Medications, Gastroenterology and Hepatology FAQ

Understanding Dry Heaving and Upper Abdominal Pain: Causes and Solutions

Dry heaving and upper abdominal pain? Hello, I have been experiencing intermittent dry heaving for over a year now. Sometimes it happens multiple times a day, and other times there are one or two months without any issues. I don't actually vomit; it's just the dry heavi...

Dr. Chen Shidian Reply:
If there are no abnormalities found in the gastroscopy in the short term, it is likely a motility dysfunction. It is recommended to reduce anxiety, maintain a normal diet, eat at regular intervals and in appropriate portions, avoid eating too quickly, and use gastric medications ...

Preoperative Assessment for Liver Cirrhosis: Key Considerations

Preoperative Assessment for Liver Cirrhosis Is surgery recommended for thrombocytopenia in cirrhosis? What emergency measures should be taken in case of esophageal variceal rupture?

Dr. Chen Shidian Reply:
If necessary, platelet transfusion or self-paid medications to increase platelet count may be considered. Special hemostatic agents combined with endoscopic band ligation are commonly used methods; please discuss this further with the attending physician.

Managing Rectal Bleeding: Tips for Constipation and Hemorrhoids

Rectal bleeding Hello Doctor, I have been experiencing constipation and have noticed quite a bit of blood in my stool. Recently, I've been eating more vegetables and taking digestive enzymes, which have helped reduce my constipation, and I am having bowel movements daily. Ho...

Dr. Cai Anshun Reply:
Hello: Typically, hemorrhoids are treated with topical ointments or suppositories, and oral medications have limited effectiveness. However, if there is persistent bleeding, it is advisable to consult a colorectal or gastroenterology specialist, as the bleeding may not solely be ...

Managing Recurring Gastroenteritis: Symptoms, Treatments, and Dietary Tips

Since last year, I have been experiencing severe gastroenteritis every two to three months? Hello Doctor, I have been experiencing severe gastroenteritis every two to three months since mid-last year. The usual symptoms include stomach pain, nausea, and diarrhea. The diarrhea is ...

Dr. Cai Jinji Reply:
Hello Ms. Amy: It is recommended to visit the gastroenterology department at the hospital for an evaluation to determine if further tests are needed in order to identify the underlying cause and provide appropriate treatment. Director Cai Jin-ji of the Hepatobiliary and Gastroent...

Understanding Chronic Hiccups: Causes, Symptoms, and Treatment Options

Chronic hiccups? My father has been experiencing hiccups, which led him to quit drinking alcohol. He tends to get hiccups whenever he eats more than one bowl of rice, and once they start, they can persist without stopping. This seems to occur in cycles, lasting about one to two w...

Dr. Hu Guozheng Reply:
If liver, gallbladder, and gastrointestinal issues have been ruled out, please refer the elder to a neurology outpatient clinic for evaluation. Thank you.

Managing Abdominal Discomfort: Over-the-Counter Solutions and When to See a Doctor

Abdominal bloating and discomfort? Recently, I've been feeling a sense of heaviness in my abdomen, experiencing unformed stools, and having slight nausea with a feeling of wanting to vomit, but I can't. I currently don't have time to see a doctor. Can I relieve the...

Dr. Lin Minghui Reply:
Abdominal discomfort, nausea, and irregular stools are common gastrointestinal symptoms that require understanding their underlying causes for appropriate treatment. Common causes include indigestion, gastroenteritis, and food poisoning from unclean sources. For gastroenteritis, ...

Concerns After Eating Undercooked Pork: Gastrointestinal Health Insights

Eating undercooked pork? Hello, Doctor. On January 20, I visited for other reasons and took antibiotics: Norfloxacin, along with other medications (side effects included dizziness, headache, and increased heart rate). On January 21, I happened to eat undercooked ground pork (purc...

Dr. Chen Shidian Reply:
There should be no direct correlation, and symptoms can be observed for up to one week, after which there are no further symptoms.

Understanding Abdominal Pain: Causes and Solutions for Gastrointestinal Issues

Abdominal bloating and pain? Hello doctor, I visited a gastroenterologist this Friday due to diarrhea and abdominal pain. I have been taking medication and my condition has improved. However, on Saturday, I noticed that regardless of whether I am standing, sitting, or lying down,...

Dr. Chen Shidian Reply:
It may be gastroenteritis with associated muscle soreness symptoms. Medications can be taken to manage the symptoms and monitor for changes; a follow-up visit is necessary if needed.

Understanding Gastrointestinal Issues: When to Seek Further Medical Help

Gastrointestinal issues I visited my family doctor on January 12th due to symptoms of intermittent cramping pain just above my belly button. The doctor diagnosed me with a cold and prescribed medication. After taking the medication for one day, my stomach still feels very uncomfo...

Dr. Lin Minghui Reply:
Gastroenteritis typically has a course of at least 3-5 days, and a bland diet is recommended. Medications are primarily for symptomatic treatment. If severe abdominal cramping does not improve, it may be necessary to adjust the medication, consider intravenous therapy, or investi...

Impact of Helicobacter Pylori Antibiotics on Sperm and Fertility

Helicobacter pylori antibiotic issues? 1. Will taking antibiotics for Helicobacter pylori affect sperm? During the treatment period, there is a fertility plan with medications including Clarithromycin, Amoxicillin, and Metronidazole. 2. How long after completing the treatment wi...

