Understanding Esophageal Issues and Bloating After Eating
Esophageal issues and bloating? Hello, Director Chen. Yesterday at noon, I accidentally swallowed a large mouthful of curry chicken rice without chewing it properly (since the rice was wrapped around it, I wasn't sure if there were any chicken bones). After that, I started t...
Dr. Chen Shidian Reply:
It is unlikely that a chicken bone is lodged. You can continue to observe the situation, and if necessary, take motility-enhancing medications to alleviate the symptoms.[Read More] Understanding Esophageal Issues and Bloating After Eating
Understanding Tardive Dyskinesia: Risks and Concerns in Long-Term Medication
Irreversible tardive movement disorders Psychiatry: Before bedtime: Leeyo (ESCITALOPRAM) 10mg * 2 tablets, Lendormin 0.25mg * 2 tablets, Eurodin 2mg * 2 tablets, Lorazepam 0.5mg * 4 tablets. Dermatology: Before bedtime: Doxepin 25mg * 2 tablets, Lyrica (pregabalin) 75mg * 2 table...
Dr. Yang Zhichao Reply:
Hello Mr. LOV157, the medication insert does mention this situation, but the incidence is very low. There are also individuals who have been taking this medication long-term. If you have concerns, it would be best to discuss them with your prescribing physician, as this can help ...[Read More] Understanding Tardive Dyskinesia: Risks and Concerns in Long-Term Medication
Understanding Tardive Dyskinesia: Risks and Concerns in Long-Term Medication Use
Irreversible tardive movement disorders Psychiatry: Before bedtime: Leeyo (ESCITALOPRAM) 10mg*2 tablets, Lendormin 0.25mg*2 tablets, Eurodin 2mg*2 tablets, Lorazepam 0.5mg*4 tablets. Dermatology: Before bedtime: Doxepin 25mg*2 tablets, Lyrica (pregabalin) 75mg*2 tablets, Xyzal 5m...
Dr. Chen Shidian Reply:
If there are side effects, they will occur shortly after taking the medication, so there's no need to worry. If you're concerned, discuss switching medications with your doctor.[Read More] Understanding Tardive Dyskinesia: Risks and Concerns in Long-Term Medication Use
Understanding Gastrointestinal Issues: Diarrhea, Bloating, and Dietary Changes
Diarrhea, bloating, and gastrointestinal issues? Hello, I have been experiencing gastrointestinal issues recently and would like to consult a physician. 1. My bowel movements have been watery, very loose, and unformed for the past three months. 2. I have recently noticed that I f...
Dr. Chen Shidian Reply:
It is likely caused by dietary digestion/peristalsis abnormalities. If there is no blood in the stool, it should not be considered an emergency. If necessary, some intestinal regulating medications may be used.[Read More] Understanding Gastrointestinal Issues: Diarrhea, Bloating, and Dietary Changes
Understanding Loss of Appetite: Gastrointestinal Issues and Stress Factors
Recently, I have been experiencing a loss of appetite? Hello, doctor. I had an upper gastrointestinal endoscopy in February of this year, and the results indicated mild gastritis and gastroesophageal reflux disease (GERD). The doctor prescribed medication for GERD with a four-mon...
Dr. Chen Shidian Reply:
It may be due to autonomic nervous system affecting gastrointestinal abnormalities. You could consider consulting a psychosomatic medicine specialist for management, along with the use of gastric medications for treatment.[Read More] Understanding Loss of Appetite: Gastrointestinal Issues and Stress Factors
Can You Take Antibiotics and Cold Medicine Together?
Antibiotics for Helicobacter pylori and cold medications? Hello, doctor. I recently had an endoscopy, and the biopsy results showed that I have Helicobacter pylori, for which I need to take a ten-day course of antibiotics. The two antibiotics prescribed to me are: 1. Clarithromyc...
Dr. Chen Shidian Reply:
It is generally not recommended to use them together. It is advisable to treat the cold first, and then subsequently continue with the treatment for Helicobacter pylori.[Read More] Can You Take Antibiotics and Cold Medicine Together?
Understanding Liver Function Abnormalities: Cholesterol and Other Causes
Liver dysfunction As per your inquiry, GPT is 90, GOT is 95, total cholesterol is 209, and low-density lipoprotein (LDL) cholesterol is 136. Six months ago, an abdominal ultrasound showed that fatty liver had resolved. At that time, you weighed 67 kg, and now you weigh 73 kg, whi...
