Understanding Causes of Gastrointestinal Bleeding in Children
Causes of gastrointestinal bleeding in children? Our second child, who is in the fourth grade this year (height 126 cm, weight 26 kg), usually does not complain of stomach pain, has a good appetite, and eats plenty of fruits and vegetables. However, he occasionally experiences co...
Dr. Hong Hongchang Reply:
Upper gastrointestinal bleeding in children (generally, if there is blood in the stool, it indicates lower gastrointestinal bleeding) can commonly be caused by infectious enteritis, congenital vascular malformations, and other conditions such as colonic polyposis. The primary con...[Read More] Understanding Causes of Gastrointestinal Bleeding in Children
Managing High Uric Acid Levels: Dietary Tips and Purine Food Chart
Dietary Management of Hyperuricemia In the past two months, my uric acid levels have been elevated (reaching a maximum of 17), and they are currently at 8.5. However, I suffer from degenerative arthritis, which causes me significant pain. I am currently undergoing treatment and w...
Dr. Zeng Fenyu Reply:
Due to space limitations, we are unable to provide a detailed summary. We recommend that you obtain a low-purine diet educational pamphlet from the hospital or consult a nutritionist for further guidance.[Read More] Managing High Uric Acid Levels: Dietary Tips and Purine Food Chart
Understanding Why You Can't Gain Weight: Insights and Solutions
What are the solutions for not gaining weight? Hello Dr. Tseng: I have always struggled to gain weight (176 cm, around 60 kg). My situation is as follows: 1. My father is also thin (possibly hereditary). 2. I have poor digestion and absorption (I eat the same amount as others but...
Dr. Zeng Fenyu Reply:
If your overall health is good, being thin should not be a major concern. However, it is advisable to consult a gastroenterologist to examine your digestive system and seek advice from a nutritionist for dietary improvements.[Read More] Understanding Why You Can't Gain Weight: Insights and Solutions
Understanding Abdominal Distension and Early Satiety: Key Insights
Abdominal distension and early satiety? Hello, Dr. Hong; since July, my waist circumference has increased (in the lower abdomen), and I am concerned about conditions like chocolate cysts... After a gynecological examination, it was determined that there are no gynecological disea...
Dr. Hong Hongchang Reply:
In addition to abdominal cavity pathologies, the reasons for an increase in waist circumference should also consider gastrointestinal dysfunction. If there are recurrent abdominal pains and a fear of undergoing gastroscopy, it is recommended to perform an upper gastrointestinal s...[Read More] Understanding Abdominal Distension and Early Satiety: Key Insights
Managing Bloating and Constipation: Dietary Tips for Relief
Abdominal distension Hello Doctor: I have a history of chronic constipation, indigestion, and long-term stomach pain. Recently, my symptoms have become more unusual; I experience bloating whether I eat or not, and my abdomen is distended. I rely on medication to achieve bowel mov...
Dr. Hong Hongchang Reply:
Hello Ms. Nan: Eat more fiber-rich foods such as fruits like bananas and papayas, as well as vegetables like cruciferous vegetables such as cabbage and broccoli. High-fiber foods include whole grain bread, among others.[Read More] Managing Bloating and Constipation: Dietary Tips for Relief
Is Your Weight Loss Causing Fatigue? Understanding Nutritional Deficiencies
Feeling lightheaded after weight loss? Three months ago, I was 165 cm tall and weighed 85 kg. Due to elevated uric acid and blood sugar levels, I started a weight loss regimen, eliminating meat from my diet and consuming only vegetables, fruits, and milk. Now, I weigh 65 kg, but ...
Dr. Chen Shidian Reply:
Hello: Rapid weight loss can have side effects, so it is advisable to visit a clinic to check for any other issues. Nutritional concerns can be addressed by a dietitian who can provide a low-calorie but balanced meal plan for reference. Wishing you safety and health.[Read More] Is Your Weight Loss Causing Fatigue? Understanding Nutritional Deficiencies
Understanding High BUN Levels: Causes, Symptoms, and Dietary Tips
BUN (Blood U Hello, Dr. Chen. I recently had a blood test and found that my BUN is 25, blood sugar is 114, white blood cell count is 3.5, and my urea nitrogen is elevated. I often feel fatigued and have noticed a decline in my vision. I'm unsure how to improve my condition. ...
