Weight, Gastroenterology and Hepatology FAQ

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Understanding Gastrointestinal Issues: Managing Hunger and Discomfort

Gastrointestinal issues Hello, doctor. I weigh 48 kg and am 170 cm tall. Due to work reasons, my sleep schedule is irregular, but I do have a consistent sleep pattern. About two weeks ago, I started feeling hungry every day. This hunger is tolerable, and eating provides some sens...


Dr. Hu Guozheng Reply:
Hello, I'm not quite clear on what you mean by feeling hungry in your stomach every day. At what time and under what circumstances does this occur? If you have already sought medical attention, I recommend consulting your attending physician in person for clearer insights an...

[Read More] Understanding Gastrointestinal Issues: Managing Hunger and Discomfort


Understanding Digestive Issues: Color Changes and Abdominal Pain Explained

Bowel issues? Recently, my diet has been irregular because I want to lose weight; I sometimes skip meals and don't eat much. In early July, I ate dragon fruit for three consecutive days, and since then, my stools have been a deep purple color. However, for a few days, I expe...


Dr. Chen Shidian Reply:
First, stop consuming dragon fruit (which contains pigments that may interfere), and then observe. It is also recommended to maintain a balanced diet and avoid excessive dieting.

[Read More] Understanding Digestive Issues: Color Changes and Abdominal Pain Explained


Understanding Bloating and Loss of Appetite: Causes and Solutions

Bloating, loss of appetite? I often experience bloating in my left flank and a lack of appetite. What should I do? I have seen a doctor who mentioned that my lack of appetite is caused by anxiety; is that really the case? I have undergone an endoscopy, which showed only gastritis...


Dr. Chen Shidian Reply:
It is recommended to consult with a physician for discussion, maintain regular meal times, and engage in regular exercise to support metabolic circulation.

[Read More] Understanding Bloating and Loss of Appetite: Causes and Solutions


Understanding Changes in Bowel Habits: When to Seek Medical Advice

Bowel and defecation-related issues? Hello doctor, my bowel habits have changed for a while now, and it has been almost six months. I used to have regular bowel movements, but now I either go a long time without a bowel movement or I have difficulty passing stool. The consistency...


Dr. Chen Shidian Reply:
If there is no bleeding or weight loss, it is likely a change in digestive motility. Pay attention to diet, hydration, and exercise. If concerned, a stool occult blood test can be performed first.

[Read More] Understanding Changes in Bowel Habits: When to Seek Medical Advice


Understanding Diarrhea: When to See a Gastroenterologist or Psychologist

Diarrhea issues? Hello Doctor: I used to have normal bowel movements at irregular times every day (normal without any issues). However, starting in June of this year after losing my job, I began experiencing diarrhea (I have had similar diarrhea issues in the past that varied in ...


Dr. Chen Shidian Reply:
It may still be an irritability syndrome. Management should focus on lifestyle and dietary habits (reducing oil, dairy, and coffee), along with medications for gastrointestinal symptoms and anxiety. Adjustments can be made based on the response.

[Read More] Understanding Diarrhea: When to See a Gastroenterologist or Psychologist


Understanding Symptoms of Gastroesophageal Reflux and Related Conditions

I would like to ask Dr. Chen what symptoms might be indicated by a sudden tightening in the center of the chest when changing positions or after eating? Two years ago, I frequently enjoyed late-night snacks, particularly spicy and fried foods. One night, after finishing a snack, ...


Dr. Chen Shidian Reply:
It may be caused by anxiety. In addition to controlling it with gastric medication, it is still recommended to undergo pharmacological treatment and relaxation training from a psychosomatic specialist.

[Read More] Understanding Symptoms of Gastroesophageal Reflux and Related Conditions


Best Supplements for Fatty Liver and Gallbladder Polyps: What to Consider

For individuals with fatty liver and gallbladder polyps, liver health supplements that may be beneficial include milk thistle, artichoke extract, and omega-3 fatty acids. However, it is essential to consult with a healthcare professional before starting any new supplements to ens...


