Understanding Gastrointestinal Issues: Symptoms and Solutions
Gastrointestinal issues Hello, doctor! I've been experiencing gastrointestinal issues since I was 15 or 16 years old. I've seen quite a few doctors, but they all just diagnosed me with gastritis. I have been taking medication, and it usually helps, but over the past cou...
Dr. Lin Minghui Reply:
Hello: The organs in the upper abdomen include the stomach, intestines, liver, gallbladder, pancreas, abdominal cavity, as well as muscles and nerves. If there are issues with these organs, it can sometimes cause pain. If you are experiencing stomach pain, along with symptoms of ...[Read More] Understanding Gastrointestinal Issues: Symptoms and Solutions
Understanding Black Oily Spots in Stool: Possible Causes and Concerns
Black oily stools after a bowel movement? In the past few days, I have noticed small black oil droplets floating on the surface of the water after bowel movements. The stools are relatively soft and a deep brownish-yellow color. On two occasions, I passed about 1cc of a yellowish...
Dr. Yuan Hongdao Reply:
Hello: Oily stools may indicate issues with the liver, pancreas, or small intestine, leading to poor digestion and absorption of fats. Weight loss medications may also have side effects that result in fatty stools, while honey vinegar does not cause fatty stools. It is advisable ...[Read More] Understanding Black Oily Spots in Stool: Possible Causes and Concerns
Understanding Discomfort in the Left Abdomen: Causes and Solutions
Pain Hello Doctor: I am unsure of the cause, but I am experiencing significant discomfort in the area about a fist's width to the left of my navel. It feels like a contraction or knotting sensation that lasts for a long time (about half an hour or more before it eases). It d...
Dr. Yuan Hongdao Reply:
Hello; left abdominal pain may be due to urinary tract stones, intestinal issues, or problems with the stomach or pancreas. It is recommended that you seek medical evaluation for a definitive diagnosis. A small hard lump below the rib cage that has not changed may simply be a sub...[Read More] Understanding Discomfort in the Left Abdomen: Causes and Solutions
Understanding Gastrointestinal Discomfort: Seeking Answers for Unexplained Symptoms
Gastrointestinal discomfort? I am a 44-year-old male, and since July of last year, I have been experiencing the following symptoms: dull pain in the upper left abdomen (between the ribs and the navel, but pressing on it does not cause pain), bloating (gas is expelled both from th...
Dr. Yuan Hongdao Reply:
Hello: I would like to know if you experience frequent bowel movements, have large stool volume, or if your stools are oily and float on the water's surface. If so, it may be necessary to consider issues related to the small intestine or pancreas, and further examination of ...[Read More] Understanding Gastrointestinal Discomfort: Seeking Answers for Unexplained Symptoms
Understanding Stomach Discomfort: Causes and Solutions
I have a lot of discomfort in my stomach? Hello: I have been feeling that food tastes very bland and unappetizing for the past two days. On the second day, I felt discomfort in my stomach, like a rumbling sensation, and it feels as if I haven't consumed any oil. However, I h...
Dr. Yuan Hongdao Reply:
Hello: There are many reasons for discomfort in the upper abdomen, ranging from gastritis, ulcers, liver, gallbladder, pancreas, heart, lungs, metabolic issues, to functional dyspepsia. If the symptoms persist or worsen, it is advisable to seek medical attention. Sincerely, Dr. Y...[Read More] Understanding Stomach Discomfort: Causes and Solutions
Understanding Right Upper Abdominal Discomfort: Possible Causes and Concerns
There is a feeling of heaviness and bloating in the right upper abdomen? Hello, doctor. I have been experiencing bloating in my left abdomen for quite some time. I have taken medications from several clinics, but there hasn't been a significant improvement. Recently, I often...
Dr. Chen Zhiping Reply:
Hello: Liver function is normal, and although there is no hepatitis B, liver and gallbladder issues cannot be completely ruled out. It is recommended that you undergo an abdominal ultrasound to exclude problems with the liver, gallbladder, and pancreas. There are many causes of a...[Read More] Understanding Right Upper Abdominal Discomfort: Possible Causes and Concerns
Understanding Evening Abdominal Pain: Causes and Diagnostic Steps
Lower abdominal pain Hello, doctor. About three weeks ago, I started feeling uncomfortable around 10 or 11 PM. Sometimes it's my stomach, and other times it's the area just below my stomach, about the size of a palm. I experience pain 3 to 4 times a week, and I usually ...
