Morning Nausea and Evening Discomfort: Understanding Gastrointestinal Issues
Poor appetite in the morning and discomfort in the stomach at night? Hello, doctor. Ever since I had a bout of gastroenteritis, my digestive system has been quite poor. I have been experiencing frequent burping and nausea, along with a feeling of bloating in my stomach. I visited...
Dr. Cai Anshun Reply:
Hello: For gastroesophageal reflux disease (GERD), it is essential to prioritize adjustments in dietary and lifestyle habits. If symptoms are more pronounced in the evening, it is advisable to have a light dinner (primarily consisting of bland and easily digestible foods) and to ...[Read More] Morning Nausea and Evening Discomfort: Understanding Gastrointestinal Issues
Understanding the Discrepancy in H. Pylori Testing: A Patient's Journey
Helicobacter pylori Hello Doctor: I have been experiencing recurrent abdominal pain, so I visited a gastroenterologist for an examination. After undergoing an endoscopy, the doctor mentioned that there were some abrasions in my stomach, but no Helicobacter pylori was detected. I ...
Dr. Cai Anshun Reply:
Hello: There are two methods for detecting Helicobacter pylori during an upper gastrointestinal endoscopy. One method involves taking a biopsy, which is then examined by a pathologist under a microscope to check for the presence of Helicobacter pylori in the gastric tissue. If th...[Read More] Understanding the Discrepancy in H. Pylori Testing: A Patient's Journey
Understanding Gallbladder Polyps: When to Worry and Next Steps
Gallbladder polyp Hello Doctor, I recently underwent a health check-up at my own expense due to some health issues. An abdominal ultrasound indicated that I have a gallbladder polyp measuring 0.7 cm. The doctor asked if it had been present before and mentioned that if it exceeds ...
Dr. Chen Shidian Reply:
1. Follow-up can be done annually, and most lesions do not grow larger or grow very slowly. 2. An upper gastrointestinal endoscopy can provide a better view of the throat entrance, but it can be quite uncomfortable; sedation (out-of-pocket expense) is recommended if necessary.[Read More] Understanding Gallbladder Polyps: When to Worry and Next Steps
Understanding Acute Gastroenteritis: When to Seek Medical Attention
Diagnosed with acute gastroenteritis but later experiencing dizziness? I have a history of gastroesophageal reflux disease (GERD). After eating raw oysters, I experienced diarrhea five times the next day, along with stomach pain. I had a fever that gradually rose from over 37°C t...
Dr. Cai Anshun Reply:
Hello: You should continue to monitor for any fever and ensure adequate hydration and electrolyte intake (equal parts water and sports drinks). If symptoms persist, it is important to seek medical attention as soon as possible. Changhua Hospital cares about your health. Dr. Tsai ...[Read More] Understanding Acute Gastroenteritis: When to Seek Medical Attention
Possible Link Between Past Stomach Bleeding and Current Gastritis Symptoms
About 5 to 6 years ago, there was a suspicion of gastrointestinal bleeding, with the expulsion of coffee-colored material? Hello, doctor. I have a question. About 5 to 6 years ago, I experienced symptoms of suspected gastric bleeding, as I vomited brownish material, but I did not...
Dr. Lin Minghui Reply:
Hello: The previous gastrointestinal bleeding may be related to the current gastritis. A 15-year-old boy had a history of gastric bleeding and vomited coffee grounds. Possible causes of the bleeding include inflammation, erosion, or ulcers in the esophagus, stomach, or duodenum, ...[Read More] Possible Link Between Past Stomach Bleeding and Current Gastritis Symptoms
Left Upper Abdomen Tingling and Contraction: Is It Gastric Related?
Numbness and a constricting sensation in the upper left abdomen? Hello, I have been experiencing a tingling sensation and a constricting feeling in my upper left abdomen recently. I consulted a doctor and underwent an abdominal ultrasound and an endoscopy. The abdominal ultrasoun...
Dr. Lin Minghui Reply:
Hello: A 33-year-old male presents with left upper abdominal pain, symptoms lasting for 2-3 weeks. Endoscopy reveals gastritis and gastroesophageal reflux disease (GERD). The pain may be attributed to gastritis. In addition to pharmacological treatment, it is advised to pay atten...[Read More] Left Upper Abdomen Tingling and Contraction: Is It Gastric Related?
Can Taking Pantoprazole at Bedtime Help with Acid Reflux?
Can Pantoprazole (PPI) be taken before bedtime? Hello, doctor. My family member is experiencing issues with gastroesophageal reflux disease (GERD), gastric ulcers, and duodenal ulcers. Currently, they take one Nexium (esomeprazole) 40mg before breakfast, but recently they have be...
Dr. Chen Shidian Reply:
Can be taken on an empty stomach before bedtime.[Read More] Can Taking Pantoprazole at Bedtime Help with Acid Reflux?
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 Blood in Stool: Causes and When to Seek Help
Blood in the stool? Recently, after having a bowel movement, I suddenly noticed blood on the toilet paper. At first, I thought it was due to wiping too hard, but this situation has been intermittent, and now I realize something might be wrong. After each bowel movement, I see blo...
Dr. Cai Anshun Reply:
Hello: It could possibly be an internal hemorrhoid or a skin tag in the anal area. For a clearer understanding of the situation, it's best to consult a clinical physician. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Managing Bloating: Seeking Solutions for Persistent Gastric Issues
Please ask about issues related to bloating? Hello, recently my stomach has been bloated to the point where it feels like I'm pregnant. I had an endoscopy, and the doctor diagnosed me with gastritis and reflux. I was prescribed medication, but after taking it for two months,...
