Understanding Stomach Ulcers: Persistent Pain and Treatment Concerns
Diagnosed with a gastric ulcer on December 6th? On December 6th, I was diagnosed with a gastric ulcer in the emergency department. I have been experiencing pain in my lower back and thighs, and I have trouble sleeping at night. I underwent a CT scan and an endoscopy, but no abnor...
Dr. Lin Minghui Reply:
The pharmacological treatment for gastric ulcers may require 8 to 12 weeks, and it is important to understand the underlying causes of gastric ulcers. Chronic stress, irregular eating habits, Helicobacter pylori infection, alcohol consumption, smoking, and the use of analgesics c...[Read More] Understanding Stomach Ulcers: Persistent Pain and Treatment Concerns
Persistent Stomach Pain and Bloating: When Medications Fail
Stomach pain and bloating that do not improve with medication? Hello, doctor. I've been experiencing gastrointestinal bloating and stomach pain for two months. I underwent an endoscopy, and the doctor diagnosed me with gastric erosion and gastroesophageal reflux disease (GER...
Dr. Cai Anshun Reply:
Hello: In addition to medication, dietary habits are also very important. Beverages such as tea (black/green/milk tea), coffee, smoking, alcohol, fried foods, spicy foods, sweets, and chocolate can have an impact. Avoid late-night snacks, eat until satisfied without lying down, r...[Read More] Persistent Stomach Pain and Bloating: When Medications Fail
Understanding Bloating and Belching: Gastrointestinal Concerns Explained
Belching issues? Hello, doctor. Last year, I underwent an upper gastrointestinal endoscopy and was diagnosed with a gastric ulcer and Helicobacter pylori infection. After taking medication for six months, I experienced gastrointestinal discomfort and frequent diarrhea in August o...
Dr. Chen Shidian Reply:
If there is no significant weight loss, symptomatic treatment and dietary control are sufficient. Additionally, a fecal occult blood test may be performed.[Read More] Understanding Bloating and Belching: Gastrointestinal Concerns Explained
Chronic Gastritis or Ulcer? Seeking Answers After Months of Treatment
If gastritis has not improved after more than four months, could it be a chronic ulcer? Should I change clinics? Hello Dr. Chen, my questions are as follows: My illness history: On the evening of April 20, I ate a large bowl of beef noodles and drank iced asparagus juice, which l...
Dr. Chen Shidian Reply:
It is likely a case of impaired gastrointestinal motility, and there is no need to worry excessively. I have no objections to changing doctors.[Read More] Chronic Gastritis or Ulcer? Seeking Answers After Months of Treatment
Understanding Chronic Diarrhea: Causes and Concerns for Young Adults
Chronic diarrhea Doctor, I am 27 years old and for the past two to three years, I have been experiencing soft stools or diarrhea, without abdominal pain or blood in my stool. Sometimes, the stool appears greenish or contains food particles. In April of this year, I underwent an u...
Dr. Cai Anshun Reply:
Hello: It may be caused by irritable bowel syndrome, diet, or mental stress. If there is a family history of colorectal cancer, you may want to consult a gastroenterologist to evaluate whether an endoscopy is necessary. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Chronic Diarrhea: Causes and Concerns for Young Adults
Understanding Chronic Diarrhea: Causes and Concerns for Young Adults
Chronic diarrhea Doctor, I am 27 years old and for the past two to three years, I have been experiencing soft stools or diarrhea without abdominal pain or blood in my stool. Sometimes the stool appears green. In April of this year, I underwent an upper gastrointestinal endoscopy ...
Dr. Cai Anshun Reply:
Hello: It may be caused by irritable bowel syndrome or dietary and psychological stress. If there is a family history of colorectal cancer, you should consult a gastroenterologist to evaluate whether an endoscopy is necessary. Additionally, there are some endocrine issues, such a...[Read More] Understanding Chronic Diarrhea: Causes and Concerns for Young Adults
Can You Eat Out While Taking Antibiotics for H. Pylori?
