Medications, Gastroenterology and Hepatology FAQ

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Understanding Stomach Ulcer Treatment: Duration and Medication Insights

Gastric ulcer medication Hello, I had an endoscopy last time and was diagnosed with a gastric ulcer. The doctor said I need to take the medication "Omeprazole" for four months. Do I really need to take the medication for four months to heal?


Dr. Lin Minghui Reply:
The treatment course for gastric ulcers varies depending on the underlying causes (such as the use of analgesics or Helicobacter pylori infection) and the size of the ulcer. Pharmacological treatment typically involves the use of proton pump inhibitors, which can improve symptoms...

[Read More] Understanding Stomach Ulcer Treatment: Duration and Medication Insights


Concerns for Hepatitis B Carriers: Creatinine Levels and Diet

Concerns about creatinine levels and diet in hepatitis B carriers? Hello Doctor, I am a carrier of hepatitis B and currently taking the antiviral medication Hepatitis B Stable. I have regular follow-up appointments for check-ups. This time, my blood test report shows a creatinine...


Dr. Chen Shidian Reply:
1. Consultation with a nephrologist may be necessary for evaluation and dosage adjustment. 2. Pain medications may have an impact; consider discontinuing or switching to acetaminophen. 3. A generally normal and balanced diet is sufficient.

[Read More] Concerns for Hepatitis B Carriers: Creatinine Levels and Diet


Understanding Gastrointestinal Issues: When to Seek Further Medical Help

Gastrointestinal issues Hello Doctor: Recently, I've been experiencing occasional bloating in my stomach, and sometimes when I eat, I also feel a sense of bloating along with some soreness in my back, but it goes away after a while. This sensation doesn't occur frequent...


Dr. Chen Shidian Reply:
It is advisable to keep medications prepared in advance, pay attention to diet and daily routines, take medication when feeling unwell or when necessary, and record the reactions for future medical reference.

[Read More] Understanding Gastrointestinal Issues: When to Seek Further Medical Help


Understanding Diarrhea: When to See a Gastroenterologist or Psychologist

Diarrhea issues? Hello Doctor: I used to have normal bowel movements at irregular times every day (normal without any issues). However, starting in June of this year after losing my job, I began experiencing diarrhea (I have had similar diarrhea issues in the past that varied in ...


Dr. Chen Shidian Reply:
It may still be an irritability syndrome. Management should focus on lifestyle and dietary habits (reducing oil, dairy, and coffee), along with medications for gastrointestinal symptoms and anxiety. Adjustments can be made based on the response.

[Read More] Understanding Diarrhea: When to See a Gastroenterologist or Psychologist


Understanding Elevated AFP Levels: Potential Causes and Next Steps

Elevated levels of AFP (Alpha-fetoprotein) test? Hello, I underwent a health check-up on May 25th, where it was found that my alpha-fetoprotein (AFP) level was elevated at 19.3. All related liver function tests, including GOT, GPT, alkaline phosphatase, bilirubin, and albumin, we...


Dr. Chen Shidian Reply:
You can wait for the CT scan report first, and if necessary, an MRI can be added, or you can follow up with a third blood test.

[Read More] Understanding Elevated AFP Levels: Potential Causes and Next Steps


Understanding Gastrointestinal Discomfort: Causes and Dietary Solutions

Gastrointestinal discomfort for about a week? Hello Doctor: I had fried takeout for lunch on Tuesday, and prior to that, I had takeout for three consecutive days, which resulted in an unbalanced diet and poor lifestyle. Starting Tuesday night, I began to feel constipated, spendin...


Dr. Chen Shidian Reply:
Please maintain a balanced diet, eat more fruits and vegetables (such as bananas), and drink plenty of water. Take a walk after meals instead of sitting for long periods, and consider using medication as needed for assistance.

[Read More] Understanding Gastrointestinal Discomfort: Causes and Dietary Solutions


Safe Pain Relief Options for Patients with Stomach Ulcers

Medication Issues for Peptic Ulcers Hello, doctor. A family member has a severe gastric ulcer and has previously been hospitalized for bleeding and received a blood transfusion. We suspect that the long-term use of pain relief and anti-inflammatory medication (PBF "NAPTONS.R...


