Possible Link Between Past Stomach Bleeding and Current Gastritis Symptoms
About 5 to 6 years ago, there was a suspicion of gastrointestinal bleeding, with the expulsion of coffee-colored material? Hello, doctor. I have a question. About 5 to 6 years ago, I experienced symptoms of suspected gastric bleeding, as I vomited brownish material, but I did not...
Dr. Lin Minghui Reply:
Hello: The previous gastrointestinal bleeding may be related to the current gastritis. A 15-year-old boy had a history of gastric bleeding and vomited coffee grounds. Possible causes of the bleeding include inflammation, erosion, or ulcers in the esophagus, stomach, or duodenum, ...[Read More] Possible Link Between Past Stomach Bleeding and Current Gastritis Symptoms
Post-Endoscopy Discomfort: Managing Nausea and Gastric Pain After Procedure
Discomfort after undergoing an upper gastrointestinal endoscopy? Due to gastroesophageal reflux disease and gastritis, I underwent an upper gastrointestinal endoscopy to confirm the lesions. However, since the procedure, I have been experiencing persistent nausea and a gnawing se...
Dr. Cai Anshun Reply:
Hello: 1. It is likely not caused by the gastroscopy; I recommend temporarily discontinuing the prokinetic medication (domperidone) to see if there is any improvement. 2. You should schedule a follow-up appointment as soon as possible; the gastroscopy report should be available, ...[Read More] Post-Endoscopy Discomfort: Managing Nausea and Gastric Pain After Procedure
Understanding Medication Interactions After Vaccination and Kidney Health
Medication consultation Hello, doctor: I received the High-End vaccine yesterday morning, and in the evening, I took a Tylenol due to stomach discomfort. There have been reports suggesting that it is best not to take anti-inflammatory medications after vaccination to avoid affect...
Dr. Chen Shidian Reply:
Stomach medications are not anti-inflammatory drugs. Stomach medications do not harm the kidneys.[Read More] Understanding Medication Interactions After Vaccination and Kidney Health
Understanding the Impact of TCA Antidepressants on GERD Symptoms
Psychiatric medications / Gastroesophageal reflux disease (GERD) Hello, doctor. I have not had any issues with gastroesophageal reflux disease (GERD) until I started taking the antidepressant TCA, and now I've been experiencing symptoms for almost three weeks, including bloa...
Dr. Chen Shidian Reply:
It may be related to medication, aside from acid-reducing drugs, but it is also necessary to control sweets and coffee intake. It can also be combined with prokinetic agents like metoclopramide. The duration of medication will vary depending on individual circumstances.[Read More] Understanding the Impact of TCA Antidepressants on GERD Symptoms
Understanding Fatty Liver: Causes, Risks, and Dietary Solutions
Fatty liver disease issues? Hello Doctor, I have abnormal liver enzyme levels from a blood test: GOT=30 and GPT=52 (with normal values being below 40). My previous blood tests were normal, and this time it is abnormal. The doctor arranged for me to have an ultrasound, which indic...
Dr. Chen Shidian Reply:
Severe fatty liver disease (high liver fat content) can lead to liver inflammation (i.e., steatohepatitis), and over time (over several decades), there is a risk of cirrhosis (which can be assessed through out-of-pocket fibrosis markers) and an increased likelihood of developing ...[Read More] Understanding Fatty Liver: Causes, Risks, and Dietary Solutions
Understanding Esophageal Pain After Antibiotic Use: What You Need to Know
Please ask your question, and I'll do my best to assist you? Hello, doctor. About two days ago, I took anti-inflammatory medication (clindamycin) and antibiotics (moxiclav) at the clinic due to a cold. However, starting the next day, I began to feel a slight, unclear pain in...
Dr. Chen Shidian Reply:
It may be due to insufficient water intake when taking capsule medications, which can cause esophageal burns. A gentle diet at room temperature is recommended, and mucosal protectants may be necessary.[Read More] Understanding Esophageal Pain After Antibiotic Use: What You Need to Know
Managing Bloating and Indigestion: Understanding Gastrointestinal Medications
Bloating and indigestion? I would like to ask if a doctor might prescribe gastrointestinal motility agents such as mosapride, motilium, or metoclopramide for someone who experiences bloating and indigestion after meals, along with mild gastroesophageal reflux and occasional regur...
