Dr. Chen Qifeng reply Gastroenterology and Hepatology Question - Page 42

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Understanding Crohn's Disease: Symptoms, Diagnosis, and Treatment Options

Treatment methods for Klippel-Feil syndrome? Hello doctor, I recently experienced discomfort in my lower right abdomen, often feeling air trapped in my abdomen. I underwent a colonoscopy and found that area to be inflamed and swollen. I've been experiencing diarrhea for a wh...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Crohn's disease is a chronic, transmural inflammatory condition that can affect any part of the gastrointestinal tract from the mouth to the anus. Approximately half of the patients will have rectal involvement, and it is often associated with various extraintestinal ...

[Read More] Understanding Crohn's Disease: Symptoms, Diagnosis, and Treatment Options


Understanding Left Lower Abdomen and Back Pain: Possible Causes and Solutions

Pain from the lower left abdomen to the left lower back? In the past week or two, I have been experiencing aching pain in the lower left abdomen and left lower back, approximately two fingerbreadths above the pelvis. The pain lasts about 20 minutes and occurs around 3 to 4 times ...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: First, it is important to understand if there are accompanying symptoms. If there is constipation or diarrhea, it may indicate gastrointestinal issues; if there is dysuria or increased urinary frequency, it may suggest a urinary tract problem; if there is vaginal bleeding ...

[Read More] Understanding Left Lower Abdomen and Back Pain: Possible Causes and Solutions


Understanding Unusual Stool: Causes and Concerns in Gastroenterology

Abnormal stool? Last month, when my menstrual period started, I experienced diarrhea. Since then, my bowel movements have been soft, and sometimes the stool sticks to my buttocks. What could this situation be?


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, it appears to be mild gastroenteritis. It is recommended to follow a low-fat, low-dairy, and bland diet. If there is no improvement, please visit a gastroenterology clinic for further evaluation. Wishing you safety and health. Sincerely, Dr. Chen Qif...

[Read More] Understanding Unusual Stool: Causes and Concerns in Gastroenterology


Understanding Chronic Digestive Discomfort: Causes and Solutions

Recently, I have been experiencing frequent gastrointestinal discomfort? Hello Doctor: I have been experiencing bloating and discomfort in my stomach for at least over a decade, but in the past year, the symptoms have slightly changed to a sensation of acid reflux (my stomach fee...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Upper abdominal bloating is related to gastritis and gastroesophageal reflux disease (GERD). In addition to medication, it is important to follow dietary and lifestyle precautions. Furthermore, individuals with a history of abdominal surgery are more prone to bloating, abd...

[Read More] Understanding Chronic Digestive Discomfort: Causes and Solutions


Understanding Gastrointestinal Issues: When to Consider a Colonoscopy

Gastrointestinal issues Hello doctor, I have been experiencing foul-smelling gas for the past three months, and I pass gas more than 20 times a day. Additionally, my daily bowel movements are thin and brownish-yellow in color, but there is no blood. Previously, my bowel movements...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: It is recommended to first visit a gastroenterologist for initial diagnosis and fecal examination. In terms of diet, it is advisable to follow a light and mild regimen, with low oil and low dairy. If necessary, further investigations such as a colon X-ray or even a colonos...

[Read More] Understanding Gastrointestinal Issues: When to Consider a Colonoscopy


Persistent Bloating and Gas: Seeking Solutions for Gastrointestinal Discomfort

I have been troubled by bloating issues for a long time? Hello Doctor: Since December, I have been experiencing a cough, cold, and abdominal bloating. I visited a clinic, and while the cold improved, the abdominal bloating persisted, accompanied by a sensation of excessive gas, f...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms you described, it is initially assessed as dyspepsia, which is essentially a gastrointestinal functional disorder. You should consider adjusting your dietary habits, such as eating smaller, more frequent meals, chewing thoroughly, avoiding overeating,...