Dr. Chen Shidian Reply:
The primary strategies for managing fatty liver are weight loss and exercise, while liver-protective medications have limited efficacy (though they are not harmful). The components of artichoke extracts are all similar, showing no significant differences.

[Read More] Best Supplements for Fatty Liver and Gallbladder Polyps: What to Consider


Understanding Muddy Stool: Gastrointestinal Concerns and Next Steps

Gastrointestinal and bowel-related issues? Hello Doctor: For the past 5-7 days, my stools have been muddy and coffee-colored. Prior to this, I experienced stomach pain and bloating, which led me to visit the emergency room for blood and urine tests. The emergency physician indica...


Dr. Lin Minghui Reply:
Abdominal pain, bloating, and diarrhea improved after medication, but after three days, there are still gastrointestinal discomfort, poor appetite, and muddy, coffee-colored stools. It is possible that the gastroenteritis has not completely resolved. It is recommended to pay atte...

[Read More] Understanding Muddy Stool: Gastrointestinal Concerns and Next Steps


Chronic Abdominal Pain: Understanding Complications and Treatment Options

Abdominal pain persisting for over a year accompanied by multiple complications? Hello, doctor. Since February of last year, I have been experiencing abdominal pain every night, and sometimes I have to rush to the bathroom in the middle of the night. At that time, my bowel moveme...


Dr. Chen Shidian Reply:
If the weight is normal, irritable bowel syndrome (IBS) may be the most likely cause. In addition to using gastrointestinal medications for management, a stool occult blood test can be conducted. If necessary, a referral to a mental health specialist may help with anxiety control...

[Read More] Chronic Abdominal Pain: Understanding Complications and Treatment Options


Two Weeks of Diarrhea: When to Seek Medical Attention?

Diarrhea for two weeks? Hello Doctor: I am 41 years old, with a height of 159.3 cm and a weight of 51.2 kg. This month, I switched to a night shift from 19:00 to 07:00. I have a regular habit of having a bowel movement once a day, typically 1-2 hours after finishing work. Since s...


Dr. Hu Guozheng Reply:
If there are more than three bowel movements per day and the stools are watery and unformed, it is referred to as diarrhea. If it persists for more than four weeks, it is classified as chronic diarrhea. There are many potential causes of diarrhea, including infections, medication...

[Read More] Two Weeks of Diarrhea: When to Seek Medical Attention?


Understanding Digestive Issues: Causes of Diarrhea and Blood in Stool

Bowel issues Hello Doctor: I have been experiencing some bowel issues in the past few days. On the first day, I only had one bowel movement, and the stool was somewhat loose. However, when I wiped, there was a bit of blood on the toilet paper (the process was somewhat painful, an...


Dr. Yang Zhichao Reply:
It is recommended to see a gastroenterologist for an examination.

[Read More] Understanding Digestive Issues: Causes of Diarrhea and Blood in Stool


Understanding Your Gastrointestinal Health: Risks and Follow-Up Care

Issues related to gastrointestinal endoscopy? First of all, thank you very much for your response, Doctor. I still have some concerns regarding my previous question that I would like to clarify. You mentioned that my colonoscopy and gastroscopy results were normal, which is good ...


Dr. Chen Shidian Reply:
It has been calculated since the last examination date. Additionally, further weight loss can also reduce the risk of cancer.

[Read More] Understanding Your Gastrointestinal Health: Risks and Follow-Up Care


Understanding Gastrointestinal Concerns: Anxiety, Fatigue, and Cancer Risks

Gastrointestinal issues consultation? Hello Doctor, I am a 41-year-old male, 172 cm tall and weighing 80 kg. I have been suffering from anxiety disorder, obsessive-compulsive disorder, and hypochondriasis for over ten years. I have long-term issues with fatigue and poor sleep qua...


