Understanding Post-Meal Bloating and Nausea: Causes and Solutions
Postprandial abdominal distension, pain, and nausea? Hello, for the past month, I have been feeling full after eating very little, and I often experience bloating and nausea after meals (even when I don't eat much). During the day, the symptoms are somewhat manageable, but t...
Dr. Chen Shidian Reply:
In conjunction with the adjustments made by the gastroenterologist regarding medication and dietary changes, if there is a significant weight loss, further examinations can be discussed.[Read More] Understanding Post-Meal Bloating and Nausea: Causes and Solutions
Distinguishing Between Urological and Gastrointestinal Issues: A Patient's Journey
Uncertain whether it is a urinary tract issue or a gastrointestinal disease? Hello, Doctor. In order to help you accurately assess my possible condition, I have detailed my medical history as much as possible. Initially, I experienced a urinary tract infection due to unprotected ...
Dr. Chen Shidian Reply:
It is advisable to collaborate with two specialists for joint diagnosis and follow-up, as well as to prevent recurrent urinary tract infections.[Read More] Distinguishing Between Urological and Gastrointestinal Issues: A Patient's Journey
Understanding Medications for Stomach Ulcers: Side Effects and Management
Medications for Peptic Ulcer Disease Hello, Doctor. After my gastroscopy, the doctor mentioned that I have some abrasions (likely referring to a duodenal ulcer) and mild inflammation in my stomach. The doctor prescribed Ulcerin (20 mg), magnesium oxide tablets (250 mg), and Gasco...
Dr. Chen Shidian Reply:
Please discuss medication adjustments with the original gastroenterologist, and pay attention to dietary changes. A fecal occult blood test may also be added.[Read More] Understanding Medications for Stomach Ulcers: Side Effects and Management
Understanding Duodenal Ulcers: Treatment, Side Effects, and Recovery
Can gastric ulcers heal? Hello, Doctor. After undergoing an upper gastrointestinal endoscopy, the physician mentioned that I have some erosion (likely referring to a duodenal ulcer) and mild gastritis. The doctor prescribed Sucralfate (20 mg), Magnesium Oxide tablets (250 mg), an...
Dr. Cai Anshun Reply:
Hello: 1. First, discontinue the medication to see if the side effects persist. 2. One medication suppresses gastric acid secretion, while the other neutralizes gastric acid; their mechanisms of action are different. 3. Depending on clinical needs, improvement does not necessaril...[Read More] Understanding Duodenal Ulcers: Treatment, Side Effects, and Recovery
Is My Bad Breath Linked to Gastrointestinal Issues?
Is my bad breath coming from my gastrointestinal tract? This is a lengthy narrative about my battle against bad breath, and I hope you will listen to my story. I have visited traditional Chinese medicine practitioners, dentists, otolaryngologists, and gastroenterologists, but non...
Dr. Cai Anshun Reply:
Hello: Bad breath is not absolutely related to bacteria or Helicobacter pylori, so there is no need for antibiotics. If you have already consulted with traditional Chinese medicine, dentistry, otolaryngology, and gastroenterology, there is no need to worry too much. You should pa...[Read More] Is My Bad Breath Linked to Gastrointestinal Issues?
Understanding Abnormal Stool Colors: Causes and Concerns
Stool color Hello Dr. Chen, this morning during a bowel movement, I noticed that one end of the stool had a white color, approximately 0.5 in size, while the rest of the stool was of normal color. After wiping with toilet paper, I noticed some slightly transparent white mucus on ...
Dr. Chen Shidian Reply:
It's just the normal secretion of mucus from the colon; there's no need to worry.[Read More] Understanding Abnormal Stool Colors: Causes and Concerns
Understanding Pale Stool: When to Seek Medical Advice
The color of feces? Hello doctor, a couple of days ago in the morning after using the restroom, I noticed that the appearance of my stool was off-white, but when I wiped, the color on the toilet paper was a normal yellow-brown. I haven't taken any medications recently, and m...
