Understanding Gastrointestinal Concerns: Anxiety, Fatigue, and Cancer Risks
Gastrointestinal issues consultation? Hello Doctor, I am a 41-year-old male, 172 cm tall and weighing 80 kg. I have been suffering from anxiety disorder, obsessive-compulsive disorder, and hypochondriasis for over ten years. I have long-term issues with fatigue and poor sleep qua...
Dr. Chen Shidian Reply:
First of all, it's understandable to have concerns. However, based on the information you provided, your colonoscopy and gastroscopy results are normal, which is good news and indicates no cancer risk in the short term (1-3 years). It is advisable to collaborate with a menta...[Read More] Understanding Gastrointestinal Concerns: Anxiety, Fatigue, and Cancer Risks
Long-Term Use of Mebever and Catilon: Risks and Side Effects Explained
Long-term use of Mebeverine and Catilon? Hello, doctor. I have been suffering from irritable bowel syndrome for a long time, so I have been taking related medications, with the most common ones being Mebeverine and Catilon. I would like to know if long-term use (continuously for ...
Dr. Yang Zhichao Reply:
Hello Mr. Anonymous, regarding the medication you mentioned taking long-term, there are currently no specific side effects. However, irritable bowel syndrome (IBS) cannot be cured. If your symptoms improve, you may consider discontinuing the medication or reducing the dosage. You...[Read More] Long-Term Use of Mebever and Catilon: Risks and Side Effects Explained
Understanding Soft Stool: Parasite Infection or Medication Side Effects?
Parasitic infectious diarrhea Hello, Dr. Luo. In April 2021, I experienced a mental health crisis and, in an attempt to avoid being forcibly taken to the hospital by my family, I hid in a public restroom at a temple. During that time, I completely lost my rationality and felt ext...
Dr. Luo Yining Reply:
Most intestinal parasites enter the human body through the oral route. Poor dietary or hygiene practices, such as consuming raw or undercooked food, drinking unclean water, and failing to wash hands before eating or after using the restroom, can lead to the ingestion of parasite ...[Read More] Understanding Soft Stool: Parasite Infection or Medication Side Effects?
Understanding Green Stool: Causes and When to Seek Medical Advice
Noticing green stools? Hello Doctor, I have been taking antibiotics for a week due to Helicobacter pylori, and during that time my bowel movements were normal. However, yesterday morning my stool turned deep green and had a formed appearance. I noticed food remnants when wiping. ...
Dr. Luo Yining Reply:
There are several factors that can cause green stools, such as consuming excessive amounts of dark green vegetables, side effects from certain medications like iron supplements, intestinal infections, indigestion, or diarrhea that prevents bile from being properly broken down. Ga...[Read More] Understanding Green Stool: Causes and When to Seek Medical Advice
Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns
Recently, after examinations, I have been experiencing difficulty swallowing food and frequent burping? Hello, Doctor. I have been suffering from peptic ulcers and gastroesophageal reflux disease (GERD) for over 10 years, and I undergo treatment approximately every two to three y...
Dr. Cai Jinji Reply:
Hello Ms. Peggy: Generally, an endoscopy does not cause this. It is advisable to consult your physician regarding the circumstances during the examination. You may consider checking the pH levels in the esophagus and assessing for gastroesophageal reflux. Director Cai Jin-ji, Dep...[Read More] Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns
Understanding Your Symptoms: IBS, GERD, or Pancreatic Cancer Concerns?
I would like to ask the doctor if I have irritable bowel syndrome combined with gastroesophageal reflux disease or pancreatic cancer? Hello, Doctor: I am regularly taking psychiatric medications (such as Prozac) primarily due to autonomic nervous system dysregulation with overact...
Dr. Cai Jinji Reply:
Hello Mr. Chang: For your left and right upper back pain, it is recommended to consult other specialties first. There are many potential causes for bloating, so it is advisable to ask your previous treating physician for guidance based on prior examinations and your condition. Di...[Read More] Understanding Your Symptoms: IBS, GERD, or Pancreatic Cancer Concerns?