Dr. Chen Shidian Reply:
Yes, the medications mentioned are commonly prescribed.[Read More] Managing Bloating and Indigestion: Understanding Gastrointestinal Medications
Chronic Diarrhea, Abdominal Discomfort, and Post-Vaccine Gastro Issues
Chronic diarrhea + hunger sensation in the stomach + bloating + lower abdominal pain? I have been experiencing intermittent diarrhea for over three months, with symptoms fluctuating, especially after eating out. Even when I am not having diarrhea, my stools have become thinner th...
Dr. Chen Shidian Reply:
A gastroenterology outpatient consultation can be provided. A fecal occult blood test can be performed initially to check for any abnormalities.[Read More] Chronic Diarrhea, Abdominal Discomfort, and Post-Vaccine Gastro Issues
Understanding Recent Blood and Mucus in Stool: A Gastroenterology Perspective
Recent issues with blood in stool and mucus? Hello Dr. Chen, I asked a related question on August 12. Since I have cerebral palsy and use a wheelchair, I am unable to exercise regularly. Last time, I mentioned that my bowel habits changed starting at the age of 13, and I often ex...
Dr. Chen Shidian Reply:
A fecal occult blood test can be performed on normal-looking stools (which rules out bleeding from internal hemorrhoids). If there are still concerns, please discuss with your outpatient physician whether further examination is necessary.[Read More] Understanding Recent Blood and Mucus in Stool: A Gastroenterology Perspective
Understanding Abnormal Liver Enzymes: Causes and Concerns
Abnormal liver function tests? In July, blood tests revealed abnormalities in blood sugar, liver enzymes, and cholesterol. The cholesterol issue had been noted since high school health checks, and the physician later believed it to be hereditary (as my mother also has this issue)...
Dr. Chen Shidian Reply:
1. If other causes are excluded, be cautious of the side effects of lipid-lowering medications. 2. No, it won't. 3. It shouldn't either.[Read More] Understanding Abnormal Liver Enzymes: Causes and Concerns
Is It Drug-Induced Esophagitis? Understanding Your Symptoms
Is it a symptom of esophageal and gastroesophageal reflux disease (GERD)? Dear Dr. Lin, I am a regular office worker. I started experiencing cold symptoms on June 9 and have been seeing a doctor since then. The clinic diagnosed me with acute upper respiratory tract infection and...
Dr. Lin Minghui Reply:
Hello: Some medications, such as antibiotics and pain relievers, may cause drug-induced esophagitis and esophageal ulcers. To prevent drug-induced esophagitis, it is recommended to drink plenty of water when taking medications and to avoid lying down immediately afterward. For co...[Read More] Is It Drug-Induced Esophagitis? Understanding Your Symptoms
Understanding Intermittent Left Lower Abdominal Pain: Is It IBS?
Occasional left lower abdominal pain that sometimes bulges and then subsides? Hello Dr. Lin, I have been troubled by this issue for over five years. I experience intermittent sharp pain in my lower left abdomen, sometimes intense enough to make me roll on the bed. The frequency i...
Dr. Lin Minghui Reply:
Hello, a 29-year-old female presents with intermittent left lower abdominal pain that occasionally becomes distended and then subsides. The pain is severe during episodes and is relieved after bowel movements. Possible causes for the left lower abdominal pain include gastrointest...[Read More] Understanding Intermittent Left Lower Abdominal Pain: Is It IBS?
Managing GERD: Timing and Effects of Your Medication Explained
Gastroesophageal reflux disease (GERD) Hello, Vice Dean Chen: I am Miss Song. I have gastroesophageal reflux disease (GERD) and have undergone an endoscopy at Changhua Christian Hospital Yunlin Branch, which showed normal results. However, Dr. Yang Jia-wei prescribed me Nexium (e...
Dr. Chen Shidian Reply:
Nateglinide should be taken on an empty stomach, once a day, either in the morning or evening. Some patients may experience hunger; it may be helpful to try taking it before bedtime or when switching medications.[Read More] Managing GERD: Timing and Effects of Your Medication Explained
Struggling to Gain Weight: Gastrointestinal Concerns Explained
Unable to gain weight? Hello, doctor. I've had trouble gaining weight since I was young, and my weight has remained unchanged until now, which bothers me a lot. My stools are often loose and unformed, and I frequently experience gas. However, I really want to gain weight. Wh...
