Understanding Multiple Ulcers in the Stomach and Duodenum: Symptoms and Treatment
Multiple ulcers of the stomach and duodenum? Hello doctor, I recently visited my usual clinic due to discomfort in my throat. This same symptom has occurred two to three times over the past 1 to 2 years. The doctor suggested I undergo an endoscopy because he suspected gastroesoph...
Dr. Chen Shidian Reply:
Hello, sir: Generally speaking, the symptoms and examination results described should not indicate a serious illness. The effectiveness of medication treatment should be satisfactory. Ulcers do not always cause pain (about 1 in 5 cases), and as long as you complete the medication...[Read More] Understanding Multiple Ulcers in the Stomach and Duodenum: Symptoms and Treatment
Understanding Chronic Diarrhea: Causes and Solutions for Your Health
Diarrhea Hello, I have been experiencing diarrhea almost every day for the past two months, which has caused my weight to drop from 44 kg to 40 kg. I have been eating a light diet, and I am unsure why this is happening. I kindly ask for your guidance. Thank you!
Dr. You Ligang Reply:
Hello young person, chronic diarrhea is often caused by diet and lifestyle habits, with irritable bowel syndrome being the most common. However, it is essential to rule out other causes such as duodenal ulcers, gastrointestinal food allergies, infectious diarrhea, and thyroid dis...[Read More] Understanding Chronic Diarrhea: Causes and Solutions for Your Health
Height Growth: The Role of Genetics vs. Digestive Health
How tall will you grow? Digestion and absorption vs. genetic inheritance? Hello Dr. Chen: I have a question that has been bothering me for a long time: I am currently 20 years old, 168 cm tall, and weigh 54 kg. (I previously had tests done, and my body fat percentage is low, with...
Dr. Chen Shidian Reply:
Hello, sir: A height of 168 cm should be fine. As long as your weight does not continue to decrease, it is likely not an "absorption" issue (which could include problems such as diarrhea or weight loss). You may want to consult a nutritionist. (Please keep a food diary ...[Read More] Height Growth: The Role of Genetics vs. Digestive Health
Managing Gastritis: Dietary Tips and When to Seek Medical Help
Issues related to gastritis? I previously visited two hospitals for examinations, and an endoscopy revealed mild gastritis. However, after taking medication for 2 to 3 months without improvement, I would like to know how to manage gastritis. What dietary or other precautions shou...
Dr. Chen Shidian Reply:
Hello, sir: It appears that there may be issues with gastrointestinal digestion or motility, which are often related to personality, emotions, and dietary habits. If there is weight loss, further examination is necessary. It is advisable to maintain regular meal times and portion...[Read More] Managing Gastritis: Dietary Tips and When to Seek Medical Help
Why Can't I Gain Weight? Exploring Gastrointestinal Issues
Unable to gain weight? Hello doctor, I have always had difficulty gaining weight. Everyone in my family, except for my father, has a similar constitution. Besides eating more and maintaining a balanced diet, I wonder if it could be a gastrointestinal issue because my digestive sy...
Dr. Chen Qifeng Reply:
Hello, being able to eat without gaining weight is primarily a matter of constitution, which is certainly influenced by genetics to some extent. However, before attributing it to constitution, it is essential to rule out some common medical conditions such as diabetes, thyroid di...[Read More] Why Can't I Gain Weight? Exploring Gastrointestinal Issues
Why Is My Skin Turning Yellow? Understanding Dietary Effects on Skin Tone
The skin on the hands and face has turned very yellow? Dear Dr. Chen, Hello, I am a 21-year-old female. About a year ago, I experienced hormonal imbalances that caused a lot of acne on my face. During that time, I was prescribed medication by a dermatologist that contained stero...
Dr. Chen Shidian Reply:
Hello, Miss: Please have someone assist in checking if there is any yellowing in the upper and lower parts of the sclera. If necessary, a blood test for jaundice should be conducted. If it is merely due to food pigments, reducing the intake of yellow-colored foods will help fade ...[Read More] Why Is My Skin Turning Yellow? Understanding Dietary Effects on Skin Tone
Understanding Yellow Oily Stool: Causes and Concerns
Steatorrhea Hello, yesterday after having a bowel movement, I noticed a yellow, oily substance that had an oily smell. The color appeared to be brown with circular patterns, and when I wiped with toilet paper, it was golden yellow. This morning, I found golden yellow stains on my...
