Dealing with Bad Breath: Seeking the Right Medical Specialty for Help
I have a problem with halitosis? Hello Doctor: Four years ago, I started learning to play the trumpet, and I began to experience bad breath around that time (I'm not sure if it's related to playing the trumpet). I initially thought that stopping would resolve the issue,...
Dr. Chen Jingwen Reply:
Esophageal and gastrointestinal issues can also cause bad breath. If your oral health has been evaluated by a dentist and found to be normal, then your discomfort (such as bad breath) may be related to gastroesophageal reflux disease (GERD) and esophagitis. It is advisable to con...[Read More] Dealing with Bad Breath: Seeking the Right Medical Specialty for Help
Is Green Stool a Cause for Concern? Understanding Gastrointestinal Health
Green stool Is it a problem to have green stool?
Dr. Chen Jingwen Reply:
Green stool may be related to diet, particularly with a high intake of fruits and vegetables. Additionally, if the stool is yellow-green, it may be advisable to check for jaundice, which can be confirmed through a blood test. If the stool is dark brown-green, it may be necessary ...[Read More] Is Green Stool a Cause for Concern? Understanding Gastrointestinal Health
Understanding Blastocystis Hominis: Health Implications and Work Impact
Blastocystis hominis Dear Dr. Zhao, Our technical personnel stationed abroad underwent a health check at Taipei Veterans General Hospital. The examination report indicated the presence of "Entamoeba histolytica" parasitism. Could you please clarify what kind of health ...
Dr. Zhao Chongliang Reply:
Blastocystis hominis was previously considered a harmless intestinal parasite in humans, but it can occasionally cause mild symptoms such as diarrhea and abdominal pain. However, it has also been associated with rectal bleeding and anemia. The variability in symptoms may be attri...[Read More] Understanding Blastocystis Hominis: Health Implications and Work Impact
Understanding Anemia: Navigating Iron Deficiency and Chronic Conditions
Panic Hello, Doctor Yang. A few days ago, I had a health check-up and found my HB: 9.8, MCV: 76, HT: 34, MCH: 24.9. I later tested for thalassemia and iron deficiency anemia, but the results showed no thalassemia. However, the data regarding iron deficiency is quite strange... Ir...
Dr. Yang Jun Reply:
Hello: In response to your question, the reported HB is 9.8 and MCV is 76, which indicates microcytic anemia (normal MCV values range from 80-100). It is necessary to consider thalassemia and iron deficiency anemia. Subsequent tests ruled out thalassemia, and with a TIBC of 487 a...[Read More] Understanding Anemia: Navigating Iron Deficiency and Chronic Conditions
Understanding Liver Health: Preventing Cancer, Cirrhosis, and Jaundice
Liver Hello, Doctor: I apologize for the interruption. I would like to ask you about liver issues. 1. Liver cancer is one of the top ten causes of death. I read a section in "Preventing Liver Cancer" that states: "Preventing Chronic Hepatitis": vaccination a...
Dr. Chen Jingwen Reply:
1. Hepatitis B and C are transmitted through blood, so sharing needles or using the same razor that causes cuts and bleeding can transmit these viruses if blood enters another person's wound. Additionally, drug users sharing needles and tattooing can also lead to transmissio...[Read More] Understanding Liver Health: Preventing Cancer, Cirrhosis, and Jaundice
Could Increased Bowel Movements Indicate Colon Cancer Without Blood?
If there are no symptoms of rectal bleeding, but there has been an increase in bowel movement frequency recently, could this be a sign of colorectal or rectal cancer? I have been suffering from chronic constipation for a long time and have been regularly taking traditional Chines...
Dr. Hong Hongchang Reply:
Symptoms of colorectal disease that require medical examination include: 1. Changes in bowel habits, including frequency and consistency; 2. Presence of blood or blood clots in the stool; 3. Unexplained lower abdominal pain or weight loss; 4. Family history of cancer.[Read More] Could Increased Bowel Movements Indicate Colon Cancer Without Blood?
Understanding Oil in Stool: Causes and Concerns for Adults
Physical symptoms Dear Doctor: In the past three months, there have been several instances where I experienced oily stools after consuming beef or fish. Could you please explain the reason? This has never happened before, and I have not taken any weight loss medication like Zenic...
