Stomach, Internal Medicine FAQ - Page 3

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Understanding Abdominal Pain: Possible Causes and When to Seek Help

Abdominal issues? Hello, for the past few days, I've been experiencing a slight pain in the abdominal area next to my left side of the navel. It doesn't feel like typical stomach pain or sharp pain; it resembles more of a dull ache similar to back pain. I visited a gast...


Dr. Hong Yuanbin Reply:
Based on your description, the most likely diagnosis is an abdominal muscle strain, possibly caused by recent exercises similar to sit-ups. Typically, allowing the abdominal muscles to rest will lead to improvement. As for any potential intestinal issues, ultrasound may not revea...

[Read More] Understanding Abdominal Pain: Possible Causes and When to Seek Help


Understanding Chronic Loose Stools: IBS and Gastrointestinal Concerns

I have been experiencing issues with frequent loose stools? Hello, doctor. I started experiencing diarrhea and almost daily soft stools (with a slight shape, small lumps) at the beginning of the year. Later, during a health check, I had a positive fecal occult blood test. Followi...


Dr. Xie Rongyuan Reply:
Hello: It may be an issue related to irritable bowel syndrome. Since the colonoscopy results are normal, you might consider starting medication to see if your symptoms improve. If you frequently experience acid reflux, it would also be advisable to undergo an upper endoscopy. Tha...

[Read More] Understanding Chronic Loose Stools: IBS and Gastrointestinal Concerns


Post-Surgery Concerns After Gastric Perforation: Your Questions Answered

Postoperative issues following gastric perforation surgery? Hello Dr. Hong, I would like to consult you on the following issues. Thank you. Summary of the condition: I maintain a normal lifestyle, do not smoke or drink, and do not stay up late. However, recently I took medicatio...


Dr. Hong Yuanbin Reply:
Hello, 1. Due to endocrine factors, along with the fact that it is quieter at night, most pain tends to be more pronounced during the night; this is a physiological phenomenon. If there is a sudden severe pain, then it is necessary to seek medical attention. 2. Yes, surgery c...

[Read More] Post-Surgery Concerns After Gastric Perforation: Your Questions Answered


Concerns About Swallowing Small Bones: What You Need to Know

Eating issues? Hello Doctor, I would like to ask you about something. I had steak for dinner and I'm not sure if I swallowed a small bone or some burnt meat. I felt something hard go down my esophagus. Although it didn't get stuck in my throat, I'm concerned whethe...


Dr. Hong Yuanbin Reply:
Hello, bones do not have sharp spurs, so they are less likely to get stuck in the throat compared to fish bones. If you are not experiencing any specific discomfort, there is no need to worry unless you later develop a sore throat, in which case you should consult an otolaryngolo...

[Read More] Concerns About Swallowing Small Bones: What You Need to Know


Understanding Abdominal Pain When Contracting Your Stomach Muscles

Experiencing abdominal pain when straining? Hello, doctor. I would like to ask you about a situation I'm experiencing. When I exert myself and tighten my abdomen, I feel a bit of pain in my abdominal area, but I don't feel anything when I'm not straining (the pain ...


Dr. Hong Yuanbin Reply:
Hello, the appendix is located in the lower right quadrant of the abdomen, and if it is appendicitis, it typically hurts even without straining the abdomen. The abdominal pain you mentioned is most likely due to a muscle strain. Have you recently engaged in any abdominal-related ...

[Read More] Understanding Abdominal Pain When Contracting Your Stomach Muscles


Understanding Throat Discomfort: Causes and Concerns for Your Health

Sensation of a foreign body in the throat? I previously experienced a sensation of something stuck in my throat after drinking tea on an empty stomach and then eating pineapple cake. This feeling disappeared the next day, but after a few days, it returned intermittently, even whe...


Dr. Hong Yuanbin Reply:
Hello, the symptoms you described are likely caused by two main conditions. First, it could be allergic rhinitis, which can lead to post-nasal drip causing throat discomfort and productive cough. I recommend increasing physical activity and avoiding allergens, which should help i...

[Read More] Understanding Throat Discomfort: Causes and Concerns for Your Health


Understanding Digestive Motility Issues: Causes and Solutions

Peristalsis issues Hello, doctor. I have been severely troubled by gastrointestinal issues for the past two years. My stomach often makes inexplicable and frequent noises, regardless of whether I have eaten. The sounds are not the usual growling associated with hunger or gas move...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that you are primarily troubled by loud bowel sounds. I would like to know if you are experiencing constipation or diarrhea. Typically, the condition you described can be caused by abnormal intestinal motility due to constipation or diar...

