Weight, Internal Medicine FAQ - Page 38

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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 Mucus in Stool: Causes and When to Seek Help

Gastrointestinal tract I have noticed a few times that my stool contains a mucus-like, whitish substance similar to nasal mucus.


Dr. Zeng Fenyu Reply:
Issues related to bowel absorption should include testing for hemoglobin levels to check for anemia and performing a fecal occult blood test to determine if it is positive. If there is also associated weight loss, a series of colon examinations should be conducted. In cases of th...

[Read More] Understanding Mucus in Stool: Causes and When to Seek Help


Understanding Hepatitis B: Risks, Management, and Health Concerns

Hepatitis B Dr. Ke: Hello! I would like to ask you a few questions, please respond, thank you! 1. I had hepatitis B when I was younger, but I recovered. My boyfriend is a carrier of hepatitis B; will he transmit it to me? 2. Is it true that a hepatitis B carrier will never ful...


Dr. Ke Zhengchang Reply:
Hello Vivian: 1. Hepatitis B is primarily transmitted through blood transfusions and injections; it is not transmitted through food. 2. Chronic carriers of Hepatitis B are not easily cured, but there are new treatment options available. Please follow up with a hepatology clinic f...

[Read More] Understanding Hepatitis B: Risks, Management, and Health Concerns


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 Why You Can't Gain Weight: Insights and Solutions

What are the solutions for not gaining weight? Hello Dr. Tseng: I have always struggled to gain weight (176 cm, around 60 kg). My situation is as follows: 1. My father is also thin (possibly hereditary). 2. I have poor digestion and absorption (I eat the same amount as others but...


Dr. Zeng Fenyu Reply:
If your overall health is good, being thin should not be a major concern. However, it is advisable to consult a gastroenterologist to examine your digestive system and seek advice from a nutritionist for dietary improvements.

[Read More] Understanding Why You Can't Gain Weight: Insights and Solutions


Understanding Duodenal Ulcers: Symptoms, Diagnosis, and Lifestyle Adjustments

Duodenal ulcer with bulb deformity? Hello! I am a working professional who spends most of my time sitting in the office. I have low physical activity, and my Hepatitis B surface antigen is positive, while the e antigen is negative. My weight and height are 70 kg and 173 cm, respe...


Dr. Chen Shidian Reply:
Hello: 1. Fatty liver can lead to a slight increase in liver function tests; please exercise more. 2. Chronic infection with Helicobacter pylori can cause gastritis and duodenal ulcers (recurrent ulcers may lead to deformation of the bulb). 3. Elevated atherosclerosis index; plea...

[Read More] Understanding Duodenal Ulcers: Symptoms, Diagnosis, and Lifestyle Adjustments


Understanding Anorexia: Symptoms, Causes, and Treatment Options

Anorexia Nervosa 1. Sudden loss of appetite (significant decrease in food intake) 2. Weight loss 3. Increased feelings of fullness


Dr. Hong Hongchang Reply:
Symptoms such as loss of appetite, weight loss, and abdominal bloating in young individuals should raise concern for the following potential causes: 1. Mental health disorders, such as anorexia nervosa. 2. Thyroid dysfunction, among others. If there are any doubts, it is advisabl...

[Read More] Understanding Anorexia: Symptoms, Causes, and Treatment Options


Is Your Weight Loss Causing Fatigue? Understanding Nutritional Deficiencies

Feeling lightheaded after weight loss? Three months ago, I was 165 cm tall and weighed 85 kg. Due to elevated uric acid and blood sugar levels, I started a weight loss regimen, eliminating meat from my diet and consuming only vegetables, fruits, and milk. Now, I weigh 65 kg, but ...


Dr. Chen Shidian Reply:
Hello: Rapid weight loss can have side effects, so it is advisable to visit a clinic to check for any other issues. Nutritional concerns can be addressed by a dietitian who can provide a low-calorie but balanced meal plan for reference. Wishing you safety and health.

[Read More] Is Your Weight Loss Causing Fatigue? Understanding Nutritional Deficiencies


Understanding Persistent Hiccups, Bloating, and Constipation Issues

Persistent hiccups, constipation, and bloating? Hello, Doctor: I have been experiencing severe hiccups and bloating for a long time. I have already undergone detailed examinations at Chang Gung Memorial Hospital (including urinalysis, colonoscopy, ultrasound, and X-rays). The onl...