Managing Stomach Air: Causes and Solutions for Discomfort
There is constant air in the stomach? Hello doctor, in the past few months, I have been experiencing a sensation of air in my stomach and noticeable peristalsis about 1-2 hours after eating, even though I am not hungry. My stomach makes loud noises. Are there any ways to improve ...
Dr. Chen Shidian Reply:
Avoid gas-producing foods, and if necessary, take medications to relieve bloating or suppress motility.[Read More] Managing Stomach Air: Causes and Solutions for Discomfort
Understanding Gastritis: Symptoms, Treatment, and Dietary Tips
Gastritis, decreased appetite, weight loss, nausea, and loss of appetite? Recently, I have been experiencing loss of appetite, nausea, and vomiting, with a decreased food intake (feeling full after eating a little), weight loss, stomach pain, and constipation. These symptoms have...
Dr. Lin Minghui Reply:
The gastroscopy examination shows mild inflammation. However, it is important to identify the underlying cause of gastritis, which could be due to improper diet, infections, medications, chemicals, allergies, alcohol consumption, stress, or immune responses. Symptomatic treatment...[Read More] Understanding Gastritis: Symptoms, Treatment, and Dietary Tips
Understanding Nausea, Appetite Loss, and Stomach Discomfort: Causes and Solutions
Nausea, loss of appetite, and discomfort in the stomach? Hello Doctor: Around the end of January, I experienced nausea and a desire to vomit after eating fried food. I visited a clinic during that time, but during the Lunar New Year, I started to lose my appetite again, feeling n...
Dr. Chen Shidian Reply:
There could be many possible causes. It is recommended to return to the gastroenterology outpatient clinic to discuss with a physician, and if necessary, be referred to the relevant specialty. The dietary advice is to eat small, frequent meals and avoid foods that may trigger sym...[Read More] Understanding Nausea, Appetite Loss, and Stomach Discomfort: Causes and Solutions
Understanding Gastroenteritis: Symptoms, Treatment, and Recovery Tips
Gastroenteritis, muscle soreness in the hands, chills, fever, and abdominal warmth? Two days ago, it was 16 degrees outside, and I was only wearing a cotton T-shirt and a tank top with a beanie. When I felt cold, I went inside, and I started to feel chilly, shivering and tremblin...
Dr. Chen Shidian Reply:
It is recommended to return for an evaluation if there is a persistent fever to assess for any underlying causes. Hospitalization for observation and treatment may be necessary if warranted.[Read More] Understanding Gastroenteritis: Symptoms, Treatment, and Recovery Tips
Understanding Gastrointestinal Issues After Heat Stroke in SLE Patients
Gastrointestinal discomfort following heatstroke? Hello, Doctor. I am an SLE patient. After suffering from heatstroke in mid-July last year, I have been experiencing indigestion, bloating, borborygmi, and excessive flatulence. Before bowel movements, I often pass gas, and my abdo...
Dr. Hu Guozheng Reply:
The manifestations of lupus erythematosus may also include gastrointestinal discomfort. It is recommended that you consult with a rheumatology and immunology specialist for evaluation. Thank you.[Read More] Understanding Gastrointestinal Issues After Heat Stroke in SLE Patients
Acute Gastroenteritis or Norovirus? Understanding Your Symptoms and Treatment
Acute gastroenteritis? Norovirus? Hello Doctor: On March 5th around 11 PM, I experienced severe cramping pain in my lower abdomen (similar to the sensation of intestinal twisting). This was followed by diarrhea; from the night of March 5th to the morning of March 6th, I had about...
Dr. Chen Shidian Reply:
There is no specific antiviral medication for norovirus; treatment is generally based on symptom management, similar to that for general gastroenteritis. The treatment approach includes fasting, replenishing fluids and electrolytes, and using medications to control symptoms. It i...[Read More] Acute Gastroenteritis or Norovirus? Understanding Your Symptoms and Treatment
Managing IBS with Anxiety: Medication Duration and Side Effects Explained
Please inquire about medication for irritable bowel syndrome (IBS)? Hello, doctor. I have been experiencing anxiety due to diarrhea-predominant irritable bowel syndrome (IBS-D) for nearly a year. My family medicine doctor prescribed Loperamide and benzodiazepines, which I have on...
