Understanding Growth Near the Anus: Is It Hemorrhoids or Something Else?
Anal growths? Hello Doctor, the day before yesterday while I was showering, I noticed a small lump near my anus while washing. At first, I suspected it might be hemorrhoids, but there is no pain or itching, and I haven't experienced any bleeding or difficulty during bowel mo...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please visit a colorectal surgery clinic.[Read More] Understanding Growth Near the Anus: Is It Hemorrhoids or Something Else?
Understanding Bowel Issues: When to Seek Medical Advice
Bowel movement issues Recently, my stools have been small, hard lumps floating on the surface, while the rest is muddy and sinking in the water. Is this related to what I ate the day before yesterday? I don't have any abdominal pain, no blood in my stools, and I don't f...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is likely gastroenteritis combined with gastrointestinal dysfunction.[Read More] Understanding Bowel Issues: When to Seek Medical Advice
Understanding Left Lower Abdominal Pain: Causes and When to Seek Help
Left lower abdominal pain? Hello, doctor: I would like to ask about the sharp pain I feel about three fingerbreadths to the left of my navel. I have seen a doctor who prescribed medication for intestinal cramps. After finishing the medication, my symptoms have improved, and the i...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
If symptoms persist, a colon X-ray examination may be considered.[Read More] Understanding Left Lower Abdominal Pain: Causes and When to Seek Help
Understanding First-Time Rectal Bleeding: Causes and Concerns
First-time rectal bleeding? When using the restroom, there was no particular sensation, but upon wiping, I noticed what seemed to be menstrual blood, approximately the amount of two fifty-cent coins. The second wipe showed no blood at all, and there was no blood in the stool eith...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please visit a colorectal surgery clinic.[Read More] Understanding First-Time Rectal Bleeding: Causes and Concerns
Understanding Blood in Stool: Causes and Concerns for Gastrointestinal Health
Rectal bleeding Hello Doctor, recently I've been experiencing some constipation. It feels like my stool gets stuck at the anus for a long time, and I have to strain a lot to pass it. During the process, the stool feels hard and sharp. In the first few instances, there was bl...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please visit a colorectal surgery clinic.[Read More] Understanding Blood in Stool: Causes and Concerns for Gastrointestinal Health
Persistent Lower Abdominal Discomfort: When to Consider a Colonoscopy?
Dull pain in the lower abdomen? I have been experiencing persistent dull pain in my lower abdomen for the past few weeks. It's not too severe, but I feel discomfort 24 hours a day, and my intestines are making frequent noises, especially at night when I lie down; it seems to...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please visit a colorectal surgery clinic.[Read More] Persistent Lower Abdominal Discomfort: When to Consider a Colonoscopy?
Should You See a Doctor for Changes in Bowel Habits?
Is it necessary to see a doctor if there are changes in bowel habits? Hello Doctor, I have recently changed my lifestyle, which has also affected my bowel habits. I am unsure whether I should visit a large hospital to see a doctor (to avoid wasting health insurance). Recently, I ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please consult a gastroenterologist to evaluate whether further examinations are necessary.[Read More] Should You See a Doctor for Changes in Bowel Habits?
Post-Surgery Concerns: Unexplained Anal Discharge After Hemorrhoidectomy
Colon issues Hello Dr. Chen, I had a hemorrhoidectomy (internal hemorrhoids) two months ago. The wound has healed, I don't feel any pain, and I don't feel like I've had surgery anymore. However, I have been experiencing involuntary leakage of a very light yellow or...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please visit a gastroenterologist.[Read More] Post-Surgery Concerns: Unexplained Anal Discharge After Hemorrhoidectomy
Understanding Right Upper Abdomen Pain: Is Your Job to Blame?
Right upper quadrant discomfort and pain? Liver function tests have all come back normal, and the ultrasound showed no abnormalities. I work a 12-hour night shift, and I often sit for several hours without getting up. Every time I stand up, I experience a sharp pain in the upper ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It should be a musculoskeletal issue.[Read More] Understanding Right Upper Abdomen Pain: Is Your Job to Blame?
