Understanding Severe Lower Abdominal Pain and Dizziness: Possible Causes
Lower abdominal pain, dizziness, and diarrhea? Since the first year of junior high school, I have experienced severe pain in my lower abdomen, accompanied by weakness and blurred vision at unpredictable times. However, after having a bowel movement, I feel better immediately. Som...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, based on the symptoms, it seems more like gastrointestinal spasms. It is recommended to consume a diet low in oil, dairy, and irritants, while increasing water intake and incorporating more fruits and vegetables for a gentle diet. Additionally, avoid a stressful and high-p...[Read More] Understanding Severe Lower Abdominal Pain and Dizziness: Possible Causes
Understanding Nighttime Abdominal Bloating and Gastrointestinal Discomfort
Gastrointestinal discomfort with a sensation of bloating in the lower abdomen at night? Hello, Doctor. Since I was young, I have had the habit of wanting to use the restroom after eating, approximately 2-3 times a day: once in the morning and 1-2 times in the afternoon or evening...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, based on the medical history and symptoms, the likelihood of irritable bowel syndrome with constipation is the highest. Of course, occasional rectal bleeding may be due to hemorrhoids. It is recommended to reduce oil, dairy, and irritating foods, and to increase water inta...[Read More] Understanding Nighttime Abdominal Bloating and Gastrointestinal Discomfort
How to Lower GOT and GPT Levels: Tips for Liver Health
GOT 48, GPT 71? Hello Dr. Chen, my liver enzyme levels are GOT 48 and GPT 71. I do not have hepatitis B or C. I am being treated at Asia University Hospital. I previously took medication for hyperthyroidism for about a year, but I am now well and no longer need to take it. My uri...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, aside from hepatitis B and C, another cause of abnormal liver function is fatty liver... Of course, there are also other less common causes. Therefore, it is essential to rely on abdominal ultrasound and some blood tests for diagnosis. If it is indeed fatty liver, the meta...[Read More] How to Lower GOT and GPT Levels: Tips for Liver Health
Stomach Pain and Nausea After Walking: Could It Be a Ulcer?
Experiencing abdominal pain and a slight feeling of nausea after walking for a long time? Today, I went out from Taoyuan to Taipei for a trip. After walking for a long time, I started to feel some stomach pain and nausea. Could this possibly be a peptic ulcer or something else?
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, ulcers rarely occur suddenly. Your condition is likely due to transient gastrointestinal hypermotility, which has resolved in the past. Sincerely, Dr. Chen Chi-Feng, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfa...[Read More] Stomach Pain and Nausea After Walking: Could It Be a Ulcer?
Understanding Colonic Health: Concerns About Symptoms and Diagnosis
Gastrointestinal issues Hello, doctor. May I ask where the sigmoid colon is located? About three centimeters to the left of my belly button, when I press down with my fingernail, I feel a hard lump (it's been there for about two years). I am quite thin, 178 cm and 52.6 kg, a...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, it is recommended to consult a gastroenterologist or a colorectal surgeon. If it were cancer, it would not take this long without other symptoms. Sincerely, Dr. Chen Chi-Feng, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health...[Read More] Understanding Colonic Health: Concerns About Symptoms and Diagnosis
Chronic Diarrhea and Abdominal Pain: Causes and Solutions Explained
Persistent diarrhea? Hello, doctor... I have been suffering from chronic diarrhea and abdominal pain for a long time. In early February 2015, I underwent a comprehensive health check-up, which included stool tests, endoscopy, abdominal ultrasound, and blood tests. They informed m...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, the diagnosis should be irritable bowel syndrome (IBS). It is recommended to follow a low-fat, low-dairy, and non-irritating gentle diet, manage stress and anxiety, and seek medical treatment with medication if necessary. Sincerely, Dr. Chi-Feng Chen, Attending Physician, ...[Read More] Chronic Diarrhea and Abdominal Pain: Causes and Solutions Explained
Understanding Stomach and Pancreatic Cancer: Symptoms, Diagnosis, and Treatment
Gastric cancer, pancreatic cancer? Dear Doctor, 1. Recently, I have experienced a loss of appetite and had black stools for two days. I went to the hospital for an endoscopy, and the doctor said I have an ulcer. I was prescribed medication. During the endoscopy, the doctor also ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, your condition is ulcer bleeding, and treatment will require a certain duration. If symptoms do not improve after treatment, an abdominal ultrasound can be arranged to assess the condition of the pancreas and liver. Staying up late does not cause liver cancer. Sincerely, D...[Read More] Understanding Stomach and Pancreatic Cancer: Symptoms, Diagnosis, and Treatment