Dr. Chen Shidian Reply:
Weight gain can significantly affect fatty liver disease. Cholesterol levels do not necessarily impact fatty liver. Additionally, be cautious with the use of lipid-lowering medications, as they may cause an increase in liver function tests in a small number of individuals.[Read More] Understanding Liver Function Abnormalities: Cholesterol and Other Causes
Understanding Left Abdominal Pain: When to Seek Medical Help
Left abdominal issues? Hello doctor, last month I visited the gastroenterology, urology, and gynecology departments due to symptoms of bloating, abdominal pain, and lower back pain. (I consulted urology because of a history of kidney stones.) I underwent abdominal and pelvic ultr...
Dr. Chen Shidian Reply:
You can discuss it further with a gastroenterologist.[Read More] Understanding Left Abdominal Pain: When to Seek Medical Help
Understanding Intestinal Metaplasia: Causes, Symptoms, and Treatment Options
Intestinal metaplasia Hello Doctor, my mother started experiencing sudden stomach pain and gastroesophageal reflux three months ago. She consulted a doctor, and after examinations, Helicobacter pylori was ruled out. She then began taking Omeprazole to reduce stomach acid, and her...
Dr. Chen Shidian Reply:
The observation of bile reflux during an endoscopy is a normal finding and is usually not specifically noted. Intestinal metaplasia is a result of long-term inflammation, and it is important to first eliminate Helicobacter pylori, which causes gastritis. There is no indication th...[Read More] Understanding Intestinal Metaplasia: Causes, Symptoms, and Treatment Options
Long-Term Use of PPI for GERD: Risks and Alternatives Explained
Medications for Gastroesophageal Reflux Disease (GERD) Hello, doctor. Over a decade ago, my acid reflux was not very severe; I only felt a sensation of something stuck in my throat. After undergoing an endoscopy, the doctor prescribed a three-month course of proton pump inhibitor...
Dr. Chen Shidian Reply:
Gastric protective agents are lower-dose acid suppressants that have good safety profiles, but there are some minor concerns with long-term use. If discontinuation of the medication is not possible, surgical options or newer generation endoscopic procedures may be considered, alt...[Read More] Long-Term Use of PPI for GERD: Risks and Alternatives Explained
Understanding Irritable Bowel Syndrome: Symptoms and Management Strategies
Irritable Bowel Syndrome (IBS) Hello Dr. Yang, I have been experiencing abnormal bowel movements for 1 to 2 years. The main symptoms include having at least 6 bowel movements a day, often feeling the urge to go immediately after meals, and rushing to the bathroom. More than half...
Dr. Yang Zhichao Reply:
Hello Mr. Alan, due to the impact of your symptoms on your daily life and considering your age, it is recommended that you schedule a colonoscopy. It is advisable to have a gastroenterologist evaluate and treat your condition. Thank you for your inquiry.[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Management Strategies
Understanding Gastrointestinal Issues: Symptoms and When to Seek Help
Gastrointestinal issues Hello doctor, recently I noticed that the area to the right of my navel is more protruded and sometimes painful, so I had an X-ray done. The doctor only mentioned a bit of gas and a small amount of retained stool. After returning home, I still felt somethi...
Dr. Chen Shidian Reply:
You can test for occult blood in the stool; if the results are normal, there is no need to worry too much. If necessary, medications can be used to regulate gastrointestinal motility and help relax.[Read More] Understanding Gastrointestinal Issues: Symptoms and When to Seek Help
Post-Surgery Bowel Issues: Managing Constipation and Diarrhea in Seniors
Postoperative bowel issues? 1. After administering Irinotecan, it is common to experience constipation due to the preventive medications taken beforehand. To manage this, consider increasing fluid intake, incorporating high-fiber foods, and using over-the-counter laxatives or sto...
