Chronic Morning Cough and Nausea: Causes and Solutions
Nausea? Hello Dr. Hong: I often experience a mild cough upon waking up every day, accompanied by nausea and excessive stomach acid. This condition has persisted for 10 years, and it is particularly noticeable during colder weather. I am unsure of the cause. What should I pay atte...
Dr. Hong Hongchang Reply:
A dry cough after waking up may be due to allergic bronchitis or gastroesophageal reflux disease (GERD) causing the cough. It is recommended to avoid irritating foods and sweets in your diet, as well as the habit of eating late at night. Additionally, if symptoms persist or worse...[Read More] Chronic Morning Cough and Nausea: Causes and Solutions
Understanding Persistent Stomach Pain and Heat Sensation After Meals
Gastric issues? Hello Doctor, I would like to ask a question. My stomach has always been problematic, and I often experience stomach pain. However, I have a specific issue: after eating a full meal, I feel a heat sensation in my stomach, and my entire back becomes numb, extending...
Dr. Chen Shidian Reply:
Hello, based on what you've described, the discomfort after meals may be due to indigestion or poor peristalsis (or even ulcers). In severe cases, it can lead to head discomfort (in a minority of individuals). Please pay attention to improving your dietary habits, eating at ...[Read More] Understanding Persistent Stomach Pain and Heat Sensation After Meals
Understanding Colorectal Polyps: Symptoms, Risks, and Treatment Options
Colorectal polyposis I started experiencing intestinal colic about 6 to 7 years ago. At the end of last year, I visited a doctor due to stomach discomfort and, after taking medication for a while, I thought I had recovered when the symptoms disappeared. Recently, in the past two ...
Dr. Yang Guojun Reply:
Polyps can generally be classified into hyperplastic polyps and adenomatous polyps. Only adenomatous polyps have the potential to undergo malignant transformation, and the risk of cancer development is related to the size of the adenomatous polyps. It is necessary for your polyps...[Read More] Understanding Colorectal Polyps: Symptoms, Risks, and Treatment Options
Understanding Gastric Discomfort: Causes and Remedies for Stomach Pressure
Feeling of pressure on the stomach? Hello doctor, I suddenly felt discomfort in my stomach at the end of September this year, experiencing bloating to the point of nausea and a loss of appetite. I consulted two doctors; one mentioned that my gastric motility was too fast, and aft...
Dr. Chen Shidian Reply:
Your condition may be due to gastritis and poor motility, along with unhealthy eating habits and increased stress. It is advisable to improve your lifestyle and dietary habits. If symptoms are significant, short-term medication treatment may be necessary. An endoscopy can help ru...[Read More] Understanding Gastric Discomfort: Causes and Remedies for Stomach Pressure
Understanding Anemia After Partial Gastrectomy: Causes and Solutions
Anemia Twelve years ago, I underwent surgery for a gastric perforation (it seems to be referred to as a subtotal gastrectomy), where 2/3 of my stomach (the lower part) was removed. The doctor mentioned that this would affect folate absorption. I frequently experience anemia, and ...
Dr. Zeng Fenyu Reply:
Hello Ivy: The most common type of anemia following gastric resection surgery is iron deficiency anemia, while anemia due to vitamin B12 deficiency or poor folate absorption is relatively rare. Have you been taking iron supplements daily for the past two years? What is the dosage...[Read More] Understanding Anemia After Partial Gastrectomy: Causes and Solutions
Understanding Gastrointestinal and Kidney Issues from Prolonged Antifungal Use
Gastrointestinal and renal? Hello Dr. Chen, I have been taking antifungal medication (gynecological) for over five months due to a fungal infection. Recently, I have been experiencing frequent stomach pain and lower back discomfort. I consulted a traditional Chinese medicine prac...
Dr. Chen Shidian Reply:
Black stools may be related to gastrointestinal bleeding, and stool tests or endoscopy can be performed. Medications (anti-inflammatory and pain relievers) may irritate the gastrointestinal tract, so please use them with caution. They are generally not related to the kidneys. Wis...[Read More] Understanding Gastrointestinal and Kidney Issues from Prolonged Antifungal Use
Understanding Causes of Gastrointestinal Bleeding in Children: A Parent's Guide
Causes of gastrointestinal bleeding in children? Our second child, a boy in the fourth grade (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 constipation....
Dr. Li Huixiong Reply:
Could you please tell me what color your child's vomit was? Was there any coffee ground appearance? Did they consume pig's blood soup or duck blood cake previously? In theory, gastrointestinal bleeding can occur at any age, but it is uncertain whether your child is expe...[Read More] Understanding Causes of Gastrointestinal Bleeding in Children: A Parent's Guide
Understanding Frequent Stomach Pain: Causes and Solutions
Stomach pain Recently, I've been experiencing sharp pains in my stomach that last for about a few seconds, and it has been occurring more frequently. What could be the issue?
Dr. Zeng Fenyu Reply:
Please go to the gastroenterology department for a detailed examination.[Read More] Understanding Frequent Stomach Pain: Causes and Solutions
Managing Excess Stomach Acid: Is Vagotomy the Right Solution for You?
Excess stomach acid? Due to excessive stomach acid and gastroesophageal reflux disease (GERD), I have been on medication for ten years. Currently, I am taking Losec and had switched to Tegament under my doctor's prescription for about three weeks. During this period, I exper...