Dr. Lin Minghui Reply:
Hello: The normal color of stool is typically yellow, which results from the action of bile and gastrointestinal bacteria. If the stool is grayish-white, it indicates that bile is not able to flow properly into the gastrointestinal tract to form normally colored stool. Liver, gal...[Read More] Understanding Pale Stool: When to Seek Medical Advice
Understanding Abdominal Pain and Vomiting in Elderly Patients
Lower abdominal pain and vomiting? Hello doctor, my mother is 80 years old. Last year, she experienced infrequent bowel movements, frequent lower abdominal pain, and dry mouth. Drinking water would also cause her lower abdomen to hurt. Therefore, I arranged for her to have a colo...
Dr. Lin Minghui Reply:
Hello, there are many reasons for constipation in the elderly, including gastrointestinal diseases, poor gastrointestinal function, neurological disorders, endocrine diseases, and medications (such as those for Parkinson's disease and hypertension) that may be related. It is...[Read More] Understanding Abdominal Pain and Vomiting in Elderly Patients
Understanding Liver Function Tests: What Your ALT and AST Levels Mean
Liver function inquiry? Hello Dr. Chen, my blood test results show an ALT of 47 and an AST of 24. Three months ago and six months ago, my ALT levels were 61 and 45, respectively. The doctor also tested for hepatitis B and C, and there were no issues. I would like to ask if these ...
Dr. Chen Shidian Reply:
Liver-protective medications may not be necessary, but it is important to actively lose weight, primarily through dietary control (reducing caloric intake) and supplemented by exercise, aiming for a weight loss of 3-5%.[Read More] Understanding Liver Function Tests: What Your ALT and AST Levels Mean
Understanding Green Stool: Is It Related to Your GERD Medication?
Medications for gastroesophageal reflux disease (GERD) Hello, two weeks ago I had an upper gastrointestinal endoscopy and was diagnosed with gastroesophageal reflux disease (GERD). The doctor prescribed me Tecta (pantoprazole), and after taking it, I noticed that my stool has bee...
Dr. Chen Shidian Reply:
These medications may affect gut bacteria, which can influence the color and consistency of stool.[Read More] Understanding Green Stool: Is It Related to Your GERD Medication?
Understanding Persistent Bloating: When to See a Gastroenterologist or Gynecologist?
Abdominal bloating My girlfriend has been experiencing bloating issues for nearly a month. After visiting clinics and hospitals, there has been no improvement. She frequently burps, has shortness of breath, a hard abdomen, and passes gas. In recent days, she has also experienced ...
Dr. Chen Shidian Reply:
If gastrointestinal medications do not improve the condition, a consultation with an obstetrician-gynecologist may be necessary.[Read More] Understanding Persistent Bloating: When to See a Gastroenterologist or Gynecologist?
Should You Worry About Aflatoxin Exposure from Moldy Bread?
Hello, doctor. I would like to know if I need to be concerned about the effects of aflatoxins? Hello, doctor. Here’s the situation: for over a year, there has been a strange odor in my room that I couldn't identify despite cleaning. I initially thought it was a smell from my...
Dr. Chen Shidian Reply:
It cannot be confirmed to affect health; if there are no symptoms, maintaining cleanliness is sufficient. If respiratory symptoms occur, seek medical evaluation.[Read More] Should You Worry About Aflatoxin Exposure from Moldy Bread?
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort? Hello Dr. Tsai, for the past two weeks, I have frequently experienced gastrointestinal discomfort (bloating after meals, nausea, a heavy feeling in my head, decreased appetite, and my food intake has reduced by half). 1. I am wondering if this is rela...
Dr. Cai Anshun Reply:
Hello: If you have not yet consulted a gastroenterologist, it is recommended that you do so. Possible reasons include ulcers, poor digestive function, or fecal impaction, and it may also be related to issues with other organs that affect gastrointestinal function. In addition to ...[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Understanding Appetite Loss: Is It Physical or Medication-Related?
