Choosing the Right Medication for GERD and Sleep Issues: A Guide
Will Zantac affect gastroesophageal reflux? Hello Dr. Chen, I have gastroesophageal reflux disease (GERD) and have been experiencing poor sleep lately, as I keep dreaming as soon as I lie down. I have Xanax (alprazolam) 0.25 mg, which was prescribed for insomnia, as well as Deanx...
Dr. Chen Shidian Reply:
Should have no impact.[Read More] Choosing the Right Medication for GERD and Sleep Issues: A Guide
Managing Stomach Discomfort: Tips for Better Sleep and Well-Being
I am experiencing discomfort in my stomach, feeling a sense of pressure (not entirely sure if it's bloating), which has affected my daily life and sleep? Hello, I am Xiaoxiong. First of all, I would like to thank you for your thoughtful responses in the past. I really want t...
Dr. Cai Anshun Reply:
Hello: If symptoms mostly occur at night, gastroesophageal reflux, duodenal ulcers, or gallstones are common conditions to consider. Currently, you are taking gastric medications (vonoprazan + ganaton); it is recommended to stop them one at a time to identify which medication may...[Read More] Managing Stomach Discomfort: Tips for Better Sleep and Well-Being
Managing Gastritis: Tips for Sleep, Diet, and Emotional Well-being
Gastric antritis, it comes and goes? Hello Doctor, this is Xiao Xiong from yesterday. I apologize for not providing complete information yesterday. My lifestyle and eating habits are normal; I do not drink alcohol or smoke, and I have not taken any painkillers. Regarding my emoti...
Dr. Cai Anshun Reply:
Hello: 1. Imovane can be taken. 2. When protein enters the stomach, it stimulates the secretion of gastric acid. It is not the high protein itself that harms the stomach, but rather the excess gastric acid. There is no specific amount that constitutes an excess; if you feel uncom...[Read More] Managing Gastritis: Tips for Sleep, Diet, and Emotional Well-being
Medications to Manage Frequent Bathroom Visits While Traveling
Medications for temporary relief of frequent urination? Hello Doctor: I often feel the urge to use the restroom right after eating. Since I usually have access to a bathroom at home or at work, it doesn't cause me much trouble. However, when I go on trips, it becomes a signi...
Dr. Cai Anshun Reply:
Hello: You may consider taking antidiarrheal medication or medication for irritable bowel syndrome. However, it should be prescribed by a physician, and you should not purchase and use medication arbitrarily. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Medications to Manage Frequent Bathroom Visits While Traveling
Understanding Sticky Stool: Causes and Dietary Solutions
Loose and sticky stools? When experiencing stool that is wet and sticky rather than formed, along with a sensation of incomplete evacuation, it may be helpful to consider dietary adjustments. Foods that can aid in improving this condition include: 1. **High-fiber foods**: Incorp...
Dr. Chen Shidian Reply:
Necessary adjustments to medications.[Read More] Understanding Sticky Stool: Causes and Dietary Solutions
Understanding Fatty Liver: Is It the Same as Cirrhosis or Hepatitis?
I have fatty liver disease? I was diagnosed with severe fatty liver during a recent health check-up. Does this mean I have cirrhosis or hepatitis? Can appropriate exercise help eliminate this condition? I've been experiencing bloating and frequent burping lately; is this rel...
Dr. Lin Minghui Reply:
Hello, cirrhosis indicates severe liver fibrosis, which may lead to impaired liver function. In severe cases, symptoms may include jaundice, ascites, hepatic encephalopathy, and bleeding from esophageal varices. Fatty liver disease is characterized by the accumulation of triglyce...[Read More] Understanding Fatty Liver: Is It the Same as Cirrhosis or Hepatitis?
Understanding Fatty Liver: Is It Linked to Cirrhosis or Hepatitis?
I have fatty liver disease? I was diagnosed with severe fatty liver during a recent health check-up. Does this mean I have cirrhosis or hepatitis? Can appropriate exercise help eliminate it? I've been experiencing bloating and frequent burping lately; is this related?
Dr. Lin Minghui Reply:
Hello, cirrhosis indicates severe liver fibrosis, which may impair liver function. In severe cases, symptoms such as jaundice, ascites, hepatic encephalopathy, and esophageal variceal bleeding may occur. Fatty liver disease is characterized by the accumulation of triglycerides in...[Read More] Understanding Fatty Liver: Is It Linked to Cirrhosis or Hepatitis?
Managing Gallbladder Polyps: Tips to Prevent Growth
Three gallbladder polyps? Hello, doctor. I have been diagnosed with three gallbladder polyps (0.77, 0.69, and 0.5 cm) through an ultrasound examination. What can I do to prevent the polyps from growing larger (medications or other options)? I would greatly appreciate your guidanc...
Dr. Chen Shidian Reply:
Just monitor it; it is unlikely to grow larger. Currently, there are no preventive control methods available.[Read More] Managing Gallbladder Polyps: Tips to Prevent Growth
Persistent Upper Abdominal Discomfort: Causes and Solutions
Persistent bloating in the upper abdomen throughout the day? Hello, I have been experiencing a feeling of fullness and bloating in my upper abdomen all day since February 1st of this year. It feels somewhat better at night when I sleep, but sometimes I still feel uncomfortable, w...
Dr. Cai Anshun Reply:
Hello: Vonoprazan is a new type of acid-suppressing medication that belongs to a longer-acting category, addressing the limitation of current proton pump inhibitors that have a duration of action of less than 24 hours. If symptoms persist after use, it is evident that gastric aci...[Read More] Persistent Upper Abdominal Discomfort: Causes and Solutions
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
Protecting Your Liver and Kidneys While Taking Long-Term Medications
How to protect the liver and kidneys during long-term medication use? Hello Doctor: I am a 19-year-old patient with ankylosing spondylitis, and I have been experiencing symptoms for over two years. For the past year, I have been managing my condition with Celecoxib (a non-steroid...
