Understanding Severe Bloating and Digestive Issues After Hemorrhoid Surgery
Abdominal pain, bloating, bowel sounds, mild diarrhea, mucus, belching, flatulence, and indigestion? Hello Doctor, I have been experiencing severe bloating for the past two weeks, especially when lying down, accompanied by bowel sounds. The bloating is mostly concentrated in the ...
Dr. Chen Shidian Reply:
Dysmotility is an abnormality of digestive peristalsis, and medication may be necessary for management. If concerned, a stool occult blood test can be performed.[Read More] Understanding Severe Bloating and Digestive Issues After Hemorrhoid Surgery
Managing Stomach Air: Causes and Solutions for Discomfort
There is constant air in the stomach? Hello doctor, in the past few months, I have been experiencing a sensation of air in my stomach and noticeable peristalsis about 1-2 hours after eating, even though I am not hungry. My stomach makes loud noises. Are there any ways to improve ...
Dr. Chen Shidian Reply:
Avoid gas-producing foods, and if necessary, take medications to relieve bloating or suppress motility.[Read More] Managing Stomach Air: Causes and Solutions for Discomfort
Concerns About Eating Undercooked Dumplings: What You Should Know
Ingestion of undercooked dumplings? Hello Doctor, today I cooked frozen dumplings and noodles from a store. I boiled the dumplings first and set them aside before cooking the noodles. The dumplings were left sitting for a while, and because I was in a hurry to eat, I swallowed on...
Dr. Chen Shidian Reply:
You can first observe for any symptoms.[Read More] Concerns About Eating Undercooked Dumplings: What You Should Know
Understanding Parasitic Concerns: Symptoms, Diagnosis, and Treatment
Concerns about parasites? During the summer of 2023, I developed a habit of biting my nails at home, but I rarely eat raw food or vegetables, and I don't play in the sand or dirt. Later, I came across an article about "pinworms and nail biting," which made me stop....
Dr. Cai Jinji Reply:
Hello Ms. Tseng: It is recommended that you take photos for discussion with the physician next time to determine the treatment direction. Director Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.[Read More] Understanding Parasitic Concerns: Symptoms, Diagnosis, and Treatment
Understanding Megacolon: New Treatments for Chronic Constipation
Megacolon Hello Doctor, I have suffered from constipation since childhood. It is common for me to go several days without a bowel movement, but my diet has always been quite normal and I do not have any food aversions. However, as I have aged, my constipation has become increasin...
Dr. Lin Minghui Reply:
Since your issue has been present since childhood, it may have worsened with age due to decreased gastrointestinal motility and smooth muscle function. Pelvic muscle coordination can also affect bowel movements. Stress, anxiety, and depression can impact the nerves that facilitat...[Read More] Understanding Megacolon: New Treatments for Chronic Constipation
Recurring Lower Abdominal Pain and Burning Sensation After Bowel Movements
Recurrent lower abdominal pain with persistent burning sensation in the anus after bowel movements? Hello, doctor. I have a long-standing issue with irregular bowel movements; sometimes I go once a day, and other times it can be two to three days before I go again. Over the past ...
Dr. Lin Minghui Reply:
Abdominal pain with persistent burning sensation after bowel movements may be due to difficulty in passing stools, which can cause pelvic muscle coordination issues leading to abdominal pain. It could also be caused by colitis or proctitis resulting in abdominal pain. The presenc...[Read More] Recurring Lower Abdominal Pain and Burning Sensation After Bowel Movements
Understanding Gastritis: Symptoms, Treatment, and Dietary Tips
Gastritis, decreased appetite, weight loss, nausea, and loss of appetite? Recently, I have been experiencing loss of appetite, nausea, and vomiting, with a decreased food intake (feeling full after eating a little), weight loss, stomach pain, and constipation. These symptoms have...