Dr. Hu Guozheng Reply:
Patients with a history of peptic ulcer disease or gastrointestinal bleeding should be evaluated by a physician to determine the appropriateness of using non-steroidal anti-inflammatory drugs (NSAIDs) for treatment. If the patient has a long-term migraine issue, it is advisable t...

[Read More] Safe Pain Relief Options for Patients with Stomach Ulcers


Best Supplements for Fatty Liver and Gallbladder Polyps: What to Consider

For individuals with fatty liver and gallbladder polyps, liver health supplements that may be beneficial include milk thistle, artichoke extract, and omega-3 fatty acids. However, it is essential to consult with a healthcare professional before starting any new supplements to ens...


Dr. Chen Shidian Reply:
The primary strategies for managing fatty liver are weight loss and exercise, while liver-protective medications have limited efficacy (though they are not harmful). The components of artichoke extracts are all similar, showing no significant differences.

[Read More] Best Supplements for Fatty Liver and Gallbladder Polyps: What to Consider


Understanding Elevated Lipase Levels: A Guide for Concerned Parents

Amylase and lipase? I would like to ask about my son's situation. He is in his twenties and was diagnosed with acute gastroenteritis in August 2022. During an emergency visit, his lipase level was 82. When we followed up with a gastroenterologist, the doctor mentioned that t...


Dr. Lin Minghui Reply:
Causes of elevated lipase levels include acute and chronic pancreatitis, renal failure, cholecystitis, intestinal obstruction or infarction, duodenal ulcers, pancreatic stones, pancreatic tumors, diabetes, hepatitis C infection, HIV infection, hyperlipasemia, inflammatory bowel d...

[Read More] Understanding Elevated Lipase Levels: A Guide for Concerned Parents


Understanding Post-Discharge Bloating After Gallstone Treatment

Bloating due to gallstones? My father is 80 years old and was admitted to the emergency room due to abdominal pain, where he was found to have gallstones, bile duct stones, and pancreatitis. The doctor performed an endoscopic procedure to remove the bile duct stones and placed a ...


Dr. Chen Shidian Reply:
Cholecystopancreatitis can affect digestion, so a bland diet with small, frequent meals is recommended. If necessary, enzyme medications may be added. Please discuss this further with your attending physician.

[Read More] Understanding Post-Discharge Bloating After Gallstone Treatment


Understanding Persistent Esophageal Candidiasis: Causes and Treatment Challenges

Esophageal candidiasis? Dr. Hu: Hello, I have been undergoing endoscopic surveillance for intestinal metaplasia in recent years, and I have consistently found Candida in my esophagus every year. Although the doctors have prescribed a week-long course of antifungal medication, the...


Dr. Hu Guozheng Reply:
Esophageal candidiasis is a fungal infection of the esophagus that commonly occurs in older adults, individuals with a history of alcohol consumption, or those with chronic kidney disease or who are on immunosuppressive medications such as steroids, due to a weakened immune syste...

[Read More] Understanding Persistent Esophageal Candidiasis: Causes and Treatment Challenges


Chronic Abdominal Pain: Understanding Complications and Treatment Options

Abdominal pain persisting for over a year accompanied by multiple complications? Hello, doctor. Since February of last year, I have been experiencing abdominal pain every night, and sometimes I have to rush to the bathroom in the middle of the night. At that time, my bowel moveme...


Dr. Chen Shidian Reply:
If the weight is normal, irritable bowel syndrome (IBS) may be the most likely cause. In addition to using gastrointestinal medications for management, a stool occult blood test can be conducted. If necessary, a referral to a mental health specialist may help with anxiety control...

[Read More] Chronic Abdominal Pain: Understanding Complications and Treatment Options


Morning Bloating and Discomfort: Tips for IBS Relief

I often feel discomfort in my stomach upon waking up in the morning? Hello, I am a patient with irritable bowel syndrome (IBS). Every morning when I wake up, I experience discomfort in my abdomen. Upon waking (still lying in bed), I often have bloating (belching) and flatulence. ...


Dr. Cai Anshun Reply:
Hello: Sometimes excessive gas and urgent bowel movements are not necessarily caused by excessive intestinal gas; it may also be due to rapid peristalsis. It is advisable to consult a clinical physician for appropriate treatment. Additionally, in terms of diet, it is recommended ...

[Read More] Morning Bloating and Discomfort: Tips for IBS Relief


Understanding Abdominal Pain: Is It Muscle Strain or Digestive Issues?

