Understanding Recurring Lower Abdominal Cramps: Causes and Solutions
Intermittent cramping pain in the lower abdomen on both sides? Hello, doctor. My bowel habits have been around 3 to 4 times a day for a long time. However, in the past two to three weeks, I have started experiencing abdominal bloating and pain, which seems to move around the midd...
Dr. Cai Anshun Reply:
Hello: Discomfort in the lower abdomen on both sides may indicate an issue related to the intestines. Conditions such as rapid peristalsis, fecal impaction, or irritable bowel syndrome could be present. It is recommended to consult a gastroenterologist to determine whether medica...[Read More] Understanding Recurring Lower Abdominal Cramps: Causes and Solutions
Understanding Excessive Burping: Causes and Solutions for GERD Symptoms
Burping more than 20 times a day? Hello, doctor. After undergoing an endoscopy due to gastroesophageal reflux disease (GERD), it was found that there is a reflux level between A and B, and the lower esophageal sphincter is slightly open. There are minor ulcers in the stomach and ...
Dr. Chen Shidian Reply:
Hiccups are merely a physiological/psychological phenomenon. It may be necessary to compare the use of medication, discontinuation of medication, and re-initiation of medication.[Read More] Understanding Excessive Burping: Causes and Solutions for GERD Symptoms
Persistent Right Abdominal Pain: Causes and Next Steps for Diagnosis
Right abdominal dull and sharp pain for almost a month? One night, I was suddenly awakened by what seemed to be acute gastroenteritis, experiencing vomiting and fever. The next morning, I saw a doctor and felt some improvement. However, after a few days, my symptoms worsened. Ini...
Dr. Chen Shidian Reply:
Please discuss with the attending physician.[Read More] Persistent Right Abdominal Pain: Causes and Next Steps for Diagnosis
Chronic Gastrointestinal Issues: Seeking Solutions for Morning Nausea
Chronic gastrointestinal issues Hello, doctor. I have had gastrointestinal issues since around middle school, and even now, when I wake up in the morning, if my stomach gets cold or I smell even a little bit of something, I feel nauseous and gag. This happens whether I smell brea...
Dr. Chen Shidian Reply:
It may be due to a personally sensitive constitution. Symptomatic treatment in conjunction with a gastroenterologist, along with relaxation of the body and mind, is recommended.[Read More] Chronic Gastrointestinal Issues: Seeking Solutions for Morning Nausea
Understanding Esophageal Polyps: Concerns and Treatment Options
Pyloric polyp? Two weeks ago, I underwent an upper gastrointestinal endoscopy at the clinic, where I was diagnosed with a gastric ulcer and gastroesophageal reflux disease (GERD). During the procedure, a 1 cm polyp was removed from the fundus of my stomach, but the doctor mention...
Dr. Hu Guozheng Reply:
Dear Grace, there are many types of gastric polyps, and most of them are benign. The decision to perform a biopsy or removal typically relies on the judgment of the endoscopist. Since a significant number of small benign gastric polyps have an extremely low risk of malignant tran...[Read More] Understanding Esophageal Polyps: Concerns and Treatment Options
Understanding Left Lower Abdominal Pain: Causes and Next Steps
Left lower abdominal distension and pain? Left lower abdominal bloating and pain, unsure if it's related to the urethra or the ovaries, with some slight stabbing pain in the vagina. After a few days, urination has become more difficult, requiring some effort to empty the bla...
Dr. Chen Shidian Reply:
Follow-up visits are recommended, and please monitor for any fever or worsening symptoms. Diverticulitis is often diagnosed through colonoscopy or computed tomography (CT) and may be associated with fever.[Read More] Understanding Left Lower Abdominal Pain: Causes and Next Steps
Understanding Gallbladder Polyps: Do You Need Surgery?
Gallbladder polyp Hello, doctor. Last week, after undergoing an ultrasound examination, I found in my health record that there are few hyperechoic foci without acoustic shadow in the gallbladder wall, with a maximum size of 4.6 mm. The conclusion also states: 3. Stomach distensio...
