Managing Nausea and Discomfort After Extracorporeal Shock Wave Lithotripsy
Extracorporeal Shock Wave Lithotripsy (ESWL) Due to urinary stones, before the surgery, I was instructed to take a laxative. After taking it, I was unable to have a bowel movement and instead kept vomiting. I underwent extracorporeal shock wave lithotripsy, but afterward, I conti...
Dr. Chen Shidian Reply:
Hello, sir. Please pause your medication and discuss it with the prescribing physician as soon as possible. Changhua Hospital cares about your health. Chen Shidian[Read More] Managing Nausea and Discomfort After Extracorporeal Shock Wave Lithotripsy
Do I Need a Colonoscopy? Understanding Abdominal Pain Concerns
Is a colonoscopy necessary? Hello Doctor, I started experiencing pain in my upper left abdomen in early April this year. I have visited a gastroenterology clinic five times and underwent an upper endoscopy. The doctor said everything was normal, and there was no Helicobacter pylo...
Dr. Chen Qifeng Reply:
You can consult a gastroenterologist or a colorectal surgeon and consider undergoing (1) abdominal ultrasound, (2) colon X-ray, or colonoscopy.[Read More] Do I Need a Colonoscopy? Understanding Abdominal Pain Concerns
Understanding Abdominal Discomfort: Symptoms and Next Steps
Abdominal discomfort? Hello, about five months ago, I underwent an upper gastrointestinal endoscopy and blood, urine, and stool occult blood tests due to gastrointestinal discomfort. The doctor mentioned some reflux and inflammation, and the occult blood indicated the presence of...
Dr. Chen Shidian Reply:
Hello, please discuss with the original gastroenterologist whether further examination or treatment is necessary. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Abdominal Discomfort: Symptoms and Next Steps
Frequent Gas and Burping: Understanding Digestive Issues After GERD
Frequent flatulence and belching? At the end of January, I underwent an endoscopy which revealed symptoms of gastroesophageal reflux disease (GERD) and gastritis. I have been taking antacids for three months. However, I still experience frequent belching after meals. Since the en...
Dr. Chen Shidian Reply:
Hello, sir. A fecal occult blood test can be performed to determine if further examination is necessary. Generally, it is often just an abnormality in gastrointestinal motility, which can be managed with medication (+/- probiotics). Changhua Hospital cares about your health. Chen...[Read More] Frequent Gas and Burping: Understanding Digestive Issues After GERD
Understanding Bowel Issues: When to Seek Further Gastrointestinal Evaluation
Bowel issues Hello Dr. Chen, last year I underwent a fecal occult blood test due to my stool becoming thinner. Since there was blood present, I subsequently had a colonoscopy, which yielded normal results. Over the past few months, I have noticed the following symptoms: 1. My sto...
Dr. Chen Shidian Reply:
Hello, sir. You are likely experiencing irritable bowel syndrome, so there is no need for a colonoscopy. You only need to improve your lifestyle, diet, and routine, and take the prescribed medications for adjustment. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Bowel Issues: When to Seek Further Gastrointestinal Evaluation
Understanding Health Insurance Coverage for Oral Antiviral Drugs in Hepatitis B
Issues regarding health insurance coverage for oral antiviral medications for hepatitis B? I have been taking Viread for three years due to hepatitis B, as recommended by my physician. My health insurance coverage for this medication is about to expire. Although my liver enzyme l...
Dr. Chen Shidian Reply:
Hello, sir. According to my understanding, the regulations regarding health insurance have indeed been relaxed, allowing for treatment until the e-antigen becomes undetectable. Therefore, please discuss your medication situation clearly with your physician. Changhua Hospital care...[Read More] Understanding Health Insurance Coverage for Oral Antiviral Drugs in Hepatitis B
Understanding Abdominal Pain: Is It Stomach or Colon Issues?
I can't distinguish between the stomach and the colon? Hello doctor, I started experiencing pain in my upper left abdomen in early April this year. I visited a gastroenterology clinic five times and underwent an upper endoscopy. The doctor said everything was normal and ther...
Dr. Chen Shidian Reply:
Hello, sir. You can start by checking for occult blood in the stool; there's no need to worry too much. If the result is positive, then further examination of the colon will be necessary. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Abdominal Pain: Is It Stomach or Colon Issues?
