Dr. Cai Jinji reply Gastroenterology and Hepatology Question

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Chronic Diarrhea: Causes, Concerns, and When to Seek Help

Persistent diarrhea Hello doctor, I have been experiencing chronic diarrhea for over a month, often occurring after meals, with stools that are soft or mushy. My appetite has decreased somewhat, but I can still eat. I'm not sure if this is related to the hot weather or if it...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Dear Mr. Anonymous: It is recommended that you seek medical examination to determine your condition, which will allow for further diagnosis and treatment. Dr. Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.

[Read More] Chronic Diarrhea: Causes, Concerns, and When to Seek Help


Can You Take Cialis with Hepatitis B and Normal Liver Function?

Can a person with hepatitis B take Cialis? If liver function is normal, is it safe to take Cialis 5mg, or is it not recommended?


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Mr. Hsiao-Hsiang: Cialis is primarily metabolized by the liver. The condition of hepatitis B and the liver should be assessed through blood tests and ultrasound. Normal liver enzyme levels do not necessarily indicate that there are no issues. It is recommended to first conf...

[Read More] Can You Take Cialis with Hepatitis B and Normal Liver Function?


Understanding Bloating, Gas, and Bowel Issues: When to Seek Help

Abdominal bloating, flatulence, and bowel movement issues? Thank you, doctor, for taking the time to read and respond. Hello, I am a 23-year-old female student. During my high school years, I developed a habit of withholding urination and defecation due to fear of using the schoo...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello, Ms. Shrimp: If both parents are diagnosed with cancer in middle age, it is advisable to consult a colorectal specialist to determine if further examinations are necessary. Director Cai Jin-ji of the Gastroenterology and Hepatology Department at Nantou Hospital.

[Read More] Understanding Bloating, Gas, and Bowel Issues: When to Seek Help


Understanding IBS: Why Travel Relieves Diarrhea and Abdominal Pain

Recurrent abdominal pain, flatulence, and diarrhea? Hello, doctor. At the end of April, I experienced discomfort in my stomach, so I underwent an upper gastrointestinal endoscopy and a colonoscopy in May. The results showed that there were no issues with the colon, but there was ...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Mr. Jack: It may be advisable to discuss with your physician whether to first evaluate the situation regarding the original gastroscopy, colonoscopy, and CT scan. Dr. Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.

[Read More] Understanding IBS: Why Travel Relieves Diarrhea and Abdominal Pain


Understanding Diarrhea and Hemorrhoids: Key Questions Answered

Questions about diarrhea and hemorrhoids? Hello Doctor, I have not experienced diarrhea from January to June of this year, and my bowel movements have been regular with well-formed stools. Occasionally, I had small pellet-like stools, but there was some blood in my stool intermit...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Ms. Chen: If there is no improvement, it is recommended to consult a gastroenterologist to see if further examination is needed. Director Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.

[Read More] Understanding Diarrhea and Hemorrhoids: Key Questions Answered


Understanding Digestive Issues: Concerns About Bowel Changes in Teens

Bowel-related issues? I am currently 17 years old and preparing for my college entrance exams, but my health has been concerning me to the point where I can't focus on studying. I've been staying up late since around the second year of junior high, and recently, over th...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello, Student Wu: If there is no improvement, it is recommended that you visit a gastroenterologist for a detailed consultation and examination, which may help resolve your concerns. Director Cai Jin-ji, Gastroenterology Department, Nantou Hospital.

[Read More] Understanding Digestive Issues: Concerns About Bowel Changes in Teens


Understanding Stool Tests: What Abnormalities to Look For

Stool testing I'm sorry to bother you, doctor, but today my stool feels very unusual. Could you please check if there is any occult blood or other abnormalities? I'm quite worried and have no choice but to seek your help.


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Mr. Chen: The stool appears to be somewhat loose. To determine if there is occult blood, it is recommended to send a sample for testing for more accurate results. Dr. Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.

[Read More] Understanding Stool Tests: What Abnormalities to Look For


Understanding Rectal Blockage: Causes and Solutions for Constipation

Feeling of inability to pass stool with a sensation of something being stuck at the anal opening? During bowel movements, there is a sensation of stool needing to be expelled, but it feels like it gets stuck at the anus and retracts when trying to relax. Sometimes, only thin or p...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Mr. A-Hai: It is recommended to visit a colorectal specialist to better determine the issue. Director Cai Jin-ji from the Department of Hepatobiliary and Gastroenterology at Nantou Hospital.

[Read More] Understanding Rectal Blockage: Causes and Solutions for Constipation


Understanding Granular Stool with Brown Mucus: Causes and Concerns

The stool is granular with brown mucus? Hello, I would like to inquire about the reasons for having pellet-like stools and noticing brown mucus during wiping. Sometimes it occurs, and sometimes it does not.


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Ms. 4392: How long have you been experiencing this condition? If it has persisted for a while, I recommend seeing a specialist in colorectal surgery for an examination. Director Cai Jinjì of the Department of Hepatobiliary and Gastroenterology at Nantou Hospital.

[Read More] Understanding Granular Stool with Brown Mucus: Causes and Concerns


Concerns About Endoscopy and Anticoagulant Use: What You Should Know

Nasal-gastric endoscopy issues? Hello Doctor, I would like to ask about the esophagogastroduodenoscopy and Helicobacter pylori test I had on May 21. In April, I experienced recurrent chest tightness and pain, and after consulting several cardiologists and pulmonologists with no i...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Miss Hsiao-Lü: I am unsure which anticoagulant medication you are taking, so I recommend consulting your cardiologist to see if it may affect your examination or coagulation function. If you stop the anticoagulant medication on April 30 and have the examination on May 21, i...