Dr. Chen Shidian Reply:
First of all, it's understandable to have concerns. However, based on the information you provided, your colonoscopy and gastroscopy results are normal, which is good news and indicates no cancer risk in the short term (1-3 years). It is advisable to collaborate with a menta...

[Read More] Understanding Gastrointestinal Concerns: Anxiety, Fatigue, and Cancer Risks


Sudden Changes in Bowel Habits: When to Seek Further Gastrointestinal Evaluation

Sudden changes in bowel habits with no abnormalities found upon examination? Hello, doctor. I have a bowel movement once a day. Since the end of January this year, I have noticed that my stool has become softer and wetter than before. Previously, my stools were more formed, resem...


Dr. Luo Yining Reply:
According to the Bristol Stool Scale, stool can be classified into seven types, with types three and four being the ideal stool forms. Type three stool is sausage-shaped but has cracks on the surface (similar to the bowel habits you described in the past), while your current bowe...

[Read More] Sudden Changes in Bowel Habits: When to Seek Further Gastrointestinal Evaluation


Understanding Soft Stool: Parasite Infection or Medication Side Effects?

Parasitic infectious diarrhea Hello, Dr. Luo. In April 2021, I experienced a mental health crisis and, in an attempt to avoid being forcibly taken to the hospital by my family, I hid in a public restroom at a temple. During that time, I completely lost my rationality and felt ext...


Dr. Luo Yining Reply:
Most intestinal parasites enter the human body through the oral route. Poor dietary or hygiene practices, such as consuming raw or undercooked food, drinking unclean water, and failing to wash hands before eating or after using the restroom, can lead to the ingestion of parasite ...

[Read More] Understanding Soft Stool: Parasite Infection or Medication Side Effects?


Understanding Elevated Amylase Levels: Causes and Concerns

Amylase levels cannot be reduced? Hello, Doctor. On March 5th, I accidentally consumed spoiled glutinous rice balls (which had been refrigerated for about a week). That evening, around 10 PM, I had fast food fried chicken for dinner and then went to bed. The next day, March 6th, ...


Dr. Chen Shidian Reply:
The pancreas shows only mild inflammation; the numbers are for reference and should not be a cause for concern. A light diet is recommended, and follow-up appointments should be scheduled as planned.

[Read More] Understanding Elevated Amylase Levels: Causes and Concerns


Understanding Recurrent Bloating and Abdominal Pain: When to Seek Further Tests

Frequent bloating and abdominal pain? Hello Doctor, I have seen many doctors this month. In the first and second weeks, I visited for bloating, and in the third week, I consulted for gastroesophageal reflux disease. After taking medication, I felt better in two days, but then I e...


Dr. Luo Yining Reply:
The main cause of abdominal bloating is excessive air, which can generally be divided into two categories: excessive gas production or poor gas expulsion. Excessive gas production can be due to consuming too many gas-producing foods or swallowing too much air, such as when talkin...

[Read More] Understanding Recurrent Bloating and Abdominal Pain: When to Seek Further Tests


Can Traditional Chinese Medicine Cause Rectal Bleeding?

Can traditional Chinese medicine cause me to have bloody stools? Dear Doctor, I have a hard lump near my anus, and a colorectal surgeon diagnosed it as an anal fistula. Currently, I am relying on traditional Chinese medicine. My TCM doctor mentioned that this is just a minor issu...


Dr. Hu Guozheng Reply:
We recommend that you visit the colorectal surgery outpatient clinic for evaluation by a specialist. Thank you.

[Read More] Can Traditional Chinese Medicine Cause Rectal Bleeding?


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?


Understanding Left Upper Abdominal Numbness After Eating: Causes and Concerns

Feeling numbness near the left upper abdomen close to the rib cage after eating and lying down? After eating, I feel a tingling sensation in my upper left abdomen when sitting or lying down, but I don't experience any sensation when I haven't eaten or when I stand or li...


Dr. Chen Shidian Reply:
It is likely a posture issue; applying heat and losing weight may help.

[Read More] Understanding Left Upper Abdominal Numbness After Eating: Causes and Concerns


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