Dr. Chen Shidian Reply:
It is recommended to visit a medical center for an examination of motility function and gastroesophageal reflux to assess the need for or apply for long-term treatment with Losec. Wishing you good health.[Read More] Managing Excess Stomach Acid: Is Vagotomy the Right Solution for You?
Understanding Lactose Intolerance: Symptoms, Diagnosis, and Management
Gastrointestinal issues When I drink milk or related products, it seems that I always have diarrhea, and sometimes my stomach makes gurgling noises and I experience gas. Could this be lactose intolerance? Is there a way to treat it, or is it something that cannot be improved?
Dr. Hong Hongchang Reply:
85 to 90 percent of East Asians are lactose intolerant, so if diarrhea (or pain) persists even after consuming diluted milk or lactose-reduced milk, the only option is to avoid dairy products altogether.[Read More] Understanding Lactose Intolerance: Symptoms, Diagnosis, and Management
Understanding Habitual Stomach Pain: When to Get Regular Endoscopies?
Chronic gastric pain? Since childhood, I have frequently visited clinics. I cannot jump rope more than 30 times, and I cannot walk quickly. The pain is located in the lower left chest area, and when it hurts, I quickly press on it to reduce the pain. I have undergone gastroscopy ...
Dr. Zeng Fenyu Reply:
In addition to some patients experiencing discomfort, gastroscopy does not have side effects. Pain in the lower left chest after physical activity may not necessarily be gastric pain, and it is advisable to consult an internist for evaluation.[Read More] Understanding Habitual Stomach Pain: When to Get Regular Endoscopies?
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
Understanding Bloating and Gas: Causes and Solutions for Digestive Discomfort
I feel bloated? Hello~ I previously had issues with habitual constipation, which has now improved. Recently, I've noticed that my appetite is not very large when eating, and after meals, my stomach feels uncomfortable, though it's not very painful. I also find myself pa...
Dr. Hong Hongchang Reply:
If you frequently experience bloating and constipation, you should consume high-fiber foods as well as fruits and vegetables, and avoid foods that are prone to causing bloating, such as milk, bread, and legumes. If you have any questions, please visit a gastroenterology clinic.[Read More] Understanding Bloating and Gas: Causes and Solutions for Digestive Discomfort
Understanding Lower Abdominal Pain: Possible Causes and Next Steps
Lower abdominal pain? Dr. Hong, I went to the Chang Gung emergency room on November 4th due to lower abdominal pain. My menstrual cycle was normal, with the last period on December 24th, and there has been no abnormal bleeding. On that day, I did not experience diarrhea or stomac...
Dr. Hong Hongchang Reply:
In women with lower abdominal pain, gynecological disorders should be prioritized as a consideration. Other potential causes include gastrointestinal adhesions due to previous surgeries, constipation, or other intestinal pathologies such as polyps, diverticula, or tumors. It is a...[Read More] Understanding Lower Abdominal Pain: Possible Causes and Next Steps
Why Do I Experience Hiccups While Sleeping on My Desk?
Frequent hiccups during sleep? If I often feel a sensation in my throat that resembles the need to burp while sleeping with my head on the table, and after releasing the gas it happens again within a few minutes, I would like to ask the doctor if this is related to my stomach?
Dr. Hong Hongchang Reply:
Hiccups are usually caused by irritation of the phrenic nerve of the diaphragm. Common situations include overeating easily fermentable foods such as milk, legumes, and bread, or gastrointestinal dysfunction. It is recommended to engage in moderate exercise, such as walking, afte...[Read More] Why Do I Experience Hiccups While Sleeping on My Desk?
Should You Treat H. Pylori After Diagnosing Stomach Issues?
Is treatment necessary for Helicobacter pylori? I have been experiencing frequent stomach pain, so I recently went to the doctor for a health check-up. After undergoing an endoscopy, it was found that I have inflammation in the gastric antrum and a healed duodenal ulcer on the an...
Dr. Chen Shidian Reply:
Hello: If there is a combination of stomach pain and ulcers, it is recommended to undergo eradication therapy. However, if there is only gastritis (without acute ulcers), the National Health Insurance Administration does not currently cover the cost of eradication medication, and...[Read More] Should You Treat H. Pylori After Diagnosing Stomach Issues?
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
Understanding Stomach Ulcers: Long-Term Treatment and Management
Gastric ulcer Gastric ulcers have not healed for 3.4 years. The average treatment duration is 4 to 5 months, followed by a gastroscopy once. I do not have Helicobacter pylori. 0920-820-503.
Dr. Hong Hongchang Reply:
It is recommended to continue taking medication as scheduled. In cases of refractory ulcers, there is a 3% to 5% risk of malignant transformation. Therefore, it is advised to perform an endoscopic biopsy.[Read More] Understanding Stomach Ulcers: Long-Term Treatment and Management
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
Understanding Causes and Treatments for Irritable Bowel Syndrome (IBS)
Irritable Bowel Syndrome (IBS) can arise from various factors, including: 1. **Gut Motility Issues**: Abnormalities in the movement of the intestines can lead to symptoms. 2. **Visceral Hypersensitivity**: Increased sensitivity of the intestines to stimuli can cause pain and dis...
Dr. Yang Guojun Reply:
Irritable Bowel Syndrome (IBS) accounts for 40% of outpatient visits. This condition has three main characteristics: 1. Recurrent episodes, 2. Patients have seen many doctors without improvement, 3. Patients have undergone numerous tests (such as gastroscopy and ultrasound) that ...[Read More] Understanding Causes and Treatments for Irritable Bowel Syndrome (IBS)