Dr. Lin Benpei Reply:
Based on your description, this appears to be a disease of the liver, gallbladder, and gastrointestinal system, which includes certain metabolic disorders such as diabetes. To fully understand the underlying causes, please visit our Hepatobiliary and Gastroenterology Department o...[Read More] Understanding Oil in Stool: Causes and Concerns for Adults
Understanding Green Stool: Causes, Concerns, and When to Seek Help
Green stool Hello Dr. Hong, I have been experiencing light gray-brown colored stools for about a week, which have a medicinal odor. After that, I had light green stools for about three days, and currently, I have been passing dark green stools for the past three days, which sti...
Dr. Hong Hongchang Reply:
Dear Miss Chen: 1. The ultrasound of the liver should be performed every 4-6 months, rather than every 6-12 months for hepatitis B carriers, along with checking for GPT and AFP levels. 2. The color of stool is primarily a mixture of bile, metabolic byproducts from the intestines...[Read More] Understanding Green Stool: Causes, Concerns, and When to Seek Help
Understanding Unusual Green Stool: When to Seek Medical Advice
The stool is unusual? I have my period, but my stool is green, a deep green! I don't feel unwell, and this is the first time I've experienced this. Should I see a doctor? I'm quite embarrassed and worried about my health.
Dr. Li Huixiong Reply:
This is a normal phenomenon, please do not worry.[Read More] Understanding Unusual Green Stool: When to Seek Medical Advice
Severe Discomfort After Bowel Movement: When to Seek Medical Attention?
excuse me? Hello Doctor: After just having a bowel movement, I feel like I have a severe "muscle strain." Even sneezing is very uncomfortable (it has been two and a half hours since then). I can't stand or sit up straight; I feel very bloated and uncomfortable. My ...
Dr. Zeng Guosen Reply:
The user did not mention whether they experienced hard or soft stools during diarrhea, only that they felt anal pain after bowel movements. Based on the user's description, if this occurs repeatedly, they should consult a colorectal specialist. However, if it only happened t...[Read More] Severe Discomfort After Bowel Movement: When to Seek Medical Attention?
Link Between Antibiotic Use and Chronic Pancreatitis: What You Need to Know
The relationship between antibiotic use and chronic pancreatitis? Dr. Hong: Hello! A few days ago, I fell off my motorcycle, which caused my duodenal ulcer to flare up again. After taking medication, it has improved significantly. However, on the night after my anterior cruciate ...
Dr. Hong Hongchang Reply:
Chronic pancreatitis is primarily caused by alcohol consumption, gallstones, and hyperlipidemia. It can lead to postprandial abdominal discomfort, steatorrhea, and diarrhea, which may also be related to antibiotic use. Therefore, it is essential to follow up with a gastroenterolo...[Read More] Link Between Antibiotic Use and Chronic Pancreatitis: What You Need to Know
Understanding Hemoglobin Deficiency: Causes and Solutions
Hemoglobin deficiency Hello, I have been donating platelets for a long time, and it has been going smoothly every two weeks. However, in the last three attempts over the past two months, I have had to reschedule due to insufficient hemoglobin (less than 12 g/dL). Additionally, I ...
Dr. Xu Qingxiao Reply:
Dear Ms. Rina, I apologize for the delay in my response. Due to limited opportunities to access the hospital's computer recently, I am writing to you directly now. Regarding the relationship between acne and decreased hemoglobin levels, we first need to review your previous...[Read More] Understanding Hemoglobin Deficiency: Causes and Solutions
Understanding Anemia: Why Multiple Tests May Be Needed for Diagnosis
Anemia Is it true that anemia is difficult to diagnose? I have undergone four tests at Chang Gung Memorial Hospital, but they still cannot determine which type of anemia I have. They asked me to come back for another test in a month, and I find this quite strange.
Dr. Ke Zhengchang Reply:
Dear Miss Lin Yanxing: There are many causes of anemia, ranging from iron deficiency anemia and thalassemia to bone marrow disorders. Therefore, in addition to blood tests, stool examination and menstrual history, even a bone marrow biopsy may be necessary. Please consult a hemat...[Read More] Understanding Anemia: Why Multiple Tests May Be Needed for Diagnosis
Understanding Dark Green Stool in Adults: Causes and Concerns
Stool color I have a question. One time after having a bowel movement, I was surprised to find that my stool was dark green and very distinct. The food I ate that day was nothing special and similar to what I usually eat, and I didn't take any medication. However, I have nev...