Understanding Rectal Bleeding: When to Consider a Colonoscopy
Rectal bleeding Hello doctor, I had a physical examination over three months ago, during which a colonoscopy showed no abnormalities or polyps. However, today I noticed blood in my stool, bright red and mixed with some mucus, but not significantly mixed with the stool. I also do ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is likely hemorrhoidal bleeding; hemorrhoidal bleeding does not necessarily cause pain.[Read More] Understanding Rectal Bleeding: When to Consider a Colonoscopy
Frequent Foul Gas and Blood in Stool: Understanding Gastrointestinal Issues
Chronic foul-smelling flatulence with bloody diarrhea? Hello doctor, I have been experiencing frequent and foul-smelling flatulence along with bloating for quite some time. About three months ago, I suspected there was blood in my stool and underwent a fecal occult blood test, wh...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is recommended to visit a gastroenterology department for further examination.[Read More] Frequent Foul Gas and Blood in Stool: Understanding Gastrointestinal Issues
Managing Acid Reflux and Barrett's Esophagus: Natural Remedies and Concerns
Dyspepsia and gastroesophageal reflux disease (GERD) Hello Doctor: Last year, I had an endoscopy that revealed gastroesophageal reflux disease (GERD) and gastritis. A biopsy of the esophageal mucosa showed Barrett's esophagus, but this year’s examination showed no Barrett&#x...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
1. Juice or ginger tea may exacerbate gastroesophageal reflux. 2. The treatment of gastroesophageal reflux requires a combination of medication along with dietary and lifestyle adjustments for optimal results.[Read More] Managing Acid Reflux and Barrett's Esophagus: Natural Remedies and Concerns
Understanding Occasional Anal Pain: Causes and Concerns
Anal issues Sometimes after urination, when the muscles around the anus contract, there is a sharp, cramping pain, but it only lasts for a moment. This mostly occurs after masturbation and happens infrequently, about 1 to 3 times every two months. What could be the cause of this?...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please visit a colorectal surgery clinic.[Read More] Understanding Occasional Anal Pain: Causes and Concerns
Understanding Gastrointestinal Issues: Symptoms and Solutions
Gastrointestinal issues Hello doctor, about two weeks ago I started feeling unwell in my stomach, experiencing some nausea and difficulty breathing. I went to a small clinic to see a doctor, who diagnosed me with gastroenteritis and suggested that the breathing difficulties might...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Gastroenteritis has improved, but it is not completely resolved yet.[Read More] Understanding Gastrointestinal Issues: Symptoms and Solutions
Understanding Bowel Issues: Insights from Gastroenterology
Bowel movement issues Hello, doctor. I would like to ask you about my gastrointestinal issues. I have had a weak digestive system since childhood, often experiencing abdominal pain and gastroenteritis. During my graduate studies two years ago, I frequently had diarrhea, and occas...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Basically, it is a gastrointestinal dysfunction. Of course, stool tests and lower gastrointestinal imaging can be performed to rule out other organic issues.[Read More] Understanding Bowel Issues: Insights from Gastroenterology
Managing GERD with PPIs: Concerns During Menstrual Cycle
Gastroesophageal reflux disease (GERD) + Proton pump inhibitors (PPIs) + Menstrual period? Hello Doctor, I understand the concept from the article regarding gastroesophageal reflux disease (GERD) patients and routine endoscopy. Five years ago, I had an endoscopy that confirmed ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
1. Gastroesophageal reflux disease (GERD) is a condition that can easily recur and varies in severity. Appropriate pharmacological treatment is recommended, with proton pump inhibitors (PPIs) being the first-line choice. Some individuals may experience constipation or bloating af...[Read More] Managing GERD with PPIs: Concerns During Menstrual Cycle
Understanding Gel-like Stool After Enema: Is It Normal or a Cause for Concern?
Constipation issue: After using an enema, a translucent light pink (orange) gel-like solid was expelled? Hello, doctor. Recently, I have been experiencing constipation, which has made bowel movements difficult and painful. I tried using an enema, and although it successfully expe...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
The discharge is intestinal mucus, which generally does not indicate a specific meaning. In observation, the primary focus should still be on the presence of blood in the stool.[Read More] Understanding Gel-like Stool After Enema: Is It Normal or a Cause for Concern?
Understanding Bloating, Gas, and Constipation After Liver Transplant
Abdominal bloating, belching, and flatulence? I have a history of liver transplantation and have experienced bowel sounds for several years, with bowel movements occurring every 1-2 days. In October of last year, I suddenly started having bowel movements every 2-3 days, accompani...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Structural examination shows no abnormalities; the main issue is functional impairment, which is indeed related to the abdominal surgery.[Read More] Understanding Bloating, Gas, and Constipation After Liver Transplant
Chronic Lower Abdominal Pain and Diarrhea: Seeking Answers for Gastrointestinal Issues
Lower abdominal pain, diarrhea? Hello Doctor: I would like to consult you regarding my abdominal pain issue. The location of my pain is just below the navel, and it has been ongoing since October 2015. My abdomen often feels painful, and I occasionally experience diarrhea. After ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is recommended to consult a gastroenterologist, and if necessary, a repeat colonoscopy may be performed.[Read More] Chronic Lower Abdominal Pain and Diarrhea: Seeking Answers for Gastrointestinal Issues
Understanding Persistent Belching: Causes and Duration Explained
Persistent hiccups for over a month? Recently, the patient visited the doctor due to symptoms of heartburn and bloating. An upper gastrointestinal endoscopy and ultrasound were performed, which did not reveal any significant issues. The doctor mentioned excessive gastric acid and...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Gastroesophageal reflux disease (GERD) is primarily caused by the relaxation of the lower esophageal sphincter, which leads to the backflow of stomach acid. Consuming excessive amounts of liquids, such as soups, can further increase the likelihood of gastric contents refluxing.[Read More] Understanding Persistent Belching: Causes and Duration Explained