Dr. Chen Qifeng reply Gastroenterology and Hepatology Question - Page 43

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Late Night Sleep and Digestive Issues: Understanding Your Symptoms

Late-night sleeping and gastrointestinal concerns? Hello, doctor! I would like to ask, whenever I stay up late and possibly experience stress or negative emotions, I tend to have loose stools or diarrhea the next day. What could be the reason for this? Does this indicate irritabl...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Irritable Bowel Syndrome (IBS) must first be confirmed by ensuring there are no structural issues and no intestinal infections. Wishing you peace and health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

[Read More] Late Night Sleep and Digestive Issues: Understanding Your Symptoms


Understanding Abnormal Health Check Results: Blood in Stool and Enlarged Spleen

Questions Regarding Health Checkup Results Hello Doctor, I participated in the company employee health check and the result of the fecal occult blood test (quantitative method) was 50 ng/ml, which is significantly higher than the reference value of 12 ng/ml. I have a habit of tak...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: 1. Lycopene should not cause a positive fecal occult blood test. 2. A positive fecal occult blood test can occur due to any bleeding in the gastrointestinal tract from the mouth to the anus. 3. The likelihood of a false positive for splenomegaly in abdominal ultrasound is ...

[Read More] Understanding Abnormal Health Check Results: Blood in Stool and Enlarged Spleen


Understanding Abdominal Masses: Causes, Diagnosis, and Treatment Options

RE: Right lower abdominal mass with dull pain during the urge to defecate and urinate? [Response] Doctor: Taoyuan Hospital / Department of Gastroenterology / Dr. Chi-Feng Chen Hello: Based on your description, I personally believe the key point lies in the CT scan report. If the...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: 1. It does not resemble a mass in the colon or small intestine. 2. Some physicians can palpate it, while others cannot. It is possible that it sometimes becomes distended and can be felt, while at other times it subsides and cannot be felt, indicating that it is merely ...

[Read More] Understanding Abdominal Masses: Causes, Diagnosis, and Treatment Options


Persistent Right Lower Abdominal Pain: Seeking Non-Radiation Diagnostic Options

A mass in the right lower abdomen with dull pain during the urge to defecate and urinate? Hello Doctor, my question is about a mass in my lower right abdomen (located about 6-7 cm to the right of my navel and 5-6 cm downwards). I experience dull pain when I have the urge to defec...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the description, I personally believe the key point lies in the CT scan report. If the mass is located in the muscle layer, it is not an intra-abdominal issue. Therefore, it is necessary to confirm: 1. Is there really a mass? 2. Is the mass caused by inflammation?...

[Read More] Persistent Right Lower Abdominal Pain: Seeking Non-Radiation Diagnostic Options


Long-Term Use of Naisan: Risks and Effects on Stomach Health

Long-term use issues of Naisilin? Hello Dr. Chen, three years ago I injured my back and took anti-inflammatory medication for six months, after which my stomach has not been well. Over two years ago, due to increased stress, I underwent an endoscopy that revealed gastric inflamma...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: 1. It is recommended to use Nizatidine only after a diagnosis is confirmed via gastroscopy. 2. Side effects may include leukopenia and achlorhydria, but these are very rare, and there is little impact on the kidneys. 3. It can be taken as needed. Wishing you peace an...

[Read More] Long-Term Use of Naisan: Risks and Effects on Stomach Health


Frequent Foul Gas: What Causes Excessive Flatulence?

Possible reasons for frequently passing gas include: 1. Diet: Consuming foods high in fiber, such as beans, lentils, broccoli, onions Hello Dr. Chen, I have been experiencing frequent flatulence lately, and the odor is quite strong. What could be the reasons for this condition?...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Diet is the primary factor; reduce the intake of gas-producing foods, limit meat and刺激 foods, and consume less tea and coffee. There is no specific disease that causes foul-smelling flatulence. Wishing you peace, health, and well-being. Dr. Chen Chih-Feng, Gastroenterology...

[Read More] Frequent Foul Gas: What Causes Excessive Flatulence?