Managing Bacterial Infection in Pancreatic Cyst Patients: Challenges and Solutions
Bacterial infection in pancreatitis My father has a pancreatic cyst and is currently undergoing drainage with a catheter. He also has a bacterial infection. He has been hospitalized for a week, but this week another cyst was discovered. Is this condition uncontrollable? Why is it...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, pancreatitis complicated by intra-abdominal pseudocyst infection or infectious necrosis can often be multiple and prone to dissemination. Sometimes, drainage and antibiotics alone are insufficient, and surgical intervention is often necessary, potentially requiring more th...[Read More] Managing Bacterial Infection in Pancreatic Cyst Patients: Challenges and Solutions
Understanding Hemorrhoids: Causes, Symptoms, and Treatment Options
Regarding hemorrhoids? Hello doctor, in the past few days, I have been straining too hard during bowel movements and a small piece of tissue has protruded from my anus. This has happened before, but it usually retracts on its own. However, now it suddenly won't go back in. I...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, this may be a sign of rectal prolapse, which is often associated with hemorrhoids. Please consult a colorectal surgeon at the Gastroenterology Department of Taoyuan Hospital, Ministry of Health and Welfare, Dr. Chi-Feng Chen.[Read More] Understanding Hemorrhoids: Causes, Symptoms, and Treatment Options
Clarifying Concerns About Rectal Mass and Gastrointestinal Health
Please ask again? Hello Dr. Chen, I am the patient who posted three images of anal masses. I apologize for reaching out again, as I am a bit confused about your previous response. You mentioned, "That is not a tumor, and it is necessary to perform a rectoscopy. To diagnose...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, a rectoscopy can be used to observe the condition of internal and external hemorrhoids. For diagnosing irritable bowel syndrome, a colonoscopy or a barium enema can be performed. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan Gen...[Read More] Clarifying Concerns About Rectal Mass and Gastrointestinal Health
Understanding Rectal Issues: Expert Insights on Hemorrhoids and Tumors
Please consult a physician? Hello Dr. Chen: I am the one who previously posted photos concerning a lump near my anus. Thank you for taking the time to answer my questions. I have another question to ask you, Dr. Chen. I had a colonoscopy five years ago, and no polyps were found; ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, that is not a tumor, and it is necessary to perform a colonoscopy. To diagnose irritable bowel syndrome, it is essential to rule out any issues throughout the entire colon. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan General H...[Read More] Understanding Rectal Issues: Expert Insights on Hemorrhoids and Tumors
Understanding Rectal Bleeding: When to Seek Further Medical Evaluation
Blood in stool About four months ago, I experienced rectal bleeding after a bowel movement. The blood was bright red and located on the left side of the stool, not mixed with it. I consulted a local gastroenterologist, who diagnosed me with hemorrhoids after a physical examinatio...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, based on the bleeding symptoms, the likelihood of hemorrhoidal bleeding is the highest. However, if the bleeding persists, it is still recommended to consult a colorectal surgeon and consider undergoing an endoscopic examination. Sincerely, Dr. Chi-Feng Chen, Attending Phy...[Read More] Understanding Rectal Bleeding: When to Seek Further Medical Evaluation
Understanding Floating Oil in Stool: Causes and Implications
Floating oily stools Hello Dr. Chen: I ate a bowl of A-Q around 10 PM the night before, but the next morning, my stool had oil floating on the surface of the water, while the stool itself was granular and sank to the bottom. I know this indicates constipation, but why is there fl...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, it is likely due to the greasy nature of instant noodles. This is a response from Dr. Chen Qi-Feng, attending physician of the Gastroenterology Department at Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Floating Oil in Stool: Causes and Implications
Acute vs Chronic Hepatitis B: Understanding Your Diagnosis and Next Steps
