Interactions Between PPI Medications and Cardiovascular Drugs: What You Need to Know
Regarding the interactions of proton pump inhibitors (PPIs) with other medications? Dear Director Chen, To avoid confusion in the description, I will not elaborate on the medication schedule and disease progression. My main question is regarding the interaction between cardiolog...
Dr. Chen Shidian Reply:
There are currently no known special interactions.[Read More] Interactions Between PPI Medications and Cardiovascular Drugs: What You Need to Know
Understanding Medication Side Effects: Hunger and Stomach Ulcers
Medication Side Effect Consultation After undergoing an upper gastrointestinal endoscopy, symptoms of a gastric ulcer were found. The physician prescribed two medications: Nizatidine and Mosapride. Mosapride is taken after meals. Is it common for this medication to cause a notice...
Dr. Chen Shidian Reply:
It may be due to the effects of the medication; consider reducing the dosage or temporarily discontinuing it. If necessary, a medication switch may be warranted.[Read More] Understanding Medication Side Effects: Hunger and Stomach Ulcers
Understanding Irritable Bowel Syndrome: Symptoms and Emotional Connections
Irritable Bowel Syndrome (IBS) Symptoms Issues Hello, doctor. To provide some background, I have been experiencing mental health issues (anxiety and obsessive-compulsive disorder) and take Alprazolam and an SSRI every night. Recently, my doctor prescribed Lorazepam as a backup me...
Dr. Chen Shidian Reply:
It is just an abnormal sensation/sensitivity; you can increase your intake of fruits and vegetables and stay hydrated, and engage in activities after meals. Just monitor the situation.[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Emotional Connections
Understanding Recent Changes in Diarrhea and Gastrointestinal Health
Regarding the issue of diarrhea? Hello, Doctor! In the past couple of years, I've noticed that when I have diarrhea, I often can't hold it in and have almost had accidents in my pants. I remember that in the past, when I had stomach pain, I could sense that I needed to ...
Dr. Yang Zhichao Reply:
Hello Mr. Lee Min-ho from Hsinchu, based on your symptoms, it seems you may have irritable bowel syndrome (IBS). I recommend that you consult a physician for an examination, who can provide you with some medications and lifestyle modification advice. Thank you for your inquiry. (...[Read More] Understanding Recent Changes in Diarrhea and Gastrointestinal Health
Persistent Stomach Pain and Bloating: When Medications Fail
Stomach pain and bloating that do not improve with medication? Hello, doctor. I've been experiencing gastrointestinal bloating and stomach pain for two months. I underwent an endoscopy, and the doctor diagnosed me with gastric erosion and gastroesophageal reflux disease (GER...
Dr. Cai Anshun Reply:
Hello: In addition to medication, dietary habits are also very important. Beverages such as tea (black/green/milk tea), coffee, smoking, alcohol, fried foods, spicy foods, sweets, and chocolate can have an impact. Avoid late-night snacks, eat until satisfied without lying down, r...[Read More] Persistent Stomach Pain and Bloating: When Medications Fail
Can You Take Stomach Medications with DuHua Liquid?
Drug interactions Can stomach medication be taken together with Duohua solution?
Dr. Chen Shidian Reply:
Sure![Read More] Can You Take Stomach Medications with DuHua Liquid?
Understanding Vomiting After Meals: Causes and Solutions
Gastrointestinal issues, vomiting? Hello doctor, for the past week, I have frequently felt the urge to vomit after eating, and it’s the kind of nausea that makes me actually vomit when I bend over. Even drinking a little water triggers the same response. However, aside from the v...
Dr. Chen Shidian Reply:
You can start with small, frequent meals and take prokinetic medications. If symptoms persist, consider undergoing an upper gastrointestinal endoscopy. If the menstrual changes are related, then consult a gynecologist.[Read More] Understanding Vomiting After Meals: Causes and Solutions
Understanding Negative E Antigen and Antibody Results in Hepatitis B
Both e antigen and e antibody are negative? Hello Dr. Chen, I am a hepatitis B patient. This month, my tests for hepatitis B e-antigen (HBeAg) and hepatitis B e-antibody (anti-HBe) were both negative. Does this mean I have recovered?
Dr. Chen Shidian Reply:
It is likely due to the natural attenuation of the virus or the suppressive effects of antiviral medications. Most of the virus still exists within liver cells, leading to a state of coexistence, and regular monitoring is still necessary.[Read More] Understanding Negative E Antigen and Antibody Results in Hepatitis B
Can Long-Term Use of Stomach Medications Cause Insomnia and Frequent Urination?
Can long-term use of stomach medications cause frequent urination and insomnia? Hello Dr. Chen, I started taking PPIs (proton pump inhibitors), sympatholytics, and relaxants in May. Since August, I have been experiencing some urgency to urinate at night, waking up either due to a...
Dr. Chen Shidian Reply:
There should be no correlation between stomach medication and insomnia; please discuss this with a psychiatrist.[Read More] Can Long-Term Use of Stomach Medications Cause Insomnia and Frequent Urination?
Sudden ALT Spike and Hemoglobin Drop: Is Alcohol to Blame?
Sudden elevation of ALT and a sudden decrease in hemoglobin? On the evening of December 2nd, I consumed alcohol and developed a rash that lasted until December 5th. On December 6th, when I went to donate blood, I was informed that my hemoglobin level was at the borderline of acce...
Dr. Chen Shidian Reply:
It is recommended to consult a hepatobiliary and gastroenterology specialist, and to discontinue alcohol consumption and unnecessary medications.[Read More] Sudden ALT Spike and Hemoglobin Drop: Is Alcohol to Blame?
