Managing Flatulence and Bad Breath in Seniors: A Gastroenterology Perspective
A 71-year-old elderly individual is experiencing issues with flatulence and halitosis? Hello doctor, my mother was born in 1939 and is currently 71 years old. She usually has a light diet and has lactose intolerance. For breakfast, she typically eats one egg and sometimes has a g...
Dr. Chen Shidian Reply:
If there are no specific symptoms, it is recommended to first have a dental examination for bad breath.[Read More] Managing Flatulence and Bad Breath in Seniors: A Gastroenterology Perspective
Morning Bloating and Urgency: Solutions for Digestive Discomfort
I often feel bloated and have the urge to have a bowel movement? Hello, I experience bloating almost every morning when I wake up, and I often feel the urge to pass gas, sometimes accompanied by burping. Due to the frequent need to pass gas, I sometimes feel the urge to have a bo...
Dr. Cai Anshun Reply:
Hello: Feeling the urge to have a bowel movement upon waking, along with gastrointestinal motility leading to belching and gas, may be a normal physiological response. It could also be a manifestation of irritable bowel syndrome triggered by psychological stress. However, if you ...[Read More] Morning Bloating and Urgency: Solutions for Digestive Discomfort
Managing Gastrointestinal Issues and Medication Consultation After Quitting Smoking
Consultation on Gastrointestinal Bloating and Medications Hello Dr. Chang, 1. After quitting smoking in early September, I have been experiencing withdrawal symptoms, including severe bloating. 2. On October 15, I underwent an upper gastrointestinal endoscopy and ultrasound. The...
Dr. Zhang Kebin Reply:
Dear Mr. PY, You have the following concerns: (1) Can these medications be taken simultaneously? (2) Are there any side effects that should be particularly noted? (3) Can gastroesophageal reflux disease (GERD) simultaneously trigger nasal congestion, throat discomfort, hoarsenes...[Read More] Managing Gastrointestinal Issues and Medication Consultation After Quitting Smoking
Understanding Loose Stools: Causes and Solutions for Digestive Health
Frequent loose stools? Hello Doctor, I usually have a bowel movement in the morning after waking up. Last year, I had an external hemorrhoid and became concerned about potential gastrointestinal issues, so I underwent a colonoscopy at the hospital. The doctor indicated that the r...
Dr. Cai Anshun Reply:
Hello: Your stool consistency does not seem abnormal; it is just a bit softer. If you experience excessive frequency, diarrhea, or cramping, then medication may be necessary. Just avoid irritating foods and there is no need to worry too much. Changhua Hospital cares about your he...[Read More] Understanding Loose Stools: Causes and Solutions for Digestive Health
Understanding Hepatitis B Antigen and Antibody Results: What You Need to Know
Hepatitis B antigen and antibody issues? Hello Doctor: In August, I had blood tests for arthritis at the rheumatology department, and the physician also conducted tests for viral hepatitis. The report indicated that my hepatitis B surface antigen antibody level was 1.28, which ex...
Dr. Lin Minghui Reply:
Hello: Regarding the issue of hepatitis B antigen and antibody. If there is hepatitis B surface antigen but no hepatitis B antibodies, the individual is considered a carrier. Liver function tests may be normal, so regular monitoring of liver function, AFP (alpha-fetoprotein), and...[Read More] Understanding Hepatitis B Antigen and Antibody Results: What You Need to Know
Unexplained Weight Loss and Duodenal Ulcer: Seeking Answers
Continuous weight loss, diagnosed with duodenal ulcer, and blood tests show no issues? Hello Dr. Tsai, I am 31 years old. From August 11 to August 23, I experienced a rapid weight loss of 4 kilograms. My diet and appetite have been normal, but my weight dropped from 78.5 kg to 74...
Dr. Cai Jinji Reply:
Hello Mr. Vincent: I would like to know from what weight you started to lose and how long it has been? Do you have any other symptoms? I recommend consulting your physician to see if a referral to another specialty, such as endocrinology or others, is necessary. Director Cai Jin-...[Read More] Unexplained Weight Loss and Duodenal Ulcer: Seeking Answers
Understanding Hepatitis B Transmission: Myths and Facts
Concerns about Hepatitis B transmission? Hello doctor! I have a friend who says he is a carrier of hepatitis B and that he was infected perinatally. However, he claims that he will not transmit the virus to others. Is there any truth to this statement, or am I misunderstanding so...