Dr. Lin Minghui Reply:
The gastroscopy examination shows mild inflammation. However, it is important to identify the underlying cause of gastritis, which could be due to improper diet, infections, medications, chemicals, allergies, alcohol consumption, stress, or immune responses. Symptomatic treatment...[Read More] Understanding Gastritis: Symptoms, Treatment, and Dietary Tips
Understanding Dumping Syndrome After Gastrointestinal Bypass Surgery
Gastric bypass surgery Hello, after a gastrointestinal bypass surgery, experiencing symptoms such as abdominal rumbling, nausea, and the urge to vomit after eating may indicate dumping syndrome. Is this considered a normal postoperative condition?
Dr. Lin Minghui Reply:
Long-term risks and complications of gastric bypass surgery include dumping syndrome, which refers to the rapid passage of food (especially sweet or high-fat foods) from the stomach into the small intestine before it is fully digested. This occurs due to an imbalance in osmotic p...[Read More] Understanding Dumping Syndrome After Gastrointestinal Bypass Surgery
Can You Have Sex While Using Hemorrhoid Suppositories?
Can I engage in sexual activity after using hemorrhoid suppositories? I use hemorrhoid suppositories every night. Is it still safe to engage in sexual activity? Thank you, doctor!
Dr. Chen Shidian Reply:
There should be no conflicts, but anal intercourse should be avoided.[Read More] Can You Have Sex While Using Hemorrhoid Suppositories?
Concerns About Blood Tests: Infection Risks and Protein Levels Explained
Blood draw and globulin, alkaline phosphatase? Hello, Doctor: (1) Last time, I consulted you regarding case number <a href="https://adoctor.tw/article/206612">#206612</a>. I apologize for any unclear expression on my part and would like to ask again. I went...
Dr. Chen Shidian Reply:
1. Trust the test results from the hospital. 2. White blood cell counts can naturally fluctuate. 3. If the results are normal, there is no need to worry.[Read More] Concerns About Blood Tests: Infection Risks and Protein Levels Explained
Dietary Tips for Mothers with Stomach and Esophageal Ulcers
Dietary Recommendations for Mothers with Gastric and Esophageal Ulcers: If the mother has a gastric ulcer and experiences poor digestion with frequent belching after eating, along with dental issues, dietary recommendations should focus on gentle, easily digestible foods. It is a...
Dr. Chen Shidian Reply:
Symptoms can be alleviated with antacids or prokinetic agents, and the diet should consist of low-spice, easily digestible foods, with small, frequent meals.[Read More] Dietary Tips for Mothers with Stomach and Esophageal Ulcers
Understanding Pathology Reports for Colorectal Cancer: Key Insights and Next Steps
Pathology Report for Colorectal Cancer Hello Dr. Chen, this year during a colonoscopy, a flat polyp approximately 5 cm in size was found on the right side of the colon. The doctor recommended surgical removal of the right colon or performing endoscopic submucosal dissection (ESD)...
Dr. Chen Shidian Reply:
This is the standard procedure in the medical field to prevent the risk of residual malignant cells with local lymphatic metastasis (lymph nodes will be removed during the surgery for confirmation), therefore surgery is still recommended. In principle, the sooner the surgery, the...[Read More] Understanding Pathology Reports for Colorectal Cancer: Key Insights and Next Steps
Understanding Bloating and Weight Loss in Seniors: Possible Causes
Bloating and weight loss? Hello Doctor, my 70-year-old elder at home has recently been experiencing symptoms of bloating and a slight loss of appetite. An ultrasound examination at the clinic showed no abnormalities, but renal edema was detected. The elder already has a history o...
Dr. Chen Shidian Reply:
Elderly individuals experiencing weight loss are advised to visit a hospital (gastroenterology department) for further evaluation of the underlying causes.[Read More] Understanding Bloating and Weight Loss in Seniors: Possible Causes
Understanding Abdominal Pain and Diarrhea: What You Need to Know
Abdominal pain with diarrhea? Hello, Dr. Chen. I am 16 years old and have been experiencing frequent abdominal pain and bowel sounds since last week. When I go to the bathroom, my stools are mostly watery, sometimes containing undigested food, and occasionally they are sticky gas...