Dr. Lin Minghui Reply:
Hello: The structure of the epigastric region includes the stomach, duodenum, and pancreas. If there is frequent pain, especially at night, it is important to consider whether there is an issue with these organs. It is recommended to consult a gastroenterologist for an examinatio...[Read More] Understanding Evening Abdominal Pain: Causes and Diagnostic Steps
Understanding Oily Flatulence: Causes and When to Seek Help
Passing gas with an oily substance? Hello. Recently, I have been experiencing frequent wet flatulence, and the discharge appears yellow and oily (only liquid, no solid). If I accidentally pass gas while urinating, there is a layer of yellow, oil-like substance floating on the sur...
Dr. Chen Zhiping Reply:
Hello: Oily stools are usually caused by incomplete digestion and absorption of fats after ingestion, leading to their excretion in the feces. Clinically, this can occur due to insufficient secretion of lipase from the pancreas (such as in chronic pancreatitis), or due to malabso...[Read More] Understanding Oily Flatulence: Causes and When to Seek Help
Understanding Elevated Total Bilirubin Levels: Causes and Concerns
What is bilirubin? Total bilirubin is significantly elevated, many times above normal! I am unsure what the issue might be. Thank you...
Dr. Li Zhengqi Reply:
Hello, Jie Jie: There are many reasons for elevated total bilirubin levels, including issues related to the liver, bile ducts, and pancreas. Some cases may also involve congenital metabolic disorders of bilirubin. It is recommended to visit a hepatobiliary and gastroenterology cl...[Read More] Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Frequent Hunger Pangs: Understanding Your Digestive Health Issues
Frequent hunger? I have been experiencing frequent hunger pangs this week and I'm unsure if it's due to stomach pain or abdominal discomfort. Sometimes I even wake up in the middle of the night to eat, and after eating, the discomfort goes away. This has been happening ...
Dr. Lin Minghui Reply:
Hello, when you feel hungry, you may experience discomfort in your stomach. Eating something can improve this sensation. Common causes include gastritis or duodenitis. It is advisable to pay attention to your diet and avoid irritating foods (such as those that are too sweet, too ...[Read More] Frequent Hunger Pangs: Understanding Your Digestive Health Issues
Understanding Post-Meal Abdominal Pain and Frequent Bowel Issues
About three hours after each meal..? Hello: About three hours after each meal, I start experiencing abdominal pain and the urge to use the restroom. At night, this occurs around 4-5 AM, and I also experience frequent urination. Each time, my stools are soft, which has affected my...
Dr. Lin Minghui Reply:
Hello, abdominal pain, changes in bowel habits, and sleep disturbances may be caused by irregular diet, gastroenteritis, irritable bowel syndrome, or diseases of the stomach, intestines, liver, gallbladder, and pancreas. You may consider consulting a gastroenterologist or a gener...[Read More] Understanding Post-Meal Abdominal Pain and Frequent Bowel Issues
Understanding Bile Reflux: Symptoms, Diagnosis, and Treatment Options
Bile reflux I have pain and bloating under my right rib, upper abdominal bloating, and a feeling of nausea. I have already undergone gastroscopy and ultrasound examinations, which revealed severe bile reflux. The clinic doctor has prescribed Cospanon and Strocain. Recently, I oft...
Dr. Chen Zhiping Reply:
Hello, you are experiencing pain under the right rib and in the upper abdomen of unknown origin (gastroscopy and ultrasound show no significant findings, only bile reflux). Your physician may suspect a dysfunction of the duodenal papilla sphincter or abnormalities in the bile duc...[Read More] Understanding Bile Reflux: Symptoms, Diagnosis, and Treatment Options
Orange Oil in Stool: What It Means for Your Digestive Health
The stool has orange-red oil present? Hello Doctor: The day before yesterday, I noticed "orange-red oil" floating on the surface of the water during bowel movements, which occurred three times throughout the day. The stool volume was not significant, and there were no s...
Dr. Yuan Hongdao Reply:
Hello, oily stools may indicate abnormalities in the liver, gallbladder, pancreas, or small intestine, leading to improper absorption of fats. Some weight loss medications can inhibit the action of lipase, resulting in poor fat absorption and oily stools. It is advisable to start...[Read More] Orange Oil in Stool: What It Means for Your Digestive Health
Understanding Left Upper Abdominal Pain: Causes and Solutions
Is this a stomach spasm? Hello Dr. Yuan: Recently, I have been experiencing a slight cramping sensation in my upper left abdomen. However, this pain is not unbearable and does not last long. It feels like a dull cramp, unlike typical stomach pain. I'm not sure what this coul...