Can I eat outside food while taking antibiotics? Hello doctor, I would like to ask a few questions. Currently, I am taking antibiotics for Helicobacter pylori infection. 1. During this time, is it safe to eat outside food? For example, can I have beef or pork burgers from a bre...
Dr. Chen Shidian Reply:
Just avoid acidic foods.[Read More] Can You Eat Out While Taking Antibiotics for H. Pylori?
Can Mental Health Medications Alleviate Gastrointestinal Issues?
Issues with psychiatric medications? Hello doctor, if there are polyps in the colon causing persistent abdominal bloating and pain, or if there is gastritis, peptic ulcers, Helicobacter pylori infection, or duodenal ulcers leading to long-term recurrent abdominal bloating and pai...
Dr. Chen Shidian Reply:
Medications for gastrointestinal symptoms can be taken.[Read More] Can Mental Health Medications Alleviate Gastrointestinal Issues?
Understanding Bloating: Causes and Treatment Beyond Mental Health Medications
Abdominal bloating issues? Hello doctor, if there are polyps in the colon causing chronic recurrent bloating and abdominal pain, or if there is gastritis, peptic ulcers, Helicobacter pylori infection, or duodenal ulcers leading to chronic recurrent bloating and abdominal pain, an...
Dr. Cai Anshun Reply:
Hello: If the underlying issues are not addressed, simply taking medications for anxiety, depression, or psychosis will likely not resolve the symptoms. If you are experiencing discomfort, it is advisable to consult a gastroenterologist for recommendations on treatment or further...[Read More] Understanding Bloating: Causes and Treatment Beyond Mental Health Medications
Understanding H. Pylori Treatment: Testing, Diet, and Risks
Helicobacter pylori I previously had an endoscopy that revealed the presence of Helicobacter pylori. Due to gastric bleeding, I took some time to care for my stomach. On Tuesday, I completed a seven-day course of antibiotics. How long should I wait before getting tested again? Ar...
Dr. Cai Anshun Reply:
Hello: 1. After sterilization, some doctors will schedule a follow-up examination in one or two months, especially for fecal antigen tests, to avoid detecting bacterial remnants. 2. There are no specific dietary restrictions; however, if there is bleeding, nausea, or mild diarrhe...[Read More] Understanding H. Pylori Treatment: Testing, Diet, and Risks
Understanding Helicobacter Pylori: Symptoms, Testing, and Treatment Options
Helicobacter pylori consultation Dear Dr. Tsai, I have been experiencing gastrointestinal issues in recent years, primarily bloating, acid reflux, belching, stomach pain, and indigestion. Therefore, I would like to proactively check for Helicobacter pylori infection. I have the ...
Dr. Cai Anshun Reply:
Hello: Q1. Not necessarily. Q2. "Blood tests" check for antibodies against Helicobacter pylori; if negative, it indicates no previous infection. Q3. It is possible. Q4. If the bacterial load is low, it may be cleared by the immune system. Q5. If there are ulcers, a fami...[Read More] Understanding Helicobacter Pylori: Symptoms, Testing, and Treatment Options
Understanding Helicobacter Pylori: Myths, Testing, and Treatment Options
Regarding Helicobacter pylori? Dear Dr. Chen, I have some questions regarding Helicobacter pylori that I would like to ask: Q1. Is it possible for individuals infected with Helicobacter pylori to heal spontaneously without any "eradication therapy"? For example, can t...
Dr. Chen Shidian Reply:
1. It may self-resolve shortly after onset, but there is no research to support this. 2. Symptom assessment for the presence of bacteria is often inaccurate. 3. Blood tests may frequently show negative for bacteria, although there are exceptions with unknown causes. 4. There will...[Read More] Understanding Helicobacter Pylori: Myths, Testing, and Treatment Options
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 Hepatitis B: Key Insights for Family Health Management
Regarding Hepatitis B? Hello Doctor: Recently, my mother (70 years old) underwent a health check-up, and the ultrasound revealed signs of liver degeneration. She has also had a clinic health examination and an upper gastrointestinal endoscopy, which showed the presence of Helicob...
