Dr. Cai Anshun reply Gastroenterology and Hepatology Question

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Unexpected Changes in Bowel Habits: What Does It Mean?

Bowel movements suddenly become very regular? I have had irritable bowel syndrome since I was 15, often alternating between diarrhea and constipation, sometimes going a week without a bowel movement. Two months ago, after recovering from viral gastroenteritis, my bowel movements ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If the changes lead to a more normal state, there should be no need for excessive concern. It is important to maintain normalcy, which may require paying more attention to diet and lifestyle, ensuring adequate hydration, fiber intake, exercise, and appropriately managing s...

[Read More] Unexpected Changes in Bowel Habits: What Does It Mean?


Understanding Digestive Issues: Yellow Liquid in Stool and Abdominal Pain

Bowel-related issues? Doctor, I have been experiencing bloating and pain in the upper right quadrant of my abdomen after eating for the past six months. Additionally, I have noticed yellow liquid slowly leaking from my stool, which causes the toilet water to turn yellow. Is this ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: In the upper right quadrant of the abdomen, issues related to the biliary tract or peptic ulcers should be considered. Additionally, the colon also bends from the ascending colon to the transverse colon in this area. Due to the involvement of multiple organs, it is recomme...

[Read More] Understanding Digestive Issues: Yellow Liquid in Stool and Abdominal Pain


Understanding Bowel Issues: Is My Digestive Health Normal?

Bowel issues Hello, Doctor: I have a question. I was diagnosed with irritable bowel syndrome (IBS) at another hospital, and the symptoms have persisted for six months. I have been taking medication, which has improved my condition significantly. However, recently, my first bowel ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is normal for the first part of the stool to be formed while the latter part is unformed, as the water content has not been fully absorbed in the latter segment. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Bowel Issues: Is My Digestive Health Normal?


Understanding Chronic Abdominal Discomfort: Constipation or IBS?

Chronic recurrent abdominal discomfort? Hello Doctor, I have been experiencing constipation issues (about every 3-4 days or longer for a bowel movement). A year or two ago, I suddenly noticed a slight dull pain around my lower abdomen near the navel. I still have bowel movements ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Constipation can lead to fecal impaction or irritable bowel syndrome. Even if you have soft stools every 3-4 days, it is still recommended to develop a daily bowel movement habit and to ensure adequate hydration and intake of fruits and vegetables. Changhua Hospital cares ...

[Read More] Understanding Chronic Abdominal Discomfort: Constipation or IBS?


Post-COVID Gastroesophageal Reflux and Gastroenteritis: Symptoms and Concerns

Negative for COVID-19, experiencing gastroesophageal reflux and gastroenteritis? Hello, doctor. Thank you for your hard work. I was diagnosed with COVID-19 around late May to early June. During that time, I experienced gastrointestinal discomfort, gastroesophageal reflux, and dia...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The impact of gastrointestinal infection may cause increased peristalsis, and the intestinal mucosa has not fully healed yet, so a light diet is recommended. If you are taking electrolyte solutions, it is advisable to dilute them with water. If you experience palpitations ...

[Read More] Post-COVID Gastroesophageal Reflux and Gastroenteritis: Symptoms and Concerns


Understanding Right Lower Abdominal Pain: Causes and Insights

Right lower abdominal pain? Hello Doctor, I have been experiencing frequent pain in my lower right abdomen recently, and I feel bloated even after eating a small amount. About a month ago, I sought medical attention for this issue, and at that time, I was diagnosed with a right o...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello, the X-ray report indicates that there is a significant amount of intestinal gas, with some parts of the intestines appearing distended and the presence of fecal impaction. Additionally, there are some calcifications noted in the pelvic cavity, which may be due to vascular ...

[Read More] Understanding Right Lower Abdominal Pain: Causes and Insights


Morning Bloating and Discomfort: Tips for IBS Relief

I often feel discomfort in my stomach upon waking up in the morning? Hello, I am a patient with irritable bowel syndrome (IBS). Every morning when I wake up, I experience discomfort in my abdomen. Upon waking (still lying in bed), I often have bloating (belching) and flatulence. ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Sometimes excessive gas and urgent bowel movements are not necessarily caused by excessive intestinal gas; it may also be due to rapid peristalsis. It is advisable to consult a clinical physician for appropriate treatment. Additionally, in terms of diet, it is recommended ...

