Understanding Gastrointestinal Anxiety: When to Worry About Your Bowel Health
I am very worried? I often find myself imagining that I have serious illnesses due to minor health issues, which leads to anxiety. For a while, my stools have been softer and occasionally floating on the water. Sometimes, my bowel movements are very loose and break apart easily, ...
Dr. Chen Qifeng Reply:
It is recommended to undergo a colonoscopy. If no significant issues are found, it may be a case of functional gastrointestinal disorder.[Read More] Understanding Gastrointestinal Anxiety: When to Worry About Your Bowel Health
Can Weight Loss and Diet Reverse Severe Fatty Liver Disease?
Fatty liver disease issues? Hello, Doctor. Recently, I went to the hospital for a check-up and an abdominal ultrasound at the family medicine department. The family medicine doctor said that the gastroenterologist indicated I have significant fatty liver (severe fatty liver). My ...
Dr. Yang Zhichao Reply:
Dear Ms. Chen, Hello. Fatty liver can indeed be improved through dietary changes and regular exercise. The liver accumulates fat, and when this fat oxidizes over time, it can lead to inflammation, resulting in elevated liver enzymes. Given that you weigh over 100 kilograms, it i...[Read More] Can Weight Loss and Diet Reverse Severe Fatty Liver Disease?
Can Esophagitis Heal Naturally with Diet and Lifestyle Changes?
If esophagitis is not treated with medication, can it heal naturally by simply improving diet and lifestyle habits? Hello, a few days ago I underwent an esophagogastroduodenoscopy, and the doctor mentioned that I have mild esophagitis. He prescribed medications such as antiemetic...
Dr. Cai Anshun Reply:
Hello: If dietary improvements lead to the disappearance of symptoms, then it may not be necessary to take medication for an extended period. The doctor likely based this on the results of a gastroscopy and the maximum duration for medication use. If you have any questions, you c...[Read More] Can Esophagitis Heal Naturally with Diet and Lifestyle Changes?
Dietary Guidelines for Managing Elevated Ammonia Levels in Liver Cirrhosis
Diet for Elevated Ammonia Levels Hello, doctor. My father is 56 years old and currently has grade C liver cirrhosis. His last blood test showed an ammonia level of 277, which is slightly elevated. He is alert, but I'm unsure about his diet. I'm worried that if he consum...
Dr. Cai Anshun Reply:
Hello: For patients with a tendency towards hepatic encephalopathy, it is advisable to provide 40 to 50 grams of protein daily (0.5 to 0.7 grams per kilogram of body weight). Once symptoms of hepatic encephalopathy arise, the protein intake should be immediately reduced to 25 to ...[Read More] Dietary Guidelines for Managing Elevated Ammonia Levels in Liver Cirrhosis
Understanding Elevated Liver Enzymes: Causes and Concerns
Elevated liver enzymes indicating inflammation? Hello, doctor. I went to the family medicine clinic last week for a blood test, and today the report came back. My blood sugar, cholesterol, and triglycerides are all normal, but my liver enzymes are elevated. The family medicine do...
Dr. Cai Anshun Reply:
Hello: An ALT level of 60 (with a standard range of 7-42) indicates a liver condition that is not considered severe. However, it may be caused by fatty liver or insufficient sleep. Once the underlying cause is identified, further measures can be taken to improve the situation, wh...[Read More] Understanding Elevated Liver Enzymes: Causes and Concerns
Understanding Soft and Watery Stools: Signs and Concerns
Stool becomes loose and watery? Hello Doctor, I have recently noticed some abnormalities in my stool. The color is dark brown or yellow-brown, and the consistency feels very soft and mushy. Sometimes it forms a C-shape, other times a U-shape, and at times it resembles melted ice ...
Dr. Cai Anshun Reply:
Hello: There are no absolute symptoms of colorectal cancer. It is recommended to maintain a normal and balanced diet. If there is no improvement, you may consult a gastroenterologist at Changhua Hospital to address your health concerns. Dr. Tsai An-shun.[Read More] Understanding Soft and Watery Stools: Signs and Concerns
Understanding Your Gastrointestinal Issues: Symptoms and Concerns
Gastrointestinal issues I have been experiencing these symptoms for a long time, and I can't remember how many years it's been. I eat a lot of food every day, but I feel very hungry within two hours. I have to eat quickly, or else I get shaky from hunger. My appetite is...
