Persistent Acid Reflux: Why PPI Treatment May Not Be Working?
If the effectiveness of PPI medications for acid reflux is poor, what should be done? My symptoms include a burning and uncomfortable sensation in the upper abdomen (possibly in the duodenum or stomach), which is most severe when I am fasting. Interestingly, the symptoms are less...
Dr. Cai Anshun Reply:
Hello: In addition to medication, dietary habits are also very important. Beverages such as tea (black/green/milk tea), coffee, smoking, alcohol, fried foods, spicy foods, sweets, and chocolate should be considered. Avoid late-night snacks, do not lie down after eating, refrain f...[Read More] Persistent Acid Reflux: Why PPI Treatment May Not Be Working?
Understanding Reduced Appetite: Possible Causes and Concerns
Decreased appetite? On the morning of June 22, I suddenly experienced a dull pain in my entire abdomen before breakfast. After a while, the pain eased a bit, and I managed to eat breakfast. For the next few days, I felt very bloated in my abdomen, sometimes experiencing pain and ...
Dr. Cai Anshun Reply:
Hello: It was mentioned that after bowel movements, the abdomen feels somewhat more comfortable. It is important to first address the issues of fecal impaction and constipation, as these factors can affect appetite and may even lead to symptoms of abdominal bloating and discomfor...[Read More] Understanding Reduced Appetite: Possible Causes and Concerns
Understanding Bloating and Nausea After Meals: Possible Causes and Concerns
Feeling bloated and slightly nauseous after eating a little? Recently, I have been feeling bloated and nauseous after meals, and even after having a bowel movement, I still don't feel better. What worries me is that I am eating less than before, yet I feel extremely full and...
Dr. Chen Shidian Reply:
Gastrointestinal dysfunction is the most common issue; medication may be necessary. If there is no improvement, an endoscopy may be required.[Read More] Understanding Bloating and Nausea After Meals: Possible Causes and Concerns
Understanding Left Lower Abdominal Pain: Causes and Solutions
Abnormalities in the left lower abdomen? Hello, doctor! I have been experiencing a dull pain and slight bloating in my lower left abdomen for the past year. However, the pain is not constant. After observing my symptoms over the past two weeks, I noticed that they usually occur d...
Dr. Cai Anshun Reply:
Hello: After passing formed stool, you experienced a feeling of diarrhea during your second trip to the restroom, resulting in unformed stool. This may indicate softer stools with higher water content or increased fiber intake. Please pay attention to your diet for any irritants ...[Read More] Understanding Left Lower Abdominal Pain: Causes and Solutions
Understanding Appetite Loss: Causes and Solutions for Young Adults
Loss of appetite In recent weeks, I have noticed a decrease in my appetite. The amount I used to finish in one meal now feels overwhelming, and I often leave food uneaten. By the time the next meal comes around, I don't feel very hungry. After having a bowel movement about a...
Dr. Chen Shidian Reply:
The likelihood of developing cancer is low; therefore, one should aim to be more active. Taking a walk after meals aids digestion, and it is important to continuously monitor changes in body weight.[Read More] Understanding Appetite Loss: Causes and Solutions for Young Adults
Managing Excess Stomach Acid: When to Eat and What to Choose
Excess stomach acid (asymptomatic) I have been feeling excessive gastric acid secretion and mild gastrointestinal discomfort for the past three to four days. It feels somewhat similar to hunger, but it's different. After visiting the outpatient clinic, the doctor diagnosed i...
Dr. Chen Shidian Reply:
It is recommended to maintain a normal diet while minimizing the intake of acidic, sweet, and spicy foods. If experiencing acid reflux at night, drinking some milk or taking antacids may help.[Read More] Managing Excess Stomach Acid: When to Eat and What to Choose
Understanding Digestive Issues: Weight Loss and Bowel Changes Explained
Issues related to bowel movements and loud bowel sounds after meals? Hello Doctor, I underwent a colonoscopy at a colorectal clinic in early May, and the doctor later informed me that they would remove three hyperplastic polyps. Before the procedure, a digital rectal exam was per...
