Understanding Mild Gastric Ulcers: Symptoms, Treatment Duration, and Medication Safety
Mild peptic ulcer-related issues? Hello, Doctor. I had an endoscopy two weeks ago due to stomach discomfort, and the doctor mentioned that I have a mild gastric ulcer. The doctor prescribed several medications including "Heliobacter pylori eradication therapy, Sucralfate, Om...
Dr. Chen Shidian Reply:
Improvement can be expected within a few days, and it can be combined with anxiety medication.[Read More] Understanding Mild Gastric Ulcers: Symptoms, Treatment Duration, and Medication Safety
Understanding Digestive Issues: Milk, Coffee, and Spicy Foods
Regarding the issue of drinking milk and coffee? Hello, I would like to ask why I experience diarrhea when I drink milk, coffee, or eat spicy food while at work or traveling, but I don't have this issue when I consume the same foods at home. My job requires me to be active, ...
Dr. Lin Minghui Reply:
Hello: It is possible that you have irritable bowel syndrome (IBS), where certain foods trigger gastrointestinal symptoms, but you feel better after a bowel movement. IBS is related to stress. It is important to pay attention to your diet, engage in moderate exercise, and manage ...[Read More] Understanding Digestive Issues: Milk, Coffee, and Spicy Foods
Do Babies with Low Hepatitis B Antibodies Need a Booster Shot?
Is it necessary to receive a booster shot for hepatitis B antibodies? Hello, doctor. I would like to ask about my situation. I am a carrier of hepatitis B, with HBsAg positive and HBeAg negative. My baby is currently 1 year and 1 month old. At birth, he received immunoglobulin an...
Dr. Chen Shidian Reply:
There is limited research on catch-up vaccinations for infants and young children, and no consensus exists. The general principle is that catch-up vaccinations can be administered, and there have been no reports of adverse effects.[Read More] Do Babies with Low Hepatitis B Antibodies Need a Booster Shot?
Understanding Abdominal Pain: When to Seek Help for Digestive Issues
Abdominal pain I previously had issues with constipation and spent nearly half an hour in the bathroom, only to pass a small amount. The doctor prescribed a laxative, which I took three tablets before bed for three weeks. After taking the medication, I find that I have to wait fo...
Dr. Cai Anshun Reply:
Hello: It is a normal drug reaction to experience increased flatulence or an increased frequency of bowel movements after taking a laxative. If this is bothersome, you may consider reducing the dosage or discontinuing the medication, and then follow up for adjustments. Changhua H...[Read More] Understanding Abdominal Pain: When to Seek Help for Digestive Issues
Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Next Steps
Gastroesophageal reflux disease (GERD) Hello Doctor, I suddenly experienced severe stomach pain and chest pain one day in mid-May, so I went to see a doctor during my lunch break. At that time, I was feeling very uncomfortable, and I had previously often experienced chest pain, h...
Dr. Hu Guozheng Reply:
If symptoms do not improve with medication, please return for a follow-up appointment to discuss with the original prescribing physician. Thank you.[Read More] Understanding Gastroesophageal Reflux: Symptoms, Diagnosis, and Next Steps
Understanding Hepatitis Infection Risks from Sexual Activities
Risk of Hepatitis Infection through Sexual Activity Hello, doctor. I found online that engaging in risky behaviors can increase the risk of hepatitis infection, so I have some questions to ask. 1. Is there a possibility of contracting hepatitis A, B, or C, or other types of hep...
Dr. Chen Shidian Reply:
First, it is best to confirm whether the other person has hepatitis (and HIV, etc.). If this cannot be confirmed, then check if you have hepatitis yourself. After that, retest after 1 and 3 months. If there are symptoms of hepatitis (nausea, loss of appetite, jaundice), seek medi...[Read More] Understanding Hepatitis Infection Risks from Sexual Activities
Impact of Taking Multiple Stomach Medications: What You Need to Know
Medication issues This morning, after having breakfast, I accidentally took my pain relief medication, Acetaminophen, along with my gastric medications, Moshu Weiqing enteric-coated tablets and Gaske Er tablets, which I was supposed to take before meals. What impact could taking ...
