Understanding the Connection Between Duodenal Ulcers and Back Pain
Duodenum and Back Pain Hello, Doctor. 1. About three months ago, I started experiencing some pain below my left scapula (lower back), which was followed by bloating, frequent burping, and a loss of appetite. At that time, I felt pain in both sides of my lower back, and it seeme...
Dr. Chen Zhiping Reply:
Hello, the pain in your lower left back is not related to duodenal ulcers; I have never heard of referred pain from ulcers reaching that area. However, regarding the pancreas, I wonder if you have had an abdominal ultrasound, as lesions in the tail of the pancreas may cause pain ...[Read More] Understanding the Connection Between Duodenal Ulcers and Back Pain
Understanding Excess Stomach Acid: Causes and Treatment Options
Excess stomach acid (Gastroesophageal reflux disease?) Dr. Chen: Hello, I have been experiencing excessive gastric acid and heartburn after meals since mid-August 2004. Currently, I am taking (1) Domperidone, (2) Famotidine, and (3) MGO (all before each meal), but I have not been...
Dr. Chen Zhiping Reply:
Response: Hello, 1. I have not heard that these two medications affect the contraction of the lower esophageal sphincter, leading to gastroesophageal reflux. 2. There is indeed a difference; gastric acid secretion increases after meals, and it also tends to increase during sle...[Read More] Understanding Excess Stomach Acid: Causes and Treatment Options
Understanding Hepatitis B: Causes, Risks, and What You Need to Know
Hepatitis B? Hello, doctor. I would like to ask what hepatitis B is. I had a health check-up when I started school this year, and the report indicated that I have hepatitis B. I heard my brother mention that he was also diagnosed with hepatitis B during his military health examin...
Dr. Chen Zhiping Reply:
Hello, Hepatitis B is an inflammation of the liver caused by the Hepatitis B virus infection in the human body. Some individuals may experience recurrent liver inflammation, while others may have the virus remain dormant in their bodies, becoming healthy carriers. The transmissio...[Read More] Understanding Hepatitis B: Causes, Risks, and What You Need to Know
Understanding Abdominal Pain: Causes and Concerns in Gastroenterology
Abdominal pain Last year, I underwent an endoscopy which revealed mild gastritis. After taking medication, I didn't pay much attention to it. In March of this year, I developed acute gastritis and took medication, which seemed to help, so I didn't follow up. Since June,...
Dr. Chen Zhiping Reply:
Hello, it seems that your symptoms are less indicative of hepatitis and more related to gastrointestinal issues. Typically, hepatitis does not present with pain, but may include symptoms such as fatigue, malaise, nausea, and loss of appetite. In more severe cases, jaundice (yello...[Read More] Understanding Abdominal Pain: Causes and Concerns in Gastroenterology
Is Frequent Bloating Related to Liver Issues or Gastrointestinal Problems?
Is it related to the liver? Hello Dr. Chen: I often experience belching, especially in the morning after waking up, after meals, when changing positions from sitting to standing, and when switching from lying on my right side to my left side. I frequently have belching. Is this r...
Dr. Chen Zhiping Reply:
Hello, bloating is often caused by gastrointestinal indigestion or abnormal peristalsis. Patients with hepatitis or cirrhosis may also experience loss of appetite and indigestion. However, it is essential to undergo some physical examinations, along with blood tests, ultrasound, ...[Read More] Is Frequent Bloating Related to Liver Issues or Gastrointestinal Problems?
Understanding Gallo-Merz: Its Role and Mechanism in Liver Disease Treatment
Could you please provide more context or specify your question? Hello, Doctor, I would like to ask about Gallo-merz. It is a secondary medication of choice for liver disease, but I couldn't find its mechanism of action mentioned in several books I checked.
Dr. Xu Jinchuan Reply:
Hello! "Gallo-merz is the first choice medication for liver disease as an adjunct therapy"? I'm not sure where you got this information, but it is incorrect. The approved indications for this medication include: spasm of the bile ducts and bladder sphincter, gastro...[Read More] Understanding Gallo-Merz: Its Role and Mechanism in Liver Disease Treatment
Post-Surgery Digestive Issues: Persistent Bloating and Loss of Appetite
Postoperative loss of appetite, persistent belching, and flatulence? I underwent surgery to remove my uterus and left ovary due to uterine fibroids on May 5th. However, post-surgery, I have been experiencing gastrointestinal discomfort and have been eating very little, resulting ...