Dr. Lin Minghui Reply:
Hello: The colonoscopy revealed polyps and benign tumors that require follow-up. You may consult a gastroenterologist or a colorectal specialist. Changes in stool patterns and weight loss are noted. It feels like the intestines are not absorbing nutrients, leading to weight loss....[Read More] Understanding Digestive Issues: Weight Loss and Bowel Changes Explained
Understanding Drug-Induced GERD: Risks and Long-Term Consequences
Medication-induced gastroesophageal reflux disease (GERD) Past Medical History: 1. Stress ulcer (lesser curvature of the stomach) 2. Irritable bowel syndrome Q: If [Grade A esophagitis] and [non-H. pylori gastritis] are ignored for a long time, could the consequences lead to eso...
Dr. Chen Shidian Reply:
It is still mild, and lifestyle and dietary adjustments are recommended, along with short-term medication treatment if necessary.[Read More] Understanding Drug-Induced GERD: Risks and Long-Term Consequences
Understanding the Connection Between Gastrointestinal Symptoms and Heart Palpitations
Recently, I have started to feel my stomach and esophagus pulsating like my heart? Hello Doctor: I am 170 cm tall and weigh 70 kg. About a month ago (on May 26), I woke up in the early morning with palpitations, shortness of breath, and a feeling of bloating in my stomach, so I w...
Dr. Chen Shidian Reply:
It is advisable to cooperate with the physician for treatment and lifestyle adjustments. If symptoms persist, it is still necessary to visit the hospital to confirm the condition.[Read More] Understanding the Connection Between Gastrointestinal Symptoms and Heart Palpitations
Understanding Stomach Ulcers: Symptoms, Treatment, and Next Steps
Gastric ulcer issues? Hello, doctor! In February of this year, I underwent a gastroscopy, which revealed the presence of a gastric ulcer, but there was no Helicobacter pylori infection. I was prescribed a proton pump inhibitor (PPI) for four months. After taking the medication fo...
Dr. Yang Zhichao Reply:
Hello Mr. Jason: 1. You have been experiencing abdominal bloating, urination issues, and occasional mild pain for the past 1 to 2 weeks, along with foul-smelling gas or bowel movements, which should not be related to the medication. 2. Regarding the repeat endoscopy, it is lik...[Read More] Understanding Stomach Ulcers: Symptoms, Treatment, and Next Steps
Understanding Your Digestive Health: Concerns About Bowel Changes
I would like to consult a doctor? Hello, doctor. I would like to ask about my recent bowel issues. I've been searching for a lot of information online, which has made me quite anxious. Whenever I feel tense or worried, I experience some discomfort around my navel. Recently, ...
Dr. Cai Anshun Reply:
Hello: If it is gastrointestinal bleeding, there will not be just a small red spot; you may observe more significant abnormalities. I believe the doctor has diagnosed you with irritable bowel syndrome and should have prescribed relevant medications for you. You can take them with...[Read More] Understanding Your Digestive Health: Concerns About Bowel Changes
Understanding Digestive Issues: When to Worry About Your Stool
I would like to consult a doctor? Hello, Doctor. I would like to ask you about my recent bowel issues. I've been searching for a lot of information online, which has made me quite anxious. Whenever I feel tense or worried, I experience some discomfort around my navel. Recent...
Dr. Cai Anshun Reply:
Hello: If it is gastrointestinal bleeding, there would not be just a small red spot; you might see more significant abnormalities. I believe the doctor suspects irritable bowel syndrome and has likely prescribed related medications for you. You can take them with peace of mind, a...[Read More] Understanding Digestive Issues: When to Worry About Your Stool
Understanding Esophageal Injury: Symptoms and Dietary Impact
Esophageal ulceration I consulted a doctor about taking supplements, and I feel like they are stuck in my chest. About an hour later, I start to experience a burning sensation. After eating lunch, when the food slides down, I feel a sharp pain in my chest. I saw a doctor and took...
Dr. Cai Anshun Reply:
Hello: It is recommended to avoid tea (black tea/green tea/milk tea), coffee, spicy foods, and hard foods. It is advised to take medications with a large amount of water to ensure that the medication reaches the stomach; otherwise, it may cause esophageal ulcers. If there is no i...[Read More] Understanding Esophageal Injury: Symptoms and Dietary Impact
Why Bending After Meals Can Trigger Digestive Issues
Applying pressure to the abdomen after eating can easily lead to diarrhea? Hello, doctor. After meals, if I apply pressure to my abdomen, such as bending over to pick something up or squatting down, there is a high chance that I will feel discomfort in my stomach and need to go t...