Abdominal palpation causes pain? Hello doctor, I have pain in my abdomen, specifically in the area about 3 centimeters above my navel on both sides. When I engage my abdominal muscles, I experience pain upon pressing, but if I relax, there is still some discomfort, though it'...


Dr. Chen Shidian Reply:
It could be anything, but if the pain occurs when changing positions, it is more likely to be muscle inflammation. You can start with local heat application and observe the symptoms.

[Read More] Understanding Abdominal Pain: Is It Muscle Strain or Digestive Issues?


Timing and Guidelines for Taking Medications: Key Considerations

Issues with Medication Timing Hello, Doctor. 1. I would like to ask if the timing for taking medication before meals needs to be fixed. For example, is it acceptable to take medication 30 minutes before breakfast and 1 hour before lunch? The pharmacist mentioned that both 30 mi...


Dr. Chen Shidian Reply:
If it is taken once a day, it can be changed to a fixed schedule of taking it before lunch.

[Read More] Timing and Guidelines for Taking Medications: Key Considerations


Two Weeks of Diarrhea: When to Seek Medical Attention?

Diarrhea for two weeks? Hello Doctor: I am 41 years old, with a height of 159.3 cm and a weight of 51.2 kg. This month, I switched to a night shift from 19:00 to 07:00. I have a regular habit of having a bowel movement once a day, typically 1-2 hours after finishing work. Since s...


Dr. Hu Guozheng Reply:
If there are more than three bowel movements per day and the stools are watery and unformed, it is referred to as diarrhea. If it persists for more than four weeks, it is classified as chronic diarrhea. There are many potential causes of diarrhea, including infections, medication...

[Read More] Two Weeks of Diarrhea: When to Seek Medical Attention?


Understanding Right Upper Abdominal Discomfort: Causes and Solutions

Occasional discomfort in the right upper abdomen? Hello Doctor, I have been experiencing occasional discomfort in my upper right abdomen for the past 3 to 4 months. The discomfort is located approximately at the junction of the upper right abdomen and the rib cage, and it feels l...


Dr. Chen Shidian Reply:
Some individuals may experience similar discomfort, which could be related to peristaltic digestion. Dietary adjustments and medication can help manage the symptoms, and long-term follow-up will likely lead to improvement, so please rest assured.

[Read More] Understanding Right Upper Abdominal Discomfort: Causes and Solutions


Understanding Gastrointestinal Issues: Is Your Symptoms a Sign of Colon Cancer?

Gastrointestinal issues Hello Doctor: I previously visited a doctor due to diarrhea, abdominal bloating, and gastric distension. The doctor prescribed medication to try, but after taking it, I developed constipation, and my gastrointestinal motility seems to have decreased. Addit...


Dr. Cai Jinji Reply:
Hello Mr. Anonymous: Changes in stool consistency can be caused by many factors and are not necessarily indicative of colorectal cancer. The shape of the stool is influenced by various factors including diet, hydration, exercise, stress, and medications. It is advisable to discus...

[Read More] Understanding Gastrointestinal Issues: Is Your Symptoms a Sign of Colon Cancer?


Potential Risks of Overdosing Gastrointestinal Medications: What You Need to Know

Taking the prescribed medication more than once at the same time? Medication Consultation: Gaslan 40mg (take after meals, twice daily) and Mopride 5mg (gastrointestinal medication, take after meals, twice daily). If I forgot whether I took my medication and ended up taking more t...


Dr. Hu Guozheng Reply:
Gaslan 40mg is indicated for the relief of bloating and alleviation of symptoms associated with gas. Mopride 5mg is a gastrointestinal medication indicated for discomfort caused by abnormal gastrointestinal motility, including symptoms such as epigastric burning, nausea, and vomi...

[Read More] Potential Risks of Overdosing Gastrointestinal Medications: What You Need to Know


Understanding Your Gastrointestinal Health: Risks and Follow-Up Care

Issues related to gastrointestinal endoscopy? First of all, thank you very much for your response, Doctor. I still have some concerns regarding my previous question that I would like to clarify. You mentioned that my colonoscopy and gastroscopy results were normal, which is good ...


Dr. Chen Shidian Reply:
It has been calculated since the last examination date. Additionally, further weight loss can also reduce the risk of cancer.

[Read More] Understanding Your Gastrointestinal Health: Risks and Follow-Up Care


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