Dr. Chen Shidian Reply:
Surgical removal is considered only for lesions larger than 1 centimeter. Follow-up can be done every 1 to 2 years.[Read More] Understanding Gallbladder Polyps: Do You Need Surgery?
Understanding Blood in Stool: When to Seek Medical Attention
There are small traces of blood in the stool? Hello, Doctor! Occasionally in the morning, I experience stomach discomfort and diarrhea, but it usually resolves immediately after using the restroom. At other times, my bowel movements are normal without diarrhea. A few months ago, ...
Dr. Cai Anshun Reply:
Hello: If you notice obvious blood streaks, you can first take a photo with your phone and then consult a gastroenterologist to arrange for appropriate examinations. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Understanding Submucosal Tumors: Your Questions After Gastroscopy
Questions After Gastroscopy Hello, doctor. Today I had an upper gastrointestinal endoscopy, and the examining physician informed me that I have mild gastritis and slight gastroesophageal reflux. However, there is a submucosal tumor in my stomach measuring about one centimeter. Th...
Dr. Cai Jinji Reply:
Hello Ms. Anonymous: Submucosal tumors of the stomach can be initially diagnosed using endoscopic ultrasound. If you have concerns, you can discuss with your physician whether it is possible to perform the endoscopic ultrasound earlier, or if a definitive diagnosis is needed firs...[Read More] Understanding Submucosal Tumors: Your Questions After Gastroscopy
Understanding Subepithelial Tumors in the Stomach: Key Questions Answered
Regarding submucosal tumors of the stomach? Hello, Doctor. I previously asked you a question and have not received a response yet. Today, I checked my health record and saw the report from my endoscopy, so I would like to attach it for your clarification. Here is the text report:...
Dr. Cai Jinji Reply:
Hello Miss Anonymous: It is advisable to confirm the diagnosis first before deciding on the course of action. There are many possibilities for submucosal tumors of the stomach, and generally, the larger the tumor, the higher the chance of malignancy. As for surgery, it will depen...[Read More] Understanding Subepithelial Tumors in the Stomach: Key Questions Answered
Can You Drink Nutritional Supplements with Stomach Ulcers?
Can individuals with gastric ulcers consume Ensure Plus nutritional supplement? Can individuals with gastric ulcers consume Ensure Plus nutritional supplement?
Dr. Chen Shidian Reply:
Yes, if you experience any discomfort, please stop or reduce the dosage.[Read More] Can You Drink Nutritional Supplements with Stomach Ulcers?
Severe Lower Abdominal Pain: Causes and When to Seek Medical Help
Lower abdominal pain, cold sweats, and weakness? Hello, doctor. Last night, I was suddenly awakened by severe pain in my lower abdomen (the area near the uterus was the most painful, but upon closer examination, it seems like there was also some pain in my stomach, just not as in...
Dr. Chen Shidian Reply:
For acute pain, visit the emergency department or the obstetrics and gynecology outpatient clinic, and if necessary, the gastroenterology outpatient clinic.[Read More] Severe Lower Abdominal Pain: Causes and When to Seek Medical Help
Managing H. Pylori: Should I Continue Rabeprazole After Negative Test?
Helicobacter pylori Hello Doctor: After taking Rabeprazole for a month, I underwent a stool test, and the doctor said it was negative. However, I still have discomfort in my stomach similar to what I experienced before taking the medication. Should I continue taking the same medi...
Dr. Hu Guozheng Reply:
Hello, I'm not sure what symptoms you are referring to regarding your discomfort. I suggest returning to the prescribing physician for further recommendations, such as discussing whether to consider additional examinations, etc.[Read More] Managing H. Pylori: Should I Continue Rabeprazole After Negative Test?
Understanding Stool Color Changes: What Your Digestive Health May Indicate
Stool color Hello, I have stage 3B lung adenocarcinoma and am currently undergoing treatment with Anlotinib. I just had a PET scan last Friday, and aside from some highlights in the lungs, everything else appeared normal. Recently, my bowel movements have varied: a few days ago, ...