Dr. Chen Shidian Reply:
It is likely just abnormal gastrointestinal motility. Increase the intake of fruits and vegetables, eat slowly, and continue to monitor the situation.[Read More] Understanding Abdominal Pain and Diarrhea: What You Need to Know
Understanding Suspicious Curvilinear Bacilli in Gastric Pathology Reports
I saw this sentence in my pathology report and I don't quite understand it; I would like to consult a doctor? A few suspicious curvilinear bacilli are found in the superficial gastric pits by H&E staining. Giemsa stain shows no definite evidence of Helicobacter pylori. T...
Dr. Lin Minghui Reply:
Helicobacter pylori is a type of bacterium associated with various gastrointestinal diseases, including gastritis, gastric ulcers, gastric cancer, and gastric lymphoma. The clinical significance of other spiral-shaped bacteria is not well understood. Detection methods include his...[Read More] Understanding Suspicious Curvilinear Bacilli in Gastric Pathology Reports
Understanding False Negative Results in Fecal Occult Blood Tests
Negative occult blood issue Recently, I had a fecal occult blood test that showed visible blood, but the results came back negative. 1. Could this be due to hemorrhoids or anal fissures, and how can it be negative if blood is visible? I have also been experiencing frequent left a...
Dr. Lin Minghui Reply:
(1) Regarding fecal occult blood sampling, the general purpose of the occult blood test is to detect blood that is not visible to the naked eye. The most common causes of visible blood after a bowel movement are hemorrhoids and anal fissures. If there is significant bleeding, it ...[Read More] Understanding False Negative Results in Fecal Occult Blood Tests
Understanding Gastrointestinal Gas: Is Abdominal Pressure Normal?
Gastrointestinal issues, flatulence problems? Hello doctor, when I press on my abdomen, I hear a sound similar to bubbles, and after pressing for a while, I end up passing gas. Is this normal? Is it beneficial or harmful?
Dr. Lin Minghui Reply:
The gastrointestinal tract naturally contains gas, which can be increased by swallowing air, as well as the fermentation of food and gut bacteria. If there is more gas than usual, it is important to pay attention to dietary habits (avoid eating too quickly) and food choices (limi...[Read More] Understanding Gastrointestinal Gas: Is Abdominal Pressure Normal?
Is a Slightly Elevated AFP and a 0.6 cm Nodule Indicative of Liver Cancer?
An elevated AFP level of 13 and a 0.6 cm nodule may raise concerns for liver cancer, but further evaluation is necessary. It is important to consider additional factors such as imaging studies (like ultrasound, CT, or MRI) and possibly a biopsy to determine the nature of the nodu...
Dr. Lin Minghui Reply:
Risk factors for liver cancer include individuals with chronic hepatitis (such as hepatitis B, hepatitis C, and autoimmune liver diseases), a family history of liver cancer, cirrhosis, alcohol consumption, obesity with metabolic liver disease, and certain environmental factors su...[Read More] Is a Slightly Elevated AFP and a 0.6 cm Nodule Indicative of Liver Cancer?
Understanding Abnormal Liver Enzymes: A Guide for Hepatitis B Carriers
Abnormal liver function tests? Hello, Deputy Director: I am a carrier of hepatitis B and have been undergoing regular follow-ups every six months. I also have fatty liver and have not been taking antiviral medication. My ALT (GPT) levels have fluctuated around 40-45 for a long ti...
Dr. Chen Shidian Reply:
It is advisable to measure the hepatitis B virus load and assess the discussion on whether to initiate antiviral treatment for viral control (not a cure).[Read More] Understanding Abnormal Liver Enzymes: A Guide for Hepatitis B Carriers
Understanding Negative Fecal Occult Blood Tests: Causes and Next Steps
Hemorrhage in stool with negative fecal occult blood test? Recently, I had a fecal occult blood test that showed visible blood, but the results came back negative. 1. Could this be due to hemorrhoids or anal fissures, and how can it be negative if there is visible blood? I have a...
Dr. Hu Guozheng Reply:
It is recommended to discuss further treatment or examinations with your attending physician. Thank you.[Read More] Understanding Negative Fecal Occult Blood Tests: Causes and Next Steps