Understanding Bowel Issues: Is It Irritable Bowel Syndrome?
Bowel issues Last week, I had gastroenteritis and experienced diarrhea with some mucus, but it resolved afterward. The doctor mentioned that my gastrointestinal motility is quite fast. Recently, I've been having abdominal pain before bowel movements, which have changed from ...
Dr. Chen Jiaming reply Surgery
Since you just had gastroenteritis last week and are currently in the gastrointestinal recovery phase, your gastrointestinal symptoms may be unstable at this time. It is recommended to maintain a light diet, reduce the intake of irritating beverages, and limit high-fiber foods (s...[Read More] Understanding Bowel Issues: Is It Irritable Bowel Syndrome?
Understanding Abdominal Pain: Causes and When to Seek Help
Abdominal pain Hello Doctor: This morning when I woke up, I initially thought the abdominal pain was just due to holding in urine. However, when I went to the bathroom, the pain intensified significantly. Even after having a bowel movement, the pain persisted, and I also experien...
Dr. Chen Jiaming reply Surgery
There are numerous possible causes of abdominal pain. In clinical practice, in addition to the patient's medical history and symptom expression, a thorough physical examination by a physician is necessary. If needed, blood tests and imaging studies may also be required for a...[Read More] Understanding Abdominal Pain: Causes and When to Seek Help
Understanding Anal External Mass: Causes and Concerns
Perianal mass Hello, there is a round bump located two centimeters below the anus that feels like a small bean. It doesn't hurt much when pressed. What could this issue be?
Dr. Chen Jiaming reply Surgery
Although you have made a great effort to describe the situation, the medical terminology varies, making it difficult to determine the location of the lesion based solely on your description. A personal examination is essential for diagnosing the condition. It is recommended that ...[Read More] Understanding Anal External Mass: Causes and Concerns
Understanding Bowel Issues: Causes and Solutions for Gastrointestinal Health
Bowel issues Hello, doctor. Previously, I had a bout of gastroenteritis and did not see a doctor. I ate porridge for three days and gradually returned to normal meals, but my stools are sometimes ribbon-like and more often loose. On days when my routine is poor, I experience diar...
Dr. Chen Jiaming reply Surgery
Changes in bowel habits, gut microbiota, and defecation patterns are common after gastroenteritis. Since it is known that "poor lifestyle habits" can lead to diarrhea and other issues, it is essential to modify these habits to normalize gut function, which is the fundam...[Read More] Understanding Bowel Issues: Causes and Solutions for Gastrointestinal Health
Understanding Anal Pain After Bowel Movements: Causes and Concerns
Anal pain after a bowel movement? Hello Doctor, I would like to ask you about my situation. I have a regular bowel movement at least once a day, but the shape and amount vary. A few days ago, I might have eaten too few vegetables and fruits and too much meat, so when I had a bowe...
Dr. Chen Jiaming reply Surgery
Based on your description, it seems that the swelling is likely due to damage to the anal mucosa caused by hard stools. Typically, such changes are reversible and can gradually improve with dietary adjustments and changes in bowel habits. The symptoms you are concerned about rega...[Read More] Understanding Anal Pain After Bowel Movements: Causes and Concerns
Understanding Appendectomy Concerns: Prevention and Recovery Insights
Appendicitis surgery issues Hello Doctor, thank you for your previous response. During my follow-up visit, the physician informed me that the base of my appendix is unhealthy and expressed concerns about potential issues with leakage from the surgical site post-operation. Could y...
Dr. Chen Jiaming reply Surgery
Clinically, the appendix is a tubular structure that extends from the large intestine, and the occurrence of appendicitis often stems from obstruction of the lumen. However, the location of the obstruction can vary, leading to different segments of inflammation and varying manage...[Read More] Understanding Appendectomy Concerns: Prevention and Recovery Insights
Changes in Bowel Habits and Abdominal Pain: What You Need to Know
Changes in bowel habits and abdominal pain? I have recently experienced changes in my bowel habits. Previously, I could easily have a bowel movement, but lately, no matter how hard I try, I can't seem to pass stool. I still have bowel movements daily, sometimes more, sometim...
