Understanding Abdominal Ultrasound for Stomach Pain Diagnosis
Stomach pain issues? Hello, doctor. I used to have very few stomach pains, but recently I've been experiencing them more often. I went to see a doctor, and they said I could have an abdominal ultrasound to confirm the issue, and that an endoscopy wasn't necessary. When ...
Dr. Chen Shidian Reply:
Ultrasound can only rule out diseases other than the stomach (such as liver, gallbladder, and pancreas diseases) and cannot exclude conditions like gastric ulcers. If medication and dietary changes are ineffective, an endoscopy may be performed.[Read More] Understanding Abdominal Ultrasound for Stomach Pain Diagnosis
Understanding Digestive Issues: Back Pain, Bloating, and Anxiety Concerns
Back pain, occasional nausea, and bloating issues? Hello Doctor: Last May, I sought medical attention for gastrointestinal bloating after consuming too much milk. Due to a family history of diabetes (grandfather, mother, and father), the doctor arranged for a colonoscopy, an endo...
Dr. Chen Shidian Reply:
It should not be related to pancreatic cancer; managing with medication and dietary control is sufficient, so there is no need to worry.[Read More] Understanding Digestive Issues: Back Pain, Bloating, and Anxiety Concerns
Concerns About Bowel Issues: Are Your Symptoms a Sign of Cancer?
Concerns related to bowel movements, issues with defecation, and gastrointestinal problems have raised worries about the possibility of cancer? Hello Doctor, I previously asked you a question (link: <a href="https://adoctor.tw/article/199164">#199164</a>) an...
Dr. Chen Shidian Reply:
It is necessary to discuss further with the physician to make adjustments to the medication and diet. A stool occult blood test can also be added.[Read More] Concerns About Bowel Issues: Are Your Symptoms a Sign of Cancer?
Understanding Gastric Issues: When to Consider an Endoscopy
Issues related to gastroscopy? Hello doctor, I had a not-so-clean lunch box two Thursdays ago, which resulted in a loss of appetite and abdominal pain. I went to the hospital and received medication for gastritis for a week, and I have seen improvement. However, I still experienc...
Dr. Chen Shidian Reply:
There is no need for another gastroscopy; simply following medication and dietary adjustments, along with local heat application, is sufficient. This is not related to cancer, so there is no need to worry.[Read More] Understanding Gastric Issues: When to Consider an Endoscopy
Understanding Abdominal Tightness and Pain: Causes and Solutions
Abdominal pain with a feeling of tightness? Hello doctor, I have been experiencing abdominal discomfort for a long time, and recently it has intensified. I feel tightness in the right side of my abdomen, as if something is being squeezed inside. Sometimes, the area around my stom...
Dr. Chen Shidian Reply:
Please discuss with an immunologist or gastroenterologist whether there is an autoimmune enteritis and consider medication and dietary adjustments.[Read More] Understanding Abdominal Tightness and Pain: Causes and Solutions
Understanding Abdominal Tightness and Pain: A Gastroenterology Perspective
Abdominal pain with a feeling of tightness? Hello, doctor. I have been experiencing abdominal discomfort for a long time, and recently it has intensified. I feel tightness in the right side of my abdomen, as if something is being squeezed inside. Sometimes, the area around my sto...
Dr. Chen Shidian Reply:
Please discuss with an immunologist or gastroenterologist whether there is an autoimmune enteritis and consider medication and dietary adjustments.[Read More] Understanding Abdominal Tightness and Pain: A Gastroenterology Perspective
Understanding Gastroesophageal Reflux and Abdominal Pain: A Patient's Journey
Gastroesophageal reflux disease (GERD) and gastric cramps? Hello Doctor, I currently have gastroesophageal reflux disease (GERD), which causes chest burning and tightness, along with stomach heat and bloating. I had an endoscopy last July, and the doctor said my esophagus had abr...
Dr. Chen Shidian Reply:
Abnormal peristalsis/irritable bowel syndrome can be managed with medication and dietary adjustments.[Read More] Understanding Gastroesophageal Reflux and Abdominal Pain: A Patient's Journey
Understanding Abdominal Petechiae: Causes and Treatment Options
Regarding multiple petechiae in the abdomen? Hello Doctor, I recently had an endoscopy, and the doctor mentioned that there are many small bleeding points in my stomach, as well as a hiatal hernia. I asked the doctor if these small bleeding points are serious, and he said he thin...
Dr. Cai Anshun Reply:
Hello: You may be dealing with hemorrhagic gastritis, which could be a result of excessive gastric acid. Medication and dietary changes (such as avoiding spicy foods) can help improve the condition. If you have a mild hiatal hernia, it may be caused by being underweight, so pleas...[Read More] Understanding Abdominal Petechiae: Causes and Treatment Options
Understanding Chronic Diarrhea: Causes and Management for Gastrointestinal Issues
Diarrhea and bowel movement issues? Hello, my mother has been experiencing symptoms since the end of October. She does not have abdominal pain but has been having persistent diarrhea. After taking anti-diarrheal medication and following a bland diet, her diarrhea has decreased, b...
Dr. Chen Shidian Reply:
Stool tests/cultures may be necessary, but in the absence of fever or blood in the stool, treatment primarily focuses on medication and dietary adjustments.[Read More] Understanding Chronic Diarrhea: Causes and Management for Gastrointestinal Issues
Understanding Post-Meal Upper Right Abdominal Bloating: Causes and Solutions
Postprandial right upper quadrant bloating (approximately the size of a thumb in width)? I have a history of gastric ulcers and gastroesophageal reflux disease, which have improved significantly with medication and dietary control. I was diagnosed with ankylosing spondylitis at a...
