Managing Stomach Discomfort: Tips for Better Sleep and Well-Being
I am experiencing discomfort in my stomach, feeling a sense of pressure (not entirely sure if it's bloating), which has affected my daily life and sleep? Hello, I am Xiaoxiong. First of all, I would like to thank you for your thoughtful responses in the past. I really want t...
Dr. Cai Anshun Reply:
Hello: If symptoms mostly occur at night, gastroesophageal reflux, duodenal ulcers, or gallstones are common conditions to consider. Currently, you are taking gastric medications (vonoprazan + ganaton); it is recommended to stop them one at a time to identify which medication may...[Read More] Managing Stomach Discomfort: Tips for Better Sleep and Well-Being
Understanding Helicobacter Pylori Treatment: Antibiotics and Recovery Time
Helicobacter pylori treatment Hello, doctor. I took an antibiotic prescribed by my ophthalmologist, Cephalexin 500mg (CEPHALEXIN CAPSULES "S.T."), the night before my gastroscopy. I only found out afterward that antibiotics should not be taken before testing for Helicob...
Dr. Cai Anshun Reply:
Hello: The treatment for Helicobacter pylori is mostly a quadruple therapy for 1 to 2 weeks (PPI + Amoxicillin + Clarithromycin + Metronidazole). The physician mentioned a 2-month treatment, which likely refers to taking a single gastric medication for 2 months, not the Helicobac...[Read More] Understanding Helicobacter Pylori Treatment: Antibiotics and Recovery Time
Understanding Digestive Discomfort: When to Seek Further Medical Evaluation
Abdominal discomfort? Hello, Dr. Tsai. Over the past two to three months, I have frequently experienced not just a general feeling of fullness after eating, but also unusual discomfort symptoms that are different from before. The main issue is an abnormal increase in peristalsis ...
Dr. Cai Anshun Reply:
Hello: Please pay attention to whether you have consumed irritating foods that may cause rapid gastrointestinal motility, or if you are experiencing tension and anxiety. If dietary changes do not improve the situation, it is recommended to consult a gastroenterologist for appropr...[Read More] Understanding Digestive Discomfort: When to Seek Further Medical Evaluation
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort Hello, Dr. Chang. About a month ago, I started feeling discomfort in my abdomen. I thought it might be the same gastrointestinal issues I had before, so I went to a general clinic for medication and injections, but after visiting two clinics, I still d...
Dr. Zhang Kebin Reply:
Hello! If you have not experienced relief from your discomfort after previous medical treatment or if new symptoms have emerged, please return for a follow-up evaluation. Thank you![Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Is Dark Brown Stool After Gastroscopy Normal? What to Watch For
After undergoing an upper gastrointestinal endoscopy, passing dark-colored stools the following day? Hello, doctor. I would like to ask you about something. After undergoing an upper gastrointestinal endoscopy yesterday morning, I passed dark brown stool this afternoon, which is ...
Dr. Cai Anshun Reply:
Hello, as long as you do not have black stools or brick-red colored stools, Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Is Dark Brown Stool After Gastroscopy Normal? What to Watch For
Does Taking Taik Gastric Medicine Affect Blood Test Results?
Does taking Teku Gastrol affect blood test results? Hello, doctor. Recently, during a gastroscopy, I was diagnosed with Grade B gastroesophageal reflux disease (GERD). The clinic physician prescribed me 30 mg of Tegoprazan to be taken once daily before bedtime for a duration of t...
Dr. Chen Shidian Reply:
It will not have an impact.[Read More] Does Taking Taik Gastric Medicine Affect Blood Test Results?
Post-Colonoscopy Constipation: Understanding Bile Reflux and Next Steps
Constipation after gastrointestinal endoscopy (not having a bowel movement for several days); and some questions regarding the examination? Hello, Doctor: Last month, I visited a gastroenterologist due to severe constipation, and my previous company health check showed positive f...