[Read More] Morning Bloating and Discomfort: Tips for IBS Relief


Understanding Upper Abdominal Pain: Is It Related to the Pancreas?

Upper abdominal pain, abdominal ultrasound concerns? Hello Doctor, over the past year, I have occasionally experienced pain in the upper abdomen, particularly in the left upper quadrant. There is usually a specific point that is painful when pressed, and sometimes it seems to be ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Pain in the upper left abdomen is more commonly associated with issues related to gastric acid. Pancreatic problems are less likely unless there is a history of long-term alcohol consumption or hypertriglyceridemia. If the symptoms persist, it is advisable to consult a gas...

[Read More] Understanding Upper Abdominal Pain: Is It Related to the Pancreas?


Understanding Gastroenteritis: Symptoms, Concerns, and When to Seek Help

Gastroenteritis issues? Hello, doctor. I've been experiencing diarrhea for the past few days, with only small amounts of watery stools, and I've been going several times a day. However, I saw a doctor yesterday, and they diagnosed me with gastroenteritis. Last night aro...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If there is no improvement, it is recommended to return for further examination. If you are awakened by pain in the middle of the night, it is advisable to have a lighter dinner with smaller portions and to avoid eating two hours before bedtime. Changhua Hospital cares abo...

[Read More] Understanding Gastroenteritis: Symptoms, Concerns, and When to Seek Help


Understanding Chronic Morning Abdominal Pain: Possible Causes and Solutions

Long-term abdominal pain upon waking up in the morning? Hello Doctor, I have been experiencing abdominal discomfort for a long time (about 3-4 years). I often feel pain in the area about three fingerbreadths to the left of my navel when I wake up in the morning. This pain is not ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is advisable to first undergo an upper gastrointestinal endoscopy to rule out any gastric issues. Additionally, please avoid tea (black tea/green tea/milk tea), coffee, chocolate, sweets, spicy foods, fried foods, high-fat, and high-protein foods. Changhua Hospital care...

[Read More] Understanding Chronic Morning Abdominal Pain: Possible Causes and Solutions


Blood After Bowel Movements: Causes and When to Seek Help

Bleeding after bowel movements? Doctor, hello. Recently, I've noticed blood after having a bowel movement. When I wipe with toilet paper, there's a significant amount of blood. My stools are about the size of a 50-cent coin, and I go about every two days, experiencing b...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is recommended to follow up with the colorectal department for another endoscopy at Changhua Hospital to monitor your health. Dr. Tsai An-Shun.

[Read More] Blood After Bowel Movements: Causes and When to Seek Help


Understanding Bowel Issues: When to See a Gastroenterologist?

Bowel issues Today, my bowel movements were well-formed, with some cracks. The first stool was slightly hard, normal土 yellow but on the darker side. The second stool felt like mild diarrhea, yet it was well-formed and a deeper shade of green. Is there any issue with this? Additio...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is likely related to the color of the food. You can observe the subsequent bowel movements. If the color becomes increasingly dark, even black or dark red, it may indicate gastrointestinal bleeding. If the "green stool" persists for about 4-5 days before retur...

[Read More] Understanding Bowel Issues: When to See a Gastroenterologist?


Understanding Umbilical Pain: Causes and Solutions for Digestive Issues

Umbilical pain or discomfort? Hello doctor, I often experience a dull pain around my navel, accompanied by flatulence and belching, especially before bedtime. The pain doesn't quite feel like bloating or the urge to have a bowel movement. I drink yogurt every day, but I don&...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If there is discomfort near the navel accompanied by constipation or diarrhea, it may be necessary to address the bowel movement issues. If there are no accompanying symptoms of constipation or diarrhea, it may be important to consider whether there is excessive gastric ac...

[Read More] Understanding Umbilical Pain: Causes and Solutions for Digestive Issues


Understanding Rectal Pressure: Is It Hemorrhoids or Something Else?

