How Long Does It Take for IBS Medications to Start Working?
How long does it take for the medication for irritable bowel syndrome (IBS) to take effect? Hello Doctor, I have been affected by irritable bowel syndrome (IBS) for a long time. Initially, I managed it through dietary control, which helped reduce the frequency of episodes (I rare...
Dr. Chen Shidian Reply:
Adjust medication/dietary changes (before meals) and make further adjustments based on the response during the follow-up visit.[Read More] How Long Does It Take for IBS Medications to Start Working?
Understanding Antibiotic Side Effects: Diarrhea and Skin Rashes
Diarrhea after taking antibiotics? Hello, doctor. Recently, I had sinusitis and took antibiotics for almost three weeks. My sinusitis has improved, and after finishing the antibiotics, I didn't go back to see the doctor. However, it's been almost a week since I stopped ...
Dr. Yang Zhichao Reply:
Hello Mr. Skyy, the use of antibiotics can also lead to diarrhea, primarily due to changes in the balance of gut bacteria or the effects of certain medications. As for the skin itching, it may be due to an allergy or other factors. You may want to consult a physician for further ...[Read More] Understanding Antibiotic Side Effects: Diarrhea and Skin Rashes
Understanding Medication Side Effects: Dizziness and Nausea from Common Gastro Drugs
Drug side effects I would like to ask the doctor, a few weeks ago I experienced symptoms such as daily bloating, occasional stomach pain, and nausea before bedtime. I visited three clinics for medication, but I did not recover. Yesterday, I went to a clinic for an endoscopy, and ...
Dr. Cai Anshun Reply:
Hello: You can try discontinuing mosapride and domperidone first. If there is no improvement, you may return to the gastroenterology department at Changhua Hospital for further evaluation of your health. Dr. Tsai An-Shun.[Read More] Understanding Medication Side Effects: Dizziness and Nausea from Common Gastro Drugs
Understanding Side Effects of Helicobacter Pylori Treatment
Side effects of Helicobacter pylori? Hello, doctor. I have been taking medication for Helicobacter pylori. The first day was fine, but starting from the second day, I experienced severe bloating. After taking the medication, my stomach feels like it's slowly inflating like a...
Dr. Cai Anshun Reply:
Hello: Helicobacter pylori is often treated with a quadruple or triple therapy, which includes two or three antibiotics. Some gastrointestinal discomfort may occur, but if it is not severe, you can continue the treatment as prescribed. If the discomfort is more severe and intoler...[Read More] Understanding Side Effects of Helicobacter Pylori Treatment
Understanding Mucus and Blood in Stool: When to Seek Medical Attention
Mucus in stool with blood? Hello, Doctor. Three months ago, I experienced pain in my lower left abdomen and noticed mucus in my stool, so I went to the hospital for a colonoscopy. The results showed two areas of redness and inflammation in the rectum, which the doctor diagnosed a...
Dr. Chen Shidian Reply:
You can start with medication, and if the rectal bleeding persists, schedule a time for a colonoscopy.[Read More] Understanding Mucus and Blood in Stool: When to Seek Medical Attention
Consultation on GERD Medication: Rabeprazole and Drug Interactions
Gastroesophageal reflux disease (GERD) medication consultation? Hello Doctor, I recently sought medical attention for gastroesophageal reflux disease, and the doctor prescribed me Rabeprazole. However, I am also taking a medication for chronic prostatitis called Levofloxacin. Bot...
Dr. Chen Shidian Reply:
No aluminum... rest assured.[Read More] Consultation on GERD Medication: Rabeprazole and Drug Interactions
Understanding Gastroenteritis: Symptoms, Causes, and Treatment Options
Gastroenteritis? Norovirus? On March 13, the whole family happily went out for a meal at an izakaya, where they consumed raw seafood, including oysters, salmon, tuna, shrimp, and salmon roe. On the evening of March 14, at 9 PM, the son began to feel gastrointestinal discomfort an...