Dr. Yuan Hongdao Reply:
Hello, the sharp pain in the upper left abdomen may be related to neurological issues, musculoskeletal problems, kidney diseases (such as stones), or issues with the stomach, pancreas, or colon. If the pain is not severe, there is no fever, you can eat normally, and there has bee...[Read More] Understanding Left Upper Abdominal Pain: Causes and Solutions
Understanding Gastrointestinal Issues: Vomiting and Weight Loss Concerns
Gastrointestinal issues... often lead to vomiting? Hello, I have been experiencing stomach issues for quite a long time. I have been very thin since childhood and have been unable to gain weight. My symptoms include occasional stomach pain, nausea in the morning, and sometimes vo...
Dr. Yuan Hongdao Reply:
Hello, upper abdominal pain, inability to gain weight, and vomiting could potentially indicate organic lesions, such as issues with the liver, gallbladder, stomach, duodenum, small intestine, or pancreas. It may also be related to endocrine problems, such as diabetes, thyroid dis...[Read More] Understanding Gastrointestinal Issues: Vomiting and Weight Loss Concerns
Understanding Ascites and Jaundice in Elderly Patients: A Case Study
Ascites with jaundice Please help my mother. She is seventy-five years old and has been diagnosed with a subarachnoid hemorrhage due to an aneurysm. She underwent surgery at Taipei Veterans General Hospital, being admitted on February 23 and having the operation on March 1. She h...
Dr. Xu Jinchuan Reply:
Hello! Based on the information in the letter, your mother's condition still requires close monitoring. The current presence of jaundice and ascites raises the question of whether these issues have been determined to be due to other factors or related to hepatitis C. If it i...[Read More] Understanding Ascites and Jaundice in Elderly Patients: A Case Study
Understanding Digestive Discomfort: When to Seek Further Medical Advice
Please help me quickly! Dear Dr. Chen, I often feel a sharp pain around my stomach area, and a few days ago I had diarrhea, which I thought was caused by drinking spoiled soy milk. However, after a few days, I started experiencing belching and diarrhea again, but there was no bl...
Dr. Chen Zhiping Reply:
Hello, your symptoms seem more like gastroenteritis. If it is an acute inflammation, usually, gastrointestinal medications are taken for a while to observe the response. If there is no improvement and the pain persists, then an endoscopy should be considered. As for ultrasound, i...[Read More] Understanding Digestive Discomfort: When to Seek Further Medical Advice
Understanding Yellow Oily Discharge from the Anus: Causes and Concerns
Hepatobiliary and Gastroenterology Department I would like to ask about a recent issue. Every time I go to the bathroom, I notice a yellow, oily substance dripping from my anus. It looks like oil, but there is no pain or discomfort. This has been happening for a week now. I would...
Dr. Chen Zhiping Reply:
Hello, you can visit the outpatient department of the hospital for a stool test to determine if it is indeed "steatorrhea." The causes of steatorrhea may be related to diet (for example, some people have consumed oily fish for weight loss), medications (such as orlistat...[Read More] Understanding Yellow Oily Discharge from the Anus: Causes and Concerns
Understanding the Connection Between Duodenal Ulcers and Back Pain
Duodenum and Back Pain Hello, Doctor. 1. About three months ago, I started experiencing some pain below my left scapula (lower back), which was followed by bloating, frequent burping, and a loss of appetite. At that time, I felt pain in both sides of my lower back, and it seeme...
Dr. Chen Zhiping Reply:
Hello, the pain in your lower left back is not related to duodenal ulcers; I have never heard of referred pain from ulcers reaching that area. However, regarding the pancreas, I wonder if you have had an abdominal ultrasound, as lesions in the tail of the pancreas may cause pain ...[Read More] Understanding the Connection Between Duodenal Ulcers and Back Pain
Is Your Liver in Trouble? Signs and Symptoms You Shouldn't Ignore
Is it true that liver damage is being circulated on the internet? I have been experiencing a slight pressure sensation in the cartilage located in the middle of my ribs, slightly to the right, for the past two months. It feels as if something is swollen inside. I am unsure if thi...
Dr. Chen Zhiping Reply:
Hello, the content of the letter you received seems to reflect some misconceptions. It appears to incorporate certain concepts from traditional Chinese medicine, but there are also some inaccuracies. However, if you are experiencing these symptoms, it is advisable to seek medical...[Read More] Is Your Liver in Trouble? Signs and Symptoms You Shouldn't Ignore