Dr. Chen Shidian Reply:
1. Bile reflux during gastroscopy is a common phenomenon and usually does not require intervention. 2. If the bowel preparation is inadequate, it may be necessary to enhance the bowel cleansing and repeat the examination; please discuss this with the attending physician. 3. C...[Read More] Post-Colonoscopy Constipation: Understanding Bile Reflux and Next Steps
Understanding Gastritis: Causes, Symptoms, and Dietary Tips for Relief
Gastrointestinal discomfort Two days ago, after suddenly feeling full, I experienced severe pain above my navel that lasted all night, preventing me from sleeping. Later, I took an over-the-counter medication called "Zhi Ni Kui," and I unknowingly fell asleep. The next ...
Dr. Lin Minghui Reply:
Hello, a 33-year-old female. Recurrent abdominal pain occurs after meals, lasting 10-20 minutes each time. There has been improvement with medication for ulcers and gastroesophageal reflux at night. Gastroscopy and ultrasound examinations show gastritis. Dietary recommendations f...[Read More] Understanding Gastritis: Causes, Symptoms, and Dietary Tips for Relief
Understanding Gallstones and Gastrointestinal Issues: A Patient's Journey
Intestinal dryness or gallstones? Hello doctor, I have a question that I hope you can patiently listen to. Over the past six months, I have seen four or five gastroenterologists and undergone various tests including gastroscopy, ultrasound, colonoscopy, X-rays, fecal occult blood...
Dr. Cai Anshun Reply:
Hello: 1. If it is related to the pancreas, issues should be detectable in previous imaging studies such as a CT scan. 2. Symptoms caused by gallstones typically occur after eating a large or fatty meal, or as abdominal bloating and pain 2-3 hours post-meal. Irritable bowel syndr...[Read More] Understanding Gallstones and Gastrointestinal Issues: A Patient's Journey
Persistent Oily Stools: Do I Need Further Tests for Digestive Issues?
Floating stools with oil have been evaluated through various tests. I would like to ask if any further examinations are necessary? The patient has been experiencing long-term pain in the right upper abdomen and has had unformed stools. Recently, the stools have been floating and ...
Dr. Lin Minghui Reply:
Hello, a 38-year-old male presents with floating stools. His diet is not excessively greasy, and stool tests can be conducted to check for steatorrhea. Floating stools are associated with diet, medications, and gastrointestinal, liver, gallbladder, and pancreatic diseases. Both g...[Read More] Persistent Oily Stools: Do I Need Further Tests for Digestive Issues?
Understanding Stomach Ulcers and IBS: When to Seek Further Evaluation
Gastric ulcer issues? Hello Doctor: In early January of this year, I experienced abdominal pain and bloating, so I underwent a gastroscopy, which revealed that I had a gastric ulcer and gastritis. The colon only had benign polyps. I was prescribed a proton pump inhibitor (PPI) fo...
Dr. Lin Minghui Reply:
Hello, after improvement of the gastric ulcer, abdominal pain and bloating still occur daily, and there are occasional episodes of constipation and flatulence. For gastric ulcers and gastritis, it is important to pay attention to diet: avoid eating too quickly and refrain from co...[Read More] Understanding Stomach Ulcers and IBS: When to Seek Further Evaluation
Post-Ulcer Complications: Understanding Ongoing Abdominal Pain and Bloating
Issues Following Gastric Ulcers Hello Doctor: In early January 2021, I noticed persistent abdominal bloating and pain, so I went to the hospital for a gastroscopy, which revealed a gastric ulcer and inflammation. The colon only had benign polyps. After taking the PPI medication p...
Dr. Zhang Kebin Reply:
Hello Jack: You report persistent abdominal bloating and pain. After undergoing colonoscopy and gastroscopy, you still experience abdominal pain and bloating. You later visited a clinic and received treatment for irritable bowel syndrome, but the results were unsatisfactory. You ...[Read More] Post-Ulcer Complications: Understanding Ongoing Abdominal Pain and Bloating
Understanding Gastrointestinal Issues: Gallstones or IBS?
Gastrointestinal issues Hello doctor, I have a question that may be a bit common, so please be patient as I explain. Over the past six months, I have seen four or five gastroenterologists and undergone various tests including gastroscopy, ultrasound, colonoscopy, X-rays, stool te...
Dr. Chen Shidian Reply:
It is recommended to discuss further with a gastroenterologist.[Read More] Understanding Gastrointestinal Issues: Gallstones or IBS?
