Understanding Changes in Bowel Movements: When to Seek Medical Advice
Formed stool at the front followed by diarrhea at the back? Hello, doctor. During my midterm exam today, I suddenly experienced intermittent cramping in my abdomen. I hurriedly submitted my exam and went to the restroom. At first, I had to exert some effort to pass my stool, but ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If it is just an occasional occurrence, there is no need to worry excessively; it may be influenced by consuming irritating foods or mental stress. However, if there is a persistent change in bowel habits compared to the past, you should consult a gastroenterologist. Chang...[Read More] Understanding Changes in Bowel Movements: When to Seek Medical Advice
Understanding Changes in Bowel Movements: From Formed to Diarrhea
Formed stool at the front followed by diarrhea at the end? Hello, doctor. During my midterm exam today, I suddenly experienced intermittent cramping in my abdomen. I hurriedly submitted my exam and went to the restroom. At first, I had to exert some effort to pass my stool, but t...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If it is just an occasional occurrence, there is no need to worry excessively; it may be influenced by irritating foods or mental stress. If there is a persistent change in bowel habits compared to the past, you should consult a gastroenterologist. Changhua Hospital cares ...[Read More] Understanding Changes in Bowel Movements: From Formed to Diarrhea
Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Elevated total bilirubin? Hello Dr. Tsai! Recently, I have been experiencing a dull pain in my upper right abdomen, and I'm unsure if it is nerve or muscle pain, so I went to the hospital for an examination. The test results are as follows: Creatinine "1.13" mg/dL,...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The total bilirubin level of "1.8" mg/dL is elevated, and the AST level is "46" U/L, which is also elevated, while the ALT level is "29" U/L. This may be related to alcohol and medication (herbal medicine) intake, so it would be advisable to c...[Read More] Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Understanding Mucus in Stool: Possible Causes and Medication Effects
Mucus in stool? Hello, doctor. Last week, I experienced bleeding from hemorrhoids due to bowel movements and visited a local clinic for treatment, where I received the following medications: Alcos-anal suppositories, Transamin 250 mg, Brufen 400 mg, Danzen 10 mg, and MGO 250 mg. ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Mucus is a normal occurrence and is not necessarily related to medication. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Mucus in Stool: Possible Causes and Medication Effects
Understanding Recurring Lower Abdominal Cramps: Causes and Solutions
Intermittent cramping pain in the lower abdomen on both sides? Hello, doctor. My bowel habits have been around 3 to 4 times a day for a long time. However, in the past two to three weeks, I have started experiencing abdominal bloating and pain, which seems to move around the midd...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Discomfort in the lower abdomen on both sides may indicate an issue related to the intestines. Conditions such as rapid peristalsis, fecal impaction, or irritable bowel syndrome could be present. It is recommended to consult a gastroenterologist to determine whether medica...[Read More] Understanding Recurring Lower Abdominal Cramps: Causes and Solutions
Understanding Helicobacter Pylori: Conflicting Test Results Explained
Inquiry about Helicobacter pylori? Dear Doctor, I underwent an upper gastrointestinal endoscopy on November 1st, and everything was normal. Today, the clinic staff called to inform me that there is no Helicobacter pylori. However, I find it strange because in February of this yea...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: There are two methods for detecting Helicobacter pylori via gastroscopy: the rapid urease test and histopathological examination of tissue samples. Since both require the collection of gastric tissue for testing, a negative result may occur if the tissue sample does not in...[Read More] Understanding Helicobacter Pylori: Conflicting Test Results Explained
Understanding Right Abdominal Twitches: Causes and When to Seek Help
Right abdominal twitching? Hello, doctor. Recently, I have been experiencing intermittent twitching around the right side of my abdomen, approximately 5 cm from the navel. This occurs both in the morning and afternoon while standing or sitting. There is no swelling or pain upon p...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Some symptoms may be muscle spasms, while others could be colonic cramps. It is advisable to consult a gastroenterologist for a clinical evaluation. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Right Abdominal Twitches: Causes and When to Seek Help
Weight Loss and Changes in Bowel Habits: When to Seek Gastrointestinal Evaluation
Weight loss and changes in bowel habits? Hello Doctor, I used to have bowel movements every 2-3 days, occasionally going 4 days without feeling the urge, but I never experienced significant difficulty during bowel movements. However, in the past week or two, my diet and lifestyle...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Significant weight loss is defined as an unintentional reduction of 10% of your original body weight over six months, or a rapid decrease of 5% of your original body weight within one month. Therefore, a loss of 1 kilogram is not a major concern. As for whether an endoscop...[Read More] Weight Loss and Changes in Bowel Habits: When to Seek Gastrointestinal Evaluation
Understanding Blood in Stool: When to Seek Medical Attention
There are small traces of blood in the stool? Hello, Doctor! Occasionally in the morning, I experience stomach discomfort and diarrhea, but it usually resolves immediately after using the restroom. At other times, my bowel movements are normal without diarrhea. A few months ago, ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you notice obvious blood streaks, you can first take a photo with your phone and then consult a gastroenterologist to arrange for appropriate examinations. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Understanding White Mucus in Stool: Is It Normal?