Dr. Zhang Kebin Reply:
Hello Mr. Yuan, if you have a history of peptic ulcer and gastroesophageal reflux disease, it is advisable to consult with a hepatobiliary and gastroenterology outpatient clinic. Thank you.[Read More] Understanding Post-Meal Upper Right Abdominal Bloating: Causes and Solutions
Managing GERD and Chronic Gastritis: Expert Insights and Treatment Options
Gastroesophageal reflux disease (GERD) & chronic gastritis Hello Doctor: I started experiencing gastroesophageal reflux symptoms last year. During this time, I have consulted three gastroenterologists and an ENT specialist for endoscopic examinations. All the doctors said tha...
Dr. Chen Shidian Reply:
Hello: Young individuals with acid reflux can initially manage it with medication and dietary adjustments, such as reducing coffee, sweets, acidic foods, and glutinous rice. Recurrences are common, so it's advisable to keep medication on hand and take it as needed.[Read More] Managing GERD and Chronic Gastritis: Expert Insights and Treatment Options
Understanding Right Side Abdominal Pain: Causes and Diagnostic Approaches
Sharp pain below the right rib cage. Abdominal bloating and pain? Hello, Doctor. I'm not sure if my previous message was sent, so I'm asking again. I currently have two issues: 1. I experience sharp pain in the right side of my abdomen (below the rib cage) after bowel...
Dr. Chen Shidian Reply:
A complete examination has been conducted. Please follow the physician's medication and dietary recommendations, and continue to monitor your condition.[Read More] Understanding Right Side Abdominal Pain: Causes and Diagnostic Approaches
Managing Digestive Issues After Gastroenteritis: Recovery Tips
Gastrointestinal issues? Hello, doctor. Since having gastroenteritis in early September, my digestive system has been poor, and I have been returning for follow-up visits due to gastrointestinal issues. During my last visit, I mentioned that at night my stomach feels warm and blo...
Dr. Chen Shidian Reply:
Individual differences in physical constitution may affect recovery or recurrence. Please cooperate with medication and dietary adjustments.[Read More] Managing Digestive Issues After Gastroenteritis: Recovery Tips
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
Persistent Belching and Bloating: Seeking Relief from Gastrointestinal Issues
Stomach rumbling and burping? Hello, for the past month or two, I have been experiencing frequent belching, even when I haven't eaten anything. Sometimes, when I can't burp, my stomach feels bloated. Drinking water or eating a little bit makes me burp immediately, and a...
Dr. Chen Shidian Reply:
For functional disorders, please adhere to medication and dietary adjustments, maintain a regular routine, and take a walk after meals.[Read More] Persistent Belching and Bloating: Seeking Relief from Gastrointestinal Issues
Understanding Mild Barrett's Esophagus: Symptoms, Risks, and Treatment Options
Mild Barrett's esophagus? Hello Doctor, last month I had an endoscopy and received the pathology report. The doctor mentioned that there is very mild Barrett's esophagus with no cancer risk. Below is my pathology report, but I tried to look it up and it seems there is n...
Dr. Chen Shidian Reply:
The biopsy location in the English report is near the pylorus of the stomach, not the esophagus. With proper medication and dietary management, very few individuals require surgery.[Read More] Understanding Mild Barrett's Esophagus: Symptoms, Risks, and Treatment Options
Managing Acid Reflux and Bowel Noises: When to Seek Further Testing
Gastroesophageal reflux and bowel sounds? 1. Three years ago and one year ago, I underwent gastroscopy, which revealed gastroesophageal reflux disease (GERD) and some gastric mucosal erosion. I was prescribed pantoprazole, and there was improvement at that time. However, recently...
Dr. Chen Shidian Reply:
To manage reflux symptoms, it is advisable to avoid acidic and sweet foods, as well as coffee and tea. In short, if a food causes discomfort after eating, it should be avoided. Additionally, symptoms like abdominal rumbling may indicate irritable bowel syndrome, which can be mana...[Read More] Managing Acid Reflux and Bowel Noises: When to Seek Further Testing
Understanding Digestive Issues: Insights on Medication and Diet Impact
Digestion and Defecation Hello, Dr. Tsai. After my gastroscopy, the doctor mentioned that I have some abrasions in my stomach and mild inflammation in my duodenum. Previously, I was taking medications including Omeprazole (20 mg), Magnesium Oxide (250 mg), and Gastronorm (40 mg) ...
Dr. Cai Anshun Reply:
Hello: 1. It may not necessarily be related; if you have concerns, you can stop using it for now. 2. Food should be chewed thoroughly; any formed substances are likely due to inadequate chewing. 3. The frequency of follow-up examinations should be assessed by a clinical physician...[Read More] Understanding Digestive Issues: Insights on Medication and Diet Impact
Understanding Post-Meal Bloating and Nausea: Causes and Solutions
Postprandial abdominal distension, pain, and nausea? Hello, for the past month, I have been feeling full after eating very little, and I often experience bloating and nausea after meals (even when I don't eat much). During the day, the symptoms are somewhat manageable, but t...
Dr. Chen Shidian Reply:
In conjunction with the adjustments made by the gastroenterologist regarding medication and dietary changes, if there is a significant weight loss, further examinations can be discussed.[Read More] Understanding Post-Meal Bloating and Nausea: Causes and Solutions
Understanding GERD: Insights on Endoscopy and Gastrointestinal Issues
Gastroesophageal reflux, gastroscopy, gastrointestinal issues? Hello Doctor: About a month ago, I occasionally experienced a feeling of heaviness in my stomach, chest tightness, and belching. I started treatment, but since there was no improvement, I underwent an upper gastrointe...
Dr. Chen Shidian Reply:
Hello, Miss. Please cooperate with the medication and dietary adjustments, and return for a follow-up appointment to monitor any changes. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding GERD: Insights on Endoscopy and Gastrointestinal Issues