Understanding Upper Abdominal Discomfort: Causes and Remedies
Discomfort in the upper abdomen? Hello, doctor. I would like to ask about my condition. Around mid-January, I experienced stomach discomfort and went for an examination. The doctor diagnosed me with gastritis. I have been taking medication for about four times, and I feel that th...
Dr. Yang Zhichao Reply:
Hello Alan! You mentioned experiencing discomfort in the upper abdomen. This symptom should be considered in relation to gastroesophageal reflux disease or peptic ulcers. If you have recently noticed black stools, it may indicate a bleeding phenomenon. It is recommended that you ...[Read More] Understanding Upper Abdominal Discomfort: Causes and Remedies
Understanding Chronic Lower Abdominal Pain: Insights on IBS and Treatment Options
Lower abdominal issues? Since the end of July, I have been experiencing intermittent pain in the lower abdomen, including bloating, sharp pain, and cramping. I consulted a gynecologist, and they found no issues. The gynecologist suggested that my intestines are moving too quickly...
Dr. Chen Qifeng Reply:
Hello: The diagnosis of irritable bowel syndrome (IBS) requires the exclusion of colonic lesions. It is recommended to undergo a colon X-ray or colonoscopy. Best regards, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Understanding Chronic Lower Abdominal Pain: Insights on IBS and Treatment Options
Is Gastroscopy Safe During Pregnancy? Understanding Risks and Alternatives
Gastroscopy Hello, Doctor. I am currently two months pregnant, but I have been experiencing stomach discomfort. I visited a gastroenterology clinic, and initially, the doctor suggested an endoscopy. However, upon learning that I am two months pregnant, he advised against it, stat...
Dr. Chen Qifeng Reply:
Hello: There are no absolute contraindications for undergoing an upper gastrointestinal endoscopy during pregnancy. However, in the early stages of pregnancy, the fetus is more vulnerable, so an endoscopy would typically only be performed if the condition is more severe (such as ...[Read More] Is Gastroscopy Safe During Pregnancy? Understanding Risks and Alternatives
Understanding Bloating: Causes, Symptoms, and When to Seek Help
The doctor said I have bloating? Your question: Hello Doctor, I visited a physician last November because I often experience intermittent abdominal cramps, although they do not persist. The doctor performed an ultrasound and diagnosed me with bloating, prescribing medication that...
Dr. Chen Qifeng Reply:
Hello, if the bloating is concentrated in the upper abdomen and there is belching (similar to the sensation of releasing gas after drinking soda), it may indicate a gastric issue. If the bloating is in the middle or lower abdomen, it could suggest an intestinal problem. Generally...[Read More] Understanding Bloating: Causes, Symptoms, and When to Seek Help
Understanding Bloating: Causes, Symptoms, and When to Seek Further Testing
The doctor said I have bloating? Hello Doctor: I visited a physician last November due to intermittent abdominal cramps, which do not persist continuously. The doctor performed an ultrasound and diagnosed me with bloating, prescribing medication that provided some relief at the t...
Dr. Chen Qifeng Reply:
Hello, if you are experiencing bloating, the first step is to rule out constipation or indigestion. If the gas is concentrated in the upper abdomen and accompanied by belching and gastric acid, an upper gastrointestinal endoscopy may be considered. Wishing you good health, Dr. Ch...[Read More] Understanding Bloating: Causes, Symptoms, and When to Seek Further Testing
Managing Upper Abdominal Discomfort: Medication Adjustments for Relief
Discomfort in the upper part of the stomach? I previously had gastroesophageal reflux disease (GERD) and after taking medication for a while, my condition improved significantly. Recently, I have been experiencing stomach issues. After each meal, I feel very uncomfortable in my s...
Dr. Chen Qifeng Reply:
Hello, based on the symptoms, it may be gastroesophageal reflux disease (GERD) and gastritis. It is recommended to discontinue the use of motility agents, continue with the other medications, and add medications for postprandial bloating. Wishing you good health. Dr. Chi-Feng Che...[Read More] Managing Upper Abdominal Discomfort: Medication Adjustments for Relief
Understanding Right Upper Abdomen Discomfort: Liver, Gallbladder, or Nerves?
Dull and distended sensation next to the lower right rib cage? Hello Doctor: In May of this year, I began to feel a sense of heaviness and bloating near the bottom of my rib cage, sometimes just below the lowest rib (which I believe is the rib junction). Therefore, in mid-May, I ...