[Read More] Concerns About Endoscopy and Anticoagulant Use: What You Should Know


Understanding Gastrointestinal Issues: Is Your Symptoms a Sign of Colon Cancer?

Gastrointestinal issues Hello Doctor: I previously visited a doctor due to diarrhea, abdominal bloating, and gastric distension. The doctor prescribed medication to try, but after taking it, I developed constipation, and my gastrointestinal motility seems to have decreased. Addit...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Mr. Anonymous: Changes in stool consistency can be caused by many factors and are not necessarily indicative of colorectal cancer. The shape of the stool is influenced by various factors including diet, hydration, exercise, stress, and medications. It is advisable to discus...

[Read More] Understanding Gastrointestinal Issues: Is Your Symptoms a Sign of Colon Cancer?


Understanding Oral Papillomas: Causes, Detection, and Recurrence Rates

Oral papilloma Recently, I experienced stomach pain, loss of appetite, and a foreign body sensation in my mouth. Despite taking medication, there was no improvement. I subsequently underwent an upper gastrointestinal endoscopy, which revealed a Helicobacter pylori infection that ...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Ms. Wu: 1. The reason for the first time not being the same as the second time may require you to consult your physician for further confirmation. 2. HPV polyps may indicate an HPV infection; it is recommended to consult an infectious disease specialist. Director Cai Jin-ji...

[Read More] Understanding Oral Papillomas: Causes, Detection, and Recurrence Rates


Understanding Blood in Stool: Insights on Anal Fistulas and Gastrointestinal Health

Blood in the stool for five consecutive days? I understand... ultimately, I still need to undergo a colonoscopy. However, I would like to ask the doctor if, based on their experience with patients, there have been cases where a patient developed an anal fistula and delayed treatm...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Mr. Chen Bo-Yu: It is recommended to consult a colorectal surgeon regarding anal fistulas, as they would have a clearer understanding. Simply eating a salad may not comprehensively improve gut health. Director Tsai Jin-Chi, Department of Hepatobiliary and Gastroenterology, ...

[Read More] Understanding Blood in Stool: Insights on Anal Fistulas and Gastrointestinal Health


Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns

Recently, after examinations, I have been experiencing difficulty swallowing food and frequent burping? Hello, Doctor. I have been suffering from peptic ulcers and gastroesophageal reflux disease (GERD) for over 10 years, and I undergo treatment approximately every two to three y...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Ms. Peggy: Generally, an endoscopy does not cause this. It is advisable to consult your physician regarding the circumstances during the examination. You may consider checking the pH levels in the esophagus and assessing for gastroesophageal reflux. Director Cai Jin-ji, Dep...

[Read More] Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns


Understanding Your Symptoms: IBS, GERD, or Pancreatic Cancer Concerns?

I would like to ask the doctor if I have irritable bowel syndrome combined with gastroesophageal reflux disease or pancreatic cancer? Hello, Doctor: I am regularly taking psychiatric medications (such as Prozac) primarily due to autonomic nervous system dysregulation with overact...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Mr. Chang: For your left and right upper back pain, it is recommended to consult other specialties first. There are many potential causes for bloating, so it is advisable to ask your previous treating physician for guidance based on prior examinations and your condition. Di...

[Read More] Understanding Your Symptoms: IBS, GERD, or Pancreatic Cancer Concerns?


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 Gastroenterology and Hepatology
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


Changes in Stool Shape and Unexplained Bloating: What You Need to Know

Changes in stool shape and increased bloating? For two consecutive weeks, I have been experiencing unexplained bloating (relieved by passing gas or burping). My bowel movements have changed from being well-formed and bulky to thin, short, and non-continuous or resembling a muddy ...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Mr. A-Yuan: It is recommended to seek medical attention to determine if any examinations are necessary. Director Cai Jin-ji of the Gastroenterology and Hepatology Department, Nantou Hospital.

[Read More] Changes in Stool Shape and Unexplained Bloating: What You Need to Know


Understanding Abdominal Issues: Insights on Gastrointestinal Discomfort

Abdominal issues? Hello, Doctor. Since the onset of winter, I have been experiencing abdominal issues, including various types of pain in different areas. Here are the details: 1. Recently, I have been feeling significant spasms in my upper abdomen during the night, around the ...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Dear Mr. Anonymous: 1. If this condition has persisted for some time, it is advisable to seek medical attention and consult a physician about arranging further examinations. 2. Regarding the second point, it is still necessary to see a doctor to inquire about the results of th...

[Read More] Understanding Abdominal Issues: Insights on Gastrointestinal Discomfort


Understanding Your Bowel Issues: When to Seek Further Testing

Bowel issues Hello, Dr. Tsai. I have been a patient with constipation since childhood. Recently, I have been drinking some green juice to adjust my digestive system. Over the past two days, my bowel movements have been long and thin, resembling worms, or in small, segmented piece...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Ms. SS: If there are changes or abnormalities in bowel habits, it is advisable to consider getting checked (cancer is just a reference). Dr. Cai JinjI, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.

[Read More] Understanding Your Bowel Issues: When to Seek Further Testing


Understanding Intermittent Pain Under the Ribs: Possible Causes and Solutions

Abdominal pain Hello, I would like to ask about a recent issue I've been experiencing. I often feel intermittent sharp pain in the center just below my rib cage. Sometimes it occurs when I swallow a bite of food, but it doesn't happen with the second bite. At times, it ...


Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Mr. Willy Lee: How long has this condition been occurring? Is it on the right side of your ribs or the left side? If it has not improved, it is advisable to seek medical evaluation. Director Cai Jin-ji from the Department of Hepatobiliary and Gastroenterology at Nantou Hosp...

[Read More] Understanding Intermittent Pain Under the Ribs: Possible Causes and Solutions


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