Upper abdomen, Gastroenterology and Hepatology FAQ

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Understanding Upper Abdominal Discomfort: Causes and Remedies

Upper abdominal discomfort or pain? In the middle of the night, I suddenly experienced a feeling of pressure and discomfort in my upper abdomen, but it wasn't very painful—just a dull ache that gradually lessened, allowing me to fall back asleep. A few hours later, I was awa...


Dr. Hu Guozheng Reply:
It is advisable to observe whether dietary factors are causing the discomfort. If the pain persists, please seek medical attention promptly. Thank you.

[Read More] Understanding Upper Abdominal Discomfort: Causes and Remedies


Left Upper Abdominal Pain: Is It Organ or Nerve Related?

Pain in the left upper abdomen with tenderness upon palpation? Hello, there is localized pain in the left upper abdomen (about 9 cm from the navel) when pressing on the abdomen, with a width of approximately three fingers. It feels dull when not pressed, but it hurts when pressur...


Dr. Chen Shidian Reply:
Ultrasound is sufficient; however, gastroscopy may also be considered.

[Read More] Left Upper Abdominal Pain: Is It Organ or Nerve Related?


Understanding Upper Abdominal Pain: Is It Related to the Pancreas?

Upper abdominal pain, abdominal ultrasound concerns? Hello Doctor, over the past year, I have occasionally experienced pain in the upper abdomen, particularly in the left upper quadrant. There is usually a specific point that is painful when pressed, and sometimes it seems to be ...


Dr. Cai Anshun Reply:
Hello: Pain in the upper left abdomen is more commonly associated with issues related to gastric acid. Pancreatic problems are less likely unless there is a history of long-term alcohol consumption or hypertriglyceridemia. If the symptoms persist, it is advisable to consult a gas...

[Read More] Understanding Upper Abdominal Pain: Is It Related to the Pancreas?


Understanding Elevated Enzyme Levels: Is It Pancreatitis?

Two indices are elevated? Recently, I have been experiencing lower back pain, but I don't have much discomfort in my upper abdomen. I have been using a fascia ball to help relax and relieve the pain. My blood test results show amylase at 159, lipase at 101, and normal blood ...


Dr. Lin Minghui Reply:
Typical pancreatitis presents with pain radiating from the chest to the back, making it difficult to stand straight, with relief upon bending forward. A diagnosis can be made if lipase levels are more than three times the normal range. Possible causes of acute pancreatitis includ...

[Read More] Understanding Elevated Enzyme Levels: Is It Pancreatitis?


Understanding Right Upper Abdomen Pain: Causes and Next Steps

Pain under the right rib cage in the upper abdomen? Hello, doctor. I occasionally experience pain in the area just below the right rib cage. The pain is localized and typically lasts for about 1 to 2 weeks each time it occurs, but it tends to recur every few months. The pain beco...


Dr. Hu Guozheng Reply:
Hello, it is recommended to visit a pain management clinic. Thank you.

[Read More] Understanding Right Upper Abdomen Pain: Causes and Next Steps


Understanding Nighttime Abdominal Pain: Causes and Concerns

Woke up at night due to abdominal pain? Two days ago, I woke up around 3 AM due to abdominal pain. I was lying flat on my back at the time, and the pain felt localized in the upper abdomen. It slightly eased when I turned onto my side. Before sleeping, I had a sensation of bloati...


Dr. Hu Guozheng Reply:
You can start by adjusting your diet and observing whether the stool color returns to normal. If you continue to experience black stools, bloating, or abdominal pain, it is recommended to visit a gastroenterology clinic for examination. Thank you.

[Read More] Understanding Nighttime Abdominal Pain: Causes and Concerns


Understanding Your Symptoms: IBS, GERD, or Pancreatic Cancer Concerns?

I would like to ask the doctor if I have irritable bowel syndrome combined with gastroesophageal reflux disease or pancreatic cancer? Hello, Doctor: I am regularly taking psychiatric medications (such as Prozac) primarily due to autonomic nervous system dysregulation with overact...


