Understanding Appendiceal Polyps: When Surgery is Necessary
Appendiceal polyp Hello, Doctor. I recently underwent a routine colonoscopy, and a tubular adenoma measuring 0.8 to 1.0 cm was found at the cecal-appendiceal junction. Due to its location, it could not be removed directly with the endoscope. During my follow-up appointment today,...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Surgery on the colon typically involves either resection of the right half or the left half of the colon; if considered as tumor surgery, it is necessary to remove half of the colon.[Read More] Understanding Appendiceal Polyps: When Surgery is Necessary
Left Abdominal Discomfort and Flat Stool: Should I Worry About Colon Cancer?
There is a feeling of heaviness in the left abdomen, and the stool is flat? About a month ago, I suddenly felt nauseous, but after taking some antacids, I felt better. However, since then, I've had a persistent feeling of heaviness in my left abdomen, and I've often str...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, the likelihood of gastrointestinal dysfunction is the highest. If the symptoms persist, a consultation with a gastroenterologist is recommended for evaluation.[Read More] Left Abdominal Discomfort and Flat Stool: Should I Worry About Colon Cancer?
Understanding Gastric Endoscopy: Insights on External Compression and Digestive Health
Gastrointestinal endoscopy I would like to ask about the findings after my gastroscopy, which showed only superficial gastritis. Additionally, the doctor mentioned suspected external compression of the stomach. My family medicine doctor recommended a CT scan. Currently, I have no...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
If the gastroscopy confirms external compression, an abdominal ultrasound may be considered first. If this does not clarify the situation or if there are issues, further evaluation with a CT scan should be performed.[Read More] Understanding Gastric Endoscopy: Insights on External Compression and Digestive Health
Understanding Esophagitis and GERD: When to Seek Further Medical Attention
Gastroesophageal reflux esophagitis Hello Doctor: I previously underwent an endoscopy, which diagnosed esophagitis and a small bleeding spot in the stomach. I was prescribed POZOLA ENTERIC F.C. TABLETS 40MG, and initially, everything was fine. However, after experiencing acid ref...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Both medications are proton pump inhibitors used to treat gastroesophageal reflux disease (GERD). In addition to medication, controlling GERD also requires adjustments in dietary habits and lifestyle.[Read More] Understanding Esophagitis and GERD: When to Seek Further Medical Attention
Understanding Lower Abdominal Pain: Causes and When to Seek Help
Lower abdominal pain? I started feeling abdominal pain this afternoon, experiencing intermittent cramping, but I don't feel the urge to use the restroom. I couldn't eat dinner, and I only had a bowel movement this morning, which was normal in shape and color.
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Symptoms such as bloating and inflammation of the intestines can cause your condition. It is recommended to consult a gastroenterologist.[Read More] Understanding Lower Abdominal Pain: Causes and When to Seek Help
Post-Anal Fissure: Managing Diarrhea and Digestive Changes
Since the anal fissure, I have been experiencing frequent diarrhea? Hello, Doctor. I would like to ask a question. About a month ago, I was busy with some matters and had to strain particularly hard during a bowel movement due to an urgent situation. Later that evening, around 7 ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
1. It is indeed a phenomenon of anal fissure. 2. Even if there is a tumor, the narrowing would be gradual and not sudden. This aspect should be related to impaired rectal function.[Read More] Post-Anal Fissure: Managing Diarrhea and Digestive Changes
Symptoms of Drug-Induced Esophageal Ulcers: What to Expect?
What are the symptoms of drug-induced esophageal ulcers? Hello, doctor: Due to other medical conditions, I have been taking antibiotics. Recently, while working outside, I forgot to bring water, so I bought bottled water from a convenience store to take my evening medication. How...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Drug-induced esophageal ulcers typically present with symptoms such as chest pain and odynophagia, often occurring within 1 to 2 days.[Read More] Symptoms of Drug-Induced Esophageal Ulcers: What to Expect?