Dr. Chen Qifeng Reply:
Hello, based on the current situation, it may be indigestion, possibly related to the elimination of some fats. Please monitor the condition. If it is a temporary phenomenon, there is no need for concern; however, if it persists, please consult a gastroenterologist. Wishing you g...[Read More] Understanding Yellow Oily Stool: Causes and Concerns
Understanding Body Heat: When to Seek Gastroenterology Care
The body is prone to overheating? Hello, doctor. My body tends to feel warm easily, especially between 9:00 PM and midnight. I often need to find something to press against my palms and soles to cool down. I'm unsure which specialty I should consult for this condition. Durin...
Dr. Chen Qifeng Reply:
Hello, 1. Your fever seems to be related to your constitution; do you have an issue with being overweight? 2. Consumption of salty and sweet foods is unrelated to the spleen and does not correlate with fever. 3. You may consider paying for a comprehensive health check-up, which w...[Read More] Understanding Body Heat: When to Seek Gastroenterology Care
Managing Esophageal Reflux: Treatment Options and Duration Explained
Gastroesophageal reflux disease (GERD) Hello Doctor: Regarding esophagitis (endoscopy revealed redness and swelling at the lower esophageal sphincter due to damage from gastric acid reflux) and a small gastric ulcer, the doctor has prescribed a PPI (Nexium) and recommended a four...
Dr. Chen Qifeng Reply:
Hello, the treatment duration for gastroesophageal reflux disease (GERD) depends on the severity of the condition. According to health insurance regulations, patients classified as A or B can use proton pump inhibitors (PPIs) for four months, while those classified as C or D can ...[Read More] Managing Esophageal Reflux: Treatment Options and Duration Explained
Does Feeling Hungry Soon After Eating Indicate Quick Digestion?
Feeling hungry indicates that there is no food left in the stomach? Hello Dr. Chen, I would like to ask if feeling hungry shortly after eating means that the food has already been digested? I don't gain weight easily, but I do get hungry quite often. Could this be due to som...
Dr. Chen Qifeng Reply:
Hello, generally speaking, it is not common to feel hungry shortly after eating a normal meal. If this occurs, it may indicate an underlying health issue. Common causes include hyperthyroidism, diabetes, and even peptic ulcers, which can lead to an increased sensation of hunger. ...[Read More] Does Feeling Hungry Soon After Eating Indicate Quick Digestion?
Possible Causes of Blood in Stool and Abdominal Discomfort
Inquiry Your friend is experiencing blood in their stool (black or red) along with abdominal discomfort. This could be indicative of several potential issues, including: 1. **Gastrointestinal bleeding**: This could stem from conditions such as hemorrhoids, diverticulosis, or gas...
Dr. You Ligang Reply:
Hello, the presence of blood in the stool is often caused by hemorrhoids; however, if the blood is dark red, it may indicate that the bleeding source is located above the sigmoid colon. Additionally, if there is abdominal discomfort, it could suggest diverticulitis, ischemic coli...[Read More] Possible Causes of Blood in Stool and Abdominal Discomfort
Managing Acid Reflux: Tips for Post-PPI Treatment and Lifestyle Adjustments
Gastroesophageal reflux disease (GERD) Hello Doctor: I was previously diagnosed with gastroesophageal reflux disease (GERD) and have been on proton pump inhibitors (PPIs) for four months. During this time, I have experienced mild abdominal bloating and pain as side effects, along...
Dr. Chen Qifeng Reply:
Hello, for third-degree or fourth-degree gastroesophageal reflux disease (GERD), medication treatment is covered for one year, while for first-degree and second-degree, it is covered for four months. Regarding the side effects of medication, they can vary from person to person; s...[Read More] Managing Acid Reflux: Tips for Post-PPI Treatment and Lifestyle Adjustments
Effective Medications for Strengthening Esophageal Sphincter Function
Esophageal sphincter relaxation Hello Doctor: Due to the relaxation of the esophageal sphincter at the gastroesophageal junction causing reflux, I would like to ask what medications can be used to treat the relaxation of the esophageal sphincter and restore its normal function. C...
Dr. Chen Qifeng Reply:
Hello, medications such as Moshu Weiqing or Yutuning can effectively improve lower esophageal sphincter relaxation, but they may not completely restore normal function. Additionally, they must be used in conjunction with antacids for effective treatment. It is also important to r...[Read More] Effective Medications for Strengthening Esophageal Sphincter Function
Managing Chronic Gastritis: Concerns About Pantoprazole and Dietary Triggers
Chronic gastritis In mid-November, I was hospitalized after vomiting on an empty stomach from drinking coffee. I received an injection but did not undergo any follow-up treatment and continued to eat normally. In mid-December, I vomited again after eating glutinous rice on an emp...