Dr. Chen Jiaming reply Surgery
Based solely on your description, without an actual physical examination or further arrangements for relevant X-rays or endoscopic examinations, it is difficult to make any assumptions regarding gastrointestinal symptoms. It is advisable for you to schedule an appointment with a ...[Read More] Changes in Bowel Habits and Abdominal Pain: What You Need to Know
How Long Does It Take for Surgical Sutures to Dissolve?
How long does it take for surgical sutures to be absorbed? Two years ago, I underwent laparoscopic surgery to remove my gallbladder due to gallstones. The incision at my navel was closed with absorbable sutures, but after two years, the sutures are still present. Occasionally, wh...
Dr. Chen Jiaming reply Surgery
The "meat line" refers to absorbable sutures, which are designed to be absorbed in the subcutaneous tissue (the "meat"). Once exposed to the surface, they will not be absorbed. However, after two years, the internal portion should have loosened and disintegrat...[Read More] How Long Does It Take for Surgical Sutures to Dissolve?
Understanding Orange-Red Stools: Causes and Concerns for Young Adults
Small amounts of orange-red stool? I am 23 years old and tend to be anxious. I often experience heartburn and bloating, and I have a habit of having bowel movements every morning, which are often not smooth. I need to go several times, and my stools tend to be hard. I force mysel...
Dr. Chen Jiaming reply Surgery
Online consultations should not result in any diagnosis without a physical examination and tests conducted by a physician. Given that you have consulted multiple doctors and undergone numerous tests with consistent conclusions, what are your thoughts on this?[Read More] Understanding Orange-Red Stools: Causes and Concerns for Young Adults
Understanding Appendicitis Surgery: Drainage Tubes and Adhesion Prevention
Appendicitis issues? Hello Doctor, I was diagnosed with appendicitis three days ago. The doctor mentioned that the surgery would only require three incisions, but I ended up with four incisions postoperatively, with an additional drainage tube. I would like to know why this happe...
Dr. Chen Jiaming reply Surgery
The best way to address clinical questions is to consult your attending physician. My response should only be taken as a reference, as each physician has different considerations and practices. The three incisions are positioned based on the convenience of performing an appendect...[Read More] Understanding Appendicitis Surgery: Drainage Tubes and Adhesion Prevention
Understanding Blood in Stool: Constipation and Dietary Impact
Blood on the stool can occur due to straining during bowel movements? Hello doctor, I usually eat very few fruits and vegetables, and I don't drink water often. I've always had issues with constipation, and my stools are pellet-like. As a working professional, I often f...
Dr. Chen Jiaming reply Surgery
You are actually quite aware of where the problem lies. The urge to defecate indicates that stool may have already reached the lower colon or rectum. If it stays there for too long, it will continue to absorb water, becoming drier and harder to pass. It is more comfortable and pl...[Read More] Understanding Blood in Stool: Constipation and Dietary Impact
Understanding Prolonged Rectal Bleeding and Associated Symptoms in Young Adults
Bleeding during bowel movements has persisted for 2-3 months? Female, 21 years old, has lost 10 kg over the past 2-3 months. Adequate water intake and a high vegetable consumption (healthy diet + detox drinks). Has never undergone any gynecological, endocrinological, or gastroint...
Dr. Chen Jiaming reply Surgery
There are many ways to lose weight, and many people encounter bowel issues during the process (though this is often not discussed). Increasing fiber intake through dietary changes (such as vegetables, fruits, and special beverages), enhancing satiety, and reducing calorie absorpt...[Read More] Understanding Prolonged Rectal Bleeding and Associated Symptoms in Young Adults
Understanding Local Anesthesia for Scrotal Surgery: What to Expect
Scrotal sebaceous cyst Hello, Doctor: I have a severe case of sebaceous cysts on my scrotum, totaling eight, with one measuring 1 cm and the others ranging from 3 to 5 mm. I would like to ask: Is local anesthesia administered via injection in the scrotum as well? If only a topica...
Dr. Chen Jiaming reply Surgery
It is administered via injection! Injecting into the scrotal skin will not cause any issues with the reproductive system (deeper structures), so please rest assured![Read More] Understanding Local Anesthesia for Scrotal Surgery: What to Expect
Understanding Right Lower Abdominal Swelling: Causes and Necessary Tests
Swelling in the lower right abdomen resembling intestinal distension? I can feel a tubular structure in my lower right abdomen that sometimes is very noticeable and other times less so, but I can still feel it. I went to the hospital and had a CT scan, and the doctor mentioned th...
