Should I Visit a Regional Hospital or a Medical Center for Gastrointestinal Issues? - Gastroenterology and Hepatology

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Should I seek treatment at a regional hospital or a medical center?


About four to five years ago, I noticed that when my stools were too hard and difficult to pass, there would sometimes be a slight oily film on the surface of the toilet water.
Now, if my stools are too hard and difficult to pass, I find a white, fatty tissue-like mucus floating on the water's surface after bowel movements.
Is this a serious condition or a minor one? I live in Taipei City; should I visit a regional hospital in the Zhongxiao area, or do I need to go to a medical center like National Taiwan University Hospital?

Songhua, 40~49 year old female. Ask Date: 2007/03/06

Dr. Cai Yaozhou reply Gastroenterology and Hepatology


You can visit a regional hospital in the Zhongxiao area for medical treatment.

Reply Date: 2007/03/06

More Info


When considering whether to visit a regional hospital or a medical center for gastrointestinal issues, it is essential to evaluate the severity and complexity of your symptoms. Based on your description, you have been experiencing issues with hard stools, difficulty in bowel movements, and the presence of a white, fatty-like mucus in the toilet water. These symptoms can be concerning, but they do not necessarily indicate a severe medical condition.

In general, regional hospitals are well-equipped to handle common gastrointestinal issues, including constipation and related symptoms. They often have gastroenterology departments that can assess and treat conditions like yours. If your symptoms are relatively straightforward and do not involve severe pain, significant weight loss, or alarming changes in bowel habits, a regional hospital should suffice for your needs.

However, if your symptoms were to escalate or if you had additional concerning symptoms—such as significant abdominal pain, blood in your stool, or unexplained weight loss—a medical center would be more appropriate. Medical centers, like the one at National Taiwan University (NTU), typically have more specialized resources, advanced diagnostic tools, and a wider range of specialists available for complex cases.

Regarding the specific symptoms you mentioned, the presence of white mucus in your stool could indicate several things. It might be related to dietary factors, such as high-fat intake, or it could suggest an underlying gastrointestinal issue, such as irritable bowel syndrome (IBS) or inflammation. While these symptoms can be alarming, they are not necessarily indicative of a "big disease." However, it is essential to monitor your symptoms closely. If they persist or worsen, seeking medical advice is crucial.

In your case, starting with a regional hospital like the one in Zhongxiao is a reasonable choice. They can perform necessary evaluations, such as stool tests or imaging studies, to rule out any significant issues. If they determine that your condition requires more specialized care, they can refer you to a medical center.

In summary, for your current gastrointestinal symptoms, visiting a regional hospital is appropriate. They can provide the necessary evaluations and treatments. However, if your symptoms change or worsen, do not hesitate to seek care at a medical center. It is always better to err on the side of caution when it comes to your health. Additionally, maintaining a healthy diet, staying hydrated, and managing stress can significantly improve your gastrointestinal health. If you have any further concerns or questions, please feel free to ask your healthcare provider.

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