Understanding Elevated Liver Enzymes and Fatigue: Key Insights
Elevated liver enzymes and fatigue? Hello Doctor, I have been experiencing unusual fatigue, loss of appetite, and alternating chills and fever for about a month. My health check report regarding liver function shows that both GOT and GPT are at 25 (max. 35), while GGT is at 63 (m...
Dr. Cai Anshun Reply:
Hello: Values within the normal range are considered normal. There is no need to worry excessively. Medications that can be avoided should not be taken unless absolutely necessary. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Elevated Liver Enzymes and Fatigue: Key Insights
Understanding Gastrointestinal Issues: When to Seek Medical Advice
Gastrointestinal issues Hello, I often experience food coming back up from my stomach after meals, and I frequently have stomach pain. Today, I also had diarrhea, and sometimes I feel nauseous and have a loss of appetite. Occasionally, I experience stomach pain when I'm angr...
Dr. Cai Anshun Reply:
Hello: 1. It is recommended to chew your food thoroughly and not to overeat, as this can help prevent such situations. If there is no improvement, you may consider visiting a gastroenterologist for an evaluation and necessary examinations. Changhua Hospital cares about your healt...[Read More] Understanding Gastrointestinal Issues: When to Seek Medical Advice
Understanding Gastrointestinal Issues: Nausea and Loss of Appetite Explained
Gastrointestinal issues I haven't eaten for several days, and even though I'm clearly hungry, I can't eat. Sometimes I take a bite and then vomit. During these days of not eating, I've been feeling nauseous, and my mouth has a sour taste. My throat also feels ...
Dr. Cai Anshun Reply:
Hello: If you are unable to eat continuously, it is recommended that you consult a gastroenterologist or visit the emergency department to determine the cause. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Gastrointestinal Issues: Nausea and Loss of Appetite Explained
Understanding PPI Use for GERD: When to Continue or Reassess Treatment
Regarding the issue of discontinuing the use of proton pump inhibitors (PPIs) for gastroesophageal reflux disease (GERD)? Hello, Doctor. I underwent an endoscopy at the Taipei Hospital of the Ministry of Health and Welfare around December 30, 2016. Following that, I regularly too...
Dr. Cai Anshun Reply:
Hello: Essentially, PPIs (proton pump inhibitors) suppress gastric acid secretion and should not be used long-term, as they may affect digestion, bacterial balance, and calcium absorption. For gastroesophageal reflux disease (GERD), it is recommended to improve lifestyle and diet...[Read More] Understanding PPI Use for GERD: When to Continue or Reassess Treatment
Understanding Gastrointestinal Issues: Symptoms, Diagnosis, and Treatment
Gastrointestinal issues Hello Doctor: Recently, I have been experiencing severe bloating and pain in the upper left abdomen. I visited a gastroenterologist who performed an ultrasound on my pancreas and kidneys, both of which were normal. The doctor mentioned that there is air pr...
Dr. Cai Anshun Reply:
Hello: Please pay attention to your diet and bowel movements, as they may be related to your symptoms. If medication does not improve your condition, it is necessary to undergo an endoscopy to check for gastrointestinal issues. Changhua Hospital cares about your health. Dr. Tsai ...[Read More] Understanding Gastrointestinal Issues: Symptoms, Diagnosis, and Treatment
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort I have been experiencing gastrointestinal discomfort for about three months, occurring roughly three times. At the beginning of this month, I started feeling nauseous and had a complete loss of appetite, feeling lightheaded and weak. I only managed to ...
Dr. Cai Anshun Reply:
Hello: It is not possible to rule out peptic ulcers or gastroesophageal reflux disease, and there may be other underlying causes. It is advisable to follow a bland diet and avoid irritants such as tea, coffee, tobacco, and alcohol. If the condition does not improve, consideration...[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Understanding Upper Abdominal Pain and Right Lower Quadrant Tenderness
Upper abdominal pain and right lower quadrant tenderness? Hello Doctor, yesterday (February 21) in the morning, I experienced severe and persistent upper abdominal pain. After taking antacids, there was no improvement. Before lunch, I used a gastric milk and rested for 2.5 hours,...