Dr. Chen Shidian Reply:
Hello: BUN and blood urea nitrogen are related to body type, dietary habits, and exercise (of course, impaired kidney function can also cause an increase). A blood glucose level of 114 is slightly elevated; it is advisable to measure postprandial blood glucose for further assessm...[Read More] Understanding High BUN Levels: Causes, Symptoms, and Dietary Tips
Understanding Changes in Bowel Habits: When to Seek Medical Advice
Constipation Hello Dr. Chen, I have been experiencing chronic constipation, having a bowel movement every 4-5 days; however, I did not have any abdominal pain, and my stools did not appear very hard. But for the past two weeks, I have been experiencing abdominal pain, and I have...
Dr. Chen Shidian Reply:
Hello: Your symptoms are typical of irritable bowel syndrome (IBS). Due to poor gastrointestinal motility (rapid motility can cause abdominal pain, diarrhea, and loose stools, while slow motility can lead to constipation), you should pay attention to your diet and manage stress. ...[Read More] Understanding Changes in Bowel Habits: When to Seek Medical Advice
Understanding Low Cholesterol: Its Link to Hepatitis B and Recovery Tips
Low cholesterol A few days ago, I read a report in the newspaper stating that low cholesterol levels can also lead to hepatitis B. My mother has low cholesterol and also has hepatitis B. Is there a connection between the two? How can low cholesterol levels be restored to normal? ...
Dr. Li Huixiong Reply:
Hepatitis B is a type of viral hepatitis caused by infection with the hepatitis B virus. Cholesterol is a type of lipid in the body that provides some energy and is necessary for hormone synthesis, so there is no direct relationship between the two. Under normal circumstances, ch...[Read More] Understanding Low Cholesterol: Its Link to Hepatitis B and Recovery Tips
Understanding FSGS: Is It a Type of Nephrotic Syndrome and Its Implications?
Could you please provide more context or specify what aspect of kidney disease you would like to know about? Focal Segmental Glomerulosclerosis (FSGS) is a type of kidney disease that can lead to nephrotic syndrome. It is characterized by scarring in the kidney's filtering u...
Dr. Li Huixiong Reply:
Focal Segmental Glomerulosclerosis (FSGS) is generally classified under nephrotic syndrome. The term "nephrotic syndrome" typically implies an unknown etiology. This is a type of kidney disease, and approximately two-thirds of patients may seek medical attention due to ...[Read More] Understanding FSGS: Is It a Type of Nephrotic Syndrome and Its Implications?
Understanding the Health Impacts of Low Cholesterol Levels
Low cholesterol I recently had a simple health check-up (blood test and urinalysis), and the doctor mentioned that my cholesterol levels are too low. I would like to ask the doctor: What are the potential health impacts of low cholesterol, and are there any ways to improve this c...
Dr. Zeng Fenyu Reply:
Hello, Xiao Hui! Patients with low cholesterol generally do not require special treatment; however, if there is a tendency for selective eating (commonly seen in vegetarians), dietary habits should be improved. It is recommended that you visit the Metabolism Clinic for further ex...[Read More] Understanding the Health Impacts of Low Cholesterol Levels
Dietary Tips for Managing Fatty Liver Disease: Causes and Precautions
Fatty liver disease What dietary considerations should be taken into account for someone diagnosed with fatty liver disease? How is fatty liver disease formed?
Dr. Yang Guojun Reply:
Fatty liver, in simple terms, means that the liver is "oily." This indicates that there is an accumulation of fat within liver cells. In Taiwan, approximately one-third of adults have fatty liver. Common causes of fatty liver include obesity, hyperlipidemia, diabetes, e...[Read More] Dietary Tips for Managing Fatty Liver Disease: Causes and Precautions
Understanding Cirrhosis: Symptoms, Risks, and When to Seek Further Care
Cirrhosis Hello Dr. Yang, I have a relative who is currently seventy years old. Recently, they have been experiencing abdominal swelling and sought medical attention. The doctor informed them that it is liver cirrhosis and prescribed some diuretics. The doctor casually mentioned...
Dr. Yang Guojun Reply:
Dr. Yang Guojun responds: The Chinese have a deep affection for the liver, referring to cherished things as "heart and liver treasures." When extremely sad, they say "the liver and intestines are severed," and when fearful, they describe it as "the liver ...[Read More] Understanding Cirrhosis: Symptoms, Risks, and When to Seek Further Care
Understanding Mitral Valve Prolapse: Symptoms, Causes, and Care Tips
Mitral valve prolapse Mitral valve prolapse (MVP) is a condition in which the two flaps of the mitral valve do not close properly, allowing blood to flow backward into the left atrium of the heart. The exact cause of MVP is often unknown, but it can be associated with genetic fac...