[Read More] Understanding Digestive Motility Issues: Causes and Solutions


Assessing HIV Infection Risks After Encountering Blood in an Elevator

Infection concerns? Hello, Doctor Hong. Yesterday, while I was in the elevator, I noticed a large pool of red liquid flowing from the buttons to the floor. I later heard that someone had vomited blood inside the elevator (I did not see it happen). I was told that the floor was co...


Dr. Hong Yuanbin Reply:
Hello, based on the situation you mentioned, you are concerned about the risk of contracting HIV from contact with blood in the elevator. However, since you did not have mucous membrane exposure or direct contact with fresh blood through an obvious wound, it appears that there is...

[Read More] Assessing HIV Infection Risks After Encountering Blood in an Elevator


Concerns About HIV Infection Risks After Encountering Blood in Elevator

Infection Inquiry Hello, Doctor Hong. Yesterday, while I was in the elevator, I noticed a large pool of red liquid flowing from the buttons to the floor. I later heard that someone had vomited blood inside the elevator (I did not see it happen). I was told that the floor was cove...


Dr. Hong Yuanbin Reply:
Hello, based on the situation you mentioned, you are concerned about the risk of contracting HIV from contact with blood in the elevator. However, since you did not have mucous membrane exposure or any obvious open wounds that came into direct contact with fresh blood, it current...

[Read More] Concerns About HIV Infection Risks After Encountering Blood in Elevator


Concerns About HIV Infection Risks After Encountering Blood in Elevator

Infection concerns? Hello, Doctor Hong. Yesterday, while I was in the elevator, I noticed a large pool of red liquid flowing from the buttons to the floor. I later heard that someone had vomited blood inside the elevator (I did not see it happen). I was told that the floor was co...


Dr. Hong Yuanbin Reply:
Hello, based on the situation you mentioned, you are concerned about the risk of contracting HIV from contact with blood in an elevator. However, since you did not have mucous membrane exposure or direct contact with fresh blood through an open wound, it currently appears that th...

[Read More] Concerns About HIV Infection Risks After Encountering Blood in Elevator


Understanding Fever and Symptoms in Gastroenteritis: What You Need to Know

Gastroenteritis with fever Hello Doctor, I started experiencing diarrhea around July 23 after consuming expired milk. I visited a doctor on July 25 and was diagnosed with gastroenteritis. After finishing the medication, I thought I had recovered, so on the following Friday (Jul...


Dr. Lin Wufu Reply:
Hello: It is difficult to determine the cause of the fever based on the above description. Some individuals with gastroenteritis may indeed have a prolonged fever, but it is generally uncommon for a fever to last more than a week. If you are still experiencing a fever, it is advi...

[Read More] Understanding Fever and Symptoms in Gastroenteritis: What You Need to Know


Understanding Mucus and Blood in Stool: Is It a Sign of Colon Cancer?

Stool with mucus and blood? Hello Doctor, my gastrointestinal health has not been good for the past two months (slow gastrointestinal motility after a viral infection). Two months ago, when my stomach issues were not as severe, I had an endoscopy. Recently, I still feel short of ...


Dr. Hong Yuanbin Reply:
Hello, I would like to know if you are seeing fresh blood or black stools? If it is fresh blood, it may be due to hemorrhoidal bleeding caused by constipation. If there is a large amount of fresh blood, a colonoscopy is recommended. If it is black stools, it could indicate gastro...

[Read More] Understanding Mucus and Blood in Stool: Is It a Sign of Colon Cancer?


Understanding Upper Abdominal Bloating: Causes and Solutions

Upper abdominal bloating and pain? Hello Doctor, in the past couple of years, due to exam preparations, I have been sitting a lot and exercising less. I have experienced mild gastric discomfort before several major exams, but recently I have been frequently experiencing upper abd...


Dr. Hong Yuanbin Reply:
Hello, based on your description, your stomach pain is likely primarily caused by exam stress, which is exacerbated by your menstrual period. It is expected that your symptoms will improve after the exams are over and the stress is relieved. During this time, I recommend engaging...

[Read More] Understanding Upper Abdominal Bloating: Causes and Solutions


Chest Pain After Prolonged Singing: Causes and Concerns

Experiencing chest pain after singing with prolonged vocalization? Today, due to special requirements, I needed to record audio. The length of the audio required a prolonged exhalation while vocalizing. I did not take a breath before starting to vocalize and continued to do so un...