Dr. Hong Hongchang Reply:
The color of stool is related to the degree of food digestion. For instance, in cases of biliary obstruction or jaundice, the stool may appear pale or clay-colored, while normally digested stool is light green or brownish-yellow. Additionally, diet can also influence changes in s...[Read More] Understanding Dark Green Stool in Adults: Causes and Concerns
How Poor Digestion Affects Growth: Tips for Better Nutrient Absorption
Effects of Poor Gastrointestinal Health I have a large appetite and can eat more than five meals a day, but it seems like what I eat is expelled immediately without being absorbed, which is causing me not to grow. Does poor gastrointestinal absorption affect development? Is my in...
Dr. Chen Shidian Reply:
Hello, internet user: Having frequent bowel movements does not necessarily indicate poor absorption; a stool analysis at the clinic can provide clarity. If it is simply due to rapid gastrointestinal motility, medication adjustments can be made. Wishing you good health![Read More] How Poor Digestion Affects Growth: Tips for Better Nutrient Absorption
Severe Back Pain: Understanding Nighttime Discomfort and Possible Causes
Excruciating back pain? I would like to inquire about back pain (approximately located at the back, between the ribs) that is very painful (to the point of being unbearable) and occurs mainly at night. The individual has a history of ovarian tumor removal, and I wonder if this is...
Dr. Yang Guojun Reply:
There are many causes of back pain, ranging from the simplest and most common, which is muscular and nerve pain, to more serious conditions such as stones or tumors (for example, chronic back pain could be a sign of colon cancer with bone metastasis) or severe back pain due to ao...[Read More] Severe Back Pain: Understanding Nighttime Discomfort and Possible Causes
Do I Need Annual Colonoscopies After Polyp Removal? Expert Insights
There are polyps in the colon? Four years ago, I had blood in my stool and underwent a colonoscopy, during which a polyp was removed using a laser. The following year, I had another colonoscopy that was normal. My doctor advised that I need to have a colonoscopy every year. Howev...
Dr. Ke Zhengchang Reply:
Hello, Huya: Generally, individuals who have undergone polypectomy for colorectal polyps are advised by their doctors to have a follow-up colonoscopy annually to monitor for any recurrence. It is recommended that you visit a gastroenterology clinic for this examination.[Read More] Do I Need Annual Colonoscopies After Polyp Removal? Expert Insights
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool?? I drink fresh milk every morning and eat light foods for lunch and dinner. I haven't consumed fried foods or other meat dishes. However, I have been experiencing blood in my stool every morning for the past 5 to 7 days. I'm unsure if this is serious...
Dr. Ke Zhengchang Reply:
Hello Ms. Meow: The most common cause of rectal bleeding in young women is hemorrhoids. Please schedule an appointment with a colorectal surgeon for examination and treatment.[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Abdominal Pain: Possible Causes and Concerns
Abdominal pain Hello, Dr. Hong! Two years ago, I underwent two surgeries on my uterus. Since early October, I have been experiencing some symptoms. When I lightly press on the left and right sides of my lower abdomen, it hurts, and I also feel discomfort around my navel. Addition...
Dr. Hong Hongchang Reply:
Postoperative intestinal adhesions are very common in clinical practice, with symptoms ranging from mild to severe. It is recommended to engage in moderate exercise and to consume a diet high in fiber. If there are any issues, please follow up at a gastroenterology clinic.[Read More] Understanding Abdominal Pain: Possible Causes and Concerns
Why Do Liver or Pancreas Issues Cause Floating Stools?
Liver and pancreatic diseases? Why do individuals with liver or pancreatic damage have stools that are lighter and float on water?
Dr. Hong Hongchang Reply:
1. Patients with liver injury experience decreased bile excretion, leading to reduced emulsification of fats and resulting in fat malabsorption. 2. Pancreatic injury can lead to decreased secretion of pancreatic enzymes, resulting in digestive abnormalities. If there are any issu...[Read More] Why Do Liver or Pancreas Issues Cause Floating Stools?