Dr. Li Huixiong Reply:
The heart contains several valves, including the tricuspid valve, aortic valve, and mitral valve, which is also known as the bicuspid valve. The mitral valve is located between the left atrium and the left ventricle and is responsible for opening and closing during the heart'...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Causes, and Care Tips
Understanding Stomach Noises and Yellowing of the Eyes: What You Need to Know
Gastrointestinal tract When I lie down, my stomach always makes rumbling noises, even after I've eaten. What could be the reason for this? Additionally, I've recently noticed that the area below my sclera is slightly yellow, and I'm quite anxious about it. What cou...
Dr. Chen Shidian Reply:
Borborygmi is often caused by excessive peristalsis and too much air. Please pay attention to your diet, and seek medical attention if necessary. It is important to check liver function, especially if accompanied by tea-colored urine and fatigue. Wishing you good health.[Read More] Understanding Stomach Noises and Yellowing of the Eyes: What You Need to Know
Frequent Awakening During Naps: Is It Related to Heart Health?
Waking up frequently during naptime... Could it be related to the heart?! Hello, Dr. Hong: Since my student days and now as a working professional, I have always taken naps in a seated position or by resting my head on the desk. However, I often wake up suddenly, startled. Frequ...
Dr. Hong Hongchang Reply:
Generally speaking, if there are abnormalities in the heart, clinical manifestations often include chest pain, chest tightness, and swelling of the legs. These symptoms are not typically caused by sitting or sleeping positions that compress the heart. They may arise from poor sle...[Read More] Frequent Awakening During Naps: Is It Related to Heart Health?
Effective Treatments and Dietary Tips for Chronic Constipation
Chronic constipation Dear Doctor, My mother has habitual constipation, but previous colonoscopy results showed no issues. Could you please advise if there are treatments available for habitual constipation? What dietary considerations should we keep in mind? Thank you!
Dr. Hong Hongchang Reply:
1. The main causes of habitual constipation include: 1. Abnormal intestinal motility. 2. Insufficient intake of fiber or water. 3. Medications such as antihypertensives that can also cause constipation. 4. Lack of physical activity. 2. Although previous colonoscopy results were...[Read More] Effective Treatments and Dietary Tips for Chronic Constipation
Weekly Meal Plan for Diabetes: Food Swaps and Tips for Better Management
Diabetes Diet Could you provide a one-week meal plan for diabetes, along with food substitutions? I consulted a nutritionist, but I still find it unclear and hope to get some clarification. Thank you!
Dr. Zeng Fenyu Reply:
Hello Kitty! When planning a diet for diabetes, it is essential to consider the patient's age, height, weight, activity level, and physiological conditions (such as kidney function, blood lipid levels, blood pressure, etc.). It is not possible to design an appropriate meal p...[Read More] Weekly Meal Plan for Diabetes: Food Swaps and Tips for Better Management
Effective Strategies to Gain Weight and Improve Nutrient Absorption
How to gain weight? I am very thin, weighing only 50 kilograms. Even though I eat a lot, it seems like there is not much change. How can I gain weight? Are there any medications that can enhance intestinal absorption? Some bodybuilders take anabolic steroids to increase muscle ma...
Dr. Chen Shidian Reply:
If there is rapid weight loss, it is important to consider the possibility of underlying medical conditions. If this has been ongoing for a long time and physical strength is normal, it is likely due to genetics or poor dietary habits. It may be beneficial to discuss this with a ...[Read More] Effective Strategies to Gain Weight and Improve Nutrient Absorption
Seeking Specialist Recommendations for Unexplained Gastric Issues
Gastrointestinal issues with no identifiable cause - please recommend a suitable physician? Dear Director Ke, I reside in Hsinchu City. Three years ago, I underwent an upper gastrointestinal endoscopy, which revealed a very mild ulcer. After taking an H2 blocker for about a mont...
Dr. Ke Zhengchang Reply:
Miss Xiao Li: Director Ke is attending a conference abroad, and I will respond on his behalf. Upper abdominal pain is a common issue in the field of internal medicine and gastroenterology, and it is not only distressing for patients but also one of the most challenging symptoms f...[Read More] Seeking Specialist Recommendations for Unexplained Gastric Issues