Could Your GERD Symptoms Indicate a Gastrinoma? Understanding the Connection
Gastroesophageal reflux may be caused by a gastrinoma? Hello, Dr. Tsai. I have been experiencing symptoms of gastroesophageal reflux disease (GERD) for about three years. I have undergone three endoscopies performed by different physicians, all of whom diagnosed me with Grade A G...
Dr. Cai Anshun Reply:
Hello: The incidence of gastrinomas is quite low in terms of probability. The symptoms typically present as persistent, multiple, atypical location peptic ulcers, peptic ulcers accompanied by diarrhea, abnormally thickened gastric mucosal folds, and thickened duodenal and jejunal...[Read More] Could Your GERD Symptoms Indicate a Gastrinoma? Understanding the Connection
Understanding Elevated Liver Enzymes and Fatigue: Key Insights
Elevated liver enzymes and fatigue? Hello Doctor, I have been experiencing unusual fatigue, loss of appetite, and alternating chills and fever for about a month. My health check report regarding liver function shows that both GOT and GPT are at 25 (max. 35), while GGT is at 63 (m...
Dr. Cai Anshun Reply:
Hello: Values within the normal range are considered normal. There is no need to worry excessively. Medications that can be avoided should not be taken unless absolutely necessary. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Elevated Liver Enzymes and Fatigue: Key Insights
Should I Extend My Interferon Treatment for Chronic Hepatitis B?
Please inquire about the interferon treatment regimen for hepatitis B? Hello, I am a carrier of hepatitis B, with vertical transmission from my mother. A year ago, my GOT and GPT levels were about twice the normal values, which qualified me for health insurance coverage. I underw...
Dr. Chen Shidian Reply:
Hello, sir. Interferon treatment is typically standardized for one year, and extending the treatment is not recommended. After discontinuation, there may still be subsequent immune effects, so continued monitoring is necessary. On the other hand, if there is a severe hepatitis fl...[Read More] Should I Extend My Interferon Treatment for Chronic Hepatitis B?
Understanding Gastrointestinal Symptoms: From Throat Issues to Bowel Changes
Borborygmi Hello Dr. Chen, 1. During this period, I have experienced varying stool consistencies, including soft stools, formed stools, and egg-drop-like stools, sometimes accompanied by a mix of egg-drop-like and ribbon-like stools. I also have intermittent bowel sounds, especi...
Dr. Chen Qifeng Reply:
Diarrhea caused by antibiotics may be related to difficult Clostridium difficile infection. To confirm this, relevant diagnostic tests are required.[Read More] Understanding Gastrointestinal Symptoms: From Throat Issues to Bowel Changes
Effective Relief Strategies for Irritable Bowel Syndrome Symptoms
Methods for Relieving Irritable Bowel Syndrome (IBS) Hello Dr. Chen, I apologize for the lengthy message. I have been suffering from irritable bowel syndrome (IBS) for about 10 years, with symptoms including a combination of diarrhea, constipation, bloating, and pain. I only star...
Dr. Chen Qifeng Reply:
Irritable bowel syndrome (IBS) can be managed through dietary and lifestyle modifications, including a low-fat, low-dairy, and gentle diet while avoiding stress. It is recommended to use enzymes as medication and to avoid prokinetic agents.[Read More] Effective Relief Strategies for Irritable Bowel Syndrome Symptoms
Understanding Stomach Ulcers in Teens: Causes, Risks, and Recovery
Abdominal pain for a long time has been diagnosed as a gastric ulcer? Hello, doctor. I am 16 years old. I have been experiencing gastrointestinal discomfort for over a month, and I have lost 3.4 kilograms. Today, I went to the hospital for an endoscopy, and the doctor said that t...
Dr. Cai Anshun Reply:
Hello: 1. Emotional stress, irritant foods, and anti-inflammatory pain medications, among others, can all potentially trigger ulcers. 2. The mucosal repair capacity is quite rapid; when the protective mechanisms of the gastric wall exceed the destructive factors, the mucosa has t...[Read More] Understanding Stomach Ulcers in Teens: Causes, Risks, and Recovery
Understanding Bile Vomiting in Patients with Stomach Ulcers
Bile vomiting due to gastric ulcer? Hello, Doctor. I have been experiencing bloating since around February 2017 and have seen multiple doctors, but my condition remains inconsistent. In late April 2017, I underwent an endoscopy and was diagnosed with Helicobacter pylori and a gas...
