Stomach, Gastroenterology and Hepatology FAQ

Medication Consultation: Timing for Gastrointestinal Drugs Explained

Medication consultation Hello, doctor. Recently, I went to the hospital because I wasn't feeling well and received three medications for my stomach: 1. Gaiminglang (Gastric Minglang), 2. Famotidine enteric-coated tablets, and 3. Aiwai reverse chewable tablets. The instructio...

Dr. Chen Shidian Reply:
Yes, I agree to change it to after meals.

Understanding Intestinal Metaplasia: When to Seek Further Gastrointestinal Evaluation

Intestinal metaplasia issues? Hello, doctor. I underwent an upper gastrointestinal endoscopy (NBI) at the end of December 2018, which revealed intestinal metaplasia in the gastric antrum. The report indicated: 1. Larynx: no significant abnormalities 2. Esophagus: gastroesophageal...

Dr. Yang Zhichao Reply:
You can undergo an upper gastrointestinal endoscopy.

Long-Term Use of Medications: Impact on Gastrointestinal Health and Function

Taking Nizatidine and Omeprazole for more than 5 years, could it affect gastrointestinal function? Recently, due to the discontinuation of Laxative, taking fiber supplements has caused severe bloating and pain. Two years ago, a colonoscopy revealed black bowel syndrome, and the d...

Dr. Chen Shidian Reply:
Anemia is not related to gastrointestinal medications, but it is recommended to investigate the underlying cause (hematology). Stomach medications can be reduced in intensity (lower dosage or switch medications) or taken only when necessary. Laxatives are often needed due to indi...

Managing Chronic Gastrointestinal Issues: Symptoms and Solutions

Gastrointestinal issues I have been experiencing long-term gastrointestinal issues, sometimes feeling nauseous after eating and vomiting. My appetite has not been very good. Recently, about half an hour after dinner, I have been having diarrhea (with pain similar to that of food ...

Dr. Chen Shidian Reply:
For irritable bowel syndrome, dietary and medication adjustments can be made. If concerned, you may consider testing for fecal occult blood.

Understanding Gastroesophageal Reflux and Abdominal Pain: A Patient's Journey

Gastroesophageal reflux disease (GERD) and gastric cramps? Hello Doctor, I currently have gastroesophageal reflux disease (GERD), which causes chest burning and tightness, along with stomach heat and bloating. I had an endoscopy last July, and the doctor said my esophagus had abr...

Dr. Chen Shidian Reply:
Abnormal peristalsis/irritable bowel syndrome can be managed with medication and dietary adjustments.

Is It Gastroenteritis or Colon Cancer? Understanding Your Symptoms

Unsure if it's gastroenteritis or colorectal cancer? I have no family history of gastrointestinal issues. I underwent surgery and chemotherapy for colon cancer over a decade ago, and my follow-ups have shown no abnormalities since then. In the past couple of years, I have ha...

Dr. Chen Shidian Reply:
It is recommended to first check the stool, maintain a consistent diet, and adjust medications as needed. If the time is appropriate, an early colonoscopy can also be considered.

Understanding Stomach Cancer: Causes, Symptoms, and Prevention Tips

Stomach cancer issues? Hello, Doctor: 1. What are the possible causes (risk factors), common age of onset, and symptoms of gastric cancer? 2. Is it true that blood type A and Helicobacter pylori infection are associated with a higher risk of gastric cancer? Reports indicate th...

Dr. Chen Shidian Reply:
Asymptomatic individuals can pay for a health check to test for Helicobacter pylori. Those with symptoms should seek medical attention and may undergo tests covered by health insurance as needed. It is advisable to limit the consumption of barbecued foods, smoking, and alcohol.

Chronic Dizziness, Vomiting, and Bile Reflux: Seeking Solutions

Long-term dizziness, vomiting, and diarrhea, with recent episodes of bile vomiting at night? In late February, I underwent an endoscopy and was found to have bile reflux in both the stomach and duodenum. The doctor prescribed Pariet, but my condition did not improve; I still expe...

Dr. Chen Shidian Reply:
It is recommended to discuss medication and lifestyle adjustments with a gastroenterologist. If dizziness is the primary concern, then further evaluation should be sought from a neurologist.

Loss of Appetite and Nausea: Understanding Gastrointestinal Issues

Loss of appetite, nausea, and vomiting? Hello, I have had intermittent stomach pain in the past. Three years ago, I underwent an endoscopy and was diagnosed with mild inflammation. Recently, I have experienced a poor appetite, feeling full after eating only a small amount. Since ...

Dr. Hu Guozheng Reply:
Hello, if you have been experiencing similar symptoms for a while, it is recommended to visit a gastroenterology and hepatology clinic for evaluation. Thank you.

