Understanding the Causes and Implications of Chronic Soft Stool: Is It Serious?
What causes long-term loose stools that do not form into a solid shape, and is it good or bad? Doctor, I have been experiencing long-term soft stools or watery bowel movements (I haven't had formed stools for a long time). Occasionally, I feel abdominal pain that resembles c...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Both functional disorders and organic lesions can present the above symptoms. It is recommended to consult a gastroenterologist for diagnosis and arrange for examinations. Wishing you safety and health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan Hos...[Read More] Understanding the Causes and Implications of Chronic Soft Stool: Is It Serious?
Blood on Toilet Paper After Bowel Movements: Causes and When to Seek Help
Blood on toilet paper after wiping can be a sign of several conditions, including hemorrhoids, anal fissures, or gastrointestinal issues. It is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment? I have been experiencing bright red ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Abdominal pain and bleeding are not necessarily related. From a pathological perspective, the most common cause of rectal bleeding is hemorrhoids. However, other conditions such as rectal inflammation, polyps, diverticula, or even tumors could also be potential causes. It ...[Read More] Blood on Toilet Paper After Bowel Movements: Causes and When to Seek Help
Concerns About Recurring Bowel Obstruction After Childhood Surgery
At the age of 5, a sigmoid colon resection was performed. Recently, the individual has been feeling down, often fatigued, and has a desire to sleep. Is there a possibility of recurrent bowel obstruction? Past Medical History: At the age of 5, the cause was unknown, as stated in t...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Symptoms of intestinal obstruction include difficulty in bowel movements, abdominal distension, altered bowel sounds, and even nausea and vomiting. Patients who have undergone abdominal surgery are prone to adhesions and intestinal obstruction. It is preferable to maintain...[Read More] Concerns About Recurring Bowel Obstruction After Childhood Surgery
Understanding Fatty Liver: High Liver Enzyme Levels Explained
Fatty liver disease issues? Hello Doctor: My height is 171 cm and my weight is 82 kg. Currently, my blood test results are as follows: 1. GPT: 180 (normal range: 4-44 U/L) 2. GOT: 83 (normal range: 8-38 U/L) 3. R-GT: 134 (normal range: 6-73 U/L) 4. MCV: 101.5 (normal range: 80-10...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: If there is no hepatitis B and no alcohol abuse, it may be related to fatty liver. The R-GT levels in fatty liver can also potentially double. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Department of Gastroenterology, Taoyuan General Hospital, Ministry of ...[Read More] Understanding Fatty Liver: High Liver Enzyme Levels Explained
Understanding Gastrointestinal Bleeding and Black Stool: A Guide
Gastrointestinal bleeding with black stools? Hello, my grandfather is currently experiencing gastrointestinal bleeding and has passed black stools. He has sought medical attention and is hospitalized, receiving blood transfusions and oxygen therapy. He is able to eat, but for som...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: First, has the occurrence of melena and other bleeding phenomena stopped? Next, has the anemia condition been adequately corrected? Also, has the patient been eating well? Lastly, consider the patient's advanced age and physical weakness. Wishing you peace and health....[Read More] Understanding Gastrointestinal Bleeding and Black Stool: A Guide
Understanding Post-Colonoscopy Discomfort and Dietary Tips for Ulcer Patients
Gastrointestinal discomfort after biopsy of colonoscopy ulcers? My father went to the hospital two days ago due to abdominal pain. After undergoing a colonoscopy, it was found that he has symptoms of ulcers and also discovered polyps. Three biopsies were taken, but after the biop...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: General biopsies are not related to bloating. It is common to experience bloating after an upper gastrointestinal endoscopy, as air is introduced during the procedure to facilitate observation; however, this is usually temporary and should improve within a few hours. Of co...[Read More] Understanding Post-Colonoscopy Discomfort and Dietary Tips for Ulcer Patients
Understanding Bowel Issues: What Your Symptoms Might Indicate
Constipation Hello doctor, recently I have been experiencing bowel movements that are usually smooth, but shortly after, I feel the urge to go again. However, it requires a lot of effort to pass, and the amount is very small. Most of the stools are not well-formed, and some resem...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, it appears to be gastroenteritis. You may want to consult a gastroenterologist. If the stool is becoming thinner due to conditions such as colon cancer, it will continue to get thinner. Wishing you safety and good health. Sincerely, Dr. Chen Chih-Fen...[Read More] Understanding Bowel Issues: What Your Symptoms Might Indicate
Understanding Edema After Antacid Use: A Patient's Dilemma
Consultation: Unexplained edema after taking antacids? Hello Dr. Chen, 1. Around mid-May, my mother sought medical attention for stomach pain (no endoscopy was performed), and the doctor prescribed medication (I don't remember the name). After taking the medication for a f...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: There are many causes of edema, including diseases of the heart, liver, and kidneys, as well as circulatory issues. Medications can also be a contributing factor. Besides using Ranitidine or Pantoprazole, are there any other medications being used? If these medications are...[Read More] Understanding Edema After Antacid Use: A Patient's Dilemma