Dr. Zhang Kebin Reply:
Hello Ms. Su: You reported abdominal bloating and have undergone an endoscopy, but there has been no improvement after medication. You previously had a chocolate cyst and would like to inquire if there are any recommendations. There are many causes of abdominal bloating, which ma...[Read More] Managing Bloating: Seeking Solutions for Persistent Gastric Issues
Post-Endoscopy Discomfort: Managing Nausea and Gastric Pain After Procedure
Discomfort after undergoing an upper gastrointestinal endoscopy? Due to gastroesophageal reflux disease and gastritis, I underwent an upper gastrointestinal endoscopy to confirm the lesions. However, since the procedure, I have been experiencing persistent nausea and a gnawing se...
Dr. Cai Anshun Reply:
Hello: 1. It is likely not caused by the gastroscopy; I recommend temporarily discontinuing the prokinetic medication (domperidone) to see if there is any improvement. 2. You should schedule a follow-up appointment as soon as possible; the gastroscopy report should be available, ...[Read More] Post-Endoscopy Discomfort: Managing Nausea and Gastric Pain After Procedure
Understanding Abdominal Discomfort: Is It Normal to Feel Movement?
Gastrointestinal issues Hello, doctor. I would like to ask about a sensation I often experience where it feels like something is moving in my stomach. When I touch it, I can feel something round, and when I press on it, it disappears. Is this normal? Thank you.
Dr. Chen Shidian Reply:
Cannot confirm, please seek medical attention for diagnosis.[Read More] Understanding Abdominal Discomfort: Is It Normal to Feel Movement?
When to Take Ai Wei Ni: Before or After Meals for Best Results?
"Should 'Ai Wei Ni Fu' be chewed and taken before or after meals?" Hello Doctor: I have been experiencing frequent stomach discomfort and a sensation of something stuck in my throat recently, and I have visited the gastroenterology clinic several times. Howeve...
Dr. Chen Shidian Reply:
It is recommended to use it after meals or before bedtime.[Read More] When to Take Ai Wei Ni: Before or After Meals for Best Results?
Understanding Medication Interactions After Vaccination and Kidney Health
Medication consultation Hello, doctor: I received the High-End vaccine yesterday morning, and in the evening, I took a Tylenol due to stomach discomfort. There have been reports suggesting that it is best not to take anti-inflammatory medications after vaccination to avoid affect...
Dr. Chen Shidian Reply:
Stomach medications are not anti-inflammatory drugs. Stomach medications do not harm the kidneys.[Read More] Understanding Medication Interactions After Vaccination and Kidney Health
Persistent Hiccups and Bloating: Understanding Gastrointestinal Issues
There is a constant feeling of gas rising? Hello doctor, I have been experiencing hiccups for a week. After overeating once, I felt a constant urge to burp and had to move my throat to expel the gas. After vomiting a bit, I felt some relief that day. However, the next night, I wo...
Dr. Cai Anshun Reply:
Hello: It is important to differentiate whether the symptoms are due to slow intestinal motility with gas accumulation or fast intestinal motility. The treatment approach will vary accordingly. In terms of diet, a balanced and light diet is advisable, and it is best to avoid irri...[Read More] Persistent Hiccups and Bloating: Understanding Gastrointestinal Issues
Understanding Digestive Issues: Bloating, Chest Pain, and Dark Stools
Feeling of blockage in the stomach / blackish-gray stools / pain behind the sternum? I have been experiencing a feeling of fullness in my stomach for almost a month. I can eat, but not much. I have been taking WEISUFU TABLETS "CHIN TENG," DOMPERIDONE 10MG, and FAMOTIDIN...
Dr. Cai Anshun Reply:
Hello: If the amount of bleeding is small or intermittent, there may be some segments that are black and some that are not. However, to confirm that the areas where black stools are observed are not bleeding, it is necessary to test for occult blood in the stool for more certaint...[Read More] Understanding Digestive Issues: Bloating, Chest Pain, and Dark Stools
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
Understanding Abdominal Discomfort: Causes and Solutions for Digestive Issues
Abdominal issues? In the morning, I often wake up with a bloated stomach, and sometimes I experience pain in my abdomen that varies in location. The pain usually lasts only a few seconds. I frequently feel the urge to pass gas, but I find it difficult to do so. Once I manage to p...
Dr. Chen Shidian Reply:
Increase the intake of fruits and vegetables, engage in regular exercise to promote peristalsis, and continue to monitor the situation.[Read More] Understanding Abdominal Discomfort: Causes and Solutions for Digestive Issues
Understanding Abdominal Pain, Diarrhea, and Skin Rashes: A Gastrointestinal Guide
Lower abdominal pain, diarrhea, woke up at night due to bloating and pain, and today developed a rash? Hello Doctor, I have had a sore throat and cold since July 29, which has not improved for nearly a month. I have been taking cold medicine, cough syrup, and anti-inflammatory me...
Dr. Cai Anshun Reply:
Hello: Due to ongoing gastrointestinal discomfort for nearly a month, it is advisable to avoid irritating foods and caffeinated beverages. It is recommended to consult a gastroenterologist for a proper diagnosis to prevent any delay in treatment. Changhua Hospital cares about you...[Read More] Understanding Abdominal Pain, Diarrhea, and Skin Rashes: A Gastrointestinal Guide
Chronic Diarrhea, Abdominal Discomfort, and Post-Vaccine Gastro Issues
Chronic diarrhea + hunger sensation in the stomach + bloating + lower abdominal pain? I have been experiencing intermittent diarrhea for over three months, with symptoms fluctuating, especially after eating out. Even when I am not having diarrhea, my stools have become thinner th...
Dr. Chen Shidian Reply:
A gastroenterology outpatient consultation can be provided. A fecal occult blood test can be performed initially to check for any abnormalities.[Read More] Chronic Diarrhea, Abdominal Discomfort, and Post-Vaccine Gastro Issues