Gastrointestinal discomfort, Internal Medicine FAQ - Page 2

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Understanding Drug Allergies: Identifying Culprits After Medication Reactions

Drug allergy I would like to ask if it is possible for a drug allergy to manifest as a rash four days after stopping the medication? I had swollen lymph nodes that persisted for a month, so I consulted a doctor and was prescribed Augmentin 1g tablets for a week and a half. After ...


Dr. Hong Yuanbin Reply:
Hello, typically, the chance of an allergic reaction is lower if medication is stopped for four days. However, it is also possible that the subsequent medication caused the reaction, or it could be due to other factors such as food or environmental allergens. The exact cause of a...

[Read More] Understanding Drug Allergies: Identifying Culprits After Medication Reactions


Understanding Intermittent Abdominal Cramping: Causes and Solutions

Intermittent cramping abdominal pain? Hello doctor, starting this Wednesday, I've been experiencing intermittent cramping pain in my abdomen, similar to the urge to have a bowel movement. Sometimes, during the cramping, I pass gas that has a foul odor, but I am not constipat...


Dr. Zeng Guosen Reply:
Hello, based on your described symptoms, it seems you may be experiencing intestinal colic, which can range from mild gastrointestinal discomfort to serious abdominal conditions. It is advisable to consult a gastroenterologist for a thorough examination, as they should be able to...

[Read More] Understanding Intermittent Abdominal Cramping: Causes and Solutions


Understanding Gastrointestinal Issues: Allergies and Sinusitis Connection

Gastrointestinal issues Hello Doctor, two weeks ago I had my wisdom teeth extracted, and the dentist mentioned that I might develop sinusitis because the wisdom teeth are located close to the sinuses. A few days later, I started experiencing nasal congestion, eye allergies, nasal...


Dr. Hong Yuanbin Reply:
Based on your description, the respiratory symptoms may be indicative of an upper respiratory infection (commonly known as a cold) or allergies. This aspect should not have a direct correlation with gastrointestinal bloating; however, there may be an indirect relationship. For in...

[Read More] Understanding Gastrointestinal Issues: Allergies and Sinusitis Connection


Unexplained Fever: Navigating Persistent High Temperatures and Symptoms

Fever of unknown origin? Hello doctor, since July until now (August 26), my body temperature has been consistently elevated. The lowest temperature in July was 37.2°C, and it intermittently rose to 38°C. After a while, I started experiencing gastrointestinal discomfort, vomiting ...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it is possible that the fever is caused by some atypical infections or non-infectious conditions. There are indeed many potential reasons for this, and a detailed examination is necessary. If the fever persists, I recommend visiting an infectious...

[Read More] Unexplained Fever: Navigating Persistent High Temperatures and Symptoms


Accidental Ingestion: What Symptoms to Watch For After Tasting Unknown Liquid

Ingestion issues? Hello, doctor. This morning I saw brown droplets on my desk and mistakenly thought it was a spilled drink, so I dipped my finger in it and put a little in my mouth to taste. However, after tasting it, I realized it had a strange flavor and suspected it might be ...


Dr. Hong Yuanbin Reply:
Hello, animal waste may contain some infectious agents, such as Leptospira, which can cause symptoms like fever and general malaise, as well as gastrointestinal discomfort such as nausea, diarrhea, and abdominal pain. If you are experiencing any discomfort, you can consult a fami...

[Read More] Accidental Ingestion: What Symptoms to Watch For After Tasting Unknown Liquid


Understanding Gastrointestinal Issues: Causes of Abdominal Pain and Bloating

Gastrointestinal issues After menstruation, I often feel bloating and pain above the navel. Sometimes there is pain on both sides as well. I feel full after eating just a little, and I frequently burp and feel nauseous. I also experience gas, irregular bowel movements, dizziness,...


Dr. Ke Taiyuan Reply:
Most gastrointestinal discomfort experienced by women before and after menstruation is not due to significant gastrointestinal issues. It is usually a physiological response to the cyclical influence of female hormones. Progesterone can slow down gastrointestinal motility, leadin...

[Read More] Understanding Gastrointestinal Issues: Causes of Abdominal Pain and Bloating


Understanding Gastrointestinal Discomfort: Causes and Solutions

Gastrointestinal discomfort? Hello Doctor, I have been experiencing a problem where I vomit after eating, regardless of whether I am full or not. This has become more severe over the past two years, to the point where I often cannot control it; there have been instances where I s...