Dr. Chen Zhiping Reply:
Hello, after undergoing a hysterectomy and oophorectomy, you mentioned experiencing decreased appetite, belching, flatulence, and weight loss. I'm curious if you are also experiencing abdominal pain or bloating, and how your bowel movements have been. Is there a possibility ...[Read More] Post-Surgery Digestive Issues: Persistent Bloating and Loss of Appetite
Should You Continue Taking Interferon for Hepatitis B After Recovery?
Should I take Gan An Neng? Hello Doctor: A year ago, I tested negative for Hepatitis B during a health check. On February 14 of this year, I ate seafood and had raw oysters (I do not drink alcohol, and I was not taking any medications at that time; my lifestyle was normal). On Fe...
Dr. Chen Jianhong Reply:
Hello Ayun! 1. Your latest tests show that your liver enzyme levels are normal, so there is no need for you to take Tenofovir. However, it is still best to have your medical history for reference. Additionally, we suspect that you may have acute hepatitis? It is possible that y...[Read More] Should You Continue Taking Interferon for Hepatitis B After Recovery?
Understanding Hepatitis B: Prevention, Transmission, and Care Tips
How to prevent and pay attention to hepatitis B? Hello, Dr. Chen! 1. Is vertical transmission of Hepatitis B inevitable? (For example, if the mother is a carrier, should she be checked every six months?) 2. If the husband also has Hepatitis B, can it be transmitted during inter...
Dr. Chen Jianhong Reply:
Hello, Miss Wang! 1. It is not guaranteed that a mother with hepatitis B will transmit the virus to her offspring 100% of the time. 2. Sexual activity is one of the transmission routes for hepatitis B, so it is advisable for partners to have surface antibodies against hepatiti...[Read More] Understanding Hepatitis B: Prevention, Transmission, and Care Tips
Understanding Hepatitis B: Transmission Risks and Symptoms Explained
What should be noted about hepatitis B and its symptoms? Hello, Dr. Chen! 1. Is it certain that Hepatitis B will be transmitted vertically? (For example, if the mother is a carrier, she needs to be checked every six months.) 2. If the husband has Hepatitis B, can he transmit it...
Dr. Chen Jianhong Reply:
Hello, Miss Wang! 1. It is not guaranteed that a mother with hepatitis B will transmit the virus to her offspring 100% of the time. 2. Sexual activity is one of the transmission routes for hepatitis B; therefore, it is best for partners to have surface antibodies against hepatiti...[Read More] Understanding Hepatitis B: Transmission Risks and Symptoms Explained
Understanding Chronic Liver Cancer: Symptoms, Severity, and Treatment Options
Chronic liver cancer Chronic liver cancer, also known as hepatocellular carcinoma (HCC), is a type of cancer that originates in the liver, often developing in individuals with chronic liver diseases such as hepatitis B or C infection, cirrhosis, or fatty liver disease. Symptoms...
Dr. Liang Jiade Reply:
Liver cancer is inherently a chronic disease. Typically, there are no symptoms in the early stages. In the advanced stages, symptoms such as jaundice, liver failure, and ascites may occur. The treatment for liver cancer must be determined based on factors such as tumor size, numb...[Read More] Understanding Chronic Liver Cancer: Symptoms, Severity, and Treatment Options
Understanding Bloating, Nausea, and Loss of Appetite: Gastrointestinal Insights
Nausea, vomiting, and loss of appetite? Hello, Doctor: Symptom 1: For about a year now, I often feel gas in my body and have the urge to burp, but it's not spontaneous; I feel the gas and deliberately try to burp it out, which leads to me feeling full after eating very lit...
Dr. Xu Ruihong Reply:
Hello, your issue sounds like poor gastrointestinal motility. Generally speaking, increasing physical activity and managing stress can help alleviate symptoms; medication should be considered as a last resort. Given your young age, the likelihood of malignant tumors is low, but...[Read More] Understanding Bloating, Nausea, and Loss of Appetite: Gastrointestinal Insights
Understanding Functional Gastrointestinal Disorders: Symptoms and Treatments
Functional gastrointestinal disorders (functional dyspepsia) Dr. Su: I previously consulted you regarding related issues (on August 29). Another physician diagnosed me with autonomic nervous system dysfunction (symptoms include lower abdominal bloating and loss of appetite, diagn...
Dr. Su Baojia Reply:
Homagy contains Homatropine, which can affect gastrointestinal motility. After taking traditional Chinese medicine, you may notice an increase in flatulence after lunch, but there may still be a lingering sensation of food remaining in the stomach; this could be the reason why yo...[Read More] Understanding Functional Gastrointestinal Disorders: Symptoms and Treatments
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding In June, I frequently experienced rectal bleeding, but it stopped after about a week. In July, I underwent a full-body check-up and was diagnosed with superficial gastritis and tested positive for Helicobacter pylori. After that, I occasionally experienced rectal ...