Dr. Lin Minghui Reply:
Hello, it is possible that your gastroenteritis has not fully recovered. Norovirus is highly contagious and can be contracted by consuming contaminated food or water (such as oysters, clams, and salad). Symptoms include vomiting, abdominal cramps, and diarrhea. During gastroenter...[Read More] Understanding Gastroenteritis: Symptoms, Causes, and Treatment Options
Severe Rectal Bleeding and Pain: When to Seek Medical Help
There is a significant amount of bleeding from the anus when straining? Hello doctor, a few days ago I was under a lot of work stress and didn't have a bowel movement for three days. As a result, when I finally went, I strained too much, and now I've been experiencing p...
Dr. Chen Shidian Reply:
It may be an anal fissure; you can visit a gastroenterologist or a family medicine physician to use topical medications and take stool softeners.[Read More] Severe Rectal Bleeding and Pain: When to Seek Medical Help
Understanding Right Upper Abdominal Pain Above the Navel
Mild pain slightly to the right above the navel? Hello, Doctor. For the past month and a half, I have been experiencing occasional pain just above my navel (about the size of a palm), slightly to the right. Initially, it was a sharp pain that occurred sporadically, but over the p...
Dr. Chen Shidian Reply:
If there is no weight loss, dietary or medication treatment can be considered. If convenient, a stool occult blood test can also be performed first.[Read More] Understanding Right Upper Abdominal Pain Above the Navel
Understanding Left Upper Abdominal Pain: Causes and Concerns
Left upper abdominal tenderness, nausea, and bloating? Hello, doctor. At the beginning of February, I visited the clinic three times due to frequent belching and nausea occurring 1 to 2 hours after meals. Twice, my family physician prescribed medication for gastroesophageal reflu...
Dr. Chen Shidian Reply:
Due to weight loss, it is recommended to undergo an upper gastrointestinal endoscopy or ultrasound for peace of mind.[Read More] Understanding Left Upper Abdominal Pain: Causes and Concerns
Managing Hemorrhoids During Fertility Treatments: Essential Tips and Advice
During the preconception period, how should mixed hemorrhoids be managed? Hello, doctor. I have been experiencing intermittent issues with hemorrhoids for many years, primarily noticing them when there is blood in my stool. However, in the past six months, I am not sure if it is ...
Dr. Cai Anshun Reply:
Hello: Hemorrhoids can be managed with warm baths, topical ointments, or suppositories, and it is not always necessary to take medication. Additionally, avoid prolonged sitting or standing, and increase your intake of fruits and vegetables to stay hydrated and prevent constipatio...[Read More] Managing Hemorrhoids During Fertility Treatments: Essential Tips and Advice
Is It Normal to Have Bowel Movements Every Few Days? Understanding Frequency and Health
What is considered a normal bowel movement frequency? Hello Doctor, my father is 78 years old and has difficulty swallowing. He is currently eating only liquid or pureed foods, and his intake is not substantial, approximately having a bowel movement every three days. However, he ...
Dr. Lin Minghui Reply:
Hello: It is a good thing if elderly individuals can have a bowel movement every day. Dietary recommendations include eating smaller, more frequent meals and increasing fiber intake. Encourage patients to use the restroom after meals, especially after breakfast, to help establish...[Read More] Is It Normal to Have Bowel Movements Every Few Days? Understanding Frequency and Health
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding Recently, after several bowel movements, the water in the toilet has been stained red with blood. There is mild pain around the anus, and there is blood on the toilet paper after wiping. I usually experience constipation. I am unsure if this is hemorrhoids.
Dr. Chen Shidian Reply:
It may be an anal fissure (which can cause pain); you can take some stool softeners and use topical medications.[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Vomiting: Possible Causes and Concerns in Gastroenterology
Vomiting Since around August of last year, I have been experiencing vomiting after overeating, intense exercise, stress, feeling down, or even when overly excited. When I vomit, there is no bile present; it often consists of undigested food like bean sprouts and cabbage, appearin...
