Others, Gastroenterology and Hepatology FAQ

Managing Bloating and Gas: Tips for Dietary Changes and Relief

Bloating and flatulence? Since the year before last, I have changed my eating habits to consume more vegetables and less meat. However, I have started to experience frequent flatulence, which has become bothersome, even causing bloating when I am on an empty stomach. I have lacto...

Dr. Chen Shidian Reply:
Hello, Miss. There is no specific medication for flatulence (passing gas); please pay attention to avoiding foods that are likely to cause gas. Changhua Hospital cares about your health. Chen Shidian.

Persistent Bloating for 5 Months: Possible Causes and Solutions

Abdominal distension for 5 months? Hello, doctor. I have had a habit of eating a lot and quickly for a long time. In January of this year, I overate during a meal, and since then, I have been experiencing significant bloating in my stomach. I have seen a pediatrician, an internis...

Dr. Chen Shidian Reply:
Hello, sir. It is recommended that you visit the gastroenterology clinic for an examination to alleviate any concerns. Changhua Hospital cares about your health. Chen Shidian.

Understanding Rapid Bowel Motility: Causes and Concerns for IBS

Rapid intestinal peristalsis, frequent flatulence, and a constant urge to defecate? Hello, doctor. For about a month now, I have been experiencing rapid intestinal motility, with constant gurgling sounds! I also find myself passing gas frequently and have a strong urge to have a ...

Dr. Chen Shidian Reply:
Hello, sir. ① You can check for fecal occult blood to rule out other diseases. ② Take medication before meals to control food-induced motility. ③ Avoid oily and dairy products, reduce work stress, and maintain regular meal times and portions. Changhua Hospital cares about your he...

Understanding Gastrointestinal Issues: Managing Excess Gas and IBS Symptoms

Gastroenterology and Hepatology Hello Doctor: I have been experiencing a constant urge to pass gas, with the need to do so every few seconds for over a year now. My diet mainly consists of eating out, which typically includes more meat and less vegetables, although I do consume a...

Dr. Chen Shidian Reply:
Hello, sir. It seems that you are experiencing issues related to gastrointestinal motility, specifically Irritable Bowel Syndrome (IBS). Modifying your dietary habits, such as reducing the intake of gas-producing foods, may help improve your condition. If necessary, medications l...

Over 20 Years of Constipation: Seeking Solutions for My Mother's Digestive Issues

For 20 years, unable to have normal bowel movements? Hello, doctor. My mother was born in 1945, and she is very troubled by her bowel movements. She eats well and drinks at least 10 cups of water a day, with each cup being 300cc. Since our family follows a vegetarian diet, her fi...

Dr. Chen Shidian Reply:
Hello, sir. Slow colonic motility is a bothersome physiological issue, but it does not affect your health or lifespan. You may still need long-term medication assistance and should maintain hydration and exercise as part of your lifestyle. Changhua Hospital cares about your healt...

Understanding Esophageal Ulcers in Teens: Causes and Treatment Options

A 16-year-old child with esophageal ulcer, please advise? My child is 16 years old and started experiencing a warm sensation in the stomach two weeks ago. He usually does not have obvious symptoms of gastroesophageal reflux disease (GERD). A week ago, an endoscopy revealed an eso...

Dr. Chen Qifeng Reply:
Generally, for grade A or B, a 4-month course of PPI is sufficient. However, for grade C or D, a longer treatment duration may be necessary. As for the reasons, they can sometimes be multifactorial.

Understanding Bowel Issues: When to Seek Help for Digestive Health

Bowel issues Hello, Dr. Chen. I am a 23-year-old female studying abroad and I don't often return to Taiwan, so it's difficult for me to seek medical attention immediately. A few months ago, I experienced rectal bleeding after every bowel movement and had constipation. I...

Dr. Chen Qifeng Reply:
Based on the symptoms, it appears to be a hemorrhoid issue. It is recommended to refrain from using traditional Chinese medicine and hemorrhoidal ointments, and it is necessary to seek treatment from a colorectal surgeon.

Understanding Post-Endoscopy Discomfort: Insights on Gastric Issues

Gastrointestinal endoscopy issues? On May 2nd, I underwent an upper gastrointestinal endoscopy due to persistent stomach pain located in the upper left quadrant near the navel. I received sedation during the procedure. After the examination, the doctor mentioned that everything l...

Dr. Chen Shidian Reply:
Hello, sir. You may discuss adjusting your medication with your physician. Local heat application can help relax the gastrointestinal tract. Changhua Hospital cares about your health. Chen Shidian.

Understanding Mucus in Stool: When to Seek Medical Advice

Mucus in stool? Hello Dr. Tsai, I would like to ask about a condition I have been experiencing. I often notice jelly-like brown mucus accompanying my stool, and the color of the mucus is similar to that of the stool. Aside from this, I do not experience any other gastrointestin...

Dr. Cai Anshun Reply:
Hello: It is recommended to seek medical attention first, and have a gastroenterologist evaluate your condition. Generally, a routine stool test will be conducted first, and if any issues are found, an endoscopy will be arranged. Changhua Hospital cares about your health. Dr. Tsa...

Understanding Abdominal Cramps and Watery Diarrhea: Causes and Solutions

Abdominal cramping with watery diarrhea? Hello doctor, this morning I woke up feeling dizzy and a bit nauseous, and my stomach felt strange. I had diarrhea when I went to the bathroom. Then in the afternoon, I suddenly had severe abdominal cramps that kept me from sleeping. I wen...

Dr. Lin Minghui Reply:
Dizziness, nausea, abdominal cramps, watery diarrhea, and chills may indicate gastroenteritis. It is important to stay hydrated and maintain a light diet for the week. Wishing you good health.