Managing Sudden Gastroesophageal Reflux: Symptoms and Remedies

Acute gastroesophageal reflux disease (GERD) Last Sunday, I experienced mild diarrhea and a feeling of heaviness and bloating in my stomach. Until yesterday, I suddenly started having gastroesophageal reflux, feeling like stomach acid was about to overflow. Sometimes when I burp,...

Dr. Hu Guozheng Reply:
Hello, if your symptoms do not improve with medication, it is advisable to return for a follow-up appointment for the physician to evaluate your condition. In terms of diet, it is recommended to stick to a light diet, drink plenty of water, and get adequate rest. Thank you.

Understanding Fundic Gland Polyps: What You Need to Know After a Gastroscopy

Gastric fundic gland polyps? Hello, Doctor. I had an upper gastrointestinal endoscopy at a large hospital and discovered polyps. Two weeks later, during a follow-up appointment, the doctor said the biopsy results indicated fundic gland polyps in the stomach and that there was no ...

Dr. Hu Guozheng Reply:
Hello, please trust your examination and your attending physician. If you have concerns about family history, it is advisable to schedule a follow-up appointment for the doctor to evaluate. Thank you.

Understanding Duodenal Ulcers: Accuracy of H. Pylori Testing After Medication

Duodenal ulcer issues? I previously had some stomach issues and took medication prescribed by a clinic for a while, which helped alleviate the symptoms. The medications included those for treating peptic ulcers, gastric ulcers, and duodenal ulcers, such as Esomeprazole 20 mg, Pan...

Dr. Chen Shidian Reply:
Testing should still be primarily prepared, and other methods (stool test/blood test/breath test) should only be used if necessary.

Understanding Abnormal Liver and Pancreatic Function Test Results

Health check report red text Hello Dr. Lin: During the recent company health check, the ultrasound technician mentioned that my liver appeared somewhat coarse and discovered a liver cyst (0.43 cm). The doctor advised me to undergo additional blood tests for liver function. After ...

Dr. Lin Minghui Reply:
The diagnosis of acute pancreatitis involves several steps: First, assess for symptoms such as abdominal pain and postprandial back pain. Second, identify any risk factors such as gallstones, bile duct stones, alcohol consumption, and hyperlipidemia. Third, evaluate biochemical t...

Understanding Noisy Stomach: Causes and Solutions After Gastroenteritis

The stomach keeps growling? Hello, doctor. A few days ago, I suspected I had acute gastroenteritis, with symptoms of vomiting and watery diarrhea. However, I am feeling much better now; I no longer vomit, and the frequency of watery stools has decreased. But my stomach keeps maki...

Dr. Chen Shidian Reply:
That is the sound of intestinal peristalsis, which is normal. Speaking less while eating or swallowing air can help reduce the sounds of peristalsis to some extent.

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.

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 ...

Long-Term Use of PPI Medications: Are There Risks for Stomach Cancer?

Regarding PPI medications for the stomach? Hello, doctor. Recently, I have been experiencing gastroesophageal reflux disease (GERD), and my doctor prescribed a proton pump inhibitor (PPI). I have read articles stating that PPI medications may increase the risk of gastric cancer. ...

Dr. Cai Anshun Reply:
Hello: The treatment period for gastroesophageal reflux disease (GERD) ranges from 4 months to 1 year, which is not considered long-term. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

Understanding Food Poisoning: Symptoms and What to Do Next

Food poisoning A few days ago, I started experiencing cold symptoms, and then yesterday I suddenly lost my voice. After having a late-night snack and taking some medication, I went to sleep for about two hours. I suddenly woke up with my hands feeling completely numb and having a...

Dr. Chen Shidian Reply:
It is likely to be viral gastroenteritis or a side effect of medication. Food poisoning typically involves severe vomiting and diarrhea. Please continue to monitor the situation, refrain from eating, and only drink water.

Understanding Fundic Gland Polyps: Concerns and Recommendations for Young Adults

Gastric fundic gland polyps Hello Doctor, I underwent an upper gastrointestinal endoscopy at a large hospital, and the physician who performed the procedure was different from the one I consulted afterward. During the procedure, I was informed that there were polyps taken for bio...

Dr. Chen Shidian Reply:
Small gastric polyps are a common occurrence.

Understanding Variations in Stool Color: What White Streaks Might Indicate

Variations in stool color? During bowel movements, I noticed a small white stool (about 2-3 cm, while the rest is yellow-brown). I would like to know what could be the cause. I usually have a sensitive stomach and often feel uncomfortable. Last week, I started taking gastrointest...

Dr. Lin Minghui Reply:
Hello: The color and shape of stool are related to the food consumed. It is advisable to continue observing for any abnormalities. If there are concerns, a stool test can be performed. Wishing you good health!

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