Dr. Chen Qifeng Reply:
Hello, based on your symptoms, you may have a more severe case of gastritis or a peptic ulcer. You might continue taking Pantoprazole, but if it remains ineffective, it is essential to undergo an endoscopy. Regarding your diet, please minimize smoking and alcohol consumption, lim...[Read More] Managing Chronic Gastritis: Concerns About Pantoprazole and Dietary Triggers
Understanding Persistent Nausea: Causes and Solutions for Relief
Nausea Hello Doctor, on the evening of January 8th, I went out for hot pot with friends. After starting to eat, I had two pieces of fish dumplings, and immediately felt a pressure in my stomach. I also felt a foreign body sensation in my throat, followed by a sudden and intense u...
Dr. Zhang Siyuan Reply:
To Ray: Excessive weight loss can sometimes lead to another type of reflux, occurring at a level lower than gastric reflux, which may result in persistent upper abdominal distension and an inability to vomit. At this point, it is important to consult a gastroenterologist as soon ...[Read More] Understanding Persistent Nausea: Causes and Solutions for Relief
Why Are My Bowel Movements Green After Eating Vegetables?
If you eat vegetables, your bowel movements will consist mainly of vegetables? Hello doctor, if I eat vegetables, my bowel movements often contain a lot of green vegetables! Why is that? Is it because I am taking medication for digestive issues and ulcers, or...?
Dr. Chen Shidian Reply:
Hello Mr. Chrislu: The digestion of vegetables is related to how well they are chewed, with gastrointestinal digestion being secondary. Therefore, it is important to pay attention to dietary habits. If you continue to have issues (especially weight loss), you may consider visitin...[Read More] Why Are My Bowel Movements Green After Eating Vegetables?
Understanding Morning Dry Mouth and Bitter Taste: Causes and Solutions
Waking up with dry mouth and a taste similar to bile? Hello, I am a 54-year-old middle-aged male, with a smoking history of 30 years, a height of 170 cm, and a weight of 82 kg, which classifies me as having a central obesity body type. Six months ago, I began experiencing dry mou...
Dr. You Ligang Reply:
Hello, experiencing dry mouth and bile reflux into the oral cavity may indicate gastroesophageal reflux disease (GERD), which involves the backflow of stomach acid, bile, and even food from the stomach into the esophagus. This condition is commonly associated with smoking, obesit...[Read More] Understanding Morning Dry Mouth and Bitter Taste: Causes and Solutions
Understanding Bloating with Reduced Gas: Causes and Next Steps
Bloating with a decrease in flatulence? Dear Doctor, I have been experiencing a dull sensation under my left rib cage recently, which sometimes extends to the left side of my lower back. This has been ongoing for a week. I consulted a traditional Chinese medicine practitioner wh...
Dr. Lin Minghui Reply:
Hello, an abdominal ultrasound can generally rule out liver, gallbladder, and pancreatic diseases as the cause of pain after eating, which is more related to gastrointestinal issues. Bloating is usually relieved by passing gas or burping. The causes of bloating include poor dieta...[Read More] Understanding Bloating with Reduced Gas: Causes and Next Steps
Understanding Frequent Hiccups: When to See a Gastroenterologist
Frequent hiccups? Hello doctor, I have been experiencing loud belching for the past few years, which sometimes draws attention and is quite bothersome. I'm wondering if this indicates a problem with my stomach, although I don't have any stomach pain. I also have severe ...
Dr. Chen Shidian Reply:
Hello Miss C: 1. Anemia can be assessed through a blood test to determine if there is an iron deficiency. If there is excessive menstrual bleeding, you may consider visiting a gynecology clinic. 2. Excessive belching is often related to gastrointestinal function issues. If the...[Read More] Understanding Frequent Hiccups: When to See a Gastroenterologist
Is Long-Term Use of GERD Medication Safe? Understanding Risks and Solutions
Is it safe to take medication for gastroesophageal reflux disease (GERD) long-term? Hello doctor, I have been taking medication for gastroesophageal reflux disease (GERD) for about four years. Generally, these medications should only be taken for a limited time, but I have experi...
Dr. Chen Qifeng Reply:
According to the National Health Insurance regulations, the severity of esophageal reflux as determined by endoscopy is classified into levels A and B, for which it is recommended to use medication for 4 months. For levels C and D, treatment should be continued for one year. If s...[Read More] Is Long-Term Use of GERD Medication Safe? Understanding Risks and Solutions