Dr. Chen Shidian Reply:
Maintain a normal diet, avoid using unverified remedies, and have regular blood tests.[Read More] Protecting Your Liver and Kidneys While Taking Long-Term Medications
Dietary Guidelines for Managing Acute Pancreatitis in Children
Diet for Pancreatitis Hello Dr. Chen, My child is studying abroad and has no consultation channels, so I would like to seek your expertise. On March 7, after having a large meal, they were diagnosed with moderate to severe acute pancreatitis. After treatment, they returned home...
Dr. Chen Shidian Reply:
After the acute phase, starchy foods can be gradually introduced along with proteins and fats, but it is essential to continue monitoring lipid levels. Bowel movements can be improved with fruits and vegetables, and medications may be used if necessary for regulation.[Read More] Dietary Guidelines for Managing Acute Pancreatitis in Children
Managing Mild GERD and Stomach Ulcers: Tips for Recovery and Diet
Mild gastroesophageal reflux disease (GERD) and gastric ulcer? Hello Doctor, I have recently experienced autonomic nervous system dysregulation due to panic disorder, which has caused gastrointestinal discomfort. I underwent an upper endoscopy today, and the results showed mild g...
Dr. Chen Shidian Reply:
As long as there are no worsening symptoms, it is still permissible to proceed. If necessary, low-dose gastric medications can continue to be used.[Read More] Managing Mild GERD and Stomach Ulcers: Tips for Recovery and Diet
Managing Appetite Loss and Nausea in Elderly Patients After Injury
Loss of appetite after an injury? The grandmother (95 years old) experienced gastric bleeding over two years ago and has been taking Nexium 1# HS and Amlodipine (for hypertension) for a long time. She originally had a good appetite, able to eat a large bowl of porridge in one mea...
Dr. Chen Shidian Reply:
It is necessary to change the medication to be taken at noon instead of on an empty stomach in the morning, and it may be advisable to schedule an appointment with a gastroenterologist.[Read More] Managing Appetite Loss and Nausea in Elderly Patients After Injury
Managing GERD: Concerns About Taking Hiccup Relief Before Bed
Taking Xituitong 60 before bedtime has significantly worsened my stomach bloating? Hello, two weeks ago I was diagnosed with gastroesophageal reflux disease (GERD) after an endoscopy, which indicated that my lower esophageal sphincter is slightly relaxed, but not severely. Prior ...
Dr. Zhang Kebin Reply:
Hello! Please follow the prescribed medication. If your discomfort does not improve after treatment or if new symptoms arise, please return for an evaluation. Thank you![Read More] Managing GERD: Concerns About Taking Hiccup Relief Before Bed
Understanding Liver Cirrhosis and Biliary Issues: Treatment Options
Cirrhosis and bile issues? Hello, Director: I have been undergoing blood tests for monitoring at the Hepatobiliary and Gastroenterology Department of a hospital in Zhongli for a long time. A few years ago, my GGT level was found to be over 300, and the doctor has been prescribing...
Dr. Lin Minghui Reply:
Hello, a 54-year-old male has a medical history indicating that he has liver cirrhosis, which is attributed to chronic hepatitis. The causes of cirrhosis can include viral hepatitis such as hepatitis B and C, alcoholic liver disease, autoimmune conditions, cardiac issues, biliary...[Read More] Understanding Liver Cirrhosis and Biliary Issues: Treatment Options
Understanding the Connection Between Stomach Pain and Anxiety Medications
Consultation for Stomach Pain I recently experienced stomach pain for two weeks and visited a gastroenterologist who prescribed Novamin Tablets. The label indicates that it is used to treat psychotic disorders, nausea, and vomiting, but I do not have these symptoms. I had been su...
Dr. Chen Shidian Reply:
Novamin is commonly used for patients experiencing nausea and vomiting; please discuss the details with the attending physician.[Read More] Understanding the Connection Between Stomach Pain and Anxiety Medications
Understanding Mucus in Diarrhea: Causes and Treatment Options
Diarrhea with mucus in the stool? Hello, doctor. Last Friday (February 11), I sought medical attention due to fever and mild diarrhea, and I was diagnosed with viral gastroenteritis. After returning home, I did not take any antidiarrheal medication; I only took probiotics and ant...
Dr. Chen Shidian Reply:
Clostridium difficile infection cannot be ruled out; therefore, it is advisable to first check for red and white blood cells in the stool and assess inflammatory markers such as CRP in the blood. If necessary, testing for C. difficile toxins in the stool and performing a colonosc...[Read More] Understanding Mucus in Diarrhea: Causes and Treatment Options
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
Persistent Pain Near Ribs: Understanding Possible Gastrointestinal Issues
Persistent pain near the ribs? At the beginning of the month, I was diagnosed with pancreatitis at the hospital after blood tests indicated inflammation. However, it has been a month, and there has been no improvement. I have been trying to maintain a light diet, but the pain in ...
Dr. Lin Minghui Reply:
Hello, a 31-year-old female is experiencing persistent pain near the rib cage. She has a history of pancreatitis, which can be commonly caused by factors such as alcohol consumption, gallstones, bile duct stones, autoimmune diseases, hypertriglyceridemia, and certain medications....[Read More] Persistent Pain Near Ribs: Understanding Possible Gastrointestinal Issues