Dr. Cai Anshun Reply:
Hello: After eating, avoid bending forward or performing actions that put pressure on the abdomen, as this can easily lead to gastroesophageal reflux. Individuals with more sensitive gastrointestinal systems may experience an increased gastrocolic reflex when eating too quickly o...[Read More] Why Bending After Meals Can Trigger Digestive Issues
Understanding Watery Diarrhea: Is It Gastroenteritis?
Diarrhea with continuous stomach rumbling? Hello doctor, I had normal bowel movements yesterday morning, but I had watery stools continuously in the afternoon. I don't have a fever or abdominal pain, and I feel fine overall; the only issue is that my stomach keeps making noi...
Dr. Cai Anshun Reply:
Hello: If there is no fever and you are experiencing abdominal pain, you can increase your fluid and electrolyte intake, maintain a light diet, and avoid fruits with high water content. Abdominal rumbling may be caused by increased bowel activity, and it is not a concern if there...[Read More] Understanding Watery Diarrhea: Is It Gastroenteritis?
Understanding Abdominal Pain Near the Belly Button: Causes and Relief
Upper abdomen near the stomach and navel? I would like to ask the doctor about some symptoms I've been experiencing. For the past few days, I've felt pain when pressing around my navel or just above it (sometimes a slight tingling sensation), but the pain doesn't o...
Dr. Cai Anshun Reply:
Hello: It may be necessary to examine your diet to see if it includes caffeinated beverages, fried foods, spicy foods, acidic foods, or hard-to-digest items. If so, it is advisable to stop or reduce their consumption. If there are variations in the color of your stool, it can be ...[Read More] Understanding Abdominal Pain Near the Belly Button: Causes and Relief
Understanding Abdominal Pain Near the Belly Button: Causes and Relief
Upper abdomen near the stomach and navel? I would like to ask the doctor about some symptoms I've been experiencing. For the past few days, I've felt pain when pressing around my navel or above it (sometimes there's a slight tingling sensation), but the pain doesn&...
Dr. Cai Anshun Reply:
Hello: It may be necessary to examine your diet to see if it includes caffeinated beverages, fried foods, spicy foods, acidic foods, or hard-to-digest foods. If so, consider reducing or eliminating them. If you notice any localized color changes in your stool, you can monitor it;...[Read More] Understanding Abdominal Pain Near the Belly Button: Causes and Relief
Persistent Stomach Pain: When Over-the-Counter Meds Fail
Persistent stomach pain, medication is ineffective? Hello, I have been experiencing stomach pain for a week. The symptoms include heaviness, bloating, and cramping, which are especially severe after meals. Over-the-counter antacids have not provided relief, and I have also visite...
Dr. Chen Shidian Reply:
You can go to a larger hospital for a gastroenterology examination. When eating, try to eat slowly, avoid spicy foods, and do not overeat.[Read More] Persistent Stomach Pain: When Over-the-Counter Meds Fail
Pain Near the Left Rib: When to See a Doctor for Gastrointestinal Issues
Pressing on the left upper quadrant near the rib cage causes pain? I would like to consult a physician: I have recently developed a symptom where I feel pain upon pressing about five centimeters below the xiphoid process, on the left side near the rib cage (right side). The pain ...
Dr. Cai Anshun Reply:
Hello: That area may be related to the stomach. You should pay attention to your diet and avoid slouching while sitting. If there is no improvement, you may want to consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Pain Near the Left Rib: When to See a Doctor for Gastrointestinal Issues
Managing Diarrhea, Chest Tightness, and Palpitations: A Patient's Journey
Diarrhea, chest tightness, and palpitations? Hello doctor, on the night of June 5th around 11 PM, I experienced diarrhea with watery stools twice, followed by chest tightness and palpitations. The next morning, I had another bowel movement, and I took over-the-counter cold and st...
Dr. Chen Shidian Reply:
There may be gastrointestinal dysfunction and autonomic nervous system disorders, which may require treatment from gastroenterologists and psychosomatic medicine specialists if necessary.[Read More] Managing Diarrhea, Chest Tightness, and Palpitations: A Patient's Journey