Dr. Xiao Yongxun Reply:
Dear Ms. K: 1. Discomfort in the upper abdomen leading to symptoms such as nausea, stomach pain, vomiting, and bloating may commonly be associated with conditions including gastroesophageal reflux disease (GERD), gastritis, peptic ulcers, duodenal ulcers, cholecystitis, pancreat...

[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions


Understanding Floating White Fibers in Stool: Causes and Concerns

Floating stools Hello, doctor! After having a bowel movement, I noticed white, thread-like floating objects in the toilet. In early May, I experienced frequent urination and a burning sensation in the urethra. I visited a doctor and took a week of doxycycline, which resolved the ...


Dr. Liao Zhongxin Reply:
Dear readers: <Regarding the use of doxycycline for one week> Here is the response: A: 1. Doxycycline can treat Gram-positive bacteria, Gram-negative bacteria, rickettsiae, and some sexually transmitted pathogens. 2. The most common side effect is gastrointestinal discom...

[Read More] Understanding Floating White Fibers in Stool: Causes and Concerns


Understanding Elevated Blood Urea Nitrogen Levels: Causes and Implications

Elevated blood urea nitrogen (BUN) levels? Hello, doctor. I recently had a health check-up and found that my blood urea nitrogen (BUN) level is elevated at 24.9 mg/dL (normal range is 10-20 mg/dL), while my creatinine level is within the normal range. I am currently waiting for t...


Dr. Wu Hongjie Reply:
Hello: Based on your situation, the most likely cause of elevated BUN with normal creatinine is diarrhea and dehydration. It is recommended to wait for the diarrhea to improve and ensure adequate hydration before retesting. Other possible conditions include heart failure, effects...

[Read More] Understanding Elevated Blood Urea Nitrogen Levels: Causes and Implications


Understanding Urticaria and Thyroid Medication: Key Insights for Patients

Urticaria and Thyroid Medications Hello Doctor: At the end of March, I was diagnosed with hyperthyroidism and started taking methimazole in early April. However, about three weeks into the treatment, I began experiencing widespread itching and hives. The doctor prescribed one ant...


Dr. Xiao Yongxun Reply:
Dear Ms. Lin, Please read the following explanation, primarily based on the recommendations from the U.S. Food and Drug Administration for healthcare professionals in January 2016: Procil® (Propylthiouracil, PTU; 50mg/tablet) primarily works by inhibiting the production of thyro...

[Read More] Understanding Urticaria and Thyroid Medication: Key Insights for Patients


Understanding Blood in Urine: Symptoms and Possible Causes

Hematuria issues Doctor, I have a fever, dizziness, and gastrointestinal discomfort today. I thought it was a cold, so I went to a small clinic to see a doctor. However, after taking the medication, I still haven't improved. I got up in the middle of the night to use the bat...


Dr. Liao Zhongxin Reply:
Dear readers: Response A regarding "Bright red urine": 1. There are many factors that can cause dark urine, so it is recommended to visit a relevant medical institution for examination to rule out any concerns. 2. Possible causes include: menstruation, inadequate hy...

[Read More] Understanding Blood in Urine: Symptoms and Possible Causes


Understanding Your Gastrointestinal Discomfort: Causes and Solutions

Gastrointestinal discomfort I am currently experiencing intermittent bloating, feeling lightheaded, and even nausea. This month, the bloating has reached a point where I can't eat anything at all; I've been bloated for four days, and even eating two slices of toast take...


Dr. Hong Yuanbin Reply:
Hello, based on your condition, there may be several possible reasons. First, it could be gastrointestinal discomfort caused by high stress or irregular sleeping patterns. If this is the case, I recommend managing stress appropriately and maintaining a regular sleep schedule, esp...

[Read More] Understanding Your Gastrointestinal Discomfort: Causes and Solutions


Understanding Chronic Pain: From Lymphadenitis to Muscle Discomfort

Chest tightness, hard lumps under the armpits, muscle pain, neck pain, back pain, and facial pain? Hello Dr. Liao: I am a 40-year-old mother, and I have been troubled by pain for the past few months (some of this pain actually started several years ago), but it has worsened recen...


Dr. Liao Zhongxin Reply:
Dear readers, regarding the issues of "chest tightness, hard lumps under the armpits, muscle pain, neck pain, back pain, and facial pain," I suggest the following: 1. Being a homemaker is a demanding job that often goes unnoticed or unappreciated by family members. It...

[Read More] Understanding Chronic Pain: From Lymphadenitis to Muscle Discomfort


Understanding Gastrointestinal Discomfort: Causes and Solutions

Gastrointestinal discomfort? Hello, doctor. First of all, thank you for your response to my questions last month. After that, I visited a physician who initially diagnosed me with general gastritis. I was prescribed medications for gastrointestinal motility disorders, to reduce b...