Thick Saliva and Foreign Sensation in the Esophagus: Causes and Solutions

Abnormal thick saliva and a sensation of foreign body in the cardia? Hello Doctor: My saliva has become very thick for the past six months, and I feel like there are always bubbles in my mouth, which is very uncomfortable and distressing. I can't help but tighten my mouth to...

Dr. Chen Qifeng Reply:
Based on the symptoms, it may be gastroesophageal reflux disease (GERD), and you should consider visiting a gastroenterologist for an endoscopy.

Understanding Abdominal Vibrations: Causes and Solutions for Your Symptoms

Gastrointestinal issues I would like to ask the doctor, for the past few months, I have been feeling a vibration near my left upper abdomen close to the navel, which feels similar to a heartbeat when I touch it. The sensation is strong enough that my body shakes, especially when ...

Dr. Cai Anshun Reply:
Hello: (1) Due to being relatively thin, you may be feeling the pulsation of the aorta. (2) Relief after bowel movements may indicate an issue related to the colon. It is advisable to follow medical advice, and if there is no improvement, you may return for a follow-up consultati...

Can You Transmit Hepatitis A After Recovery and Antibody Development?

Questions about Hepatitis A? If someone has had hepatitis A and has recovered, they will have developed antibodies against the virus. Therefore, they are not contagious and cannot transmit the virus to others.

Dr. Lin Minghui Reply:
Having antibodies against Hepatitis A can protect against infection. Wishing you good health.

Understanding Abnormal Stool: White Liquid and Yellow Diarrhea Concerns

The stool is hard with some white and transparent fluid around it, while diarrhea consists of a yellowish, translucent liquid? Yesterday afternoon, I noticed some hard stools accompanied by a small amount of white and clear liquid (no blood) during bowel movement, which startled ...

Dr. Lin Minghui Reply:
Normal mucus can lubricate the intestines and aid in peristalsis. In cases of intestinal dryness syndrome, there may be an increase in mucus. When the intestines are inflamed, there may be a foul odor, changes in bowel habits, and an increase in mucus that may change color or eve...

Can You Breastfeed While Taking Hepatitis B Medication?

Can I breastfeed while taking Sibutramine? Dear Doctor: I have been taking ETV (Entecavir) for over a year, and my e-antigen has turned negative. I am currently pregnant and continuing treatment. Is it safe to breastfeed? Are there any clinical cases of breastfeeding while on thi...

Dr. Lin Minghui Reply:
1. Continuing antiviral medication during pregnancy and monitoring viral load is also a preventive measure. 2. The baby should receive the hepatitis B vaccine at birth. 3. Mothers with hepatitis B can breastfeed. Wishing you good health.

Understanding Gastrointestinal Issues After Acute Gastroenteritis

Gastrointestinal issues Hello, doctor. Last March, I had an episode of acute gastroenteritis. At that time, I couldn't seek medical attention, so I didn't take any medication. I fasted for most of the day and then consumed thin porridge for a few days. I lost about four...

Dr. Cai Anshun Reply:
Hello: If you are unable to return to normal after an episode of acute gastroenteritis, it may, in rare cases, lead to irritable bowel syndrome. It is recommended to consult a gastroenterologist for evaluation. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

Morning Nausea and Digestive Discomfort: Solutions for Students

Gastrointestinal discomfort? Hello, doctor! I wake up in the morning feeling bloated and nauseous, often to the point of wanting to vomit. It usually doesn't improve until close to noon, which makes it difficult for me to eat breakfast because I'm afraid of feeling unwe...

Dr. Cai Anshun Reply:
Hello: If you feel nauseous in the morning, it's important to eat a little breakfast; otherwise, it may lead to a vicious cycle. This could be related to mental stress. If the situation does not improve, you may want to consult a gastroenterologist to check for possible gast...

Understanding the Growth of Liver Hemangiomas: What You Need to Know

Hepatic hemangiomas grow larger over time? Hello, Doctor: Our company conducts health check-ups every year. During the first year, an ultrasound examination revealed that I have a 5 cm hepatic hemangioma. The doctor referred me to the hospital for an MRI, which confirmed the diag...

Dr. Lin Minghui Reply:
Hemangiomas are benign tumors caused by vascular proliferation, with unknown origins. Some are congenital, while others may be related to hormones. Generally, hemangiomas are asymptomatic; however, if they are large (greater than 10 centimeters), they may present symptoms such as...

Understanding Right Upper Abdominal Pain: Causes and Solutions

Pain in the upper right quadrant of the abdomen? I experience pain every three to six months, located in the upper right area of my abdomen. I have seen a doctor and undergone ultrasound and gastroscopy, but the doctor said everything is fine. Medications have not been effective,...

Dr. Cai Anshun Reply:
Hello: It is advised not to wait until the pain is unbearable to go to the emergency room. It is recommended to visit a gastroenterology specialist for a proper diagnosis of the issue. The pain in the upper right area may involve organs such as the liver, gallbladder, colon, duod...

Understanding Duodenal Ulcers: PPI Treatment and GERD Risks

Duodenal ulcer 1. If you previously had a duodenal ulcer diagnosed via endoscopy and your physician prescribed a two-month course of proton pump inhibitors (PPIs), it is possible for the physician to prescribe PPIs again if you continue to experience discomfort. Regarding insuran...

Dr. Cai Anshun Reply:
Hello, (1) the reimbursement for an upper gastrointestinal endoscopy is once every four months. (2) It is still possible to experience gastroesophageal reflux, as the action of proton pump inhibitors (PPIs) only raises the pH level; however, the gastric acid remains acidic, just ...

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