Understanding Gastrointestinal and Rectal Issues: When to Seek Help
Gastrointestinal and rectal issues? Hello Doctor: From July to October last year, shortly after dinner, I would feel a strong urge to use the bathroom (with semi-diarrhea) about 4 to 5 times a week. My daily bathroom frequency was once in the morning (normal) and once in the even...
Dr. Cai Anshun Reply:
Hello, (1) it is possible that you have irritable bowel syndrome (IBS). However, it is important to note that the main characteristics of IBS include periodic and recurrent changes, with abdominal pain alleviating after bowel movements, which may be accompanied by constipation or...[Read More] Understanding Gastrointestinal and Rectal Issues: When to Seek Help
Understanding Occasional Left Abdominal Pain: Causes and Insights
Occasional abdominal pain? For a while now, I've been experiencing occasional mild pain in my left abdomen and above my navel, but it lasts less than 10 minutes and then resolves. There is no blood in my stool, no weight loss, and my appetite is good. I do experience constip...
Dr. Yang Zhichao Reply:
Dear Ms. Chiang Ya-fei, based on your description, it seems more likely to be caused by constipation. I recommend that you increase your intake of fruits and drink more water. If your constipation improves but the pain persists, I suggest you consult a doctor for further evaluati...[Read More] Understanding Occasional Left Abdominal Pain: Causes and Insights
Understanding Abdominal Pain: Could It Be Irritable Bowel Syndrome?
Abdominal pain related to the gastrointestinal tract? Hello doctor, I would like to ask you about my condition. I almost eat fried food every day, and my stools are hard and pellet-like. There is no blood in my stool, my appetite is good, my weight hasn't changed, and I play...
Dr. Cai Anshun Reply:
Hello: It is recommended to avoid eating fried foods every day. The symptoms you described are not indicative of irritable bowel syndrome; they may be related to the presence of gas or retained stool in the colon, small intestine, or stomach. The duration of the pain is relativel...[Read More] Understanding Abdominal Pain: Could It Be Irritable Bowel Syndrome?
Understanding Left Lower Abdominal Swelling: When to Consider a Colonoscopy
Swelling in the left lower abdomen? Hello Dr. Tsai: Last December, I visited Taipei Medical University Hospital due to swelling in my lower left abdomen and stomach pain. An X-ray was taken, and the doctor indicated that I wasn't drinking enough water and needed to exercise ...
Dr. Cai Anshun Reply:
Hello: Swelling in the lower left abdomen may require a doctor's evaluation to determine if it is due to gas, fecal impaction, or a tumor mass. It may also be helpful to measure abdominal circumference and body weight to see if it is simply an accumulation of adipose tissue....[Read More] Understanding Left Lower Abdominal Swelling: When to Consider a Colonoscopy
Understanding a Hard Lump Below the Left Rib: Causes and Concerns
A hard lump below the rib cage? I recently discovered a hard lump under my left rib cage that feels like a firm ball. It doesn't usually hurt, but it does hurt when pressed. However, I feel like there's something there when I walk. Additionally, I've had a very poo...
Dr. Chen Shidian Reply:
Hello, Miss: Please visit the gastroenterology outpatient clinic for further evaluation of the cause. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding a Hard Lump Below the Left Rib: Causes and Concerns
Essential Health Checks for Men with Hepatitis B: What to Know
Men who want to check for liver issues should undergo the following health examinations at a hospital: 1. **Liver Function Tests (LFTs)** - These blood tests measure the levels of liver enzymes, bilirubin, and proteins to assess liver health. 2. **Hepatitis Screening** - Tests f...
Dr. Chen Shidian Reply:
Hello, sir: Please complete the follow-up examination for Hepatitis B, and the attending physician will determine whether additional tests are needed (such as fecal occult blood, blood glucose, thyroid function, etc.). Changhua Hospital cares about your health. Chen Shidian[Read More] Essential Health Checks for Men with Hepatitis B: What to Know
Understanding Rapid Body Fat Increase: Causes and Concerns
Increased body fat? In the past, my body fat percentage was between 21-23%. Recently, after occasionally exercising and running, it dropped to 17-19% (when I usually don't exercise at all). However, now it has risen to 26-27% in just two months since December, an increase of...