Dr. Cai Jinji Reply:
Hello Mr. Chang: For your left and right upper back pain, it is recommended to consult other specialties first. There are many potential causes for bloating, so it is advisable to ask your previous treating physician for guidance based on prior examinations and your condition. Di...

[Read More] Understanding Your Symptoms: IBS, GERD, or Pancreatic Cancer Concerns?


Acute Gastroenteritis or Norovirus? Understanding Your Symptoms and Treatment

Acute gastroenteritis? Norovirus? Hello Doctor: On March 5th around 11 PM, I experienced severe cramping pain in my lower abdomen (similar to the sensation of intestinal twisting). This was followed by diarrhea; from the night of March 5th to the morning of March 6th, I had about...


Dr. Chen Shidian Reply:
There is no specific antiviral medication for norovirus; treatment is generally based on symptom management, similar to that for general gastroenteritis. The treatment approach includes fasting, replenishing fluids and electrolytes, and using medications to control symptoms. It i...

[Read More] Acute Gastroenteritis or Norovirus? Understanding Your Symptoms and Treatment


Understanding Abdominal Issues: Insights on Gastrointestinal Discomfort

Abdominal issues? Hello, Doctor. Since the onset of winter, I have been experiencing abdominal issues, including various types of pain in different areas. Here are the details: 1. Recently, I have been feeling significant spasms in my upper abdomen during the night, around the ...


Dr. Cai Jinji Reply:
Dear Mr. Anonymous: 1. If this condition has persisted for some time, it is advisable to seek medical attention and consult a physician about arranging further examinations. 2. Regarding the second point, it is still necessary to see a doctor to inquire about the results of th...

[Read More] Understanding Abdominal Issues: Insights on Gastrointestinal Discomfort


Understanding Upper Abdominal Pain: Causes and When to Seek Help

Sharp pain in the upper middle abdomen? Hello doctor, I have been experiencing sharp pain in my upper abdomen, sometimes triggered by eating. Recently, the pain has started to occur intermittently, and I am quite worried.


Dr. Chen Shidian Reply:
You can visit the gastroenterology outpatient clinic for examination and avoid sweet, acidic, and irritating foods.

[Read More] Understanding Upper Abdominal Pain: Causes and When to Seek Help


Understanding Abdominal Pain: Causes and Solutions for Gastrointestinal Issues

Abdominal bloating and pain? Hello doctor, I visited a gastroenterologist this Friday due to diarrhea and abdominal pain. I have been taking medication and my condition has improved. However, on Saturday, I noticed that regardless of whether I am standing, sitting, or lying down,...


Dr. Chen Shidian Reply:
It may be gastroenteritis with associated muscle soreness symptoms. Medications can be taken to manage the symptoms and monitor for changes; a follow-up visit is necessary if needed.

[Read More] Understanding Abdominal Pain: Causes and Solutions for Gastrointestinal Issues


Understanding Right Upper Abdominal Pain: Causes and Solutions

Right upper quadrant pain? Hello Doctor, I have been experiencing difficulty sleeping until dawn for over a year and a half since 2021 due to high stress, which has led to a decline in my overall health. Recently, I have had recurrent fevers, abdominal pain, acid reflux, and diar...


Dr. Chen Shidian Reply:
A medical examination is sufficient. If the physician's palpation or ultrasound shows no significant abnormalities, local heat application and dietary/emotional adjustments can be recommended.

[Read More] Understanding Right Upper Abdominal Pain: Causes and Solutions


Understanding Upper Abdominal Pain Near Ribs: Causes and Next Steps

Sharp pain in the upper left and right abdomen near the ribs? Hello, currently I am experiencing sharp pain in the upper left and right abdomen near the rib cage. The pain points are quite symmetrical and at a similar height. I usually feel it more when sitting, while standing an...


Dr. Lin Minghui Reply:
If you have gallstones, it is important to maintain a regular diet and avoid greasy foods. Complications from gallstones can sometimes lead to post-meal bloating and pain in the right upper abdomen. If you experience sharp pain in the upper abdomen and are concerned about potenti...

