Understanding Gallbladder Polyps: When to Worry and What to Do
Gallbladder polyp Hello Dr. Chen, since I started undergoing health check-ups in February 2013, I discovered an issue with gallbladder polyps. At that time, there was only one polyp, approximately 0.5 mm in size. However, during a follow-up health check arranged by my company in ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
The principles of surgery for gallbladder polyps are that if the size is greater than 1 centimeter or if the number continues to increase, cholecystectomy should be considered due to the risk of complications. If a person experiences diarrhea after consuming oily foods, it may be...[Read More] Understanding Gallbladder Polyps: When to Worry and What to Do
Understanding Hard Lumps Near the Anus: Causes and Treatments
There is a lump near the anus? There is a hard lump near the anus that sometimes itches and feels like it is swelling and shrinking with heat. I went to the hospital, and the doctor said it might be an infection. I initially took antibiotics, and later switched to topical medicat...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It may be a case of hemorrhoids, a fistula, or a perianal abscess. Please consult a colorectal surgeon.[Read More] Understanding Hard Lumps Near the Anus: Causes and Treatments
Understanding Coffee Enemas: Expert Insights on Dependency and Health Risks
What is Dr. Chen's opinion on the popular practice of "coffee enemas"? What is Dr. Chen's opinion on the popular practice of "coffee enemas"? I have been suffering from chronic hemorrhoids and severe constipation, and recently I have become particula...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
In general, coffee enemas are highly regarded; however, the best approach is to adjust one's diet to facilitate regular bowel movements. Increasing the intake of fruits and vegetables, reducing fried and irritating foods, and drinking plenty of water are essential conditions...[Read More] Understanding Coffee Enemas: Expert Insights on Dependency and Health Risks
Understanding Liver Inflammation and Elevated CA19-9 Levels
Liver, CA19-9 Hello, Doctor! The recent blood test report shows T-Bilirubin 2.14 mg/dL, D-Bilirubin 1.32 mg/dL, GOT 159 U/L, GPT 482 U/L, Alk-P 151 U/L, GTP 484 U/L, and Eosinophil 0.4%, which is below the normal value of 0.9. AFP is 3.17 ng/mL (which is normal), CEA is 4.25 ng/m...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Such a blood test report indicates that it is not the time to discuss dietary considerations, but rather the time to undergo further examinations. The preliminary assessment suggests the highest likelihood of bile duct obstruction (rather than hepatitis), and a referral to a gast...[Read More] Understanding Liver Inflammation and Elevated CA19-9 Levels
Understanding Green Diarrhea with Mucus and Blood: What to Do?
Green diarrhea with mucus and blood? Hello Doctor: I am currently abroad and it's inconvenient for me to see a doctor, so I'm seeking advice online. Recently, I've been experiencing gastrointestinal discomfort that has persisted for some time. Here’s the timeline o...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, there is a high possibility of gastroenteritis; however, the presence of mucus and blood increases the likelihood of bacterial enteritis. If antibiotics have been taken without improvement, it may be necessary to seek medical attention.[Read More] Understanding Green Diarrhea with Mucus and Blood: What to Do?
Understanding Gallbladder Polyps: Risks, Symptoms, and Surgical Options
Cholecystectomy Hello Doctor, during today's employee health check, an abdominal ultrasound revealed a 0.4 x 0.7 cm polyp at the fundus of the gallbladder, which was not detected in last year's ultrasound. Other blood test results are as follows: CEA and CA 19-9 are nor...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
CA72-4 is a marker that has high sensitivity but low specificity; it can be elevated even in cases of gastric inflammation. As for gallbladder polyps, they are generally not related. It is usually recommended to follow up every six months, and intervention is only considered if t...[Read More] Understanding Gallbladder Polyps: Risks, Symptoms, and Surgical Options
Understanding Blood in Stool: Causes and When to Seek Further Testing
Blood in the stool? Hello, Doctor. In August, I experienced stomach pain and bloating, along with frequent burping and flatulence. I underwent an endoscopy, and the doctor diagnosed me with excessive stomach acid, gastroesophageal reflux disease (GERD), and gastric erosion. I hav...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Some symptoms, such as flatulence and bloody stools, are associated with colonic issues. Although a sigmoidoscopy has been performed, a full colonoscopy may still be necessary if indicated.[Read More] Understanding Blood in Stool: Causes and When to Seek Further Testing
Understanding Anal Skin Tags: Causes, Symptoms, and Treatment Options
Anal polyp There is a flesh-colored lump about 1 cm in size at the anal opening, present for at least 5 or 6 years. Aside from occasional constipation, which causes slight bleeding when wiping the anus and during bowel movements, there is no discomfort, and it does not hurt when ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
This falls under the scope of colorectal surgery.[Read More] Understanding Anal Skin Tags: Causes, Symptoms, and Treatment Options
Understanding Swallowing Difficulties: When to Seek Medical Help
Is it dysphagia? Doctor, I have a history of gastrointestinal issues but have not been on long-term medication for it. A few years ago, I started experiencing intermittent difficulty swallowing solid foods (liquid foods do not cause any issues). Each time this occurs, I feel unco...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, an esophagogastroduodenoscopy (EGD) is necessary to rule out esophageal-related diseases.[Read More] Understanding Swallowing Difficulties: When to Seek Medical Help
Understanding Blood in Stool: Possible Causes and Concerns
Blood in the stool? Hello Dr. Chen, in recent months, my bowel movements have been somewhat irregular, often leaving me with a feeling of incomplete evacuation. It feels like there is a portion that gets stuck at the anal opening, and I have to use my fingers to help. Sometimes, ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please go to the colorectal surgery department for further examination.[Read More] Understanding Blood in Stool: Possible Causes and Concerns
