Understanding Gastrointestinal Issues: When to Seek Further Testing
Gastrointestinal discomfort For about three to four years, I have been experiencing unformed stools. They break apart when flushed, and I often have diarrhea or floaty, sticky stools with many bubbles. Sometimes I feel the urge to have a bowel movement, but I can't pass anyt...
Dr. Chen Qifeng Reply:
Abdominal ultrasound is generally not effective for examining the gastrointestinal tract. Based on the current symptoms, the likelihood of irritable bowel syndrome is very high; however, performing a colonoscopy to rule out other organic lesions is also advisable.[Read More] Understanding Gastrointestinal Issues: When to Seek Further Testing
Understanding Esophageal Discomfort: Causes and Treatment Options
Sensation of friction in the back of the esophagus during eating? Dear Doctor, I recently underwent an upper endoscopy due to gastroesophageal reflux disease (GERD), and the outpatient physician informed me that it is non-erosive reflux. My current issue is that when I eat, espe...
Dr. Cai Anshun Reply:
Hello: 1. Lesions located on mucosal surfaces are generally easier to detect. 2. Medications are supplementary; the key is whether the underlying cause of the reflux has been addressed. 3. It is recommended to obtain a prescription from a physician. Changhua Hospital cares about ...[Read More] Understanding Esophageal Discomfort: Causes and Treatment Options
Understanding Irritable Bowel Syndrome: Symptoms and Management Tips
Is it irritable bowel syndrome? Approximately last year, after giving birth, I experienced long-term sleep disruptions while caring for my child. In early 2018, I had stomach discomfort that lasted nearly a month (I consulted a doctor and took medication). Later, feeling uneasy, ...
Dr. Chen Qifeng Reply:
A diet low in oil, dairy, and刺激 foods is fundamental; medication management comes next.[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Management Tips
Understanding Helicobacter Pylori Treatment: Side Effects and Medication Compliance
Helicobacter pylori The doctor prescribed Amoxicillin (500 mg) capsules (first-line treatment), Clarithromycin (500 mg) tablets, and Pariet (Rabeprazole) 20 mg. On April 10, the doctor reviewed the gastroscopy report and mentioned the presence of Helicobacter pylori that needs to...
Dr. Chen Qifeng Reply:
1. Helicobacter pylori is treated with a 3-in-1 or 4-in-1 regimen, and there are various options for antibiotic selection. 2. Antibiotics may cause side effects such as nausea, diarrhea, and abdominal discomfort. 3. It may or may not affect the treatment efficacy.[Read More] Understanding Helicobacter Pylori Treatment: Side Effects and Medication Compliance
Do You Need to Stop Medications Before a Gastroscopy?
Do I need to stop taking medications before a gastroscopy? I am taking Baoshantong and aspirin. Do I need to stop taking these medications before a simple gastroscopy?
Dr. Chen Qifeng Reply:
It is generally recommended to stop medication for one week before undergoing an endoscopic examination. This is to prevent excessive bleeding in case biopsies or polyp removals are necessary.[Read More] Do You Need to Stop Medications Before a Gastroscopy?
Understanding Floating Oil in Stool: Causes and Concerns
Floating stools with oil? Hello Doctor: I usually have regular bowel movements, at least once every two days, with a paste-like consistency and a predominantly earthy yellow color. However, in the past week or two, I've noticed a layer of oil floating in the toilet after bow...
Dr. Chen Shidian Reply:
Thank you for your inquiry! It is likely due to indigestion from greasy foods, which is not a health concern. If it is not necessary, you may temporarily discontinue the use of Naisilin and try other medications instead. The Chiayi Hospital of the Ministry of Health and Welfare c...[Read More] Understanding Floating Oil in Stool: Causes and Concerns
Understanding Bowel Issues: Causes and When to Seek Medical Help
Bowel issues Previously, bowel movements occurred about 2 to 3 times per day, often in thin or mushy forms, with fresh red blood in the toilet. There was often abdominal pain and urgency when feeling stressed. A month ago, treatment for influenza was initiated (medications includ...
Dr. Chen Qifeng Reply:
Please visit a colorectal surgery clinic.[Read More] Understanding Bowel Issues: Causes and When to Seek Medical Help
Do Calcium Channel Blockers for Angina Worsen GERD Symptoms?