Understanding Bowel Noises and Gastrointestinal Issues in AS Patients
Borborygmi and gastrointestinal issues? Hello, doctor. I am a patient with ankylosing spondylitis, and I have been experiencing bowel sounds for about 3 to 4 months. They usually occur more after meals or when lying down before sleep, with variable locations. I can also feel inte...
Dr. Chen Shidian Reply:
If weight loss persists, further examination is recommended, including capsule endoscopy or small bowel endoscopy.[Read More] Understanding Bowel Noises and Gastrointestinal Issues in AS Patients
Understanding Duodenal Cancer: Key Questions and Diagnostic Options
Duodenal cancer issues I would like to ask a few questions regarding my long-term discomfort in the upper right abdomen. I have undergone colonoscopy, gastroscopy, and ultrasound, all of which showed no abnormalities. A physician suggested considering a small bowel endoscopy to e...
Dr. Cai Anshun Reply:
Hello: 1. Only tumors that can be compared are visible and may be palpable. 2. Both enteroscopy and capsule endoscopy can be used to examine the small intestine. The difference is that capsule endoscopy cannot perform biopsies or treatment; it can only identify lesions. Changhua ...[Read More] Understanding Duodenal Cancer: Key Questions and Diagnostic Options
Persistent Upper Right Abdominal Discomfort: Next Steps for Diagnosis
Discomfort in the right upper abdomen has been evaluated? I have been experiencing a persistent sensation of heat in the upper right abdomen (similar to the feeling of having a pain relief patch applied) for several months. It is not painful, but it is distinctly uncomfortable in...
Dr. Cai Anshun Reply:
Hello: Generally, the examinations that can diagnose abdominal diseases have been completed. You can consult a gastroenterologist for medication adjustments. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Persistent Upper Right Abdominal Discomfort: Next Steps for Diagnosis
CT vs MRI: Which Imaging is Best for Abdominal Diagnosis?
Computed tomography (CT) and magnetic resonance imaging (MRI) for abdominal diagnosis? I would like to ask, since I have already undergone gastroscopy, ultrasound, and colonoscopy, but the discomfort in my upper abdomen has not improved, if I want to pay out of pocket for advance...
Dr. Cai Anshun Reply:
Hello: If you are examining solid organs, a CT scan of the liver, gallbladder, pancreas, spleen, kidneys/adrenal glands, ovaries, and uterus will suffice. However, if you need to reconstruct images of the pancreatic duct or bile duct, an MRI is required. Of course, any lesions vi...[Read More] CT vs MRI: Which Imaging is Best for Abdominal Diagnosis?
Persistent Discomfort in the Upper Right Abdomen: Causes and Next Steps
Persistent discomfort in the right upper abdomen? For the past two months, I have been experiencing a tight, burning sensation in the upper right part of my abdomen (approximately from just above the navel to just below the lower rib margin). At the end of last month, I had an ab...
Dr. Cai Anshun Reply:
Hello, since you have already undergone abdominal ultrasound, gastroscopy, and colonoscopy, most diseases in the right upper abdomen can be diagnosed. You may want to review your dietary habits to see if they are contributing to your gastric discomfort, such as the consumption of...[Read More] Persistent Discomfort in the Upper Right Abdomen: Causes and Next Steps
Understanding Upper Right Abdominal Tightness and Heat Sensation
Tightness and a prickling heat sensation in the upper right abdomen? Recently, I have been experiencing a tight sensation in the upper right abdomen (approximately from above the navel to just below the rib cage) that feels warm at times. This has persisted for about a month and ...
Dr. Chen Shidian Reply:
First, apply local heat therapy and observe. Avoid vigorous exercise or local strain, and return for a follow-up if necessary.[Read More] Understanding Upper Right Abdominal Tightness and Heat Sensation
Can You Undergo a Sedated Gastrointestinal Endoscopy While on Birth Control?
If someone is taking contraceptive pills, can they undergo a sedated gastrointestinal endoscopy? Hello, doctor. I am currently taking the contraceptive pill, Yejih. I would like to know if it is safe to undergo a painless gastroscopy. If a polyp needs to be removed, will taking t...
Dr. Cai Anshun Reply:
Hello: Birth control pills will not affect painless gastroscopy and polypectomy. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Can You Undergo a Sedated Gastrointestinal Endoscopy While on Birth Control?