White mucus I would like to ask about the white discharge that I observe on my stool almost every time I have a bowel movement. Sometimes, when I strain more during defecation, I notice a bit of white discharge in the toilet (not attached to the stool). I initially thought it mig...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It should be intestinal mucus, which is likely not a concern. However, please pay attention to whether there is any situation of excessively hard stools, as constipation is more common. Additionally, monitor for any blood streaks; certain chronic enteritis can present with...[Read More] Understanding White Mucus in Stool: Is It Normal?
Managing Acute Gastroenteritis: Symptoms, Medications, and Recovery Tips
This time it is acute gastroenteritis? After discussing the colonoscopy with my doctor, I recently stayed up late again, which seems to have weakened my body and led to gastroenteritis. I visited a doctor who prescribed Zhenghe Yue Guizhi tablets, Dubikang (Loperamide) tablets, a...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: After diarrhea, a sudden decrease in bowel movements may occur, which should not be immediately classified as constipation. It is important to ensure adequate hydration, electrolytes, and intake of fruits and vegetables, as this should gradually improve the situation. Unle...[Read More] Managing Acute Gastroenteritis: Symptoms, Medications, and Recovery Tips
Understanding Mild Liver Fibrosis: Key Considerations for Patients
Mild hepatic parenchymal fibrosis The health check shows mild hepatic parenchymal fibrosis, but liver function is normal, and there is no hepatitis B or C. What should the physician pay attention to?
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you do not have hepatitis B or C, and you do not have a habit of excessive drinking, misuse of medications, or other unhealthy lifestyle habits, there is no need to worry too much; this is a normal change that comes with aging. Changhua Hospital cares about your health....[Read More] Understanding Mild Liver Fibrosis: Key Considerations for Patients
Understanding Left Lower Abdominal Discomfort: Causes and Solutions
Tight and painful in the lower left abdomen? Hello, I would like to inquire about a persistent tightness in my lower left abdomen. I feel that the left side is harder than the right side near the pelvis, although when I contract my abdominal muscles, I don't notice any diffe...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If a physician suspects that the issue is related to constipation or fecal impaction, they may first recommend medications from a gastroenterologist or dietary adjustments to address the constipation. If constipation is resolved but bloating persists, a colonoscopy or furt...[Read More] Understanding Left Lower Abdominal Discomfort: Causes and Solutions
Understanding Digestive Sounds and Bowel Changes: When to Seek Help
Bowel issues Hello Doctor, I often notice that my stomach makes sounds (similar to digestive noises) quite frequently, especially after eating. It usually happens a couple of times after a while. Could this be related to my eating habits? Additionally, I have a mild case of exter...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. It is likely just the sound of intestinal peristalsis; if there is no cramping pain, there is no need to worry too much. 2. It is recommended to increase your fluid intake and consume more fruits and vegetables. If there is no improvement, you may consult a gastroentero...[Read More] Understanding Digestive Sounds and Bowel Changes: When to Seek Help
Understanding Bloating and Abdominal Noises: When to Seek Medical Advice
Abdominal bloating and borborygmi? Hello Doctor, I would like to ask about a recent issue. I have been experiencing abdominal rumbling before sleep, which lasts for about 5 to 10 minutes, followed by gas and flatulence that continues until I fall asleep. I usually go to bed aroun...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Abdominal rumbling may be associated with excessive intestinal gas and rapid peristalsis, which can arise from various causes such as irritant foods, gastroenteritis, or abnormal peristalsis. It is recommended to consult a gastroenterologist for an appropriate evaluation a...[Read More] Understanding Bloating and Abdominal Noises: When to Seek Medical Advice