Dr. Chen Jiaming reply Surgery
First, we generally use the umbilical region to differentiate between the upper and lower abdomen. You described feeling something like the intestines in the right lower abdomen. As for the previous examinations arranged by the physician, they seem to be aimed at diagnosing Super...[Read More] Understanding Right Lower Abdominal Swelling: Causes and Necessary Tests
Managing Gastrointestinal Issues: Tips for Exam Stress Relief
Gastrointestinal issues Previously, I had been holding in my bowel movements and gas until I got home. One night, I started experiencing loud, gurgling sounds in my stomach that resembled diarrhea, which made it difficult for me to sleep. As the exam approached, I became increasi...
Dr. Chen Jiaming reply Surgery
I can only offer a small suggestion: for foods made from fermented products like bread, which contain a lot of gas, individuals who are prone to bloating should consider reducing their intake of such foods or ensure they chew thoroughly and swallow slowly. Additionally, there are...[Read More] Managing Gastrointestinal Issues: Tips for Exam Stress Relief
Understanding Bowel Issues: Symptoms, Causes, and Solutions
Bowel movement issues Recently, I have been experiencing a feeling of urgency to have a bowel movement, but when I try, I only pass a small amount. I've also noticed what looks like blood clots when wiping, and my stools have a mucus-like consistency. I feel fatigued as well...
Dr. Chen Jiaming reply Surgery
It is not possible to determine what is wrong with your body based solely on a simple description of your symptoms. It is recommended that you visit a gastroenterology clinic for further physical examination to assist in the diagnosis.[Read More] Understanding Bowel Issues: Symptoms, Causes, and Solutions
How Often Should You Get a Colonoscopy? Understanding Risks and Recommendations
Colonoscopy duration Hello, doctor. How often should I have a colonoscopy? I have internal hemorrhoids, and if I strain too much during bowel movements, I might experience bleeding. However, using suppositories helps improve the bleeding symptoms. I had a gastrointestinal endosco...
Dr. Chen Jiaming reply Surgery
The current consensus in the medical community is that if polyps are found during a colonoscopy, in addition to removing the polyps at that time, it is recommended to undergo another colonoscopy one year later. If no new polyps are detected during that follow-up examination, then...[Read More] How Often Should You Get a Colonoscopy? Understanding Risks and Recommendations
Understanding Blood in Stool: Is It Hemorrhoids or Something Else?
Rectal bleeding Hello, doctor. Thank you for taking the time to respond. I have noticed blood in my stool, with blood floating on the surface of the water, and there is also blood when I wipe with toilet paper. However, the color and shape of the stool are normal (brown, round, a...
Dr. Chen Jiaming reply Surgery
Your medical history is clearly described, and you also understand that it doesn't seem very much like a hemorrhoid issue. Therefore, you need to visit a colorectal surgeon or a gastroenterologist for further evaluation and physical examination to rule out other possibilitie...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something Else?
Understanding Constipation with Mucus and Blood: Causes and Solutions
Constipation with blood-stained mucus? Hello Dr. Chen, I have been experiencing constipation issues for about one to two weeks. Prior to this, I had regular daily bowel movements. Recently, I have felt the urge to defecate but have struggled for a long time, and when I do, the st...
Dr. Chen Jiaming reply Surgery
Because your bowel movements have been smooth in the past and you are currently experiencing constipation, it is normal to expel some intestinal mucus after prolonged straining. Hard stools or prolonged attempts to defecate can cause a small amount of anal mucosa to protrude, whi...[Read More] Understanding Constipation with Mucus and Blood: Causes and Solutions
Understanding Post-Laparoscopic Appendectomy: Pain and Recovery Insights
Laparoscopic appendectomy Hello, I underwent laparoscopic surgery for appendicitis at the end of February this year. The doctor mentioned it was a very early stage of appendicitis. Recently, I've been feeling a sensation in my abdomen that feels like the wound is pulsating. ...
Dr. Chen Jiaming reply Surgery
In general, laparoscopic appendectomy primarily utilizes the umbilicus as the main incision site for the removal of the excised appendiceal tissue. The umbilical incision is closed in two layers: the superficial skin and the deeper muscular fascia. The superficial skin is typical...[Read More] Understanding Post-Laparoscopic Appendectomy: Pain and Recovery Insights