[Read More] Understanding Upper Abdominal Pain Near Ribs: Causes and Next Steps


Persistent Left Upper Abdomen Discomfort After COVID-19: Causes and Solutions

There has been a persistent foreign body sensation in the upper left area, and the location feels somewhat variable? Hello Doctor: Since being diagnosed with COVID-19 at the end of September, I have been experiencing a sensation of foreign body or tightness in the upper left abdo...


Dr. Lin Minghui Reply:
Gastrointestinal endoscopy and colonoscopy have shown normal bowel movements; however, intestinal cramps and autonomic nervous system disorders are possible. Imaging studies (X-ray, ultrasound, CT scan, MRI) can assist in diagnosis. Follow-up is recommended. Wishing you good heal...

[Read More] Persistent Left Upper Abdomen Discomfort After COVID-19: Causes and Solutions


Understanding Vomiting, Stomach Pain, and Acid Reflux Issues

Vomiting, stomach pain, gastroesophageal reflux? Hello Doctor: Three months ago, I started experiencing mild acid reflux, loud burping, and frequent urges to burp. Last week, I felt a fever and weakness, and I vomited heavily at night. The next day, I began to have dull pain in m...


Dr. Chen Shidian Reply:
An upper gastrointestinal endoscopy can be performed along with medication therapy.

[Read More] Understanding Vomiting, Stomach Pain, and Acid Reflux Issues


Persistent Bloating, Burping, and Nausea: When to Seek Gastrointestinal Care

Persistent bloating, belching, and nausea? Hello, doctor. Recently, whenever I eat or drink even a little liquid, I feel bloated in my upper abdomen, and I keep burping, even feeling nauseous. After each meal, my stomach becomes distended and painful (like a pregnant belly), but ...


Dr. Chen Shidian Reply:
If there is no change in weight, further observation or an endoscopy can be considered for reassurance.

[Read More] Persistent Bloating, Burping, and Nausea: When to Seek Gastrointestinal Care


Understanding Gallbladder Stones: When to Consider Surgery?

Gallbladder surgery Hello, for the past 2-3 years, I have frequently experienced abdominal bloating and discomfort after meals. Taking antacids or medications for bloating is sometimes effective and sometimes not. A few months ago, I had severe bloating and a feeling of pressure,...


Dr. Chen Shidian Reply:
It does not resemble gallstone symptoms; we can try medication management.

[Read More] Understanding Gallbladder Stones: When to Consider Surgery?


Understanding Upper Abdominal Pain: When to Seek Medical Help

Pain in the upper abdomen and left chest? In recent years, I have been experiencing stomach pain intermittently. When it becomes severe, I visit a doctor and take gastric medication. During a health check-up in February and March, I received a report indicating two abnormal tumor...


Dr. Hu Guozheng Reply:
It is recommended to have regular follow-up visits to monitor your current discomfort. Please seek medical evaluation based on your symptoms. Thank you.

[Read More] Understanding Upper Abdominal Pain: When to Seek Medical Help


Understanding Upper Abdominal Bloating: Causes and Concerns

Abdominal bloating Hello Doctor, I would like to ask what could be the cause of a feeling of bloating and tightness in the middle of the upper abdomen? There is no pain in the abdomen, and the stool is either mushy or watery with bubbles. I have a history of adhesions due to a pr...


Dr. Chen Shidian Reply:
It is recommended to visit a gastroenterology outpatient clinic for further evaluation to determine if there are any issues related to the stomach or biliary pancreas.

[Read More] Understanding Upper Abdominal Bloating: Causes and Concerns


Understanding Right Upper Abdomen Pain: Causes and Concerns

Pain upon palpation in the right upper quadrant? Hello Dr. Chen: Over the past week (starting around Monday), I have noticed a painful spot just below the right rib cage in the upper right abdomen. A few days ago, I felt more pain when stretching, but today it feels slightly bett...


Dr. Chen Shidian Reply:
The posture-related issue is likely a localized muscle strain. Pay attention to the posture when lifting heavy objects, apply local heat therapy, use analgesics, and monitor the condition.

[Read More] Understanding Right Upper Abdomen Pain: Causes and Concerns


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