Dr. Chen Shidian Reply:
Eating more is not a problem for now; continue taking the others as scheduled.[Read More] Impact of Taking Multiple Stomach Medications: What You Need to Know
Understanding Your Gastroscopy Report: Insights on Type IIa Lesions
Gastrointestinal Endoscopy Report Recently, I underwent a painless gastroscopy and saw the report in English on the app. I noticed a type IIa classification, which made me very anxious. I would like to ask the doctor to take a look at what this means. Thank you. Epigastralgia ...
Dr. Yang Zhichao Reply:
For medical explanations regarding issues, please visit the outpatient clinic for clarification.[Read More] Understanding Your Gastroscopy Report: Insights on Type IIa Lesions
Understanding Helicobacter Pylori: Survival, Treatment, and Infection Risks
Issues related to Helicobacter pylori? Hello doctor, I would like to ask some questions about Helicobacter pylori. 1. How long can Helicobacter pylori survive on surfaces? I have found various answers in my research; some say a few hours, others say 2 to 3 days, and even some s...
Dr. Hu Guozheng Reply:
Hello, for information related to Helicobacter pylori, you can visit the official website of the Ministry of Health and Welfare's National Health Service (https://www.hpa.gov.tw/). If you experience any discomfort, it is recommended to consult a gastroenterologist for evalua...[Read More] Understanding Helicobacter Pylori: Survival, Treatment, and Infection Risks
Risk of Hepatitis C Infection from Blood Splash: What You Need to Know
Exposure to blood splatter from a patient with hepatitis C? Hello, doctor. I am a nursing staff member at a certain hospital. Today, after performing dialysis on a patient, I accidentally got blood mixed with saline splashed into my eyes while cleaning the equipment. I can confir...
Dr. Chen Shidian Reply:
It is recommended to first confirm the patient's viral load (patients with hepatitis C on dialysis have repeatedly been advised by the association to undergo definitive treatment to prevent transmission to others) and notify the infection control physician at your hospital. ...[Read More] Risk of Hepatitis C Infection from Blood Splash: What You Need to Know
Morning Bloating and Gas: Causes and Remedies for Your Discomfort
I experience bloating and excessive flatulence every morning? Hello Dr. Tsai, every morning when I wake up and still lying in bed, I often feel the urge to pass gas, but my family does not have this issue. Sometimes, I even feel the need to use the bathroom, which is a bit bother...
Dr. Cai Anshun Reply:
Hello: Waking up in the morning with the urge to pass gas or have a bowel movement is a personal habit and is generally not a concern. However, eating a late-night snack before bed is not recommended. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Morning Bloating and Gas: Causes and Remedies for Your Discomfort
Understanding Color Changes in Stool: Yellow and Brown Segments Explained
Inquiry Consultation Dear Dr. Tsai, Hello. Today (April 20), during my bowel movement, I noticed that my stool was in a long shape, but the colors at both ends were inconsistent; the front part was yellow, and the back part was brown, with a clear boundary between the two colors...
Dr. Cai Anshun Reply:
Hello: 1. This is generally considered a normal phenomenon, often significantly influenced by food. 2. Yellow stool may raise suspicion for pancreatic or biliary diseases, or it could be due to malabsorption of nutrients in the small intestine. Since yellow and brown can be diffi...[Read More] Understanding Color Changes in Stool: Yellow and Brown Segments Explained
Understanding Persistent Pain After Suspected Muscle Strain in the Abdomen
Suspected muscle strain in the lower right abdomen, with pain radiating to multiple areas? Initially, I experienced a small pain in the lower right abdomen (approximately 5-6 cm above the pubic area on the right side) during the Spring Festival. However, after the festival, the p...
Dr. Lin Minghui Reply:
Muscle strains can sometimes lead to difficulty in movement. Discomfort may occur in the early morning and evening, with gastric motility triggering soreness in nearby areas. The pain from a muscle strain can take some time to alleviate, and there are many potential causes of abd...[Read More] Understanding Persistent Pain After Suspected Muscle Strain in the Abdomen
Understanding Acute Gastroenteritis: Symptoms and Recovery Timeline
Acute gastroenteritis with watery diarrhea? Hello, doctor. A few days ago, a couple of hours after lunch, I suddenly felt unwell and started vomiting profusely. It felt like acute gastroenteritis. Although I felt a bit better after vomiting, I still experienced some nausea (the f...