Dr. Zhang Kebin Reply:
Hello Mr. Fan! You mentioned that you started experiencing vomiting around August of last year, and it has persisted for about four months now. You noted that it tends to occur after overeating, intense exercise, during stressful situations, when feeling down, or when overly exci...[Read More] Understanding Vomiting: Possible Causes and Concerns in Gastroenterology
Understanding Bowel Sounds and Bloating: When to Seek Further Evaluation
Borborygmi, bloating Hello, doctor. I have been suffering from chronic indigestion for many years. I tend to experience diarrhea when I am stressed, along with occasional bloating and frequently unformed stools. The doctor has mostly diagnosed it as irritable bowel syndrome. Howe...
Dr. Chen Shidian Reply:
Further examination may not be necessary; monitoring, dietary adjustments, and medication management should suffice.[Read More] Understanding Bowel Sounds and Bloating: When to Seek Further Evaluation
Understanding Abdominal Bloating and Pain: Gastrointestinal Insights
Abdominal distension and pain? Doctor, I have a problem with constipation, and recently I've noticed that my bowel movements and flatulence have decreased to less than five times a day. This symptom has persisted for over two weeks. About a week ago, after having dinner out,...
Dr. Chen Shidian Reply:
It is advisable to continue medication and monitor the condition.[Read More] Understanding Abdominal Bloating and Pain: Gastrointestinal Insights
Persistent Stomach Burning: When Medication Fails to Relieve Symptoms
The condition of gastric burning is not improving significantly with medication? Hello, doctor. I have been suffering from gastroesophageal reflux disease (GERD) for many years. I started treatment two years ago and have undergone several endoscopies. The results showed only slig...
Dr. Chen Shidian Reply:
It may be advisable to continue medication (possibly increasing the dosage at your own expense) and monitor the situation, while maintaining a normal diet. If necessary, a 24-hour esophageal pH monitoring can be performed (the test may cause some discomfort).[Read More] Persistent Stomach Burning: When Medication Fails to Relieve Symptoms
Struggling with Constipation: When to Consider Surgery?
I have been wanting to have a bowel movement but can't seem to do so? I constantly feel the urge to have a bowel movement, but I am unable to do so when I sit on the toilet. I have a habit of using enemas. Previously, a gastroenterologist mentioned that there was nothing in ...
Dr. Lin Minghui Reply:
Hello, I have been experiencing difficulty with bowel movements and discomfort due to anal swelling. I am a 25-year-old female, and the most common cause of these symptoms is hemorrhoids. Warm sitz baths, topical ointments, and certain medications can help alleviate symptoms by p...[Read More] Struggling with Constipation: When to Consider Surgery?
Which Specialist to See for Organ Function After Drug Overdose?
If you want to check organ function due to drug overdose, you should consult a specialist in Internal Medicine? Hello Doctor: Recently, due to certain reasons, I was unable to control myself and took a large amount of medication at once, approximately over ten pills, including co...
Dr. Chen Shidian Reply:
Any option is fine, including family medicine, but please use medications cautiously.[Read More] Which Specialist to See for Organ Function After Drug Overdose?
Understanding Throat Discomfort and Acid Reflux Symptoms
Throat issues, gastroesophageal reflux disease (GERD)? Hello, doctor. On Sunday, I took a non-steroidal anti-inflammatory pain reliever for a headache. Starting Monday, I experienced stomach pain and took an antacid. The next day, I noticed that I had hiccups and a sensation of s...
Dr. Chen Shidian Reply:
There may be gastroesophageal reflux disease (GERD); you can take gastrointestinal medications, discontinue pain relievers, and avoid irritating foods for further observation.[Read More] Understanding Throat Discomfort and Acid Reflux Symptoms