Alternatives to Biotase for Improving Digestive Health and Weight Gain
Medications to improve poor gastrointestinal function? Hello Dr. Tsai, thank you for your response. My weight is already on the low side, with a BMI of only 17.1. Although I am in good health, I am still too thin, so I hope to gain weight. I am currently taking medication for irr...
Dr. Cai Anshun Reply:
Hello: I won't specifically recommend any medications or probiotics. It's important to pay attention to balanced nutrition and engage in moderate exercise. Gaining weight is not necessarily the goal. Sometimes weight gain can lead to an increase in body fat, which can b...[Read More] Alternatives to Biotase for Improving Digestive Health and Weight Gain
Understanding Post-Illness Stomach Pain and Digestive Issues
Stomach pain and diarrhea? On Tuesday, I caught a slight cold with symptoms including chills, fever, and diarrhea. After taking cold medication, my fever subsided, but then I started experiencing stomach pain and continued diarrhea, especially after meals. Currently, I still have...
Dr. Chen Shidian Reply:
Start with a light diet, eat small meals frequently, and adjust medications as necessary during outpatient visits.[Read More] Understanding Post-Illness Stomach Pain and Digestive Issues
Medications to Enhance Gastrointestinal Absorption and Manage Diarrhea
Medications to improve poor gastrointestinal function? Hello, doctor. Are there any medications to improve poor gastrointestinal absorption? My constitution makes it difficult for me to gain weight, and my health check-up (including metabolism) came back normal. I also had an end...
Dr. Cai Anshun Reply:
Hello: Being healthy is what matters, not just gaining weight. Besides probiotics, medications for irritable bowel syndrome can also reduce the frequency of diarrhea, and you can ask a clinician to prescribe them. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Medications to Enhance Gastrointestinal Absorption and Manage Diarrhea
Unexplained Abdominal Pain Below the Belly Button in Children
Abdominal pain located directly below the navel with an unknown cause? Hello Doctor, my child was diagnosed and recovered from an illness in August 2022. Since then, for unknown reasons, she has been experiencing abdominal pain about an inch below the navel, along with constipati...
Dr. Hu Guozheng Reply:
Hello Mr. Wang, I apologize for not having many cases in this area, and I have encountered few situations as severe as your daughter's. However, there are many potential causes for abdominal pain. For lower abdominal pain, aside from the gastrointestinal tract, the urinary s...[Read More] Unexplained Abdominal Pain Below the Belly Button in Children
Managing Acid Reflux: Can You Buy Over-the-Counter Medications?
Gastroesophageal reflux disease (GERD) I have been experiencing gastroesophageal reflux for the past two to three months. I previously underwent an endoscopy, and the doctor said it was not severe, classified as mild gastroesophageal reflux. After taking medication, the symptoms ...
Dr. Hu Guozheng Reply:
Sure.[Read More] Managing Acid Reflux: Can You Buy Over-the-Counter Medications?
Understanding Gastrointestinal Issues: Symptoms and Concerns
Bowel-related issues, gastrointestinal problems? Due to an unstable routine over the past two months, combined with the consumption of spicy foods and a tendency to overeat, I have been experiencing constipation for more than a month. About two weeks ago, I noticed passing what a...
Dr. Hu Guozheng Reply:
According to your statement, there should be a difference in the color and consistency of the stool, and although a recent endoscopy was normal, the issue has recurred. Gastrointestinal bleeding can manifest as black or bloody stools, but not all black stools necessarily indicate...[Read More] Understanding Gastrointestinal Issues: Symptoms and Concerns
Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Next Steps
Diagnosed with irritable bowel syndrome (IBS)? Doctor, I had a suspected case of acute gastroenteritis two months ago, and after taking medication, it seems to have triggered gastrointestinal dysfunction. I was recently diagnosed with irritable bowel syndrome (IBS). My current sy...
Dr. Hu Guozheng Reply:
If symptoms worsen or persist for more than 3-6 months, leading to weight loss, it may be advisable to consult a physician to discuss the necessity of further examinations. The specific tests to be conducted would depend on the current symptoms and should be assessed accordingly....[Read More] Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Next Steps
Is This Bump at the Anus Causing My Constipation?
Is this symptom indicative of external hemorrhoids? Hello, doctor. I have noticed a lump at the anal opening that can be pushed back in when I exert myself. Recently, I have been experiencing difficulty with bowel movements, which has caused discomfort and a feeling of fullness i...
Dr. Lin Minghui Reply:
Hello: Difficulty in bowel movements and the sensation of something protruding from the anus may indicate hemorrhoids. The anal cushions are composed of blood vessels, connective tissue, and smooth muscle fibers, primarily functioning to prevent the involuntary leakage of rectal ...[Read More] Is This Bump at the Anus Causing My Constipation?
Persistent Bad Breath: Exploring Gastrointestinal and ENT Issues
Foul-smelling breath? Since October, I have been experiencing a foul odor in my breath that seems normal to me, although I can occasionally smell it (it's not pungent). Every time I take the subway three times, people around me start to react to the smell (coughing, covering...
Dr. Chen Shidian Reply:
Halitosis is primarily caused by dental issues. Additionally, one can opt for self-paid testing for Helicobacter pylori and undergo eradication therapy.[Read More] Persistent Bad Breath: Exploring Gastrointestinal and ENT Issues
Understanding Abdominal Pain and Bloating: A Gastrointestinal Perspective
Abdominal distension and lower abdominal pain? Last month, one day after just waking up, I experienced severe abdominal cramps, sweating, and persistent diarrhea. This was unusual for me, as I typically suffer from constipation. I had occasionally taken probiotics to help with bo...
Dr. Chen Shidian Reply:
Fecal occult blood testing can be performed for reference; if the results are normal, it should still be considered as abnormal gastrointestinal motility.[Read More] Understanding Abdominal Pain and Bloating: A Gastrointestinal Perspective