Dr. Chen Qifeng reply Gastroenterology and Hepatology Question - Page 44

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Understanding Bowel Issues: When Constipation and Blood Occur

Experiencing the urge to defecate but being unable to do so? Dear Dr. Chen, I have been experiencing unusual bowel movements for the past two to three days. Initially, there was blood in my stool. I consulted a doctor who prescribed medication for hemorrhoids to apply to my anus...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: After completing a colonoscopy, you will be able to understand your condition. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

[Read More] Understanding Bowel Issues: When Constipation and Blood Occur


Understanding Rectal Bleeding: Causes, Symptoms, and When to Seek Help

Rectal bleeding Hello Doctor: During my high school entrance exam period, I experienced rectal bleeding for a while. When I consulted a doctor, they suggested that it might be due to stress and irregular lifestyle, so I didn't pay much attention to it. However, even after st...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: The likelihood of hemorrhoids increases with age. Even after surgery, hemorrhoids may recur. It is recommended to seek surgical treatment from a colorectal specialist. Generally, the possibility of not detecting polyps is low. Wishing you safety and health. Dr. Chen Chih-F...

[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and When to Seek Help


Understanding Elevated CA19-9 Levels: Should You Be Concerned?

CA19-9 is elevated!! Hello Doctor: I previously consulted you about my elevated CA 19-9 levels, which have been high since 2009. After a recheck at the end of November last year, my CA 19-9 level was 117. Two and a half months later, in early February this year, it was 109. I als...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Generally speaking, if there is indeed a tumor, the markers would already be in the hundreds, or even thousands, and there would be other symptoms present as well. If an MRI has already been performed, the next step would be to continue monitoring. Wishing you peace and go...

[Read More] Understanding Elevated CA19-9 Levels: Should You Be Concerned?


Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?

Bleeding from the rectum? Hello Dr. Chen, yesterday I had barbecue and ate 5 pieces of beef, which may not have been cooked thoroughly. After returning home, I experienced stomach pain and had diarrhea four times. The first bowel movement was normal without any loose stools. The ...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Acute gastroenteritis can lead to anal fissures or hemorrhoidal bleeding due to diarrhea, and the protrusion from the anus is likely related to hemorrhoids. If bleeding or pain persists, please consult a colorectal surgeon. Wishing you safety and health. Dr. Chen Chih-Feng...

[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?


Blood in Stool: Should You Get a Colonoscopy?

There is a small amount of blood in the stool? A couple of days ago, I noticed some red spots in my stool, but I'm not sure if it's blood. Today, the first part of my stool didn't have any blood, but the last bit had a small streak of red. I've also been feeli...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, the likelihood of hemorrhoidal bleeding is higher. As for nausea and dizziness, they are unrelated to this condition. Wishing you peace and good health. Dr. Chen Chih-Feng, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and...

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


Blood on Toilet Paper: What It Could Mean for Your Digestive Health

Blood on toilet paper after wiping can indicate several conditions, such as hemorrhoids, anal fissures, or gastrointestinal issues. It Hello, this morning I had about four bowel movements in a row. The first two were formed stools, darker in color, but the latter ones were loose,...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, it could be gastroenteritis leading to anal fissures or hemorrhoidal bleeding. You may consult a gastroenterologist. The physician will further assess whether additional examinations are necessary. Wishing you safety and health. Dr. Chen Qi-Feng, Gas...

[Read More] Blood on Toilet Paper: What It Could Mean for Your Digestive Health


Is the Red Substance in Your Stool Blood? How to Tell?

Is the red substance in the stool blood? How can it be determined? Hello, today I noticed some red specks mixed in my stool. The stool itself is not red, but there are some bright red bits that do not disperse in water. Could this be blood? How can I determine if it is blood? A f...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: If you have not consumed undigested red food, there is a possibility that it could be blood. If you have recently undergone a colonoscopy, you may continue to monitor the situation. Wishing you peace and health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan Gener...