[Read More] Persistent Bloating and Gas: Seeking Solutions for Gastrointestinal Discomfort


Persistent Urge to Defecate: Understanding Your Gastrointestinal Concerns

Constant urge to have a bowel movement? I have a persistent feeling of needing to have a bowel movement, even though I have undergone a colonoscopy that showed normal results, and there are no hemorrhoids. I have also consulted with gynecologists, and every doctor has said everyt...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Recommendations: 1. Adjust your diet: Limit greasy, spicy foods, and dairy products. 2. Warm sitz baths: Perform once daily after bowel movements, for 20 minutes each time. Wishing you safety and health. Department of Gastroenterology, Taoyuan General Hospital, Dr. Chen Ch...

[Read More] Persistent Urge to Defecate: Understanding Your Gastrointestinal Concerns


Does Mood Affect Your Gut Health? Understanding the Connection

Can a bad mood affect the gastrointestinal system? Dr. Chen: Hello! I would like to ask about my situation. I tend to be a person who prepares for the worst and often overthinks, which affects my mood. As a result, I experience symptoms similar to dry heaving, but it’s not actual...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: The nerve control of the stomach is partially derived from the parasympathetic nervous system, which originates in the brain. Therefore, issues with cranial nerves can affect gastrointestinal motility, secretion, and related conditions; thus, poor mood can indeed impact th...

[Read More] Does Mood Affect Your Gut Health? Understanding the Connection


Understanding Right Lower Abdominal Pain: Causes and Specialist Guidance

Right lower abdominal pain? I have been experiencing pain in my lower right abdomen (near the groin, which is the lowest part of the lower right abdomen). The pain has woken me up at night, and I feel more discomfort after eating or when I am anxious. This has been ongoing for qu...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: You can arrange for an upper gastrointestinal series or a colonoscopy with the gastroenterology department. If the results are normal, it would be classified as a functional disorder. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Department, ...

[Read More] Understanding Right Lower Abdominal Pain: Causes and Specialist Guidance


Dark Red Substance in Stool: Causes and Concerns Explained

There are dark red substances outside of the stool? Hello doctor, this morning after using the restroom, I noticed a dark red piece floating in the toilet before flushing. I used toilet paper to pick it up and when I pressed it, the paper became stained red (not dark red). I'...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: There is a high possibility of bleeding from hemorrhoids, and you may consider visiting a colorectal surgery department. Wishing you safety and good health. Dr. Chen Qi-Feng, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Dark Red Substance in Stool: Causes and Concerns Explained


Understanding Symptoms of Bloating and Abdominal Pain: When to Seek Help

Bloating in the stomach with left abdominal cramping radiating to the throat? Hello, doctor. A few years ago, I experienced a decrease in bowel movements, and after taking traditional Chinese medicine, I had a significant increase the next day. However, recently, despite eating a...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the described symptoms, it is recommended to consult a gastroenterologist for further clarification on which specific examinations are needed. Wishing you safety and good health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan Hospital, Ministry...

[Read More] Understanding Symptoms of Bloating and Abdominal Pain: When to Seek Help


Understanding Abnormal Liver Function Test Results: A Guide to ALKP and Protein Ratios

Questions about health check-up reports? Hello Doctor, I would like to ask about my health check report: 1. My ALKP value is 30 (the reference range provided in the report is 32-91 IU/L). Generally, a high ALKP level is considered unfavorable; what issues could arise from a low...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: ALKP is below the normal range, no need to worry. Protein level is 4.5, and globulin is 2.1, which are normal; the ratio does not need to be considered (a low ratio is more significant). Wishing you peace and health. Department of Gastroenterology, Taoyuan General Hospital...

[Read More] Understanding Abnormal Liver Function Test Results: A Guide to ALKP and Protein Ratios


Understanding Pink Discoloration on Toilet Paper: When to Seek Medical Advice

The toilet paper is thick and plush? Hello Dr. Chen, I usually have bowel movements twice a day. Recently, for the past two nights, after wiping, I've noticed a bit of pinkish color on the toilet paper. It's not bright red blood, but rather a slightly pinkish tint, and ...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: It is likely an issue related to the anal-rectal area, and you should consult a colorectal surgeon. Wishing you safety and good health. Dr. Chen Chih-Feng, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

[Read More] Understanding Pink Discoloration on Toilet Paper: When to Seek Medical Advice


Understanding Colorectal Cancer: Survival Rates and Dietary Guidance

Colorectal cancer in family members? My grandmother had colon cancer surgery on December 30th. Will chemotherapy shorten her life? She is currently at stage III, and out of 39 lymph nodes removed, 8 were infected. What is her current survival rate approximately? Can she eat Quake...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Whether chemotherapy is necessary depends on the patient's condition and the extent of tumor invasion. If conditions permit, it should still be administered. The 5-year survival rate for stage III is approximately 50%. Since it has been one month post-surgery, if the ...