Loss of appetite Recently, I have been experiencing a lack of appetite. Although my food intake remains the same as before, I now feel like I am 90% full instead of 70%, accompanied by bloating, belching, and nausea (though I am unable to vomit). These symptoms began at the end o...
Dr. Chen Shidian Reply:
The likelihood of symptoms being caused by a psychiatric condition is higher. Initially, medication should be used for control, along with gastrointestinal agents for follow-up. Additionally, attention should be paid to maintaining weight.[Read More] Understanding Appetite Loss: Is It Physical or Medication-Related?
Can MiraLax Be Used Long-Term for Constipation Relief?
Consultation for Laxatives Hello: I have hemorrhoids with blood in my stool due to constipation. After consulting a doctor, I am currently undergoing treatment with ointment and improving my diet and lifestyle, but I have a constitution that is prone to constipation. I would like...
Dr. Chen Shidian Reply:
PEG is primarily used for bowel cleansing in Taiwan, and long-term use is uncommon (there are many other medications available). Probiotics have not been fully proven effective; if one is willing to try them, it is advisable to experiment with different brands to see which one su...[Read More] Can MiraLax Be Used Long-Term for Constipation Relief?
Understanding the Sensation of a Lump in the Throat: Causes and Solutions
Sensation of a foreign body in the throat? Sometimes I feel a sensation of something stuck in my throat, along with chest tightness and a bit of shortness of breath. This sensation becomes more pronounced during emotional fluctuations, but I do not experience any discomfort while...
Dr. Chen Shidian Reply:
If both the otolaryngology and gastroenterology departments confirm that there are no issues, you can feel reassured. If discomfort persists, psychiatric medications can be used to help alleviate the sensation of foreignness.[Read More] Understanding the Sensation of a Lump in the Throat: Causes and Solutions
Persistent Left Upper Abdominal Pressure: Causes and Solutions
There has been a persistent sensation of a foreign body and pressure in the left upper abdomen and under the rib cage for nearly two months? Hello Dr. Chen, I have been troubled by a sensation of pressure and tightness from a foreign body in my left upper abdomen for quite some t...
Dr. Chen Shidian Reply:
Cancer and other causes can be ruled out, so please rest assured. If necessary, medication can be used to control the symptoms.[Read More] Persistent Left Upper Abdominal Pressure: Causes and Solutions
Understanding Changes in Bowel Movements: Causes and Concerns
Bowel issues Hello Doctor, I would like to ask you about my situation. Previously, I would have a bowel movement about 1 to 2 times a day with normal color. However, for the past week, my stool has been consistently dark green, and the frequency has increased to 3 to 4 times a da...
Dr. Chen Shidian Reply:
It is possible; it is recommended to stop any non-essential health supplements. If there is no improvement, please consult a gastroenterologist.[Read More] Understanding Changes in Bowel Movements: Causes and Concerns
Understanding Constipation in Seniors: Causes and Concerns
My mother has a bowel issue - constipation? Hello, doctor. My mother is 74 years old, and she has not had a normal bowel movement for almost 12 days. In the past 11 days, she has only had bowel movements on 2 days, both of which were constipated. The first bowel movement was some...
Dr. Cai Anshun Reply:
Hello: If you are still able to have bowel movements, it cannot be classified as a bowel obstruction. However, if your bowel habits have significantly changed during this time, it is indeed important to consider the possibility of colorectal cancer. It would be advisable to consu...[Read More] Understanding Constipation in Seniors: Causes and Concerns
Understanding Stool Tests: What Do Positive and Negative Results Mean?
Regarding stool examination? Hello, doctor. Recently, I sought treatment at a nearby clinic due to the flu and took medication for a few days. Later, I experienced difficulty with bowel movements, so I returned for a follow-up. The doctor checked my records and noticed that I had...
Dr. Chen Shidian Reply:
The immunological method is more accurate as it specifically tests for the presence of human hemoglobin in stool samples from the colon. The chemical method will yield a positive result if there is any bleeding in the gastrointestinal tract, but it is easily influenced by food or...[Read More] Understanding Stool Tests: What Do Positive and Negative Results Mean?