Dr. Yang Zhichao Reply:
Hello, Mr. Wen-Luo. 1. It should not affect sperm. 2. The drug metabolism has a half-life of three, after which it will have no impact. 3. After three days, the concentration of the antibiotic will mostly be undetectable. Thank you for your question.

Can You Get the Latest COVID-19 XBB Vaccine with a Duodenal Ulcer?

Can individuals with duodenal ulcers receive the latest COVID-19 XBB vaccine? Hello doctor, I would like to ask if I can receive the latest XBB COVID-19 vaccine while currently taking the following medications for my duodenal ulcer: PANTOLOC (Pantoprazole) enteric-coated tablets ...

Dr. Chen Shidian Reply:
Sure, don't worry.

Can Probiotics Enhance Treatment Success for Helicobacter Pylori?

The issue of taking medications with probiotics? Hello doctor, I would like to ask if taking the following medications: Neomycin, Amoxicillin capsules 500 mg, Tetracycline, and Gastrointestinal Comfort oral dissolving tablets, in conjunction with probiotics (such as Probiotics IG...

Dr. Chen Shidian Reply:
There should be no research evidence proving a correlation.

Understanding Elevated GGT Levels After Biliary Obstruction Treatment

Abnormal GGT levels in blood tests? Last August, I was hospitalized due to obstructive jaundice caused by sludge blocking the bile duct. The sludge has been cleared from the bile duct, but there is still a small amount of sludge in the gallbladder. I am currently taking medicatio...

Dr. Chen Shidian Reply:
If there is no history of alcohol consumption or fatty liver, it may still be related to bile sludge. The first recommendation should still be to perform cholecystectomy to prevent recurrence; if surgery is not performed, regular follow-up visits are necessary.

Understanding Fatty Liver and Kidney Stones: Dietary Insights and Management

Abdominal ultrasound Hello Doctor: Last year, due to abdominal pain, I was examined and found to have kidney stones and moderate fatty liver. Over the past year, my weight has been stable at 92 kg (height 166 cm), and I have been controlling my diet for about a year. I believe I ...

Dr. Lin Minghui Reply:
The patient has moderate obesity with a BMI of 33.3, and there are kidney stones present with minimal changes observed in the follow-up ultrasound. The abdominal ultrasound shows slight changes in non-fatty areas and multiple small right-sided kidney stones. It is recommended to ...

Common Gastrointestinal Concerns: Medications, Diet, and H. Pylori

There are some questions? Hello Doctor, I would like to ask the following questions: 1. Can the medications Levofloxacin, Amoxicillin, Omeprazole, and Metronidazole be stored together in one container (jar)? 2. Does staying up late and having irregular meal times for breakfast ...

Dr. Chen Shidian Reply:
Co-storage is acceptable, but nowadays it is often subcontracted or easily distinguishable. Helicobacter pylori is transmitted orally and is not directly related to immunity. The hospital handwashing standard requires washing up to the wrists, while home practices are not as stri...

Understanding Abnormal Liver Indices: Causes and Follow-Up

Abnormal liver function tests? Hello, doctor. I am not currently taking any medications, but I have an issue with being overweight (BMI: 31). Recently, I have experienced mild edema in my lower extremities. Two days ago, I had a blood test, and the kidney values were as follows: ...

Dr. Lin Minghui Reply:
Elevated serum albumin levels can be referred to as hyperproteinemia. Clinically, this is often less significant and may be due to good nutrition or dehydration, which leads to a decreased plasma water content. Hypoglobulinemia refers to low levels of globulins, which are serum p...

Understanding Constipation: Why Increased Fiber Isn't Always Enough

Constipation issues? Dear Deputy Director, I would like to ask some questions as I am currently feeling quite anxious. Recently, I have been consuming more dietary fiber (such as vegetables, sweet potatoes, and bell peppers) in my meals, thinking that dietary fiber is beneficial...

Dr. Chen Shidian Reply:
Drink more water and take a walk after meals, avoid staying up late, exercise more, and adjust with necessary medications. Just observe for now.

Understanding Drug Interactions: Managing GERD with Multiple Medications

Medication consultation I have gastroesophageal reflux disease and am taking Nexium. I am also on psychiatric medications Easyfor (an SNRI) and Sulpiride. I previously felt that Nexium was effective, but recently I feel that it is not working well. I wonder if there are any inter...

Dr. Chen Shidian Reply:
There is no research that would affect this; it is necessary to discuss further with a physician and pay attention to diet, avoiding acidic, sweet, and irritating foods.

Traveling Abroad with a Liver Transplant: Essential Dietary and Health Tips

Diet for Liver Disease and Liver Issues Hello, Deputy Director. My father underwent a liver transplant last year and is currently recovering very well; his overall health and complexion have improved significantly. He is very attentive to his diet and takes his medications on tim...

Dr. Chen Shidian Reply:
1. Eat less raw food, ensure adequate sleep, and consult with your liver care coordinator for lifestyle matters. 2. Prepare an English medical history (including medications) for emergency medical situations. 3. Download the National Health Insurance Quick Access App to check...

Understanding Cough Related to Gastroesophageal Reflux Disease

Gastroesophageal reflux cough Hello, doctor. I had a cold around the Mid-Autumn Festival this year, and after recovering, I developed a mild cough that has persisted until now. I often experience an itchy throat and occasionally cough. This has been going on for quite some time. ...

Dr. Chen Shidian Reply:
A trial of a strong gastric medication (self-paid) for 1-2 weeks can be conducted, followed by discontinuation of the medication to compare symptom changes and determine correlation. If necessary, an endoscopy can be performed for confirmation.

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