Swelling near the anus? Hello, doctor! A few days ago, I felt air in my intestines and experienced bloating and pain. I have a sensation of fullness near my anus (a little further inside than the anus), with a very intense pain that feels like a lot of pressure in my intestines. ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Sometimes, an increase in abdominal pressure may cause a feeling of fullness near the anal area, which is not necessarily hemorrhoids. If there is pain or bleeding, it is advisable to consult a colorectal specialist or a gastroenterologist for a thorough examination. Chang...

[Read More] Understanding Rectal Pressure: Is It Hemorrhoids or Something Else?


Understanding Constipation and Its Link to Colon Cancer Risks

Regarding constipation and colorectal cancer issues? Hello Doctor, I have been experiencing constipation since I started university in September 2015. I often have hard stools that cause bleeding from the anus. Now, my stools frequently feel unformed, and I rarely have well-forme...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. There are many causes of constipation, including insufficient hydration, lack of fruits and vegetables, or regularly consuming diuretic beverages without compensating with enough water (such as tea or coffee), as well as excessive stress and irregular lifestyle habits, ...

[Read More] Understanding Constipation and Its Link to Colon Cancer Risks


Understanding Abnormal Stool: Causes and Concerns in Gastroenterology

Bowel issues Hello Doctor: Recently, I have been experiencing cramping pain in my abdomen before bowel movements. The stool passes easily, but after using the restroom, I notice that the stool is segmented and short, with a yellow-brown color. I would like to ask the doctor what ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is recommended to consume high-fiber foods and reduce the intake of irritating foods. If symptoms persist, it is advisable to test for fecal occult blood and consider endoscopy if necessary. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

[Read More] Understanding Abnormal Stool: Causes and Concerns in Gastroenterology


Throat Sensation and Bloating: What Tests Should You Consider?

Sensation of a foreign body in the throat and bloating? Hello, doctor! I have a sensation of a foreign body in my throat (but there is no actual obstruction) and I'm unable to burp, which is causing difficulty in breathing and chest tightness. I visited a pulmonologist, and ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The sensation of a foreign body in the throat (without an actual obstruction) may be a symptom of gastroesophageal reflux disease (GERD). It is recommended to limit the intake of tea (black/green/milk tea), coffee, tobacco, alcohol, fried foods, spicy foods, sweets, and ch...

[Read More] Throat Sensation and Bloating: What Tests Should You Consider?


Understanding Tubular Adenoma: Is It Benign or Cancerous?

Pathology Report of Colorectal Polyps Hello Doctor: On March 15, a polypectomy was performed, and the pathology report is as follows: Polypectomy ----- Tubular adenoma. GROSS DESCRIPTION: The specimen submitted consists of 3 tissue fragments, measuring up to 0.5 x 0.4 x 0.3 cm. A...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Tubular adenoma is classified as a benign polyp, so there is no need to worry excessively. Please follow your physician's instructions and return for regular follow-up colonoscopy examinations. Changhua Hospital cares about your health. Dr. Cai Anshun.

[Read More] Understanding Tubular Adenoma: Is It Benign or Cancerous?


Can You Take Nexium and Strocain Together? Drug Interaction Explained

Is there any drug interaction when taking Nexium and Strocain together? Could you please clarify if the physician has prescribed two medications? I'm unsure if they can be taken together and whether it will affect their efficacy.


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is possible to use them simultaneously, but do not take the following medications at the same time: tetracyclines, iron salts, chlorpromazine, levodopa, isoniazid, digoxin, H2-antagonists, indomethacin, nitrofurantoin, and dicumarol. Changhua Hospital cares about your h...

[Read More] Can You Take Nexium and Strocain Together? Drug Interaction Explained


Understanding Your Gastrointestinal Symptoms: Cancer or IBS?

Is it cancer or irritable bowel syndrome? Hello, doctor. At the end of May last year, I experienced frequent bloating and constipation due to excessive milk consumption. I recently completed a gastrointestinal endoscopy and endoscopic ultrasound of the pancreas, during which six ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. The theoretical probability is very low, unless the bowel preparation is inadequate, which may affect the interpretation of the results. 2. If there are six polyps and all are hyperplastic polyps, the recommendation in foreign countries is to follow up in 3-5 years. How...

[Read More] Understanding Your Gastrointestinal Symptoms: Cancer or IBS?


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