Dr. Chen Qifeng Reply:
Hello, liver inflammation can lead to abnormal liver function, which may cause a feeling of discomfort or bloating in the upper abdomen; however, in fact, 70% of hepatitis cases are asymptomatic. Additionally, elevated liver enzymes are one thing, but the most important factor is...[Read More] Understanding Right Upper Abdomen Discomfort: Liver, Gallbladder, or Nerves?
Understanding Right Upper Abdomen Discomfort: Causes and Insights
There is a feeling of heaviness in the right upper abdomen? Hello Dr. Chen: I have been feeling a dull sensation in the upper right quadrant of my abdomen, which I can't quite describe as pain, but it feels swollen and uncomfortable. I am 176 cm tall and weigh 90 kg, and I d...
Dr. Chen Qifeng Reply:
Hello, discomfort in the upper right abdomen, if accompanied by acid reflux and belching, may indicate a duodenal issue. If it is accompanied by bloating and difficulty with bowel movements, it may suggest a problem with the colon. Wishing you good health. Dr. Chi-Feng Chen, Taoy...[Read More] Understanding Right Upper Abdomen Discomfort: Causes and Insights
Managing Morning and Post-Meal Stomach Discomfort: Tips and Insights
Feeling comfortable in the stomach in the morning and after meals? Hello, Doctor. I previously experienced gastroesophageal reflux disease (GERD) and gastritis. After taking a proton pump inhibitor (PPI) before bed and a gastric antacid after meals for three months, my GERD has i...
Dr. Chen Shidian Reply:
Hello, sir: Have you undergone an endoscopy to rule out other issues? If so, you may need to prepare additional symptomatic treatment medications; if the effects are not satisfactory, you can return for an earlier follow-up to adjust the medication. Please limit your intake of ac...[Read More] Managing Morning and Post-Meal Stomach Discomfort: Tips and Insights
Differentiating Abdominal X-ray Findings: Gas vs. Bowel Obstruction
The distinction between localized abdominal distension and bowel obstruction on X-ray? Hello, doctor. Since February, I have been experiencing persistent discomfort and a feeling of pressure in my left upper abdomen, along with occasional discomfort in my left side. My bowel habi...
Dr. Chen Qifeng Reply:
Hello, you may consider undergoing a colon examination (either a barium enema or a colonoscopy). If no abnormalities are found, it is likely a functional issue. Wishing you good health, Dr. Chen Qifeng, Taoyuan Hospital, Department of Health.[Read More] Differentiating Abdominal X-ray Findings: Gas vs. Bowel Obstruction
Understanding Bile Reflux: Symptoms, Diagnosis, and Treatment Options
Gastrointestinal Endoscopy Report and Persistent Symptoms Hello, doctor. I am currently living abroad and started seeking medical attention last October due to symptoms of excessive stomach acid and a burning sensation in my throat. The doctor here initially prescribed me a PPI (...
Dr. Chen Qifeng Reply:
1. Bile reflux gastritis can occur even without issues related to the pylorus. The treatment focuses on managing the gastritis. 2. It is merely a description of inflammation. 3. Proton pump inhibitors (PPIs) primarily reduce gastric acid. They are effective for conditions relat...[Read More] Understanding Bile Reflux: Symptoms, Diagnosis, and Treatment Options
Understanding Recurring Stomach Bloating: Causes and Solutions
Frequent abdominal bloating and pain? Hello Dr. Chen: Why do I frequently experience symptoms of gastric bloating and pain, particularly around 5 AM and 5 PM? My endoscopy results are normal (I previously had a gastric ulcer, which has healed after treatment), but since the perio...
Dr. Chen Qifeng Reply:
Hello, if the bloating is not in the upper abdomen, it may be due to gas in the intestines. If it is gastric bloating, it could also indicate poor gastric emptying. Dr. Chen Chih-Feng, Taoyuan Hospital, Department of Health.[Read More] Understanding Recurring Stomach Bloating: Causes and Solutions
Understanding Right Upper Abdomen Discomfort: Causes and Solutions
Right upper quadrant discomfort? Hello, I would like to ask about a persistent dull ache and occasional sharp pain in my right upper abdomen near the ribs. I have been a regular blood donor and do not have hepatitis B or C, but I do have fatty liver and am overweight. I had an ul...