Dr. Cai Anshun Reply:
Hello: It may not necessarily be due to parasites or cancer; some endocrine issues (such as diabetes or hyperthyroidism) are also possible. It is recommended to consult a gastroenterologist and an endocrinologist to determine the cause. Changhua Hospital cares about your health. ...[Read More] Understanding Your Gastrointestinal Issues: Symptoms and Concerns
Is My Throat Sensation Serious? Should I Get Further Tests?
Could you please tell me if these symptoms are considered mild? Is further examination necessary? Around mid-March of this year, I noticed a sensation of a foreign body in my throat. At that time, I weighed about 95 kilograms. I went to the hospital to see a doctor, but I did not...
Dr. Chen Shidian Reply:
Hello, sir. You should continue with medication and monitor your diet/weight control. Changhua Hospital is concerned about your health. Chen Shidian.[Read More] Is My Throat Sensation Serious? Should I Get Further Tests?
Understanding Abnormal Liver Function: Is Fatty Liver the Cause?
Liver dysfunction Hello Doctor, two weeks ago I had a blood test and today the report shows liver function results: GOT: 34 IU/L (5-34), GPT: 54 IU/L (<40). Last year, during a colonoscopy and gastroscopy, the doctor performed an ultrasound of my liver and diagnosed me with fa...
Dr. Chen Shidian Reply:
Hello, sir. It is possible to try losing weight first and rule out hepatitis B/C. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Abnormal Liver Function: Is Fatty Liver the Cause?
Understanding Abdominal Pain and Bowel Issues: A Gastrointestinal Perspective
Abdominal and bowel issues? Hello Doctor: For the past month, I have been experiencing frequent yellow, unformed watery stools, occasional sharp abdominal pain, and almost no appetite. I feel an urgent need to use the bathroom both on an empty stomach and within half an hour afte...
Dr. Cai Anshun Reply:
Hello: If there are changes in bowel habits, it is advisable to first examine dietary habits for any necessary adjustments. If no cause is identified, a follow-up visit to a gastroenterologist is recommended to determine if further stool tests or endoscopic examinations are neede...[Read More] Understanding Abdominal Pain and Bowel Issues: A Gastrointestinal Perspective
Is It Really Acute Gastroenteritis? Understanding Your Symptoms and Concerns
Is it really gastroenteritis? Last Wednesday, June 21, I sought medical attention due to symptoms of fever, headache, and abdominal pain. The doctor diagnosed me with acute gastroenteritis. After taking medication for one day, both my headache and fever significantly improved. I ...
Dr. Cai Anshun Reply:
Hello: You may have gastritis or a gastric ulcer. It is advisable to consult a gastroenterologist, who will determine whether an endoscopy is necessary or if medication will suffice. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Is It Really Acute Gastroenteritis? Understanding Your Symptoms and Concerns
Understanding Abdominal Bloating and Discomfort: Causes and Solutions
Abdominal bloating, abdominal rigidity, a feeling of fullness, and discomfort or the urge to defecate after eating? Hello Doctor, I woke up on Saturday morning (June 10, 2017) feeling sudden abdominal bloating and a hard abdomen (around the area of the navel; I'm not sure if...
Dr. Cai Anshun Reply:
Hello: The location of your discomfort you described is more likely related to a gastric issue. It may be advisable to consult a gastroenterologist again to determine if an endoscopy is necessary. Ultrasound is indeed not effective for examining hollow organs such as the gastroin...[Read More] Understanding Abdominal Bloating and Discomfort: Causes and Solutions
Understanding Sudden Hunger and Digestive Issues: When to Seek Help
Gastrointestinal issues Actually, I haven't really noticed if there is a pattern to these symptoms, but I find it strange that sometimes I go from not feeling hungry at all one moment to suddenly feeling extremely hungry the next moment. I'm so hungry that I need to eat...
Dr. Lin Minghui Reply:
Frequent hunger that is relieved after eating, abdominal pain that improves after bowel movements, and susceptibility to bloating may indicate irritable bowel syndrome (IBS). It is recommended to pay attention to dietary habits, maintain regular meal times, avoid overly sweet and...[Read More] Understanding Sudden Hunger and Digestive Issues: When to Seek Help
Understanding Weight Loss, Bloating, and Digestive Issues: A Gastroenterology Perspective
Diarrhea, belching, weight loss? Hello, I have been experiencing severe insomnia for the past year or two, and my sleep schedule has been irregular. I have been under a lot of stress and tension. Six months ago, I started feeling bloated, frequently burping and passing gas, feeli...