Dr. Hong Yuanbin Reply:
Hello, based on your description, the chest pain during deep inhalation, if located in the upper part, may be caused by strain on the thoracic wall or ribs. If it is in the lower part, it could be due to pressure on the stomach. In any case, this is mostly a physiological phenome...

[Read More] Chest Pain After Prolonged Singing: Causes and Concerns


Understanding Abdominal Pain and Symptoms: Causes and Treatment Options

Gastrointestinal issues When lying in bed, I sometimes experience a sensation of liquid pressure and vibration in certain areas of my upper abdomen, accompanied by pain. What could this symptom indicate? What are the possible causes of such symptoms? Under what conditions can Hic...


Dr. Hong Yuanbin Reply:
Hello, 1. The area you pressed is likely the stomach. Applying pressure to the stomach can indeed cause pain, which is a normal physiological response. 2. These medications may be used in cases of severe gastric ulcers or gastroesophageal reflux disease (GERD). However, whethe...

[Read More] Understanding Abdominal Pain and Symptoms: Causes and Treatment Options


Understanding Bloating and Constipation: Causes and Treatments

Abdominal bloating and constipation? Doctor, I have a question. Recently, I went to see a doctor due to abdominal pain and changes in my bowel habits. The doctor only performed an X-ray, which showed significant gas in my stomach and severe gas in the right side of my intestines,...


Dr. Hong Yuanbin Reply:
Hello, this X-ray shows a higher amount of fecal matter, but no other abnormalities are noted. Regarding concerns about tumors, X-rays cannot detect them. It is recommended to first perform a fecal occult blood test. If the results are abnormal, a colonoscopy will be necessary to...

[Read More] Understanding Bloating and Constipation: Causes and Treatments


Understanding Bloating and Constipation: Causes and Treatment Options

Abdominal bloating and constipation? Doctor, I have a question. Recently, I went to see a doctor due to abdominal pain and changes in my bowel habits. The doctor only performed an X-ray, which indicated severe gas in my stomach and right intestine, as well as fecal impaction in t...


Dr. Hong Yuanbin Reply:
Hello, this X-ray shows a higher amount of fecal matter, but no other abnormalities are noted. Regarding concerns about tumors, X-rays cannot detect them. It is recommended to first perform a fecal occult blood test. If the results are abnormal, a colonoscopy will be necessary to...

[Read More] Understanding Bloating and Constipation: Causes and Treatment Options


Understanding HIV Testing and PEP: Key Questions Answered

HIV testing Hello, I am spokesperson number 178234. Thank you, doctor. I have a few more questions. In the previous message, it was stated that 1 copy equals 1.67 IU, so 33 IU equals approximately 19.76 copies. Question 1: I took PEP within 72 hours of exposure. The test is sch...


Dr. Hong Yuanbin Reply:
Hello, 1. PEP can reduce the rate of infection, but it is unlikely to affect the accuracy of testing, so the results should still be reliable. 2. PEP should not significantly impact the interpretation of test results. 3. After PEP, dietary habits can return to normal. Thank...

[Read More] Understanding HIV Testing and PEP: Key Questions Answered


Swallowed Fish Bone: X-Ray Findings and Endoscopy Insights

Ingestion of a fishbone but not found during gastroscopy? Hello Doctor: Two nights ago, while eating salmon, I accidentally swallowed a fish bone that was about one centimeter long and not soft. I felt a bit nervous, so I swallowed a bite of rice and vegetables afterward, but lat...


Dr. Hong Yuanbin Reply:
Hello, 1. It is possible for a fishbone to be visible on an X-ray but not detected during an endoscopy. This can occur due to the numerous folds in the stomach, and if the fishbone is not prominently colored, it may not be seen during the endoscopic examination. 2. It is plau...

[Read More] Swallowed Fish Bone: X-Ray Findings and Endoscopy Insights


Understanding Long-Term Symptoms of Gastroesophageal Reflux Disease

Long-term symptoms of gastroesophageal reflux disease (GERD)? Hello Doctor, I am a 20-year-old male. Last June, I was diagnosed with grade B gastroesophageal reflux disease (GERD) through an endoscopy, and I am currently undergoing treatment. I have only been prescribed a proton ...


Dr. Hong Yuanbin Reply:
Hello, most people's gastroesophageal reflux disease (GERD) is indeed a long-term condition caused by multiple factors, including relaxation of the lower esophageal sphincter, overeating, and lying down after meals. Medications, including proton pump inhibitors (PPIs), are o...

[Read More] Understanding Long-Term Symptoms of Gastroesophageal Reflux Disease


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