Understanding Gastrointestinal Anxiety: When to Worry About Your Bowel Health
I am very worried? I often find myself imagining that I have serious illnesses due to minor health issues, which leads to anxiety. For a while, my stools have been softer and occasionally floating on the water. Sometimes, my bowel movements are very loose and break apart easily, ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is recommended to undergo a colonoscopy. If no significant issues are found, it may be a case of functional gastrointestinal disorder.[Read More] Understanding Gastrointestinal Anxiety: When to Worry About Your Bowel Health
Understanding Tubular Adenomas: Surgery vs. Monitoring Options
Colorectal tubular adenoma Hello, doctor. I recently underwent a routine colonoscopy, and it was found that at the cecal appendiceal junction, there is a tubular adenoma measuring 0.8 to 1.0 cm. However, because it is located at the junction, it cannot be directly removed with th...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please discuss in detail with your physician and express your concerns. The information you have provided makes it difficult to determine whether surgery is necessary and the reasons for it.[Read More] Understanding Tubular Adenomas: Surgery vs. Monitoring Options
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello doctor, last night after I had a bowel movement, I noticed a large amount of blood in the toilet. It looked like fresh blood, and the amount of stool was about the same as usual. The stool was yellowish in color and not hard, and the blood was separate from ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
If you have blood in your stool, please seek medical attention from a colorectal surgeon.[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Persistent Diarrhea Without Abdominal Pain: Possible Causes Explained
No abdominal pain, but persistent diarrhea? Hello Doctor, my father is nearly 50 years old and has had ongoing gastrointestinal issues. Recently, he has been experiencing excessive stomach acid and vomiting a little after eating. He underwent an endoscopy, and the doctor mentione...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is likely gastroenteritis; a low-fat, low-dairy, bland diet is recommended, and a visit to a gastroenterology outpatient clinic is advised.[Read More] Persistent Diarrhea Without Abdominal Pain: Possible Causes Explained
Managing Gallbladder Polyps: Prevention and Surgical Options
Cholecystectomy for gallbladder polyps? My mother recently had a test that showed a 0.4 cm polyp in her gallbladder. The doctor said it doesn't need to be removed yet. What methods can be used to inhibit its growth? If it gets larger, will the polyp be removed, or will the e...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Follow-up every six months; gallbladder polyps larger than 1 cm require management, even if asymptomatic.[Read More] Managing Gallbladder Polyps: Prevention and Surgical Options
Understanding Bowel Issues: When to Seek Medical Help for IBS Symptoms
Bowel issues Hello doctor, recently I have been experiencing some gastrointestinal issues. Sometimes I have diarrhea, and other times my stools are not well-formed. Currently, my stools are thin and elongated. I consulted a gastroenterologist who diagnosed me with irritable bowel...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Consider undergoing a colon X-ray or a colonoscopy.[Read More] Understanding Bowel Issues: When to Seek Medical Help for IBS Symptoms
Post-Meal Cough: Is It Gastroesophageal Reflux?
Cough and a sensation of something stuck in the throat? Hello doctor, I previously had bronchitis, and my condition improved after medication. Recently, I have been coughing a few times after meals, and my throat feels tight after eating. Could this be gastroesophageal reflux?
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It may be atypical symptoms of gastroesophageal reflux disease (GERD); please consult a gastroenterologist.[Read More] Post-Meal Cough: Is It Gastroesophageal Reflux?
Understanding Blood in Stool: Causes and Concerns for Patients
Rectal bleeding Hello, doctor. Today, after I had a bowel movement, I noticed blood on the toilet paper when I wiped, which really scared me. I've experienced blood in my stool before, but it was just a small amount on the paper. This time, it seemed like it was spraying out...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It could be an anal fissure or hemorrhoids; the amount of bleeding can range from minimal to significant.[Read More] Understanding Blood in Stool: Causes and Concerns for Patients
Understanding Abdominal Discomfort After Bowel Movements: Causes and Solutions
Bowel movement abdominal issues? Hello, doctor. After I have a bowel movement, I often feel discomfort that extends from the bottom of my right rib cage to my right pelvis, even affecting my right lower back and groin. It's a dull ache rather than pain, and I also experience...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, it may be a gastrointestinal dysfunction. If necessary, you can visit a gastroenterologist for a barium enema.[Read More] Understanding Abdominal Discomfort After Bowel Movements: Causes and Solutions
Persistent Sensation of Blockage: Seeking Relief from Gastrointestinal Issues
I have been feeling like something is stuck in my rectum for a long time. Please help me? Help! I have a persistent feeling of something being stuck in my rectum, making it uncomfortable whether I sit or stand, severely affecting my quality of life. Over the past year, I have und...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms of tenesmus, in addition to the aforementioned examinations, it is recommended to consult a colorectal surgeon.[Read More] Persistent Sensation of Blockage: Seeking Relief from Gastrointestinal Issues
Understanding GERD Medications: Side Effects and Recovery Options
Issues with Gastroesophageal Reflux Disease (GERD) Medications Hello Dr. Chen, I underwent an upper gastrointestinal endoscopy in April of this year, which revealed a relaxed lower esophageal sphincter causing gastroesophageal reflux disease (GERD). The doctor prescribed Strocain...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
1) It is recommended to discontinue Strocain and Domperidone. 2) Gastroesophageal reflux can be treated, but it is prone to recurrence. There are no medications that can completely cure it; they can only improve function.[Read More] Understanding GERD Medications: Side Effects and Recovery Options
Should You Remove a Pancreatic Tumor? Understanding MRI Reports
Is surgical resection necessary for this tumor based on the pancreatic MRI report? Recently, a family member experienced severe abdominal pain (radiating to the back) and underwent an MRI examination, which revealed a tumor in the pancreas. The hospital that performed the MRI sug...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is advisable not to rely solely on the report's content; it is important to consult with a clinical physician for their opinion.[Read More] Should You Remove a Pancreatic Tumor? Understanding MRI Reports
Understanding Bloating: Causes, Symptoms, and When to Seek Help
Bloating issues? Hello doctor, I often experience a bloated abdomen that feels round and tight, and sometimes it even causes pain. My gastrointestinal tract seems to be constantly moving throughout the day, and I can clearly feel gas buildup. When I press on my abdomen, I hear lo...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please visit the gastroenterology department. Initially, the likelihood of dyspepsia seems to be higher.[Read More] Understanding Bloating: Causes, Symptoms, and When to Seek Help