Dr. Chen Shidian Reply:
It is likely a case of acute gastroenteritis, not gastrointestinal cancer. Any potential side effects of the medication should be discussed with the attending physician.[Read More] Understanding Stool Color Changes: What Your Digestive Health May Indicate
Understanding Digestive Sounds and Bowel Changes: When to Seek Help
Bowel issues Hello Doctor, I often notice that my stomach makes sounds (similar to digestive noises) quite frequently, especially after eating. It usually happens a couple of times after a while. Could this be related to my eating habits? Additionally, I have a mild case of exter...
Dr. Cai Anshun Reply:
Hello: 1. It is likely just the sound of intestinal peristalsis; if there is no cramping pain, there is no need to worry too much. 2. It is recommended to increase your fluid intake and consume more fruits and vegetables. If there is no improvement, you may consult a gastroentero...[Read More] Understanding Digestive Sounds and Bowel Changes: When to Seek Help
Understanding Right Lower Abdominal Pain: Causes and Concerns
There is an unexplained dull pain in the lower right abdomen? On the afternoon of October 17, I suddenly began to feel a dull pain in my lower right abdomen, which sometimes spreads to the entire lower abdomen, but primarily remains in the lower right area. I have a history of ch...
Dr. Chen Shidian Reply:
If symptoms persist, it is advisable to seek medical attention to determine the cause.[Read More] Understanding Right Lower Abdominal Pain: Causes and Concerns
Understanding Upper Right Abdominal Discomfort: Possible Causes and Next Steps
Regarding the issue of upper abdominal discomfort and numbness? Hello, doctor. Recently, I've been experiencing a dull, tingling sensation in my right upper abdomen, which also radiates to my back. I visited a gastroenterologist, suspecting a gallbladder issue, but I had a C...
Dr. Chen Shidian Reply:
There is no need for further ultrasound. If liver and gallbladder function tests, as well as inflammatory markers, are normal, then we will proceed with observation.[Read More] Understanding Upper Right Abdominal Discomfort: Possible Causes and Next Steps
Understanding Lower Abdominal Pain: When to See a Gastroenterologist
Lower abdominal pain? Since the end of July, I have been experiencing intermittent dull pain in the lower abdomen on both sides. I consulted a gynecologist, and everything seemed fine. The gynecologist then referred me to a gastroenterologist. When I bend down, the pain on both s...
Dr. Lin Minghui Reply:
Common causes of lower abdominal pain are related to gynecological, urological, and gastrointestinal issues. If experiencing stomach pain, it is important to maintain a light and non-irritating diet. A colonoscopy primarily assesses for inflammation, polyps, and tumors for furthe...[Read More] Understanding Lower Abdominal Pain: When to See a Gastroenterologist
Understanding Stomach Pain: When to Worry About Gastric Cancer
Stomach discomfort, gastric cancer? Hello doctor, today I have been experiencing stomach discomfort and pain from morning until evening, along with a slight feeling of nausea, but I can eat normally. My digestion is slow, and I have been burping with a taste of food. I had one ep...
Dr. Chen Shidian Reply:
Dietary recommendations and symptom management. Significant weight loss requires further evaluation.[Read More] Understanding Stomach Pain: When to Worry About Gastric Cancer
Understanding Changes in Bowel Habits: Probiotics and Gut Health Insights
Hello, Vice Dean Chen, regarding the question I asked you last time? After asking the deputy director last time, you believe it should still be irritable bowel syndrome (IBS). However, I wonder if normal variations in stool shape and color could also indicate IBS? Over the past f...
Dr. Chen Shidian Reply:
It is determined to be a functional issue, commonly referred to as irritable bowel syndrome (IBS). Probiotics are still classified as dietary supplements; the principle is to continue taking them as long as they are effective. My experience using them in patients is limited, so I...[Read More] Understanding Changes in Bowel Habits: Probiotics and Gut Health Insights