Dr. Cai Anshun Reply:
Hello: The lower right abdomen is indeed the location of the appendix. Possible issues include appendicitis, general colitis, fecal impaction, and diverticulitis. If accompanied by fever and worsening abdominal pain, and if you are unable to return immediately, please seek medica...[Read More] Understanding Upper Abdominal Pain and Right Lower Quadrant Tenderness
Understanding Loss of Appetite: Insights on Gastritis and GERD
Lack of appetite? Hello, Doctor... I would like to ask you a few questions. Earlier this year, I underwent an upper gastrointestinal endoscopy and was diagnosed with mild gastritis, mild gastroesophageal reflux disease (GERD), and mild duodenitis. I was prescribed medication, but...
Dr. Chen Qifeng Reply:
Your symptoms indicate delayed gastric emptying, which can be caused by conditions such as gastroparesis, gastritis, or peptic ulcers. As for gastritis, "mild" refers to the severity, while "superficial gastritis" describes the pathological condition; superfic...[Read More] Understanding Loss of Appetite: Insights on Gastritis and GERD
Understanding Gastrointestinal Issues: Symptoms and Solutions
Gastrointestinal issues In recent months, I have been experiencing irregular bowel movements. Sometimes, even when I feel the urge to have a bowel movement, I am unable to pass stool, or I only pass small, pellet-like stools. Additionally, I frequently experience belching and a l...
Dr. Cai Anshun Reply:
Hello: Under normal circumstances, it is important to have a daily bowel movement, even if it is just a small amount, especially if you are experiencing constipation. Additionally, ensure you are drinking enough fluids, around 1500-2000 cc, and increase this amount if you are exe...[Read More] Understanding Gastrointestinal Issues: Symptoms and Solutions
Understanding Weight Loss and Bloating: When to Seek Medical Advice
Abdominal bloating and weight loss? Hello Dr. Lin, about a month ago, I noticed that my stools have become thinner (no blood in the stool and normal color). However, two weeks ago, I started researching on Google, and the results were quite concerning (such as cancer, etc.). Afte...
Dr. Lin Minghui Reply:
Abdominal bloating, weight loss, thinner stools, and loss of appetite may have several potential causes, including indigestion, enteritis, or issues with the intestines. It is advisable to adjust dietary habits by avoiding eating too quickly and limiting gas-producing foods. Ensu...[Read More] Understanding Weight Loss and Bloating: When to Seek Medical Advice
Understanding Esophageal Fungal Infections and Their Impact on Appetite
Esophageal candidiasis? The endoscopy revealed fungal infection in the esophagus, and the physician prescribed a month-long course of antibiotics. Additionally, there is laryngitis and a perforated eardrum. The bitter taste in the mouth has led to a complete loss of appetite. Is ...
Dr. Chen Qifeng Reply:
There is generally no direct correlation with a perforated eardrum unless there is also a fungal infection of the eardrum along with esophageal fungal infection. Typically, antifungal medications are prescribed; however, the most important factor is identifying any specific reaso...[Read More] Understanding Esophageal Fungal Infections and Their Impact on Appetite
Understanding Chronic Bloating: Causes and Solutions for Your Digestive Health
Abdominal bloating issues? Hello, doctor. I apologize for bothering you, but I would like to ask about my situation. Since mid-September, after experiencing a cold with a sore throat and diarrhea (which resolved in a day or two), I have been experiencing daily bloating. There has...
Dr. Yang Zhichao Reply:
Dear Ms. Penny, the possibility of a peptic ulcer cannot be ruled out based on your symptoms. It is recommended that you see a gastroenterologist for evaluation and arrange for an endoscopy. Changhua Hospital cares about your health.[Read More] Understanding Chronic Bloating: Causes and Solutions for Your Digestive Health
Dealing with Diarrhea and Loss of Appetite: What to Eat?
Diarrhea and loss of appetite? Hello Doctor: Since Friday morning when I woke up, I have been experiencing diarrhea. I had three more episodes in the afternoon and have had little appetite. After seeing the doctor, I took an antidiarrheal medication and another medication (the do...
Dr. Chen Shidian Reply:
Hello, it is possible that your gastroenteritis has not fully recovered. You may supplement your fluids and consume a light diet such as congee. Please continue to follow up with a gastroenterologist. Changhua Hospital cares about your health. Chen Shidian[Read More] Dealing with Diarrhea and Loss of Appetite: What to Eat?