Dr. Chen Shidian Reply:
Blood can still transmit infections (hence, blood donation is not allowed), while food does not transmit infections.[Read More] Understanding Hepatitis B Transmission: Myths and Facts
Health Risks of Organic Solvents and Surfactants: What You Need to Know
Inquiries about the potential health hazards of organic solvents, surfactants, and other harmful substances? Hello, I was cleaning the bottles of a sticker remover (ingredients: organic solvents, surfactants) and a super glue remover (ingredients: hydrocarbons, surfactants). The ...
Dr. Chen Shidian Reply:
Sorry, there are no relevant reports available.[Read More] Health Risks of Organic Solvents and Surfactants: What You Need to Know
Understanding Gastrocardiac Syndrome: Symptoms, Diagnosis, and Treatment Options
Gastrocardiac syndrome Hello Dr. Tsai, thank you for clarifying things for everyone. I would like to ask you about my condition. After meals, I often experience premature ventricular contractions (PVCs). Cardiac examinations have shown no issues, and they are considered benign, b...
Dr. Cai Anshun Reply:
Hello, "gastric heart syndrome" refers to symptoms such as palpitations and angina caused by acid reflux, which will not present with ventricular premature contractions (VPC) in the absence of arrhythmias. My recommendation is to follow up with a cardiologist to see if ...[Read More] Understanding Gastrocardiac Syndrome: Symptoms, Diagnosis, and Treatment Options
Managing Gas Issues After Treatment: When to Seek Further Medical Advice
Follow-up on gas emission issues? Hello Doctor: I am the person who asked question #171859. After visiting the clinic, the doctor diagnosed me with mild hemorrhoids and gastrointestinal dyspepsia after a consultation and physical examination. I was prescribed medication for hemor...
Dr. Chen Shidian Reply:
That is an anti-bloating agent. In daily diet, avoid foods that are prone to cause bloating or try using probiotics.[Read More] Managing Gas Issues After Treatment: When to Seek Further Medical Advice
Struggling to Gain Weight: Gastrointestinal Concerns Explained
Unable to gain weight? Hello, doctor. I've had trouble gaining weight since I was young, and my weight has remained unchanged until now, which bothers me a lot. My stools are often loose and unformed, and I frequently experience gas. However, I really want to gain weight. Wh...
Dr. Cai Anshun Reply:
Hello: Long-term unformed stools will not lead to fecal impaction or constipation. If there are multiple occurrences, you may consider using medications for irritable bowel syndrome. Health is the most important thing; being overweight is not necessary. If you suspect a metabolic...[Read More] Struggling to Gain Weight: Gastrointestinal Concerns Explained
Understanding Stool Color Changes: When to Worry About Black Spots
Bowel-related issues? Hello doctor, I have recently started to pay special attention to the characteristics of my stool during bowel movements. I noticed that my stool is yellow, but for a continuous period, there have been black spots in it. Some are long, black streaks, while o...
Dr. Cai Jinji Reply:
Hello Mr. A-Kai: In general medical terms, black stools refer to feces that have a tarry appearance. If you are truly concerned, it is advisable to take a picture first and then visit a hospital to consult a physician. Director Cai Jin-ji, Department of Hepatobiliary and Gastroen...[Read More] Understanding Stool Color Changes: When to Worry About Black Spots
Does Coffee Help with Bowel Movements? Understanding Its Effects
Bowel movement issues and the effects of coffee? Hello, Doctor. Thank you for taking the time to answer my questions. My mother is 58 years old and has regular bowel movements every day, but she often feels that they are not very smooth. It can take her about 10 minutes in the re...
Dr. Chen Shidian Reply:
Drink plenty of water at any time, and it's even better when combined with a variety of fruits and vegetables. Moderate coffee consumption can aid in bowel movements without concerns of causing gastrointestinal paralysis. Additionally, increasing physical activity or exercis...[Read More] Does Coffee Help with Bowel Movements? Understanding Its Effects
Why Does Hitting the Left Buttock Cause Abdominal Pain?
If you tap on the left side of your buttocks, it causes cramping pain in your abdomen? Hello, could you please explain why I experience abdominal pain when I tap on the left side of my buttocks? I’ve asked others, and it seems they don’t have this issue. Should I see a doctor for...