Dr. Cai Anshun Reply:
Hello: It is recommended to calculate your BMI; a value not exceeding 24 is considered not obese. A balanced diet and moderate exercise are advised. If necessary, consult a gastroenterologist or a metabolic specialist to assess for possible anemia or nutritional imbalances. Chang...[Read More] Understanding Rapid Body Fat Increase: Causes and Concerns
Understanding Duodenal Ulcers: PPI Treatment and GERD Risks
Duodenal ulcer 1. If you previously had a duodenal ulcer diagnosed via endoscopy and your physician prescribed a two-month course of proton pump inhibitors (PPIs), it is possible for the physician to prescribe PPIs again if you continue to experience discomfort. Regarding insuran...
Dr. Cai Anshun Reply:
Hello, (1) the reimbursement for an upper gastrointestinal endoscopy is once every four months. (2) It is still possible to experience gastroesophageal reflux, as the action of proton pump inhibitors (PPIs) only raises the pH level; however, the gastric acid remains acidic, just ...[Read More] Understanding Duodenal Ulcers: PPI Treatment and GERD Risks
Understanding Mild Left Upper Abdominal Pain: Possible Causes and Insights
Mild pain in the upper left abdomen? I started experiencing a mild pain in my upper left abdomen about a month ago. Sometimes it hurts a little, and other times it doesn't hurt at all. I don't have any other unusual symptoms, including loss of appetite, lumps, vomiting,...
Dr. Cai Anshun Reply:
Hello: The upper left abdomen is where the stomach and large intestine bend around the spleen. It is recommended to avoid fried foods and to maintain a light diet. Be cautious with beverages (such as tea or coffee) and avoid overeating. Pay attention to whether your weight is too...[Read More] Understanding Mild Left Upper Abdominal Pain: Possible Causes and Insights
Understanding Bowel Issues: Frequent Urgency and Loose Stools Explained
Bowel issues I have a habit of using the toilet in the morning, but often after my first bowel movement, I feel the urge to go again within just a few minutes, usually after brushing my teeth or changing clothes. The second bowel movement is typically loose, and occasionally I ha...
Dr. Lin Minghui Reply:
It is recommended to increase fiber intake and maintain adequate hydration to ensure well-formed stools. If there is blood in the stool, weight loss occurs, or symptoms persist, it is advisable to follow up at an outpatient clinic. Wishing you good health. Lin Ming-Hui[Read More] Understanding Bowel Issues: Frequent Urgency and Loose Stools Explained
Understanding the Risks of Reactivation in Chronic Hepatitis B Carriers
Questions about asymptomatic carriers? Hello Dr. Tsai, I have been a carrier of hepatitis B since I was in my specialty training. I found out during a health check at work when I was about 27 years old that my HBeAg was negative. I have also had two or three HBV viral load tests,...
Dr. Cai Anshun Reply:
Hello: (1) The activation of hepatitis B virus is usually associated with a decline in immune function, such as excessive fatigue, or the use of corticosteroids, immunosuppressants, undergoing chemotherapy, alcohol consumption, etc. In some cases, the activation may occur for unk...[Read More] Understanding the Risks of Reactivation in Chronic Hepatitis B Carriers
Understanding Chronic Gastritis, IBS, and Colorectal Cancer Symptoms
Gastritis, irritable bowel syndrome (IBS), colorectal cancer? Hello Doctor: I have a long-standing condition of chronic gastritis, and you have previously suspected the possibility of irritable bowel syndrome. Symptoms such as belching and burping have persisted for quite some ti...
Dr. Cai Anshun Reply:
Hello: In terms of age, the likelihood of you developing colorectal cancer is quite low. My suggestion is to adjust your lifestyle, manage stress, and improve your dietary habits, along with engaging in regular exercise. However, if you experience significant weight loss or recta...[Read More] Understanding Chronic Gastritis, IBS, and Colorectal Cancer Symptoms
Understanding Left Lower Abdominal Discomfort: Causes and Solutions
Left lower abdominal discomfort and pain? Hello doctor, I often experience a dull pain in my lower left abdomen for no apparent reason. When I go to the bathroom, I frequently pass gas, and after doing so, the pain subsides. This has been ongoing for quite some time. Could you pl...
Dr. Lin Minghui Reply:
It may be irritable bowel syndrome (IBS), which is related to diet, stress, emotions, and gastrointestinal function. It is recommended to eat slowly and avoid talking while eating. Limit the intake of gas-producing foods, as well as spicy foods and beverages. Engage in moderate e...[Read More] Understanding Left Lower Abdominal Discomfort: Causes and Solutions
Understanding Bloating and Acid Reflux: Managing Gastrointestinal Pain
Bloating? Excess stomach acid leading to stomach pain! Hello, doctor. Before I present my issue, I would like to mention that there is a family history of colorectal cancer (my grandmother passed away from it). I have informed other doctors about this, and they all said it was to...