Dr. Lin Minghui Reply:
Hello: HBsAg (+) *243.300 indicates a carrier of Hepatitis B, who requires regular monitoring every six months, including blood tests and abdominal ultrasounds. Hepatitis B is a high-risk factor for liver cirrhosis and liver cancer. If taking dietary supplements and traditional C...[Read More] Understanding Hepatitis B: Key Insights for Family Health Management
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
Understanding the Discrepancy in H. Pylori Testing: A Patient's Journey
Helicobacter pylori Hello Doctor: I have been experiencing recurrent abdominal pain, so I visited a gastroenterologist for an examination. After undergoing an endoscopy, the doctor mentioned that there were some abrasions in my stomach, but no Helicobacter pylori was detected. I ...
Dr. Cai Anshun Reply:
Hello: There are two methods for detecting Helicobacter pylori during an upper gastrointestinal endoscopy. One method involves taking a biopsy, which is then examined by a pathologist under a microscope to check for the presence of Helicobacter pylori in the gastric tissue. If th...[Read More] Understanding the Discrepancy in H. Pylori Testing: A Patient's Journey
Possible Link Between Past Stomach Bleeding and Current Gastritis Symptoms
About 5 to 6 years ago, there was a suspicion of gastrointestinal bleeding, with the expulsion of coffee-colored material? Hello, doctor. I have a question. About 5 to 6 years ago, I experienced symptoms of suspected gastric bleeding, as I vomited brownish material, but I did not...
Dr. Lin Minghui Reply:
Hello: The previous gastrointestinal bleeding may be related to the current gastritis. A 15-year-old boy had a history of gastric bleeding and vomited coffee grounds. Possible causes of the bleeding include inflammation, erosion, or ulcers in the esophagus, stomach, or duodenum, ...[Read More] Possible Link Between Past Stomach Bleeding and Current Gastritis Symptoms
Understanding Gastroscopy: Equipment Differences and Diagnostic Accuracy
Gastrointestinal endoscopy issues? Hello, last month I visited a clinic due to issues with hiccups and a sensation of something stuck in my throat. The doctor arranged for me to undergo an endoscopy, and the results showed only mild gastroesophageal reflux disease (GERD) with no ...
Dr. Chen Shidian Reply:
The clinic equipment should be fine. You can first adjust the medication and diet, and then return for a follow-up appointment.[Read More] Understanding Gastroscopy: Equipment Differences and Diagnostic Accuracy
Understanding Stomach Ulcers: Symptoms, Treatment, and Next Steps
Gastric ulcer issues? Hello, doctor! In February of this year, I underwent a gastroscopy, which revealed the presence of a gastric ulcer, but there was no Helicobacter pylori infection. I was prescribed a proton pump inhibitor (PPI) for four months. After taking the medication fo...
Dr. Yang Zhichao Reply:
Hello Mr. Jason: 1. You have been experiencing abdominal bloating, urination issues, and occasional mild pain for the past 1 to 2 weeks, along with foul-smelling gas or bowel movements, which should not be related to the medication. 2. Regarding the repeat endoscopy, it is lik...[Read More] Understanding Stomach Ulcers: Symptoms, Treatment, and Next Steps
Understanding Chronic Gastritis and Intestinal Metaplasia: Risks and Concerns
Gastrointestinal Endoscopy Pathology Report The pathology report from your endoscopic biopsy indicates chronic gastritis with focal intestinal metaplasia, but no Helicobacter pylori infection was found. Yes, intestinal metaplasia refers to the presence of intestinal-type cells in...
Dr. Chen Shidian Reply:
There is only mild localized dysplasia, and no bacteria present, so there is no need to worry about deterioration.[Read More] Understanding Chronic Gastritis and Intestinal Metaplasia: Risks and Concerns