Dr. Liang Jiade Reply:
Hello: The pattern of rectal bleeding (bright red blood or black stools, frequency, volume, chronic or acute) and whether the stools themselves are mixed with blood can help differentiate between upper and lower gastrointestinal bleeding. Your upper gastrointestinal endoscopy res...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Post-Surgery Challenges for Colorectal Ulcer Patients: A Caregiver's Dilemma
Postoperative issues following colorectal ulcer surgery? Dear Dr. Yang, I would like to ask about my grandmother's condition. She is currently 78 years old and has been suffering from severe herpes zoster (commonly known as shingles) in her abdomen for the past two months, ...
Dr. Yang Peizhen Reply:
Hello: Typically, an endotracheal tube should be replaced every two weeks at most. If it is used beyond this period, the risk of infection increases, which can reduce the likelihood of successful extubation. Additionally, having the tube in the mouth for an extended period can be...[Read More] Post-Surgery Challenges for Colorectal Ulcer Patients: A Caregiver's Dilemma
Understanding Liver Health: Concerns About Elevated Enzymes and Symptoms
Liver Hello, doctor! On May 25, 2003, I had a blood test showing GOT 50 and GPT 109. I have hepatitis B and was given a one-month supply of medication to take home (brown, 2 cm long soft gel capsules with a strong taste). I would like to ask... Recently, I often feel a tightness ...
Dr. Yang Peizhen Reply:
Hello: Seventy percent of hepatitis cases are asymptomatic, unless it is acute hepatitis (with GPT levels exceeding 500), which may lead to fatigue or loss of appetite. Therefore, the symptoms you described may be related to gastrointestinal issues or emotional stress, and are no...[Read More] Understanding Liver Health: Concerns About Elevated Enzymes and Symptoms
Understanding Bloating: Signs of Serious Gastrointestinal Issues
Abdominal bloating? Doctor, I have recently been experiencing significant abdominal bloating and a loss of appetite. I have bowel movements every two to three days, and some of the stool is dark. Occasionally, I feel nauseous. What are the warning signs of stomach cancer, colon c...
Dr. Yang Peizhen Reply:
Hello: The abdomen is very bloated and there is some dark-colored stool, which is usually caused by constipation leading to excessive fecal matter. The initial portion of the stool tends to be darker in color. The likelihood of young people developing colorectal cancer is very lo...[Read More] Understanding Bloating: Signs of Serious Gastrointestinal Issues
Understanding A.C.D.E Hepatitis: Types, Symptoms, and Treatment
What is A.C.D.E type hepatitis? A.C.D.E hepatitis refers to the different types of viral hepatitis caused by various hepatitis viruses. Here’s a brief overview of each type: - **Hepatitis A (HAV)**: This is a highly contagious virus that primarily spreads through the fecal-oral ...
Dr. Xu Ruihong Reply:
Hepatitis A is transmitted through the feces of infected individuals, primarily via contaminated food or water. The incubation period is approximately three to five weeks. Symptoms are often mild in children, while adolescents and adults may experience more pronounced symptoms su...[Read More] Understanding A.C.D.E Hepatitis: Types, Symptoms, and Treatment
Assessing Medical Oversight: A Case Study of Jaundice Diagnosis in Hepatitis B
請提供您想詢問的內容，我將協助您進行翻譯。 I would like to ask how other physicians would diagnose a patient during their first visit on October 12. Does this constitute medical negligence? The patient, Xu Zhanwei, a 23-year-old male senior student, was confirmed to be a carrier of hepatitis B two ye...
Dr. Yang Peizhen Reply:
Hello! First, I must clarify that I am not a member of the Medical Evaluation Committee and do not have the authority to determine whether a physician has committed medical malpractice. Furthermore, I was not present during the consultation between the doctor and the patient, so ...[Read More] Assessing Medical Oversight: A Case Study of Jaundice Diagnosis in Hepatitis B
Understanding Digestive Issues: When to Seek Gastroenterology Help
Please help me clarify? Hello: About six months ago, my upper abdomen started to enlarge. I initially thought it might be due to drinking alcohol, but I've noticed that my appetite is not as large as before, yet I easily feel bloated and experience some dull pain. The odor o...
Dr. Lü Shaoren Reply:
Hello Mr. Sheng: Abdominal bloating may be related to gastrointestinal issues or ascites. Have you experienced any weight gain or loss? Do you have a loss of appetite? It is advisable to have both gastrointestinal and liver examinations. You should schedule an appointment with a ...[Read More] Understanding Digestive Issues: When to Seek Gastroenterology Help