Understanding Gastrointestinal Discomfort: What to Do If Tests Are Positive

Gastrointestinal discomfort? Hello, doctor. Thank you for your patience in answering my questions. After that, the outpatient physician arranged for a stool test. If it unfortunately comes back positive, what diseases could I potentially have? What are the next steps in managemen...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Positive fecal occult blood can occur in conditions such as hemorrhoids, colitis, diverticulosis, colorectal polyps, and colorectal cancer. Based on age, hemorrhoids are the most likely cause, particularly internal hemorrhoids, which may be painless and itch-free, presenti...

[Read More] Understanding Gastrointestinal Discomfort: What to Do If Tests Are Positive


Understanding Gastrointestinal Discomfort After Infectious Mononucleosis

Gastrointestinal discomfort? Hello Doctor, I have recently been diagnosed with infectious mononucleosis and have been experiencing a continuous fever for almost three weeks. The infectious disease specialist mentioned that there is no infection in the liver or other organs, but I...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, there are signs of gastroenteritis. It is advisable to follow a diet low in oil and dairy, and to keep it light. If there is no improvement, you should consult a physician for a prescription for gastrointestinal medication. Wishing you safety and hea...

[Read More] Understanding Gastrointestinal Discomfort After Infectious Mononucleosis


Understanding Abdominal Pain and Blood in Stool: Should You Worry?

Abdominal pain with bloody stools? I previously underwent a barium enema, and the doctor said there were no abnormalities. However, I noticed a small amount of blood in my stool two days ago, and my stools are typically ribbon-like, with noticeable blood only that one time. I som...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: The diagnostic accuracy of barium enema for anal and rectal lesions is relatively poor. Based on your symptoms, the presence of blood in the stool likely originates from the anal or rectal area, and your bowel habits may be a result of functional disorders. It is recommend...

[Read More] Understanding Abdominal Pain and Blood in Stool: Should You Worry?


Struggling with Constipation: Seeking Solutions and Medical Advice

Constipation issues? Dear Doctor: I have been struggling with constipation for the past couple of years. I often only have a bowel movement every five to six days, and when I do, it's usually just a thin strip or a few small pellets. Sometimes, after five or six days, I expe...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, there is a clear indication of gastrointestinal dysfunction. However, further evaluation and examination are needed to determine if there are any organ pathologies. Wishing you peace and health. Sincerely, Dr. Chen Chih-Feng, Gastroenterology Departm...

[Read More] Struggling with Constipation: Seeking Solutions and Medical Advice


Blood in Stool: Should You Get a Full Colonoscopy?

Blood in stool 2 Hello Doctor: Recently, I have occasionally noticed blood streaks in my stool, likely due to holding in my bowel movements and delaying defecation. In my previous inquiry, I mentioned that I underwent a sigmoidoscopy in March of this year. The doctor indicated th...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: If you still experience rectal bleeding or other symptoms, you may consider undergoing a colonoscopy. Wishing you safety and health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

[Read More] Blood in Stool: Should You Get a Full Colonoscopy?


Black Particles in Stool: What It Could Mean for Your Digestive Health

Black particles in stool? Recently, I have been experiencing a burning sensation in the anus after bowel movements, and although the stool is yellow, it contains black particles. After using the restroom, the discomfort in the anus is somewhat relieved. Could this indicate a prob...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Yellow stool with black particles usually does not have any special significance and is often related to dietary content. As for the burning sensation around the anus, it may be associated with gastrointestinal function and conditions near the anal area. If necessary, you ...

[Read More] Black Particles in Stool: What It Could Mean for Your Digestive Health


Understanding Blood in Stool: Causes and Concerns for Gastrointestinal Health

Blood in the stool? Hello doctor, I have recently noticed that when I feel the urge to have a bowel movement but do not go immediately, I end up holding it in until it becomes urgent. When I finally do go, I feel a lot of pressure at the anal opening, and after I finish, I notice...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the above condition, it is concluded that the rectal bleeding is likely a result of hemorrhoids. You should consult a colorectal surgeon. Wishing you safety and good health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Heal...