Dr. Chen Shidian Reply:
It varies by individual and condition, typically around 3-5 days. If symptoms are severe, medical attention and medication may be necessary for control and improvement. It is important to disinfect the toilet and hands after use to prevent transmission to others.[Read More] Understanding Acute Gastroenteritis: Symptoms and Recovery Timeline
Morning Stomach Pain and Diarrhea: Is It Irritable Bowel Syndrome?
Experiencing abdominal pain and diarrhea after waking up? Hello Doctor, I have been experiencing this issue since around middle school. Sometimes, after I wake up in the morning and have breakfast, I will have stomach pain and the urge to use the bathroom within about 1-2 hours. ...
Dr. Cai Anshun Reply:
Hello: After meals, especially after breakfast, the urge to have a bowel movement should not be considered irritable bowel syndrome; rather, it is likely a manifestation of the gastrocolic reflex. If it is not too bothersome, you can take the opportunity to have a complete bowel ...[Read More] Morning Stomach Pain and Diarrhea: Is It Irritable Bowel Syndrome?
Understanding Hepatitis B Transmission Risks for Carriers
Inquiry about Hepatitis B transmission? Hello, I am a carrier of hepatitis B and currently taking Viread (tenofovir disoproxil fumarate). In February of this year, I underwent the following tests: Test order name: Quantitative Polymerase Chain Reaction for Deoxyribonucleic Acid; ...
Dr. Chen Shidian Reply:
It is unlikely to be contagious, but if medication is stopped, there is a high risk of viral relapse. Please follow your physician's medication regimen.[Read More] Understanding Hepatitis B Transmission Risks for Carriers
Understanding Hepatitis B Transmission Risks: Low Viral Load Explained
Inquiry about Hepatitis B Transmission (Continued) Hello, I am the questioner of Q&A <a href="https://adoctor.tw/article/194207">#194207</a> (regarding HBV DNA viral load, with a test result of <10). Thank you for your response. In your previous reply...
Dr. Chen Shidian Reply:
High viral load is required for transmission through blood or bodily fluids (especially if the other person has not been vaccinated). When medication is taken, the viral load decreases significantly, and the likelihood of transmission is almost negligible.[Read More] Understanding Hepatitis B Transmission Risks: Low Viral Load Explained
Understanding Chest Discomfort: Is It Gastroesophageal Reflux?
Chest tightness issue? Hello, doctor. I have been experiencing chest tightness that often occurs suddenly while sitting or standing, and it is accompanied by nausea and a feeling of wanting to vomit. When I do vomit, the contents are acidic, and the chest tightness disappears imm...
Dr. Lin Minghui Reply:
A 26-year-old female is experiencing chest tightness, nausea, and a desire to vomit. After vomiting gastric acid, her chest tightness improves, which may indicate gastroesophageal reflux disease (GERD) or other issues. The symptoms of GERD do not always correlate with the finding...[Read More] Understanding Chest Discomfort: Is It Gastroesophageal Reflux?
Understanding Upper GI Endoscopy Results: Key Findings and Recommendations
Upper gastrointestinal endoscopy results? [First Endoscopy Findings]: (Esophagus): Mucosal break at the esophagogastric junction less than 5mm. (Stomach): CLO test was performed. Hyperemic mucosal changes at the antrum, shallow gastric ulcer at the antrum, s/p. (Duodenum): Narrow...
Dr. Chen Shidian Reply:
The grading of gastroesophageal reflux disease (GERD) can be somewhat subjective and may vary between physicians. The principle of treatment is to control symptoms with proton pump inhibitors (PPIs) such as Nexium. If there is no Helicobacter pylori infection, antibiotics are not...[Read More] Understanding Upper GI Endoscopy Results: Key Findings and Recommendations
Understanding Chronic Abdominal Pain: Possible Causes and Next Steps
Chronic unexplained abdominal pain? Hello, doctor. For the past six months, I have frequently experienced abdominal bloating and pain accompanied by cold sweats, nausea, dizziness, and a feeling of wanting to vomit. The pain is not localized and can be felt from below the ribs to...
Dr. Chen Shidian Reply:
Please discuss with a gastroenterologist and implement dietary control along with moderate exercise to reduce stress. An ultrasound examination may also be considered.[Read More] Understanding Chronic Abdominal Pain: Possible Causes and Next Steps