Dr. Chen Qifeng Reply:
Medications for eradicating Helicobacter pylori may cause side effects such as nausea, vomiting, or diarrhea. Typically, the treatment lasts for two weeks, after which symptoms should be reassessed to determine if they persist.[Read More] Understanding Bile Vomiting in Patients with Stomach Ulcers
Overcoming Social Anxiety and Gas: A Path to Digestive Relief
Desire to completely resolve irritable bowel syndrome (IBS)? Hello Dr. Yang, My issue arises from specific triggers that cause me to feel anxious, leading to a desire to pass gas. There are two main triggers: 1. When someone is behind me, and 2. In crowded places without compan...
Dr. Yang Zhichao Reply:
Dear Student Li, irritable bowel syndrome (IBS) cannot be completely cured, but symptoms can be reduced or the frequency of episodes can be lowered through medication or changes in mental stress. You can discuss this with your gastroenterologist and also communicate with a psychi...[Read More] Overcoming Social Anxiety and Gas: A Path to Digestive Relief
Understanding Upper Abdominal Pain: Causes, Symptoms, and When to Seek Help
Upper abdominal pain Three weeks ago (during midterm exam week), I started experiencing bloating and some pain in my upper abdomen. Over the past three weeks, I have seen four doctors. The first doctor performed a physical examination and auscultation, diagnosing me with indigest...
Dr. Cai Anshun Reply:
Hello: Based on the location you described, it is likely a gastrointestinal issue, particularly related to the stomach. If you have already avoided irritant foods, including caffeinated beverages, and there is still no improvement, it may be necessary to consult a pediatric gastr...[Read More] Understanding Upper Abdominal Pain: Causes, Symptoms, and When to Seek Help
Understanding Upper Abdominal Pain: Helicobacter Pylori and Beyond
Upper abdominal pain Helicobacter pylori Hello Doctor, I have been experiencing stomach pain and discomfort in the upper right abdomen, so I went to the hospital for treatment. Two days ago, based on the doctor's recommendation, I underwent an upper endoscopy. It showed mild...
Dr. Cai Anshun Reply:
Hello: If you have gastroesophageal reflux disease (GERD) or inflammation of the stomach and duodenum, it is recommended to continue medication for a period of time. A one-week treatment may not be sufficient, and you may need to continue taking gastric medications until symptoms...[Read More] Understanding Upper Abdominal Pain: Helicobacter Pylori and Beyond
Understanding Hepatitis B Relapse After Stopping Medication: Key Insights
Will there be a relapse after stopping liver medication? Hello Doctor: My husband is a carrier of hepatitis B. In June 2015, he visited the hospital due to fatigue, and the results showed GOT 47, GPT 59, indicating abnormal liver function, and triglycerides at 219, with a diagnos...
Dr. Chen Shidian Reply:
Hello, Miss. Patients with abnormal liver function and hepatitis B can use liver-protective medications covered by health insurance, but the cause of the condition needs to be confirmed at a gastroenterology outpatient clinic. If it is fatty liver, dietary control and weight mana...[Read More] Understanding Hepatitis B Relapse After Stopping Medication: Key Insights
Understanding Digestive Issues: Frequent Diarrhea and Abdominal Pain
Bowel movement issues Hello, in the past few months, I have often experienced cramping pain after eating, followed by diarrhea, usually needing to go to the bathroom about twice to feel comfortable, and this occurs several times a day. However, I do not have cramping pain every d...
Dr. Cai Anshun Reply:
Hello: Please be mindful of your diet and avoid foods that may promote gastrointestinal motility, such as tea and coffee. Additionally, some over-the-counter medications or probiotics may also have this effect. If you still cannot find the cause, you may consider consulting a gas...[Read More] Understanding Digestive Issues: Frequent Diarrhea and Abdominal Pain
Managing Post-Meal Discomfort: Tips for Gastritis and Throat Irritation
After eating, experiencing heartburn and a feeling of nausea? Hello Doctor, after consuming canned granulated black sesame, I felt unwell the next day, experiencing a sensation of a foreign body in my throat and nausea, although I did not have any stomach pain at that time. I did...
Dr. Chen Shidian Reply:
Hello, sir. You should be able to resume your diet, avoiding irritating foods, and take your medications as prescribed. If you have no symptoms, you may reduce the dosage. Additionally, you may want to consult your physician about the possibility of Helicobacter pylori infection....[Read More] Managing Post-Meal Discomfort: Tips for Gastritis and Throat Irritation