. I had a colonoscopy and gastroscopy two months ago, which showed some mild ulcers. Due to my work, I frequently travel. On May 12, the day I returned from India, I started experiencing persistent diarrhea. During this period, I took &quo...
Dr. Chen Qifeng Reply:
Hello, diarrhea after traveling abroad can be due to general gastroenteritis or specific bacterial gastroenteritis. It is recommended to visit a gastroenterologist for further examination and treatment. In terms of diet, it is advisable to consume low-fat, low-dairy, and light fo...[Read More] Understanding Gastrointestinal Discomfort: Causes and Dietary Solutions
Understanding Your Stomach: Causes of Excessive Burping and Discomfort
I would like to inquire about the condition of the stomach? I have been experiencing a prolonged belching sound for the past two months, even when I haven't eaten anything. I am unsure if there is an issue with my stomach or something else. For the past two months, I have be...
Dr. Chen Shidian Reply:
Hello, Miss: It seems to be an issue with gastric (intestinal) motility. You may adjust to smaller, more frequent meals. If the problem persists, a non-invasive gastroscopy can be performed for further examination. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Your Stomach: Causes of Excessive Burping and Discomfort
Understanding GERD: Symptoms, Causes, and Treatment Insights
Gastroesophageal reflux and the gastroesophageal junction? Hello Doctor: I have a few questions I would like to ask you. 1. Gastroesophageal reflux disease (GERD) generally refers to the esophagus being affected by stomach acid. However, my symptoms include discomfort in the st...
Dr. Chen Qifeng Reply:
Hello, 1. Gastroesophageal reflux disease (GERD) is assessed both by symptoms and through endoscopic diagnosis. It is often accompanied by gastritis or peptic ulcers, and therefore, gastric symptoms are commonly present. 2. For GERD, mild cases typically require treatment for...[Read More] Understanding GERD: Symptoms, Causes, and Treatment Insights
Managing Gastroesophageal Reflux: Questions About Treatment and Symptoms
Gastroesophageal reflux disease (GERD) Hello Doctor: I have been experiencing gastroesophageal reflux for almost 4 months now. I have undergone various tests including gastroscopy, X-rays, blood tests, and ultrasound. The gastroscopy report indicated that there is erosion in my s...
Dr. Chen Qifeng Reply:
Hello, 1. Nexium is currently one of the most potent acid-suppressing medications available, but individual "dosage requirements" may vary. Some GERD patients may need to take it twice a day to adequately relieve their symptoms (however, health insurance does not cove...[Read More] Managing Gastroesophageal Reflux: Questions About Treatment and Symptoms
Understanding Blood in Stool: Causes and When to Get a Scope
Bowel issues? What could be the possible reasons for experiencing slight bleeding after a bowel movement? Additionally, would a gastroscopy be necessary for examination? Will it be painful? Thank you!
Dr. Chen Shidian Reply:
Hello, sir: Most issues related to the anus (such as internal hemorrhoids and anal fissures) can be addressed with medication and examinations using an anoscope or sigmoidoscope. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Blood in Stool: Causes and When to Get a Scope
Understanding Chronic Stomach Pain: Stress and Its Impact on Gastric Health
Stomach pain and discomfort issues? Hello Dr. Chen: I frequently experience mild pain and discomfort in the upper abdomen. Could long-term stress lead to gastric ulcers or stomach pain? I have undergone gastroscopy three times within a year; the first examination revealed a gastr...
Dr. Chen Shidian Reply:
Hello, sir: It may be caused by gastric dysfunction and excessive gastric acid. You can take antacids according to your symptoms and adjust your daily routine and diet. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Chronic Stomach Pain: Stress and Its Impact on Gastric Health
Can You Drink Winter Melon Milk with Stomach Ulcers? Expert Advice
Gastric ulcer I have a gastric ulcer and recently found out about it after undergoing a transnasal gastroscopy. However, I enjoy drinking beverages like winter melon milk. Can I consume such milk combined with other drinks? If not, could you explain the reason? Also, are there ot...
Dr. Chen Shidian Reply:
In general, foods that are sour, sweet, or spicy, as well as analgesics, are not recommended for consumption. Milk is acceptable, although some individuals may experience diarrhea.[Read More] Can You Drink Winter Melon Milk with Stomach Ulcers? Expert Advice
Understanding Early Satiety: When to Seek Medical Advice
Suffering from indigestion? Hello Dr. Chen, I have been frequently troubled by the symptom of "early satiety" over the past half month, which means I feel full after eating just a little, and any additional food makes me feel nauseous and want to vomit. This symptom h...
Dr. Chen Qifeng Reply:
Hello, generally speaking, your symptoms are caused by poor gastric emptying. Common causes include chronic gastritis, peptic ulcers with pyloric stenosis or duodenal deformity, diabetes, neuropathy, and effects from other medications, among others. Therefore, it is still recomme...[Read More] Understanding Early Satiety: When to Seek Medical Advice