Dr. Xiao Yongxun Reply:
Dear Mr. Ellis: 1. Please discuss your concerns with your attending physician; avoid seeking opinions online that may interfere with your physician's assessment. 2. Nexium® (generic name: Esomeprazole) is a proton pump inhibitor primarily used to treat peptic ulcers and ga...

[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions


Feeling Hungry but Nauseous: Understanding Gastrointestinal Issues

I'm hungry, but halfway through eating, I feel like throwing up? Approximately three years ago, symptoms began to appear, with the duration of these symptoms varying. There were periods of six months to a year where normal eating was possible, but there were also times when ...


Dr. Xiao Yongxun Reply:
Dear Anonymous, 1. After eating, you may experience nausea, vomiting, and unpleasant sensations in taste and flavor, which can have many causes. In addition to gastrointestinal issues, it is important to consider problems related to the esophagus, liver, endocrine system, renal ...

[Read More] Feeling Hungry but Nauseous: Understanding Gastrointestinal Issues


Understanding Chronic Gastrointestinal Discomfort: Causes and Solutions

Gastrointestinal discomfort I have been experiencing long-term gastrointestinal discomfort without specific treatment. I have had gastroesophageal reflux disease (GERD) for a long time. My bowel movements are regular, occurring once a day and are healthy. Occasionally, I experien...


Dr. Xie Rongyuan Reply:
Hello: It is recommended to visit a hospital for examination. If there is an infection with Helicobacter pylori in the stomach, it often presents with the symptoms mentioned above. Identifying the cause is essential for thorough improvement. Thank you for your message!

[Read More] Understanding Chronic Gastrointestinal Discomfort: Causes and Solutions


Optimal Timing for Taking Metformin: Should It Be Taken with Meals?

The timing of metformin administration? Hello doctor, I heard that metformin should be taken with meals for better effectiveness. Is this true? Thank you for your response.


Dr. Xiao Yongxun Reply:
Dear Mr. Chen: 1. The action of Metformin is to activate the energy-regulating enzyme AMPK, which reduces hepatic glucose production; this consequently inhibits gluconeogenesis, as well as the synthesis of fatty acids and cholesterol in the liver. At the same time, it increases ...

[Read More] Optimal Timing for Taking Metformin: Should It Be Taken with Meals?


Unusual Sensation When Swallowing: Understanding Gastrointestinal Discomfort

Unusual sensation in the stomach after swallowing food? Two days ago, while having dinner, I felt a sensation of stretching in my stomach the moment the food went down. It wasn't exactly painful, but it was hard to describe. After a few seconds, it went away, but I experienc...


Dr. Li Zhiyao Reply:
Hello: Your symptoms are in the stomach area, but the digestive tract is continuous, so the cause may not necessarily be related to the stomach. Issues could arise from the esophagus to the colon. It is advisable to consult a gastroenterologist for a more appropriate diagnosis an...

[Read More] Unusual Sensation When Swallowing: Understanding Gastrointestinal Discomfort


Understanding Hypothyroidism Management in Patients with Atrial Fibrillation

Hypothyroidism Consultation Hello Dr. Hsiao, my mother is 65 years old and has a history of atrial fibrillation. From March 2014 to July 2015, she was treated with Dronedarone (Multaq). During the treatment, she developed hypothyroidism, and her attending physician prescribed Lev...


Dr. Xiao Yongxun Reply:
Dear JJ, Based on the information you provided, the medications and units may be as follows: Cordarone® 200 mg (Amiodarone), Eltroxin® Tablets 100 mcg (synthetic Thyroxine), Rytmonorm® 150 mg Film-coated tablets. The lab results are as follows: T3: 0.8 ng/ml (reference range: 0....

[Read More] Understanding Hypothyroidism Management in Patients with Atrial Fibrillation


Understanding Blood Sugar Management: Key Indicators and Medication Options

Blood sugar issues Dear Dr. Hsiao, I have been concerned about my blood sugar levels since my health check in 2004, when my fasting blood glucose was 100. I only started medication in 2015, but my weight has decreased from my usual 38 kg to the current 34 kg. For the past ten ye...


Dr. Xiao Yongxun Reply:
1. For a 65-year-old diabetic patient, a fasting blood glucose level of 155 mg/dL, a postprandial blood glucose level of 169 mg/dL two hours after eating, and a hemoglobin A1c level of 6.6% indicate relatively good control. Each of these values carries individual significance, an...

[Read More] Understanding Blood Sugar Management: Key Indicators and Medication Options


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