Dr. Cai Anshun Reply:
Hello: If gastrointestinal issues are ruled out, you may consider visiting a metabolic specialist to determine the cause of your weight loss. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Weight Loss, Bloating, and Digestive Issues: A Gastroenterology Perspective
Understanding Weight Loss and Stomach Pain: Possible Causes and Solutions
Stomach pain and weight loss? At the end of March, I went to the hospital's family medicine department due to severe bloating and abdominal pain. A urinalysis and stool occult blood test were performed because the doctor suspected a urinary tract infection, but the tests sho...
Dr. Chen Qifeng Reply:
It is recommended to consult a gastroenterologist. If necessary, undergo an upper gastrointestinal endoscopy.[Read More] Understanding Weight Loss and Stomach Pain: Possible Causes and Solutions
Understanding Bowel Issues: Symptoms and Possible Causes
Bowel movement issues After bowel movements, although there are no blood stains on the toilet paper, there is a bloody smell when close to it. This situation has been ongoing for about 1 to 2 years. Recently, in addition to this issue, I have been feeling that my bowel movements ...
Dr. Cai Anshun Reply:
Hello: If you have any questions, you can consult a gastroenterologist or a colorectal specialist to determine the cause. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Bowel Issues: Symptoms and Possible Causes
Understanding Right Abdominal Pain: Is Obesity the Cause?
Obesity. Occasional sharp pain just below the right breast? Hello, doctor. I am quite overweight, over 100 kilograms. The fat just below my right breast is consistently a bit larger than the left side, and it feels soft to the touch. Occasionally, I experience sharp pains a few t...
Dr. Cai Anshun Reply:
Hello: It may be more accurate to locate the liver at the lower edge of the ribs. You can consult a gastroenterologist to see if an abdominal ultrasound is necessary. Strict control of diet and exercise is essential to manage weight. Changhua Hospital cares about your health. Dr....[Read More] Understanding Right Abdominal Pain: Is Obesity the Cause?
Understanding Bowel Issues: When to Seek Further Medical Evaluation
Bowel issues Hello, doctor. Recently, my bowel habits have changed over the past three months, affecting my daily routine. However, the doctors I have seen have not been able to identify any results, and I am considering whether or not to undergo further testing. Back in February...
Dr. Lin Minghui Reply:
Changes in bowel habits, morning bloating, and alterations in the nature and shape of stools can be common signs of conditions such as irritable bowel syndrome, especially considering your age. If symptoms persist, such as blood in the stool, frequent urges to have a bowel moveme...[Read More] Understanding Bowel Issues: When to Seek Further Medical Evaluation
Understanding Digestive Issues: Ulcers, Bowel Changes, and Diet Concerns
Abdominal bowel movement concerns? Hello, Doctor. I apologize for continuously asking you questions. I am 16 years old and have been experiencing gastrointestinal discomfort and mild indigestion for the past two months. I underwent an endoscopy at Yuanlin Christian Hospital, wher...
Dr. Cai Anshun Reply:
Hello: 1. Ulcers will not cause the symptoms you described; however, irritable bowel syndrome or food that is not chewed properly may result in undigested food in the stool. 2. Rapid bowel movement can lead to such situations; it is recommended to maintain a balanced diet and che...[Read More] Understanding Digestive Issues: Ulcers, Bowel Changes, and Diet Concerns
Concerns About Stomach Ulcers and Weight Loss in Teens
I'm very worried..? Hello, doctor. Recently, due to a gastric ulcer, I have lost weight from 55.56 kg to 52.6 kg. Although I have been eating normally lately, I still haven't gained any weight. During middle school, I frequently ate fried chicken and consumed very few v...
Dr. Cai Anshun Reply:
Hello: Since the gastroscopy has already been performed, there is no need to worry excessively about stomach issues. If symptoms persist, it may be necessary to adjust your diet, daily routine, and emotional management. You can discuss this with your physician during your follow-...[Read More] Concerns About Stomach Ulcers and Weight Loss in Teens