Dr. Lin Minghui Reply:
Irritable bowel syndrome (IBS) is influenced by many emotional factors. Therefore, treatment involves not only medication but also lifestyle changes, exercise, stress relief, and dietary modifications. The medication "Dicyclomine" is used to alleviate gastrointestinal s...[Read More] Managing IBS with Anxiety: Medication Duration and Side Effects Explained
Understanding Gastrointestinal Issues: The Role of Probiotics and Symptoms Analysis
More detailed statement? Hello Doctor, I am the person who asked question #206140. Below is a more detailed statement after a few days of observation, and I hope you can provide me with answers. As mentioned earlier, my mother has been experiencing diarrhea for two months, accomp...
Dr. Chen Shidian Reply:
There is no objection to the use of probiotics, and it is also recommended to confirm the results of a fecal occult blood test, adjust the diet (low in oil and dairy), and medications, while continuing to monitor the situation. Additionally, diarrhea is often not associated with ...[Read More] Understanding Gastrointestinal Issues: The Role of Probiotics and Symptoms Analysis
Can You Take Nexium and Strocain Together? Drug Interaction Explained
Is there any drug interaction when taking Nexium and Strocain together? Could you please clarify if the physician has prescribed two medications? I'm unsure if they can be taken together and whether it will affect their efficacy.
Dr. Cai Anshun Reply:
Hello: It is possible to use them simultaneously, but do not take the following medications at the same time: tetracyclines, iron salts, chlorpromazine, levodopa, isoniazid, digoxin, H2-antagonists, indomethacin, nitrofurantoin, and dicumarol. Changhua Hospital cares about your h...[Read More] Can You Take Nexium and Strocain Together? Drug Interaction Explained
Understanding Constipation and Upper Right Abdominal Pain: Causes and Tests
Constipation, right upper quadrant pain? About a year ago, I noticed a change in my bowel habits, experiencing constipation and bloating that made it uncomfortable to sleep. Even eating and drinking became difficult, accompanied by nausea. My stools have been pellet-like, segment...
Dr. Chen Shidian Reply:
It is still recommended to perform gastroscopy/colonoscopy to rule out ulcers or polyps.[Read More] Understanding Constipation and Upper Right Abdominal Pain: Causes and Tests
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
Understanding GERD: Treatment Options and Medication Effectiveness Explained
Gastroesophageal reflux disease (GERD) I previously underwent an endoscopy and was diagnosed with gastroesophageal reflux disease (GERD). The doctor prescribed me pantoprazole, along with some antiemetics and medications to neutralize stomach acid. When I took pantoprazole, it wa...
Dr. Chen Shidian Reply:
If symptoms improve, the medication can be gradually reduced, and eventually, it may be changed to an as-needed basis. However, individual circumstances vary, so it's advisable to discuss this with a physician. Additionally, there are chewable tablets available to assist wit...[Read More] Understanding GERD: Treatment Options and Medication Effectiveness Explained
Can You Take Cold Medicine While Undergoing Quadruple H. Pylori Treatment?
Can the quadruple therapy for Helicobacter pylori be taken together with cold medication? I am currently undergoing quadruple therapy for Helicobacter pylori, but I have developed a runny nose and mild cough in the past few days. I would like to know if over-the-counter cold medi...
Dr. Chen Shidian Reply:
It is still acceptable to use, but it is advisable to wait half an hour in between.[Read More] Can You Take Cold Medicine While Undergoing Quadruple H. Pylori Treatment?
Understanding Abdominal Bloating: Causes, Symptoms, and Solutions
Abdominal distension? Hello, Doctor. I've been experiencing some discomfort in my abdomen lately and would like your assistance in confirming whether I have abdominal bloating. It started with mild diarrhea at the beginning of last month, which resolved on its own without me...
Dr. Lin Minghui Reply:
Pay attention to your diet. It is advisable to continue monitoring your condition. Recently, viral gastroenteritis has been prevalent, which may present symptoms such as nausea, bloating, diarrhea, or loose stools. Generally, it is recommended to stay hydrated, replenish electrol...[Read More] Understanding Abdominal Bloating: Causes, Symptoms, and Solutions