Dr. Zhang Kebin Reply:
Hello Ms. Yang! You inquired about experiencing abdominal pain when tapping your left buttock. It is unclear which specific area of your abdomen is painful, how long the pain lasts, and the severity of the pain. I recommend that you visit a gastroenterologist at a hospital for a ...[Read More] Why Does Hitting the Left Buttock Cause Abdominal Pain?
Understanding Abdominal Pain: Is IBS the Culprit Behind Your Discomfort?
Abdominal pain Hello, doctor. I would like to ask if irritable bowel syndrome (IBS) can cause a sharp pain in the abdomen while moving. I experience a sharp and pulling sensation in the right side of my abdomen whenever I stretch my body or apply pressure to my stomach. My usual ...
Dr. Chen Shidian Reply:
If others can also feel your lump, you should seek medical attention. If it is only a sensation, you can continue to monitor it, but if you are still concerned, it is advisable to consult a doctor.[Read More] Understanding Abdominal Pain: Is IBS the Culprit Behind Your Discomfort?
Tattooing with Hepatitis B: Safety and Considerations for Carriers
Tattooing in Hepatitis B Carriers Hello Doctor, I am a carrier of hepatitis B, but my liver condition is normal, and my liver enzymes do not fluctuate frequently. I am considering getting a tattoo on my upper arm, approximately 6x4 cm in size. The shop uses disposable needles, so...
Dr. Zhang Kebin Reply:
Hello, Mr. O! You asked whether the pigments from tattoos are absorbed by the liver. Generally, pigments tend to remain in the skin, so I believe your real question is whether tattoos can affect liver function. Some organic solvents or chemicals can indeed cause liver damage; som...[Read More] Tattooing with Hepatitis B: Safety and Considerations for Carriers
Understanding Chronic GERD: Causes of Bad Breath and Throat Pain
Long-term gastroesophageal reflux disease (GERD) has been present for a long time? Hello doctor, I have very severe halitosis that has become so bad that even when others wear masks, they can still smell it. This has significantly affected my life. I also have severe gastroesopha...
Dr. Zhang Kebin Reply:
Dear Miss, Regarding your inquiry about long-term severe gastroesophageal reflux disease (GERD), it is noted that your symptoms improve with medication. I recommend discussing long-term medication management with your primary physician. If you are experiencing issues with being...[Read More] Understanding Chronic GERD: Causes of Bad Breath and Throat Pain
Overcoming Obsessive Cleanliness: A Personal Struggle with Hygiene
Wiping after using the toilet has become a daily challenge? 1. The issue of whether I clean myself properly after using the restroom has been bothering me for several years. 2. I once consulted a psychiatrist about whether my behavior could be classified as obsessive-compulsive ...
Dr. Chen Shidian Reply:
The gastroenterology department may no longer be able to provide assistance (other than suggesting the use of a toilet designed for hemorrhoid relief). If you are open to it, you may consider discussing this with a psychiatrist.[Read More] Overcoming Obsessive Cleanliness: A Personal Struggle with Hygiene
Should You Get a Hepatitis B Vaccine Boost? Conflicting Medical Opinions Explained
Should hepatitis B vaccination be administered or not? Hello Doctor, my husband is a carrier of hepatitis B and his levels are often high. In November 2019, I tested: HBsAg negative at 0.40 COI, and anti-HBs positive at 41.5. At that time, Doctor A advised me to receive the vacci...
Dr. Chen Shidian Reply:
If you don't mind/for the highest standard, administer one dose, then measure antibody levels after one month. After that, test every 2-3 years, and if the levels decrease, administer another dose, following the practices of healthcare workers.[Read More] Should You Get a Hepatitis B Vaccine Boost? Conflicting Medical Opinions Explained
Understanding Hepatitis C: Are You Still Considered Infected?
Hepatitis C testing issues? 1. On 10/15/2011, Anti-HCV was 4.12 (+) R. May I ask the deputy director: The doctor said I have been infected with Hepatitis C, and the antibody is positive. Am I still considered a Hepatitis C patient by the doctor? 2. On 05/03/2010, the examinatio...
Dr. Chen Shidian Reply:
Previously infected, currently virus-free (not contagious to others/no further treatment required), just need to follow up with blood tests/ultrasound every six months.[Read More] Understanding Hepatitis C: Are You Still Considered Infected?