Angina treatment and gastroesophageal reflux issues? Hello Dr. Lin: May I ask if the use of medication (calcium channel blockers) for angina could worsen gastroesophageal reflux disease (GERD)? I would greatly appreciate your clarification!
Dr. Lin Minghui Reply:
Hello: There are many causes of gastroesophageal reflux, including lifestyle habits, diet, and medications. Medications for angina, such as nitrates and calcium channel blockers, can affect the pressure of the lower esophageal sphincter, leading to or exacerbating gastroesophagea...[Read More] Do Calcium Channel Blockers for Angina Worsen GERD Symptoms?
Understanding Esophageal Issues: Persistent Swallowing Difficulties Explained
Esophageal issues Hello Doctor, for the past three months, I have been experiencing a tight sensation in the lower right side of my throat when swallowing food, as if that area is constricting, causing discomfort as food passes through. I have visited many clinics and consulted w...
Dr. Chen Qifeng Reply:
Aside from these two subjects, there are few that are related to swallowing nerves.[Read More] Understanding Esophageal Issues: Persistent Swallowing Difficulties Explained
Can Relaxed Gastroesophageal Junction Be Permanently Treated?
Can gastroesophageal reflux caused by lower esophageal sphincter laxity be cured? Hello, doctor. I started experiencing bloating and belching at the age of eighteen. After seeing a doctor, the symptoms recurred after six months. An endoscopy revealed mild gastritis and gastroesop...
Dr. Chen Qifeng Reply:
Gastroesophageal reflux disease (GERD) is primarily related to the relaxation of the lower esophageal sphincter (LES). The degree of LES relaxation can lead to varying levels of gastroesophageal reflux. GERD is a condition that is prone to recurrence and is closely associated wit...[Read More] Can Relaxed Gastroesophageal Junction Be Permanently Treated?
Understanding Milk Thistle in Liver Health: Benefits and Concerns
Regarding the ingredients of Silymarin liver protection capsules: Milk Thistle? Hello, doctor. I have some questions regarding Silymarin liver protection capsules. Question 1: I have hepatitis B and would like to know if this product containing milk thistle can be taken long-te...
Dr. Lin Minghui Reply:
Hello, Hepatitis B is a viral hepatitis, and it is important to protect the liver by avoiding staying up late, not taking medications indiscriminately, and undergoing regular follow-ups. Currently, there are oral antiviral medications and long-acting interferon injections avail...[Read More] Understanding Milk Thistle in Liver Health: Benefits and Concerns
Understanding Hepatitis C Window Period and Test Results: Risks and Norms
Hepatitis C window period and test results? I previously worked in a private testing facility and sustained an injury to my finger, which came into contact with specimens. I would like to inquire about the general window period for Hepatitis C virus (HCV) infection. I have been u...
Dr. Lin Minghui Reply:
Hello, the window period for Hepatitis C is approximately 1 to 5 months. If Anti-HCV remains negative after 18 months of follow-up, it indicates that there has been no infection with Hepatitis C. Currently, there is no vaccine for Hepatitis C, so caution is necessary if there is ...[Read More] Understanding Hepatitis C Window Period and Test Results: Risks and Norms
Understanding Dizziness, Gastrointestinal Issues, and Bowel Problems
Dizziness, gastrointestinal issues, and bowel problems? Hello Dr. Yang, I started experiencing headaches on the morning of February 10th. By noon, I lost my appetite, and in the afternoon, I developed a fever of 38 degrees Celsius, along with headaches, nausea, and abdominal pai...
Dr. Yang Zhichao Reply:
Dear Ms. Huang, your symptoms are likely indicative of acute gastroenteritis. It is recommended that you consult a physician for evaluation and medication to alleviate your symptoms. Additionally, to promote regular bowel movements, you should consider increasing your physical ac...[Read More] Understanding Dizziness, Gastrointestinal Issues, and Bowel Problems
Managing Hepatitis C in Elderly Patients: Risks and Treatment Options
Hepatitis C virus issues Hello Doctor, my grandmother is currently 91 years old. She recently had a blood test, and the results showed that she has several million copies of the hepatitis C virus. The outpatient doctor has suggested a three-month course of medication. Considering...