Understanding Blood in Stool: When to Seek Medical Attention
Rectal bleeding Hello Doctor: My bowel habits vary; sometimes they are normal, sometimes they are thin and long, and sometimes they are hard. However, I always feel like I haven't completely emptied my bowels, as if there is still something near the anus. It feels like it ge...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
The phenomenon of bloody stools. It is recommended to consult a colorectal surgeon.[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Understanding Mucus in Stool: Causes and Solutions for Digestive Health
Mucus in stool? Hello Doctor, I would like to inquire about the issue of mucus in my stool. About a month ago, after having only a sandwich with approximately 800cc of soy milk for lunch, I felt some discomfort in my abdomen that evening. Subsequently, I noticed mucus in my flat...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is acute gastroenteritis; please see a gastroenterologist to rule out the possibility of infectious abdominal pain.[Read More] Understanding Mucus in Stool: Causes and Solutions for Digestive Health
Understanding Rectal Bleeding: Causes, Symptoms, and Care Tips
Rectal bleeding, with blood resembling a hemorrhage? Hello Doctor, I have a question I would like to ask you. I have an internal hemorrhoid and have visited the outpatient clinic, but I was only prescribed medication without surgical removal. Now, whenever I exert myself during...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please visit a colorectal surgeon to determine if surgical intervention is necessary. Additionally, hemorrhoids may still recur after surgery.[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and Care Tips
Understanding Elevated G-GT Levels: Causes and Management Tips
Elevated G-GT levels? Hello Doctor, I previously had a blood test related to my liver, and the first time my G-GT level was 67, while both GOT and GPT were within normal ranges. About a month later, I had another blood test for follow-up, and I found that my G-GT level dropped to...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Fatty liver can be managed with normal GOT and GPT levels. If rGT is elevated, the general recommendation is to reduce oil and sugar intake, limit alcohol consumption, and increase physical activity. Follow-up should be done every 4 to 6 months.[Read More] Understanding Elevated G-GT Levels: Causes and Management Tips
Post-Colonoscopy Concerns: How Often Should You Get Checked?
Questions Regarding Colonoscopy Aftercare Hello Doctor: I am a 26-year-old male. I underwent a painless colonoscopy and gastroscopy in August of this year (2016). Prior to this, I frequently experienced constipation (sometimes severe enough that I would only have a bowel movement...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
For individuals with a history of polyps, follow-up every 2-3 years is not too long, unless other symptoms arise, in which case they should consult a gastroenterologist.[Read More] Post-Colonoscopy Concerns: How Often Should You Get Checked?
Understanding Bowel Issues: Flat Stools and Excessive Gas Concerns
Bowel issues Hello Doctor, I am Ayou. I would like to ask you about two issues: 1. Regarding the shape of my stools and the frequency of passing gas. Over the past three months, I have observed that my stools have been flat, or sometimes lumpy (with small pieces), or very thin....
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, it appears to be indigestion and gastrointestinal dysfunction. Please adjust your diet to a mild diet that is low in oil, low in dairy, and avoids irritating foods. If there is no improvement, please consult a gastroenterologist.[Read More] Understanding Bowel Issues: Flat Stools and Excessive Gas Concerns
Understanding Nocturnal Fecal Leakage: Causes and Solutions
During bowel movements, there may be a small amount of fecal leakage during sleep? 1. No other abnormalities in the body (such as pain or discomfort). 2. Urgency to defecate, with watery stools during bowel movements. 3. Small amounts of fecal leakage from the anus during nightti...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is likely a symptom of gastroenteritis; please consult a gastroenterologist.[Read More] Understanding Nocturnal Fecal Leakage: Causes and Solutions
Managing Long-Term Loose Stools: Causes and Solutions
Chronic diarrhea Hello doctor, last month I had gastroenteritis and after seeing a doctor, I experienced constipation from the medication. After finishing the medication, I recovered for a few days, but then I continued to have soft stools, which are almost mud-like. Occasionally...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is likely that the gastroenteritis has not fully resolved, or there may be post-gastroenteritis gastrointestinal dysfunction. It is recommended to follow a gentle diet that is low in oil, low in dairy, and low in irritants. If symptoms do not improve, please consult a gastroen...[Read More] Managing Long-Term Loose Stools: Causes and Solutions
Is Sudden Change to Regular Bowel Movements a Cause for Concern?
Sudden improvement in bowel movements? I have had difficulty with bowel movements since childhood; there were times when I could go a week without a bowel movement. However, just before I turned 30, my bowel movements suddenly became regular. Earlier this year, I underwent hemorr...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
The key symptoms in your case are the increasingly narrow stools and loss of appetite, rather than a change from constipation to regular bowel movements. Additionally, you have undergone a colonoscopy this year with no issues (if there were any problems, the physician would have ...[Read More] Is Sudden Change to Regular Bowel Movements a Cause for Concern?
Loss of Appetite and Fatigue: Understanding Digestive Health Issues
Loss of appetite & lethargy It has been almost the second week, and in the morning around 8 AM, I feel normal, but starting from noon, I begin to feel more fatigued. At the same time, I experience a loss of appetite and occasionally have mild upper abdominal pain 30 minutes a...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
These symptoms are non-specific and cannot be used to determine a possible diagnosis. It is recommended to consult a gastroenterologist to clarify the underlying cause.[Read More] Loss of Appetite and Fatigue: Understanding Digestive Health Issues