Dr. Cai Anshun Reply:
Hello: 1. Please ask the physician to prescribe a stool softener in advance. 2. It is not recommended to use a water jet directly; instead, it is advised to use a sitz bath or an enema bulb. 3. There may be side effects from the medication; however, be aware of signs of a Clostri...[Read More] Post-Surgery Bowel Issues: Managing Constipation and Diarrhea in Seniors
Understanding Stomach Ulcers and Acid Reflux: Symptoms and Treatments
Gastric ulcers and gastroesophageal reflux issues? I started experiencing a sour taste in my mouth last December, and after taking traditional Chinese medicine for four months, it improved. Since then, I have been very careful with my diet, avoiding sweet, sour, and spicy foods t...
Dr. Chen Shidian Reply:
The described condition is mild gastritis and superficial ulcers, which can be effectively treated with gastric medications. However, your symptoms of acid reflux may not necessarily be related to the stomach. If routine health checks show no abnormalities, further monitoring may...[Read More] Understanding Stomach Ulcers and Acid Reflux: Symptoms and Treatments
Managing Hepatitis B Treatment: Switching Medications and Coverage in Taiwan
Medications and Switching for Hepatitis B Hello, I currently reside in New York City, and I have been prescribed Vemlidy for my hepatitis B condition. I have been taking it for over a year. However, I plan to move back to Taichung City, Taiwan. Will I be able to receive Vemlidy a...
Dr. Chen Shidian Reply:
If treatment is initiated with medications not covered by the national health insurance, it may be difficult to continue the medication upon returning to the country. It is necessary to have all relevant examination records and medical history copies from the United States prepar...[Read More] Managing Hepatitis B Treatment: Switching Medications and Coverage in Taiwan
Understanding the Causes of Stomach Heat: Is It Ulcers or Acid?
Heartburn Hello, doctor. I would like to ask about feeling a warm sensation in my stomach when I'm hungry. It doesn't hurt, and it goes away after eating something. Is this a symptom of a gastric ulcer, or is it simply due to excess stomach acid?
Dr. Chen Shidian Reply:
There may be some gastritis or gastroesophageal reflux disease (GERD). It is advisable to eat smaller, more frequent meals and avoid acidic and sweet foods. If necessary, take antacids or other medications to alleviate symptoms.[Read More] Understanding the Causes of Stomach Heat: Is It Ulcers or Acid?
Understanding Anal Contraction Issues and Changes in Stool Color
Anal contraction Hello Doctor, 1) Recently, when I feel a slight urge to have a bowel movement and try to squat in the restroom, I experience an involuntary contraction of the anus when I exert pressure, which makes me feel like the stool is about to come out. However, when the...
Dr. Chen Shidian Reply:
It should be fine; just relax a bit more and continue to observe.[Read More] Understanding Anal Contraction Issues and Changes in Stool Color
Discomfort Under the Chest: Possible Causes and Solutions
Discomfort and tightness in the upper abdomen near the chest? Hello, doctor. My mother has been experiencing a tight and uncomfortable sensation in her upper abdomen near the chest (possibly just below the diaphragm) for the past six months. This feeling is more pronounced when s...
Dr. Chen Shidian Reply:
It is recommended to undergo an upper gastrointestinal endoscopy to confirm normal findings. If the results are normal, increase physical activity and continue to monitor.[Read More] Discomfort Under the Chest: Possible Causes and Solutions
Understanding Digestive Health: When to See a Gastroenterologist
Bowel movement questions Since childhood, I have had a tendency to experience diarrhea. I have experienced every type of stool according to the Bristol Stool Chart. I used to love eating meat, but later switched to a diet primarily consisting of vegetables and some fiber suppleme...
Dr. Lin Minghui Reply:
Hello, a 30-year-old female with questions about bowel movements. She has a tendency towards diarrhea but has recently described her stools as types 2 and 3 on the Bristol Stool Chart, with multiple soft stools. She usually consumes fiber and experiences flatulence. She drinks en...[Read More] Understanding Digestive Health: When to See a Gastroenterologist
Are Gallstone Medications Linked to Skin Allergies and Redness?
Is there a connection between medication for gallstones and skin allergies causing redness and swelling? Hello, I was diagnosed with acute cholecystitis due to gallstones in February 2019, which led to acute pancreatitis. I was hospitalized and received intravenous antibiotics, a...
Dr. Chen Shidian Reply:
I'm sorry, I don't have experience with that medication. Gallstones do not affect the skin.[Read More] Are Gallstone Medications Linked to Skin Allergies and Redness?