Understanding Occasional Abdominal Pain: When to Seek Further Testing
I would like to inquire about occasional abdominal pain? Hello Dr. Tsai: I have been experiencing occasional abdominal pain for some time now. The pain is located approximately to the right of my navel and feels like a sharp, intense stabbing sensation. During an episode, I can h...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is advisable to first consult a gastroenterologist for evaluation. If necessary, an ultrasound may be arranged to rule out liver, gallbladder, or urinary system issues. However, the area to the right of the navel may involve the stomach, duodenum, or colon, so it is rec...[Read More] Understanding Occasional Abdominal Pain: When to Seek Further Testing
Understanding Gastrointestinal Health: Anemia and Gallbladder Polyps Explained
Medical consultation Hello Doctor, I would like to ask if the following report indicates normal findings or bleeding? Is this related to anemia? Chief Complaint: Anemia Findings: 1. Esophagus: Neither ulcer nor varix was detected. 2. Stomach: Multiple hyperemic patches we...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The conclusion of the gastroscopy report is as follows: Superficial gastritis in the antrum, with only superficial gastritis present in the gastric antrum. There is a 0.4 cm gallbladder polyp, and it is recommended to monitor and follow up until it exceeds 1 cm, at which p...[Read More] Understanding Gastrointestinal Health: Anemia and Gallbladder Polyps Explained
Persistent Left Lower Abdominal Bloating: Possible Causes and Solutions
Left lower abdominal bloating? I have been experiencing bloating and pain in my lower left abdomen for a year, along with discomfort in my left groin. I'm unsure if these two issues are related. I have taken medications for bloating and irritable bowel syndrome, but they hav...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If all tests are normal, it may be important to consider whether there is retained stool or bloating. Try to consume easily digestible foods and avoid spicy dishes. Additionally, check if there is an issue with being underweight, as being underweight can lead to excessive ...[Read More] Persistent Left Lower Abdominal Bloating: Possible Causes and Solutions
Understanding Gastrointestinal Issues: Is It Bowel Obstruction or Something Else?
Gastrointestinal issues Hello, doctor. Recently, while having breakfast, I experienced a cramping pain in my abdomen, similar to the sensation of doing a sit-up. It took about 20 minutes for it to gradually return to normal. However, I haven't engaged in any exercise lately....
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: In cases of intestinal obstruction, there typically would be no passage of gas or stool, and there may even be vomiting. It is more likely to be a condition related to the stomach, such as gastritis or a gastric ulcer. You should consult a gastroenterologist for further ex...[Read More] Understanding Gastrointestinal Issues: Is It Bowel Obstruction or Something Else?
Understanding Bowel Symptoms: Is It IBS or Hemorrhoids?
Symptoms of bowel movements? I have recently been experiencing difficulty with bowel movements, feeling like I need to go but unable to pass a large stool. Although my abdomen feels empty, when I continue to strain, I end up passing softer stools that contain mucus. Previously, I...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The feeling of urgency and heaviness in the rectum can have many possible causes. However, irritable bowel syndrome (IBS) typically presents with recurrent cycles of symptoms. If this is a recent occurrence, it may not necessarily be IBS. It's important to avoid irrit...[Read More] Understanding Bowel Symptoms: Is It IBS or Hemorrhoids?