[Read More] Understanding Colorectal Cancer: Survival Rates and Dietary Guidance


Understanding Changes in Bowel Movements: Causes of Soft and Mucous Stools

Abnormal bowel movements for over a week? I have had irritable bowel syndrome in the past, but recently it feels different. I am almost always having soft or mushy stools and feel the urge to have a bowel movement, although it's not an urgent feeling. There is no blood in th...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Before diagnosing irritable bowel syndrome (IBS), it is essential to rule out any organic diseases (such as inflammation, polyps, cancer, etc.). If a diagnosis has already been established, the focus should remain on dietary adjustments and medication. Wishing you peace an...

[Read More] Understanding Changes in Bowel Movements: Causes of Soft and Mucous Stools


Understanding Mucus in Stool: Causes and When to Seek Medical Advice

Mucus in stool? Hello Doctor, previously I had bowel movements approximately every two days, but it changed to once or twice a day. I visited the clinic over a month ago and underwent a fecal occult blood test, which diagnosed me with irritable bowel syndrome (IBS). All items in ...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: To diagnose irritable bowel syndrome (IBS), it is essential to first rule out any structural abnormalities of the colon. If relevant tests, such as colonoscopy and stool examinations, have already been performed, a diagnosis can then be made. If it is indeed IBS, managemen...

[Read More] Understanding Mucus in Stool: Causes and When to Seek Medical Advice


Understanding Recent Diarrhea: Gastrointestinal Concerns Explained

Recently experiencing diarrhea? Hello, doctor. On Wednesday night at 8 PM, I finished dinner and then had a lot of snacks around 10 PM. Later, when I went to bed at 1 AM, I suddenly felt discomfort in my stomach and had diarrhea. The next day, Thursday morning, I had another epis...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: The sudden onset of gastroenteritis symptoms, dumplings and chicken rice are a bit greasy for gastroenteritis. Wishing you safety and health. Dr. Chen Qifeng, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Understanding Recent Diarrhea: Gastrointestinal Concerns Explained


Understanding Dark Red Streaks in Stool: Should You Worry?

The stool appears to have blood in it? Hello doctor, I recently observed that there are several dark red spots in my stool, and when I touch them with toilet paper, they break apart... They look somewhat like blood clots attached to the stool. They are thin and somewhat red. Coul...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, the bleeding points are located near the anus or rectum, and hemorrhoids are certainly the most likely cause. If the bleeding persists, please seek medical attention from a colorectal surgeon. Wishing you safety and health. Dr. Chen Qifeng, Gastroent...

[Read More] Understanding Dark Red Streaks in Stool: Should You Worry?


Risk of Hepatitis B and C Infection from Haircut Blood Exposure

Hepatitis B and C infection issues? I would like to ask, today I went for a haircut, and because I had a pimple on the back of my neck, the barber accidentally broke it open with the electric clippers while trimming my hair, causing it to bleed. If the clippers had come into cont...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: In theory, it is possible, but the likelihood is low. After the use of instruments, whether the blood contamination remains infectious after a period of time is a concern. Wishing you safety and health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospit...

[Read More] Risk of Hepatitis B and C Infection from Haircut Blood Exposure


Understanding Gastrointestinal Issues: When to Consider a Colonoscopy

Gastrointestinal issues Hello, doctor. I have a few questions to ask you. Recently, I went to the hospital due to abdominal pain and underwent an endoscopy, blood tests, and a fecal occult blood test. The results showed that I have gastritis after the endoscopy, my blood tests we...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Fecal occult blood primarily tests for the presence of blood in the stool and is not directly related to inflammation. If there are changes in bowel habits, it is recommended to consult a gastroenterologist for evaluation. Wishing you peace and health. Sincerely, Dr. Chi-F...

[Read More] Understanding Gastrointestinal Issues: When to Consider a Colonoscopy


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