Dr. Chen Qifeng Reply:
To diagnose irritable bowel syndrome (IBS), it is essential to rule out other conditions of the colon, which may require stool tests, colonoscopy, or barium enema. Regarding diet and lifestyle, it is important to focus on a low-fat, low-dairy, and mildly stimulating diet, while a...[Read More] Understanding Bloating and Acid Reflux: Managing Gastrointestinal Pain
Understanding Mild Gastritis: Symptoms, Diagnosis, and Treatment
Mild gastritis Hello doctor, I have been feeling nauseous after meals lately, and I get full quickly even after eating a small amount. I also experience frequent burping, especially when I wake up. I went to the hospital for an endoscopy, and there were no signs of Helicobacter p...
Dr. Cai Anshun Reply:
Hello: The main ingredient of Gastric Comfort is Ranitidine, which is a medication that inhibits gastric acid secretion and can be used to treat gastritis or gastric ulcers. Additionally, you should be aware of any symptoms of dyspepsia or constipation, and inform your primary ph...[Read More] Understanding Mild Gastritis: Symptoms, Diagnosis, and Treatment
Understanding Persistent Nausea: Causes and Solutions for Digestive Discomfort
Gastrointestinal discomfort? Hello Dr. Lin, I would like to ask you about something. I often experience sudden dry heaving after meals and during school hours. Sometimes it gets so severe that it feels like I want to vomit everything. I can confirm that I am not pregnant (I have ...
Dr. Lin Minghui Reply:
Hello, you may be experiencing indigestion, poor gastrointestinal motility, or gastritis, among other conditions. It is advisable to first control your dietary habits, avoiding overeating and excessive drinking. If symptoms persist or if you experience weight loss, please follow ...[Read More] Understanding Persistent Nausea: Causes and Solutions for Digestive Discomfort
Understanding Abdominal Discomfort: Is It Cancer or Just Gas?
Is there a condition of cancer or tumors? Hello Doctor, about a week ago I started feeling bloated and uncomfortable in my left abdomen. When I press on it, it feels firm and I have been experiencing frequent flatulence, but my bowel movements are normal with no abnormalities, ju...
Dr. Chen Qifeng Reply:
Hello, based on your symptoms, it appears to be gastroenteritis accompanied by bloating. Please consult with Dr. Chi-Feng Chen, a specialist in the Department of Gastroenterology at Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Abdominal Discomfort: Is It Cancer or Just Gas?
Understanding Bloating and Nutrient Absorption Issues in Gastrointestinal Health
Bloating and intestinal absorption issues? Hello, doctor. A few years ago, I had issues with irritable bowel syndrome, but it gradually improved. However, for the past four months, I have been experiencing frequent bloating and irregular eating habits. Often, after having lunch, ...
Dr. Chen Shidian Reply:
Hello, Miss: It is likely not malabsorption (as there is no diarrhea or weight loss), but it is still advisable to have a check-up at the gastroenterology clinic. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Bloating and Nutrient Absorption Issues in Gastrointestinal Health
Understanding Chest Pain and Breathing Issues in GERD Patients
Chest pain and shortness of breath, GERD (Gastroesophageal Reflux Disease)? I have a history of chest pain, and after examinations, heart disease was ruled out. I was later diagnosed with gastroesophageal reflux disease (GERD) and have been on medication. However, recently, due t...
Dr. Cai Anshun Reply:
Hello: Since it has been confirmed that there are no heart issues, it is likely that gastroesophageal reflux disease (GERD) is the primary concern. Acid reflux cannot be completely cured; it is essential to adjust lifestyle and dietary habits. This includes quitting smoking, avoi...[Read More] Understanding Chest Pain and Breathing Issues in GERD Patients
Understanding Changes in Bowel Habits: From Diarrhea to Constipation
Changes in bowel habits Hello Doctor: I have a rather impatient personality and tend to get nervous easily. I exercise regularly, but I have had gastrointestinal issues since my school days, with my stools generally being soft or loose. Whenever I have exams and feel anxious, I e...
Dr. Cai Anshun Reply:
Hello: A change in bowel habits should be compared to one's own usual habits; if it has been consistent over many years, it cannot be considered a change. However, if there is accompanying weight loss or blood in the stool, a follow-up visit is necessary. After all, the sens...[Read More] Understanding Changes in Bowel Habits: From Diarrhea to Constipation