Dr. Cai Anshun Reply:
Hello: 1. If your grandmother does not have cirrhosis yet, and you are considering the side effects, it should be fine not to treat her. Since she has likely been infected for several decades, if she is 91 years old and has not shown signs of cirrhosis, it is unlikely that she wi...[Read More] Managing Hepatitis C in Elderly Patients: Risks and Treatment Options
Does Antibiotic Use for Cold Affect Elevated r-GT Levels in Fatty Liver?
Does taking antibiotics for a cold affect elevated r-GT levels? Hello: My husband has alcoholic fatty liver disease (he is quite thin). When it was severe, many of his liver function tests were elevated, with triglycerides reaching 4000, which led to pancreatitis. After seeking m...
Dr. Chen Qifeng Reply:
There are many reasons for an elevated rGT index, including fatty liver, alcoholic liver disease, drug-induced hepatitis, and biliary tract diseases. Therefore, it is essential to assess the actual situation to clarify the underlying cause.[Read More] Does Antibiotic Use for Cold Affect Elevated r-GT Levels in Fatty Liver?
Understanding Right Abdominal Bloating: Causes and Remedies
Chronic bloating in the right side of the abdomen? Hello Doctor: Due to extremely poor dietary habits, high stress, and anxiety in the past week, I have started experiencing bloating primarily in the area from the cecum to the ascending colon (right abdomen). Percussion reveals a...
Dr. Chen Qifeng Reply:
A regular abdominal X-ray may help to understand the situation regarding bloating. To address your issue, dietary adjustments should be prioritized; a low-fat, low-dairy, and mildly stimulating diet is essential, while medication management is secondary.[Read More] Understanding Right Abdominal Bloating: Causes and Remedies
Understanding Persistent Hiccups: Causes and Solutions for Relief
Hello, doctor. I would like to inquire about the issue of persistent hiccups? Hello, doctor. Back in mid-December 2018, after eating too much, I started experiencing an inexplicable urge to burp, as if there was gas trapped in my throat. I have to forcefully push to release a bur...
Dr. Chen Qifeng Reply:
In addition to medication, it is recommended to reduce tea and coffee intake, avoid stimulating foods and glutinous rice products, refrain from consuming overly sweet or sour foods, limit tea and soda consumption, and eat until about 80% full.[Read More] Understanding Persistent Hiccups: Causes and Solutions for Relief
Understanding Left Lower Abdominal Pain: Causes and When to Seek Help
Left lower abdominal pain? Hello, doctor. I have noticed that for the past few months, I occasionally experience a vague, dull pain in my lower left abdomen. I can tell it's in that area. Once, while lying in bed trying to pinpoint the pain, I pressed on my right side and up...
Dr. Chen Qifeng Reply:
It is recommended to follow a gentle diet that is low in oil, dairy, and irritants, in conjunction with the use of intestinal medications. If there is still no improvement, a colonoscopy may be considered.[Read More] Understanding Left Lower Abdominal Pain: Causes and When to Seek Help
Understanding Constipation Despite a Healthy Lifestyle: Causes and Solutions
Normal lifestyle but still experiencing constipation? Hello Doctor, in the past, my bowel movements were very regular, but this year I have occasionally experienced constipation, sometimes not being able to have a bowel movement for more than three days. Generally, my daily routi...
Dr. Chen Qifeng Reply:
It is advisable to rule out any structural abnormalities of the intestines, and then focus on dietary and lifestyle modifications. If there is no history of abdominal surgery or other medication use, appropriate treatment with medications such as stool softeners should be conside...[Read More] Understanding Constipation Despite a Healthy Lifestyle: Causes and Solutions
Medications to Avoid with Liver Hemangiomas: What You Need to Know
Are there any medications that should be avoided in cases of hepatic hemangioma? Hello, doctor. I was diagnosed with a vascular tumor measuring approximately 1.2 cm this month. I would like to know if there are any specific medications I should avoid due to the vascular tumor. Re...
Dr. Chen Qifeng Reply:
Estrogen or oral contraceptives.[Read More] Medications to Avoid with Liver Hemangiomas: What You Need to Know