Stomach, Internal Medicine FAQ

Understanding Vomiting: What Happens in Your Stomach?

Digestive issues I would like to ask the doctor, when experiencing discomfort in the stomach and vomiting, is it true that food from the upper part of the stomach is expelled first, making it unlikely for food from the lower part of the stomach to come out first? Additionally, if...

Dr. Hong Yuanbin Reply:
Hello, when food is in the stomach, it is usually mixed together, and when vomiting occurs, it is not certain which part of the food will come out first. However, unless necessary, it is not recommended to induce vomiting, as this can easily cause injury to the esophagus. Thank y...

Excessive Saliva: Causes and Concerns About Possible ALS Symptoms

Excessive salivation? Hello doctor, recently I've been feeling like I have a lot of saliva in my mouth, and I'm worried about it spilling out when I sleep on my stomach. What could be the possible reasons for this? I read online that it could be a sign of amyotrophic la...

Dr. Hong Yuanbin Reply:
Hello, individuals with amyotrophic lateral sclerosis (ALS) typically have a hereditary condition characterized by generalized muscle weakness. Based on your description, it should not be related to sleeping on your stomach. During deep sleep, the oral muscles relax, which can le...

Understanding Esophageal Sensitivity and Its Impact on Induced Vomiting

Esophageal sensitivity? Hello, doctor. I have a question about a friend who seems to be using vomiting as a weight loss method. I'm curious if eating food without any liquids makes it difficult to vomit. Even if she can vomit, would it only be a small amount because the food...

Dr. Hong Yuanbin Reply:
Hello, inducing vomiting can be easy primarily due to the sensitivity of the throat, which varies from person to person. Long-term vomiting can lead to gastroesophageal reflux, resulting in esophageal burns. Prolonged injury to the esophagus may increase the risk of esophageal ca...

Understanding Persistent Throat Discomfort After Fish Bone Incident

Feeling a lump in the throat? Hello Doctor: Since I was choked by a fishbone, I started feeling a sensation of something stuck in my throat about one to two weeks later, which has persisted for three months. Recently, I have clearly felt that this sensation comes from the food I ...

Dr. Xie Rongyuan Reply:
Hello: Gastroesophageal reflux disease (GERD) can be challenging to treat, and you may want to consult a physician regarding the risk of esophageal cancer. Proton pump inhibitor (PPI) therapy may require a longer duration; if you have severe GERD, medication may be needed for up ...

Understanding Gastrointestinal Issues: Is Low Stomach Acid the Culprit?

Gastrointestinal issues inquiry? I am the patient who previously inquired about probiotics. Last night, I started feeling unwell again, and I experienced heartburn. After researching, I found that symptoms of low stomach acid align with my current condition: lack of appetite, ina...

Dr. Hong Yuanbin Reply:
Hello, the burning sensation you described is likely due to gastroesophageal reflux, which tends to occur after meals. To confirm the diagnosis, an endoscopy may be necessary. For treatment, I recommend starting with a diet of small, frequent meals combined with moderate exercise...

Concerns About Swallowing Foreign Objects: What to Know After Biting Down

Biting a black stone? Hello, doctor. While I was having dinner, I bit into a mouthful of rice and suddenly heard a small cracking sound, thinking I had broken a tooth. I quickly spat it out and found a small black object that looked like a stone. Initially, my family thought it w...

Dr. Hong Yuanbin Reply:
Hello, as long as it is not a sharp object, such as a fishbone or small stones, it is unlikely to cause any issues since most of it will pass through the digestive system and be excreted in the stool. Therefore, if there are no specific symptoms, you can observe the situation wit...

Understanding Bowel Sounds and Bloating: Insights on IBS Symptoms

Borborygmi and bloating? A year ago, I experienced constipation due to high stress, with occasional abdominal sounds at midnight, occurring infrequently about once or twice a month. After undergoing surgery for a lipoma and taking amoxicillin for a month, my symptoms worsened. Th...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed possible that you have Irritable Bowel Syndrome (IBS) or that you may be experiencing issues related to fecal impaction. I recommend starting with a regular routine, increasing your intake of vegetables, and exercising more, as these...

Can Eating Banana and Persimmon Together Cause Toxic Reactions?

Food mixing Hello doctor, I ate a banana around 3 PM, but at 8 PM I had about half a persimmon. Later, I learned that these two shouldn't be eaten together as they can form a hard mass. I would like to ask if eating persimmons and bananas really causes poisoning, or if it’s ...

Dr. Hong Yuanbin Reply:
Hello, poisoning refers to the reaction of certain substances within the body. However, if it involves consuming fruit itself, the content of any harmful substances is usually low and spaced out, so there is no risk of poisoning. Please don't worry, and thank you for your qu...

Can Ankylosing Spondylitis Cause Stomach Pain? Exploring the Connection

Does ankylosing spondylitis accompany stomach pain? During my military service, I tested positive for a blood test and was diagnosed, but I haven't seen a specialist in this area for the past ten years. The pain I experience is located in the center of my lower back, along t...

Dr. Zeng Guosen Reply:
Hello, a positive HLA-B27 test does not necessarily indicate that you have ankylosing spondylitis. The most important factors for diagnosis are: 1. Do your symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not directly related to stomach pai...

Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection

Dr. Zeng Guosen Reply:
Hello, a positive HLA-B27 blood test does not necessarily indicate that you have ankylosing spondylitis. The most important factors for diagnosis are: 1. Do the symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not directly related to stomac...

Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection

Dr. Zeng Guosen Reply:
Hello, the presence of HLA-B27 positivity in a blood test does not necessarily indicate that one has ankylosing spondylitis. The most important factors for diagnosis are: 1. Do the symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not direct...

Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection

Dr. Zeng Guosen Reply:
Hello, having a positive HLA-B27 test does not necessarily mean you have ankylosing spondylitis. The most important factors for diagnosis are: 1. Do the symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not directly related to stomach pain, ...

Understanding Left Rib Pain: Causes, Concerns, and Gastrointestinal Health

Dull pain under the left rib cage? I apologize for bothering you, Doctor. I'm not sure if this question has been asked before. Back in June, I suddenly experienced persistent discomfort and pain, which I initially thought was a stomach issue. I searched online but couldn...

Dr. Hong Yuanbin Reply:
Based on your description, it is indeed most likely that constipation is the cause. It is advisable to maintain a bowel movement every 1-2 days. Suitable improvement methods include increasing vegetable intake, exercising regularly, establishing a consistent routine, and developi...

Can Medication Get Stuck? Understanding Risks and Symptoms

Is it possible for medication to get stuck? Hello doctor, last night I felt some discomfort in my stomach, and my sister kindly gave me a capsule-like medication called Yifuning to take. However, when I put it in my mouth and was about to swallow it with water, it seemed to disap...

Dr. Hong Yuanbin Reply:
Hello, it is true that a small number of people may have medication stuck in the esophagus; however, unless it is something like a fish bone that gets lodged, drinking more water usually helps it to pass into the stomach. As for the trachea, food typically does not enter there be...

Understanding Abdominal Pain After a Bicycle Accident: When to Seek Help

Abdominal impact? About three days ago, I accidentally collided with the front of another bicycle while riding. Although my speed was not fast, my abdomen hit the handlebars, causing some pain initially. Now, there is pain in a small area about 3-4 finger widths above my navel, w...

Dr. Hong Yuanbin Reply:
Hello, the organ you are referring to is the stomach. The stomach is usually not easily injured. It is advisable to monitor the bruised area to see if it continues to expand or if there is any worsening pain. If there are no such symptoms, it should be a simple soft tissue injury...

Concerns About Using Public Restrooms in Taiwan: Health Risks Explained

Please ask me your two questions? Hello, I am a student of mixed Taiwanese and Japanese heritage. Since returning to Taiwan before the Lunar New Year, I have been staying at my father's house. I would like to ask the doctor about public restrooms in Taiwan, particularly in f...

Dr. Hong Yuanbin Reply:
Hello, in Taiwan, drug use is illegal, so it is unlikely that many people would use drugs in convenience store restrooms. The primary concern with drug use is toxicity rather than infection. As for toilet cleanliness, I believe that as long as proper cleaning is maintained, the r...

Understanding Abdominal Distension: Causes and Concerns

Abdominal issues? Doctor, I would like to ask you about something. Yesterday at noon, I ate about 8 pieces of watermelon, and I also swallowed the seeds. Recently, my stools have been shaped like a log but are somewhat watery, not diarrhea. I noticed that when I stand up straight...

Dr. Hong Yuanbin Reply:
Hello, when you mention the lower abdomen, are you referring to the area close to the groin, which is also near the scrotum? If that is the case, and if the abdomen bulges more when you exert yourself or stand, you should be cautious as it may indicate a hernia. I recommend visit...

Understanding Throat Pain and the Risks of Swallowing Foreign Objects

Throat issues and ingestion problems? Hello, doctor. I'm not sure if my cold has not fully resolved. Initially, I had a sore throat, and now only one side still hurts. I plan to visit an ENT specialist tomorrow. However, while eating just now, I accidentally swallowed someth...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that your symptoms are likely caused by a cold and not due to any foreign object being lodged. As for the white area you mentioned, I haven't seen it directly, so it's difficult to assess; however, based on your description, it...

Understanding Dry Tongue: Possible Links to Stomach Ulcers and Diabetes

Regarding dry tongue? Hello Doctor, let me describe my condition: Two and a half years ago, during a newborn health check, my fasting blood glucose was 75 mg/dL, with no diabetes, and everything else was normal. About one to two years ago, I experienced two episodes of dry mouth ...

Dr. Hong Yuanbin Reply:
Hello, regarding your question about dry mouth, it is likely not caused by other underlying diseases. Typically, a healthy young person should consume around 2000-3000 cc of fluids (including water) per day, especially in hot weather when fluid loss is rapid. It is advisable to m...

Understanding Changes in Stool Color After Antibiotic Use

The effects of medications on stool? Hello, doctor. I have been seeing an ENT specialist for the past five days due to a cold and have been prescribed antibiotics along with a green pill that the doctor said is for the stomach. I would like to ask if taking these medications can ...

Dr. Hong Yuanbin Reply:
Hello, First, the color of stool can indeed vary due to food or medication. Generally, when we are concerned about gastrointestinal bleeding, the stool may appear very dark, resembling the color of hair, and it is sticky, referred to as "melena." I believe your stool ...

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