Dr. Chen Shidian Reply:
Hello: Based on what you've described, your symptoms are most likely indicative of "Irritable Bowel Syndrome" (IBS), commonly referred to as "dyspepsia." If no diseases are found during an endoscopy and there is no weight loss, you can safely take medicat...

[Read More] Understanding Persistent Hiccups, Bloating, and Constipation Issues


Understanding Chest Pain Near the Heart: Causes and Concerns

I have pain near my heart on the left side of my chest? Recently, I have gained about 15 kilograms in weight over the past year. Additionally, I previously experienced a trauma to my left chest due to a car accident, which has resulted in pain in that area. This pain has been pre...


Dr. Li Huixiong Reply:
I am not sure when your car accident occurred. Was it serious enough to require hospitalization? The purpose of these two questions is to determine the relationship between the symptoms you described and the left chest contusion. After the accident, did you have a chest X-ray, an...

[Read More] Understanding Chest Pain Near the Heart: Causes and Concerns


Understanding Calf Swelling: Causes and Medical Specialties Involved

Calf swelling Dear Doctor, every morning when I wake up, the size of my calves is normal, but about 15-20 minutes after getting up, both calves swell to twice their size until the evening when I finish my shower and they return to normal size. Sometimes my calves remain normal th...


Dr. Zeng Fenyu Reply:
Hello Cindy! Please first visit the internal medicine outpatient clinic for an examination. The symptoms described may indicate poor blood circulation in the lower extremities. It is important to consider whether there are any other kidney, heart, or other organ issues, as well a...

[Read More] Understanding Calf Swelling: Causes and Medical Specialties Involved


Dietary Tips for Managing Fatty Liver Disease: Causes and Precautions

Fatty liver disease What dietary considerations should be taken into account for someone diagnosed with fatty liver disease? How is fatty liver disease formed?


Dr. Yang Guojun Reply:
Fatty liver, in simple terms, means that the liver is "oily." This indicates that there is an accumulation of fat within liver cells. In Taiwan, approximately one-third of adults have fatty liver. Common causes of fatty liver include obesity, hyperlipidemia, diabetes, e...

[Read More] Dietary Tips for Managing Fatty Liver Disease: Causes and Precautions


Weekly Meal Plan for Diabetes: Food Swaps and Tips for Better Management

Diabetes Diet Could you provide a one-week meal plan for diabetes, along with food substitutions? I consulted a nutritionist, but I still find it unclear and hope to get some clarification. Thank you!


Dr. Zeng Fenyu Reply:
Hello Kitty! When planning a diet for diabetes, it is essential to consider the patient's age, height, weight, activity level, and physiological conditions (such as kidney function, blood lipid levels, blood pressure, etc.). It is not possible to design an appropriate meal p...

[Read More] Weekly Meal Plan for Diabetes: Food Swaps and Tips for Better Management


Effective Strategies to Gain Weight and Improve Nutrient Absorption

How to gain weight? I am very thin, weighing only 50 kilograms. Even though I eat a lot, it seems like there is not much change. How can I gain weight? Are there any medications that can enhance intestinal absorption? Some bodybuilders take anabolic steroids to increase muscle ma...


Dr. Chen Shidian Reply:
If there is rapid weight loss, it is important to consider the possibility of underlying medical conditions. If this has been ongoing for a long time and physical strength is normal, it is likely due to genetics or poor dietary habits. It may be beneficial to discuss this with a ...

[Read More] Effective Strategies to Gain Weight and Improve Nutrient Absorption


Seeking Specialist Recommendations for Unexplained Gastric Issues

Gastrointestinal issues with no identifiable cause - please recommend a suitable physician? Dear Director Ke, I reside in Hsinchu City. Three years ago, I underwent an upper gastrointestinal endoscopy, which revealed a very mild ulcer. After taking an H2 blocker for about a mont...


Dr. Ke Zhengchang Reply:
Miss Xiao Li: Director Ke is attending a conference abroad, and I will respond on his behalf. Upper abdominal pain is a common issue in the field of internal medicine and gastroenterology, and it is not only distressing for patients but also one of the most challenging symptoms f...

[Read More] Seeking Specialist Recommendations for Unexplained Gastric Issues


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