Dr. Lin Minghui Reply:
Hello, 1. Right upper quadrant pain can have differential diagnoses including musculoskeletal issues, pleural diseases, gastrointestinal problems, liver and biliary conditions, as well as kidney and adrenal gland disorders. Normal liver function tests generally refer to normal ...[Read More] Understanding Right Upper Abdomen Discomfort: Causes and Solutions
Understanding Chronic Stomach Pain: Stress and Its Impact on Gastric Health
Stomach pain and discomfort issues? Hello Dr. Chen: I frequently experience mild pain and discomfort in the upper abdomen. Could long-term stress lead to gastric ulcers or stomach pain? I have undergone gastroscopy three times within a year; the first examination revealed a gastr...
Dr. Chen Shidian Reply:
Hello, sir: It may be caused by gastric dysfunction and excessive gastric acid. You can take antacids according to your symptoms and adjust your daily routine and diet. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Chronic Stomach Pain: Stress and Its Impact on Gastric Health
Understanding Abdominal Discomfort: Possible Causes and Solutions
Abdominal discomfort? Hello, Doctor: About a month ago, after waking up from a midday nap, I experienced an inexplicable bitter taste rising from my throat to my mouth. Since then, I have frequently had a bitter taste in my mouth. I thought it was caused by gastroesophageal reflu...
Dr. Chen Shidian Reply:
Hello, sir: It may be a gastrointestinal dysfunction (combined with reflux). It is recommended that you visit the gastroenterology outpatient clinic for examination and treatment. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Abdominal Discomfort: Possible Causes and Solutions
Understanding Abdominal Ultrasound Abnormalities: What to Do Next?
Abdominal ultrasound abnormalities? Hello~~~ Because my company has scheduled an annual health check, my liver function and Helicobacter pylori test results are normal. However, the hospital informed me that there are abnormalities in my abdominal ultrasound, and I have recently ...
Dr. Chen Shidian Reply:
Dear Miss Pi: If the liver ultrasound shows only "mild hepatic parenchymal changes" and liver function is normal without hepatitis B or C, there are generally no significant issues. However, it is still advisable to consult a hepatobiliary and gastroenterology specialis...[Read More] Understanding Abdominal Ultrasound Abnormalities: What to Do Next?
Should Surgery Be Considered for Gallbladder Atrophy?
Is cholecystectomy necessary for gallbladder atrophy? Hello Dr. Chen: My father previously experienced severe pain in the upper abdomen and first went to Hospital A for an ultrasound, which revealed a thickened gallbladder. The physician at Hospital A recommended surgery. He then...
Dr. Chen Qifeng Reply:
Hello, the prerequisite for an ultrasound examination of the gallbladder is fasting for at least 6-8 hours. If the examination reveals thickening of the gallbladder wall or atrophy while fasting, it often suggests the presence of gallstones along with chronic cholecystitis. In th...[Read More] Should Surgery Be Considered for Gallbladder Atrophy?
Understanding Abdominal Distension: Causes and Solutions for Digestive Issues
Regarding the issue of gastric protrusion? Since I was young, my stomach has been particularly protruding, specifically the area between my chest and my navel. I occasionally experience stomach pain and have poor digestive health. When I eat a larger meal or right after eating, m...
Dr. You Ligang Reply:
Hello, the organs in the upper abdomen include the stomach, intestines, and the left lobe of the liver. If there has been a noticeable protrusion since childhood, it may be worth considering a hernia. If you feel a firm sensation when pressing on it, it could be pressing against ...[Read More] Understanding Abdominal Distension: Causes and Solutions for Digestive Issues
Unexplained Abdominal Pain: When to Seek Medical Attention?
Unexplained pain Hello, doctor: On Monday, I experienced a loss of appetite, and eating caused vomiting. After lunch and dinner, I felt nauseous, which means I haven't had a normal meal all day. However, after vomiting in the evening, I felt pain in the area between my ribs,...
Dr. Chen Qifeng Reply:
Hello, if you do not usually experience these symptoms, your condition may be acute gastritis. If the discomfort persists, please seek medical attention. Best wishes, Dr. Chen Qifeng, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Unexplained Abdominal Pain: When to Seek Medical Attention?
Understanding Symptoms: Spleen Inflammation vs. Gallstones
Regarding splenitis? The symptoms of left upper abdominal pain radiating to the back, accompanied by vomiting, belching, and occasional dizziness that lasts for a few minutes, could indicate either splenic inflammation or gallstones. However, these symptoms are more commonly asso...
Dr. Lin Minghui Reply:
Hello: Left upper abdominal pain with vomiting, belching, and dizziness. Differential diagnoses include esophageal, gastric, and duodenal diseases, as well as pancreatic disorders. Splenic enlargement due to various reasons (such as infections or hematologic diseases) can sometim...[Read More] Understanding Symptoms: Spleen Inflammation vs. Gallstones