[Read More] Is the Red Substance in Your Stool Blood? How to Tell?


Understanding Symptoms of Colon Cancer: What You Need to Know

Fear of colorectal cancer? A few days ago, I noticed blood in my stool, and the color was very red. Sometimes there was so much blood that it stained the toilet paper, but I was still able to pass stool. I had previously experienced hemorrhoids, but after treatment, my bowel move...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, the likelihood of hemorrhoids is the highest. Please visit a colorectal specialist. Wishing you safety and health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Understanding Symptoms of Colon Cancer: What You Need to Know


Occasional Diarrhea: Understanding Gastrointestinal Concerns and Next Steps

Occasional diarrhea? Hello, Doctor. In the past month or two, I have occasionally experienced a few days where I usually have a bowel movement in the morning. The first half of the stool is formed, while the second half is loose. After having lunch and taking a nap (about two to ...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, the gastrointestinal issue is most likely. Please visit the Department of Colorectal Surgery for consultation. Wishing you safety and health. Dr. Chen Qifeng, Gastroenterology, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Occasional Diarrhea: Understanding Gastrointestinal Concerns and Next Steps


Post-Meal Bloating and Discomfort: Seeking Solutions for Gastrointestinal Issues

Abdominal bloating and discomfort after meals? Hello, doctor. For the past month, I have been experiencing abdominal bloating and discomfort after every meal. I continuously burp after eating, which provides slight relief, but it takes a long time for the bloating to subside. Whe...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: It is not absolutely necessary to undergo an endoscopy; prioritizing medication adjustment is the main focus. Not all major hospitals lack thin endoscopes or transnasal endoscopes; for example, our hospital is equipped with one. Wishing you safety and health. Sincerely, Dr...

[Read More] Post-Meal Bloating and Discomfort: Seeking Solutions for Gastrointestinal Issues


Should You Get a Colonoscopy After Experiencing Blood in Stool?

Diarrhea with blood in the stool? Recently, I experienced severe diarrhea due to food poisoning, and I noticed fresh red blood in my stool, along with mucus and blood streaks when wiping. I've heard that this could be a warning sign for colorectal cancer, but it only happene...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Severe enteritis can lead to anal fissures with bleeding or complications such as hemorrhoidal bleeding. Therefore, it is advisable to continue monitoring. If blood in the stool occurs again, further examination will be necessary. Wishing you safety and health. Dr. Chen Ch...

[Read More] Should You Get a Colonoscopy After Experiencing Blood in Stool?


Understanding Colonic Descensus: Treatment Options and Dietary Tips

Colonic prolapse I have been experiencing mild pain in my upper right abdomen for the past six months. Recently, I arranged for a colon X-ray examination, and the doctor said that I have a prolapsed colon, which appears in an M shape, while it should normally be in a U shape. The...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Right upper quadrant pain may be associated with the liver, gallbladder, duodenum, and colon. If necessary, abdominal ultrasound and urgent gastroscopy should be performed. Colonic prolapse generally leads to bowel dysfunction, and if there are symptoms of constipation and...

[Read More] Understanding Colonic Descensus: Treatment Options and Dietary Tips


Understanding Gastrointestinal Issues: When to Consider a Colonoscopy

Intestinal issues? In the past week, I've been experiencing a feeling of urgency and heaviness in my rectum, but it's not too severe. Sometimes I feel slightly dizzy and have a decreased appetite. My stools are neither bloody nor excessively thick or thin. I would like ...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: It is recommended to follow a light diet, low in oil and dairy. If there is no improvement, please visit a gastroenterologist for further evaluation. Wishing you peace and good health. Sincerely, Dr. Chen Qi-Feng, Gastroenterology Department, Taoyuan General Hospital, Mini...

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


How Often Should You Get Checked for Colon Cancer After IBS Diagnosis?