[Read More] Understanding Blood in Stool: Causes and Concerns for Gastrointestinal Health


Understanding Bloating and Gas Symptoms After Intense Workouts

Severe flatulence symptoms (bloating?) Hello Dr. Chen, I would like to consult you regarding the issue of belching. Symptom Description: Condition (A): After weight training on October 24 (which included chest exercises), I felt shortness of breath, weakness, and tingling in m...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Belching is generally related to poor gastric emptying and gastrointestinal dysfunction, often accompanied by increased saliva production, which suggests a correlation with gastric acid secretion. It is recommended to visit a gastroenterologist for relevant examinations. W...

[Read More] Understanding Bloating and Gas Symptoms After Intense Workouts


Understanding Blood in Stool: Hemorrhoids or Something More Serious?

Blood in the stool? Hello doctor, about 7 years ago, I experienced rectal bleeding (the toilet had noticeable blood stains). I was later diagnosed with internal hemorrhoids. However, since that bleeding incident, I have not experienced any severe bleeding again for the past 7 yea...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, there are two issues: 1. hematochezia (blood in stool) 2. gastrointestinal dysfunction. It is recommended to undergo a routine stool examination and a barium enema or colonoscopy. If no abnormalities are found, it may be hemorrhoids and irritable bow...

[Read More] Understanding Blood in Stool: Hemorrhoids or Something More Serious?


Understanding Post-Bowel Movement Pain and Bleeding: What to Know

After a bowel movement, there was a sensation of pain? Last week, after having a bowel movement, I experienced difficulty and had to strain to pass stool. I initially thought that straining might have caused a small tear in the anal area, leading to some bleeding, and that it wou...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: It is likely an anal fissure, which causes pain and bleeding. If symptoms persist, you may visit a colorectal surgery specialist. Wishing you safety and health. Dr. Chen Qi-Feng, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

[Read More] Understanding Post-Bowel Movement Pain and Bleeding: What to Know


Understanding Recent Digestive Issues: When to Consider a Colonoscopy

Issues that have arisen in the past month? I have been experiencing frequent bloating in my lower abdomen, along with lower back pain and discomfort. My stools have been soft and not formed, and recently I have noticed undigested food in my stool. I had a stool occult blood test ...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Lower back pain is not necessarily related to gastrointestinal issues. However, gastroenteritis and indigestion do exist. It is recommended to consult a gastroenterologist. Wishing you safety and health. Dr. Chen Qi-Feng, Gastroenterology Department, Taoyuan General Hospit...

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


Understanding Blood in Stool: Causes, Concerns, and Next Steps

The presence of blood in my stool scared me? Last month, I suddenly experienced constipation followed by a large bowel movement that had blood in it. It was very painful afterward, so I told my mom, and she suggested that I might have hemorrhoids or something similar. After that,...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, the likelihood of bleeding from hemorrhoids is the highest. The weight loss may or may not be related; it could be coincidental. If you are concerned, you may visit a colorectal surgery department for consultation. Wishing you safety and health. Dr. ...

[Read More] Understanding Blood in Stool: Causes, Concerns, and Next Steps


Concerns About Digestive Issues: Understanding Symptoms and Causes

I am very worried about gastrointestinal issues? I have recently been experiencing constipation, and my stools have been consistently dark brown. When I wipe, there is some mucus, and sometimes I feel a slight pain in my lower left abdomen, although it's not very severe (the...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Individuals with constipation often experience discomfort in the lower abdomen and may even develop hemorrhoids that lead to bleeding. If the condition persists or worsens, it is advisable to consult a colorectal surgeon. Wishing you safety and health. Dr. Chen Qi-Feng, Ga...

[Read More] Concerns About Digestive Issues: Understanding Symptoms and Causes


Feeling Tired and Hungry After Meals: Gastrointestinal Concerns Explained

Easily hungry, easily fatigued, and feeling sleepy? Hello Doctor: I have noticed for over 20 years that I feel sluggish and sleepy after meals, and this is still the case now. I have also become more aware of feeling hungry; for example, after breakfast, I feel a bit hungry aroun...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: You may first go to the hospital for a health insurance-covered adult health check-up to understand some basic functions, and then visit the gastroenterology department if necessary. Wishing you safety and health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Department, ...

[Read More] Feeling Tired and Hungry After Meals: Gastrointestinal Concerns Explained


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