Acute Hepatitis B or Chronic Hepatitis B? Dear Dr. Chen, I apologize for the lengthy message, but I hope you can provide me with some advice. Last month, I went to the hospital for an examination due to stomach discomfort. The doctor ordered blood tests (first test on 5/13) whic...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, based on the clinical course and blood test follow-up, the likelihood of acute hepatitis B is the highest, and it seems that the patient has completely recovered from this acute hepatitis B episode, with the disappearance of surface antigens and the production of surface a...[Read More] Acute vs Chronic Hepatitis B: Understanding Your Diagnosis and Next Steps
Understanding Left Lower Abdominal Bloating: Causes and Concerns
Left lower abdominal bloating? Hello Doctor: Recently, I've been experiencing bloating in my lower left abdomen after eating. I have regular bowel movements every morning, and the stool color is normal. However, sometimes I feel the urge to have a bowel movement due to the b...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, based on the symptoms, it appears to be a case of gastrointestinal dysfunction. You can start by adjusting your diet: increase water intake and consume more fruits and vegetables while reducing fried and spicy foods. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Gastr...[Read More] Understanding Left Lower Abdominal Bloating: Causes and Concerns
Red Stool in Toilet: Should You Worry About Gastrointestinal Bleeding?
Red stool in the toilet? Hello, doctor. Today when I used the restroom, my stool turned the toilet red. The appearance of the stool was normal golden yellow, but one piece was broken and inside it was purplish-red. When I moved it slightly, it changed the color of the entire toil...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, if you have bleeding in the anal or rectal area and the symptoms persist, please consult a colorectal surgeon. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Red Stool in Toilet: Should You Worry About Gastrointestinal Bleeding?
Understanding Anal Fissures: Concerns About Rectal Bumps and Treatment
Consult a physician? Hello Doctor: I discovered an anal fissure while applying medication and took some pictures because I'm very concerned about two lumps I noticed. They are present when I stretch and relax, although they are not painful or itchy. There was no bleeding dur...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, based on the symptoms and photos, the likelihood of hemorrhoids is the highest. It is recommended to consult a colorectal surgeon. Sincerely, Dr. Chen Chi-Feng, Attending Physician, Department of Gastroenterology, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Anal Fissures: Concerns About Rectal Bumps and Treatment
Understanding Left Lower Abdominal Pain: When to Seek Further Medical Help
Left lower abdominal pain? Since last Saturday, I have been experiencing a stabbing pain in my lower left abdomen. I visited a gynecologist and had an ultrasound, but the doctor said nothing abnormal was detected, so I was prescribed some gastrointestinal medication, which has no...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, there are no significant organs in the lower left abdomen, so urinary tract issues should be prioritized for exclusion. Other concerns may relate to gastrointestinal dysfunction. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan Gen...[Read More] Understanding Left Lower Abdominal Pain: When to Seek Further Medical Help
Managing Bloating and Nausea: Tips for Digestive Health
Easily bloated and feeling nauseous? Doctor, I often experience bloating, and when it's severe, I feel like vomiting. Sometimes I experience bloating even when I haven't eaten. How can I address the issue of bloating? Additionally, how can I take care of my stomach, as ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, bloating is primarily due to poor gastric emptying, with causes including gastritis, peptic ulcers, and dyspepsia. In addition to dietary adjustments, it is advisable to reduce oil, dairy, and irritants, and to avoid foods that are prone to causing bloating. Sincerely, Dr....[Read More] Managing Bloating and Nausea: Tips for Digestive Health
What Could Be Causing My Gastrointestinal Issues?
What problem is occurring with my gastrointestinal system? Last Saturday and Sunday, I felt the urge to have a bowel movement, and I ended up going to the bathroom those two days. On Saturday, I had a small amount, but on Sunday, I had a lot, and it was quite watery. The diarrhea...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, your symptoms are consistent with acute gastroenteritis. They have slightly improved, but you are still experiencing gastrointestinal discomfort and a sense of urgency. Maintaining a low-fat, low-dairy, and bland diet for a few days should lead to improvement. Sincerely, D...[Read More] What Could Be Causing My Gastrointestinal Issues?