I would like to have a medical consultation? Last year, I had some gastrointestinal issues and went to the hospital for a barium swallow test, which showed no abnormalities. I was diagnosed with irritable bowel syndrome (IBS). Recently, I'm not sure if it's psychologica...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on previous results and considering age, there is no specific recommendation on how often to undergo re-examination. Irritable bowel syndrome remains the most likely diagnosis. If dietary adjustments and gastrointestinal medications do not yield results, a colonoscop...

[Read More] How Often Should You Get Checked for Colon Cancer After IBS Diagnosis?


Understanding Irregular Bowel Movements: When to Seek Medical Advice

Constipation Hello Dr. Chen: For the past two months, I have frequently experienced soft and unformed stools, with very few instances of passing stool in a formed, cylindrical shape. I can't help but feel that the formed stools I do pass seem to be thinner, although they gen...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, the most likely diagnosis is enteritis. It is recommended to consult a gastroenterologist, and you may need to undergo stool tests and possibly further invasive procedures such as a colonoscopy if necessary. Wishing you safety and health. Sincerely, ...

[Read More] Understanding Irregular Bowel Movements: When to Seek Medical Advice


Does Appendectomy Affect Weight Gain? Understanding Post-Surgery Changes

After an appendectomy, Is it true that people gain weight after having their appendix removed? Is it because the absorption becomes slower after the appendectomy?


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: There is no such causation. If absorption really slows down, then one should lose weight, right? Wishing you peace and health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Does Appendectomy Affect Weight Gain? Understanding Post-Surgery Changes


Understanding Right Lower Abdominal Pain and Rectal Bleeding

Right lower abdominal pain and rectal bleeding? Hello, doctor. Recently, I've been experiencing rectal bleeding, the bright red kind. A while ago, I had pain in my anus and initially thought it was hemorrhoids. I took hemorrhoid medication, which helped reduce the pain and b...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Please visit the colorectal surgery department. Wishing you safety and health. Dr. Chen Qi-Feng, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Understanding Right Lower Abdominal Pain and Rectal Bleeding


Understanding Constipation: Causes, Symptoms, and Solutions

Constipation Hello, doctor. My symptoms include difficulty with bowel movements; I often feel the urge to go to the bathroom, but the amount is small (usually just a small segment each time). Additionally, my stools are not very smooth and have become thinner than before. I also ...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, it appears to be a dysfunction of the rectum and colon. It is advisable to consume more fruits and vegetables, reduce intake of greasy and dairy products, and avoid irritating foods. Wishing you peace and good health. Sincerely, Dr. Chen Chih-Feng, G...

[Read More] Understanding Constipation: Causes, Symptoms, and Solutions


Persistent Left Lower Abdomen Discomfort: Causes and Solutions

There is a persistent dull ache in the lower left abdomen? I have been feeling a dull ache in my lower left abdomen for two weeks. I went to see a doctor who performed an ultrasound and said there was only a bit of bloating in my intestines. The doctor prescribed medication for m...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Discomfort in the lower left abdomen is often associated with intestinal conditions. Abdominal ultrasound may have blind spots, so it is recommended to consult a gastroenterologist for further evaluation and to arrange additional X-ray or endoscopic examinations. Wishing y...

[Read More] Persistent Left Lower Abdomen Discomfort: Causes and Solutions


Unexplained Sensation in the Lower Left Abdomen: Possible Causes and Next Steps

There is a foreign body sensation in the left lower abdomen? Hello Dr. Chen, for the past two months, I have been experiencing an unexplained foreign body sensation in my lower left abdomen (located in the front abdominal area, about one and a half finger widths to the left of th...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: If a physician has diagnosed and conducted multiple tests with no issues found, it may be considered whether intestinal gas is the cause. Sometimes, the angles of the intestines can be significantly curved, making it easier to experience bloating or constipation, which can...

[Read More] Unexplained Sensation in the Lower Left Abdomen: Possible Causes and Next Steps


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