Dr. Cai Anshun Reply:
Hello: Long-term unformed stools will not lead to fecal impaction or constipation. If there are multiple occurrences, you may consider using medications for irritable bowel syndrome. Health is the most important thing; being overweight is not necessary. If you suspect a metabolic...[Read More] Struggling to Gain Weight: Gastrointestinal Concerns Explained
Understanding Elevated Total Bilirubin in Young Children: Causes and Next Steps
Abnormal total bilirubin levels The child has been approximately 2 years old since birth and has consistently had elevated total bilirubin and direct bilirubin levels. These levels have been gradually decreasing, but recent tests in May showed an increase in total bilirubin/direc...
Dr. Lin Minghui Reply:
Hello, the child has had abnormal total bilirubin levels since birth, primarily with elevated direct bilirubin, and is now about 2 years old. In adults, elevated direct bilirubin levels can occur. Imaging studies have ruled out obstructive diseases. The causes of elevated direct ...[Read More] Understanding Elevated Total Bilirubin in Young Children: Causes and Next Steps
Concerns About Taking Lansoprazole Capsules: Safety and Risks Explained
Capsule issues? Hello, doctor. I have gastroesophageal reflux disease, and my doctor prescribed Lansoprazole for me. However, yesterday the capsule accidentally fell on the floor, and due to concerns about the recent pandemic, I was afraid the capsule might be contaminated with v...
Dr. Chen Shidian Reply:
It will not cause direct harm, but it may reduce the effectiveness of the medication.[Read More] Concerns About Taking Lansoprazole Capsules: Safety and Risks Explained
Throat Discomfort After Endoscopy: Should I Seek Medical Attention?
I have had an endoscopy before, and while there was improvement, I feel like my throat has been injured? I have noticed that my throat may be injured because I initially had slight stuttering, which has now progressed to frequent pauses and stuttering, along with a sensation of s...
Dr. Chen Shidian Reply:
You can first use reflux medications, and if symptoms persist, you should consult an otolaryngologist for further evaluation.[Read More] Throat Discomfort After Endoscopy: Should I Seek Medical Attention?
Understanding Gastrointestinal Medications for Anxiety-Induced Dyspepsia
Gastrointestinal medications 1. I would like to ask if a doctor might prescribe Motilium, Mosapride, or Metoclopramide for indigestion caused by anxiety and tension. Would additional tests be required before prescribing these medications? 2. Are there any contraindications for t...
Dr. Cai Anshun Reply:
Hello: 1. Motilium or mosapride, metoclopramide do not require further testing; they can be prescribed by a physician as needed. 2. There is no interaction with propranolol. 3. Since the medication is short-acting, if you accidentally take it, it's fine, but do not increase ...[Read More] Understanding Gastrointestinal Medications for Anxiety-Induced Dyspepsia
Understanding Unformed Stool: Causes and Dietary Tips for Improvement
Bowel movement issues Hello, doctor. My stool consistency is often unformed; sometimes it is mushy, other times it is thin and soft, and occasionally I have a well-formed stool. Otherwise, the first stool may be normal, but the rest are unformed. On average, I have about three bo...
Dr. Cai Jinji Reply:
Hello Mr. Hua: How long have you been experiencing this condition? Are you taking any medications? Have you eaten any special foods? If this situation persists, it would be helpful to take a photo and seek an evaluation, as it would allow for a more accurate determination of the ...[Read More] Understanding Unformed Stool: Causes and Dietary Tips for Improvement
Consulting on Herbal Remedies for Hepatitis B Symptoms
I would like to inquire about the use of traditional Chinese medicine for hepatitis B? Hello Doctor, I am a patient with hepatitis B. I previously took Entecavir, and after the viral load was effectively reduced, my primary physician advised me to stop the medication. After stopp...
Dr. Cai Anshun Reply:
Hello: Being a carrier of hepatitis B does not necessarily mean you cannot take traditional Chinese medicine; however, it is recommended that you consult a qualified Chinese medicine practitioner for a prescription. The medications you mentioned are classified as patent medicines...[Read More] Consulting on Herbal Remedies for Hepatitis B Symptoms