Is Sudden Change to Regular Bowel Movements a Cause for Concern?
Sudden improvement in bowel movements? I have had difficulty with bowel movements since childhood; there were times when I could go a week without a bowel movement. However, just before I turned 30, my bowel movements suddenly became regular. Earlier this year, I underwent hemorr...
Dr. Chen Qifeng Reply:
The key symptoms in your case are the increasingly narrow stools and loss of appetite, rather than a change from constipation to regular bowel movements. Additionally, you have undergone a colonoscopy this year with no issues (if there were any problems, the physician would have ...[Read More] Is Sudden Change to Regular Bowel Movements a Cause for Concern?
Loss of Appetite and Blood in Stool: Gastrointestinal Concerns Explained
Loss of appetite and blood in the stool? Hello, doctor. Previously, I experienced a muscle soreness in my abdomen, and whenever I tried to straighten up, it felt very painful. Recently, my appetite has been very low; even when I do feel hungry, I only want to eat vegetables and h...
Dr. Chen Shidian Reply:
Hello, sir. Please visit Changhua Hospital for a health check-up. Best regards, Chen Shidian.[Read More] Loss of Appetite and Blood in Stool: Gastrointestinal Concerns Explained
Loss of Appetite and Fatigue: Understanding Digestive Health Issues
Loss of appetite & lethargy It has been almost the second week, and in the morning around 8 AM, I feel normal, but starting from noon, I begin to feel more fatigued. At the same time, I experience a loss of appetite and occasionally have mild upper abdominal pain 30 minutes a...
Dr. Chen Qifeng Reply:
These symptoms are non-specific and cannot be used to determine a possible diagnosis. It is recommended to consult a gastroenterologist to clarify the underlying cause.[Read More] Loss of Appetite and Fatigue: Understanding Digestive Health Issues
Understanding Gastrointestinal Issues After Night Shifts: Causes and Solutions
Gastrointestinal issues Recently, after working night shifts for a week, I've been having difficulty distinguishing between hunger and the need to use the restroom. I'm unsure if I feel like eating, and while I don't have a noticeable loss of appetite, I also don&#...
Dr. Cai Anshun Reply:
Hello: It may be influenced by lifestyle or dietary habits, but if accompanied by severe diarrhea, abdominal pain, or symptoms of infection (fever, chills), you should consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Gastrointestinal Issues After Night Shifts: Causes and Solutions
Understanding a Hard Lump in the Upper Right Abdomen: What You Need to Know
Right upper quadrant mass? Hello Doctor: I have a hard lump in my upper right abdomen. I actually noticed it six months ago, but since I had no symptoms, I didn't pay much attention to it. The size is about the size of a finger joint, located about a finger's length fro...
Dr. Cai Anshun Reply:
Hello: If you can feel a lump at your fingertip, it is mostly located subcutaneously rather than in the internal organs. You may consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding a Hard Lump in the Upper Right Abdomen: What You Need to Know
Understanding Abdominal Discomfort: Is It Normal to Feel Your Intestines?
Palpation of the intestinal structure in the right lower abdomen? Hello Doctor, since around mid-July, I have been experiencing a strange sensation in my lower abdomen (it's not pain, but it's uncomfortable). This feeling comes and goes, and along with a loss of appetit...
Dr. Cai Anshun Reply:
Hello: Feeling the shape of the intestines may occur in several situations: being too thin, or having gas and fecal impaction in the intestines. You can try adjusting your diet to see if bowel movements become smoother. If you still have concerns, you can consult a gastroenterolo...[Read More] Understanding Abdominal Discomfort: Is It Normal to Feel Your Intestines?
Understanding Gastroenteritis: Symptoms, Weight Loss, and Recovery
Gastroenteritis, accompanied by general fatigue and weight loss? Hello Doctor, I would like to ask about my condition over the past two weeks. I have been experiencing gastroenteritis, initially presenting with symptoms of vomiting, diarrhea, and loss of appetite. For the next ...
Dr. Cai Anshun Reply:
Hello: It may be that your physical strength has not fully recovered, or there could be an electrolyte imbalance. It is important to pay attention to your diet and gradually adjust it to a balanced state, while reducing high-fat and high-protein foods. You may consider supplement...[Read More] Understanding Gastroenteritis: Symptoms, Weight Loss, and Recovery