Understanding Blood-tinged Mucus in Stool: Causes and Concerns
Stool with mucus and blood? I would like to consult a physician. Last week, after using the restroom, I noticed a small amount of clear mucus with blood at the end of my stool. Over the past few days, I have carefully observed and it has only occurred once more, but the stool col...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Bleeding may occur from the anal area or hemorrhoids due to pressure during diarrhea. If similar symptoms persist, you may visit a proctology or gastroenterology specialist for evaluation. Wishing you safety and health. Dr. Chen Qi-Feng, Gastroenterology Department, Taoyua...[Read More] Understanding Blood-tinged Mucus in Stool: Causes and Concerns
Is Sunburn Linked to Gastrointestinal Discomfort? Insights from a Specialist
Is gastrointestinal discomfort related to sun exposure? Hello Dr. Chen, I went swimming about a week ago, and this week I've noticed peeling skin. I saw online that sunburn can cause peeling, and it seems to affect gastrointestinal health. I've been experiencing discomf...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: It is generally believed that sunburn or peeling skin has no direct relation to the gastrointestinal system. Wishing you peace and health. Dr. Chen Qi-Feng, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Is Sunburn Linked to Gastrointestinal Discomfort? Insights from a Specialist
Finding Gastroenterology Specialists for Fistula and Hemorrhoids in Taichung
Consult a physician? Hello Dr. Chen, could you please recommend a specialist in fistula/hemorrhoids in Taichung (Tanzi)? Thank you!
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: You may visit the Colorectal Surgery Department at Cheng Ching Hospital or Veterans General Hospital for consultation. Wishing you safety and good health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Finding Gastroenterology Specialists for Fistula and Hemorrhoids in Taichung
Managing Wound Care After Possible Fistula Rupture: Key Tips
Suspected rupture of the fistula tract? I have booked a flight back to Taiwan on the 17th, but I discovered this morning that my wound has opened up, and there is only a little blood and fluid. Doctor, can I wait for another ten days? How should I manage and care for the wound? C...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: The catheter itself can have an opening, please continue to apply the medication and take antibiotics. Wishing you safety and health. Dr. Chen Qi-Feng, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Managing Wound Care After Possible Fistula Rupture: Key Tips
Understanding Dark Red Blood in Stool: Possible Causes and Concerns
Dark red blood in the stool? Hello, for the past two days, my stool has been accompanied by dark red blood. Yesterday, there was less blood, but it was noticeable. However, today, it felt like the entire stool was surrounded by dark red blood. There is no particular discomfort ar...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, the likelihood of hemorrhoidal bleeding is the highest. Please visit a colorectal surgery specialist. Wishing you safety and good health. Dr. Chen Qi-Feng, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Dark Red Blood in Stool: Possible Causes and Concerns
Understanding Gastrointestinal Issues: Symptoms and Recovery from Gastroenteritis
Gastrointestinal issues Hello Dr. Chen, 1. I have seen a doctor who diagnosed me with gastroenteritis. I experience particularly severe bloating in the evening, which subsides by the morning. The prescribed medications are Pipeine, Vantyl, Gascon, Promethazine F.C., and Dulcola...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Gastroenteritis generally refers to diarrhea, possibly accompanied by vomiting, and it should not involve the use of dulcolax. I suspect it may be indigestion. Wishing you peace and health. Dr. Chen Chih-Feng, Gastroenterology Department, Taoyuan General Hospital, Ministry...[Read More] Understanding Gastrointestinal Issues: Symptoms and Recovery from Gastroenteritis
Do I Need Another Colonoscopy? Understanding Symptoms and Concerns
Do I need a colonoscopy? Hello Doctor, I am 27 years old and have been experiencing mucus and blood in my stools for several years. I had a colonoscopy (sigmoidoscopy) when I was 20, which showed normal results. I also underwent a digital rectal examination, and the doctor inform...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: 1. Yes. 2. Hemorrhoids have little effect on the shape of stool. However, if the stool continues to become thinner and thinner, be cautious of tumors. 3. Please seek medical treatment from a physician. Wishing you safety and good health. Dr. Chen Chih-Feng, Gastroenterolog...[Read More] Do I Need Another Colonoscopy? Understanding Symptoms and Concerns
Understanding Hepatitis B: Negative Antibodies and Vaccination Recommendations
Hepatitis B The presence of negative antibody-antigen results does not necessarily indicate that you have hepatitis B. The report suggests that you should consider getting vaccinated.
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: If the surface antigen and antibodies are negative, and anti-HBc is present, it indicates that the individual has never been infected and has not been vaccinated. Vaccination should be administered. Wishing you peace and health. Dr. Chi-Feng Chen, Gastroenterology Departme...[Read More] Understanding Hepatitis B: Negative Antibodies and Vaccination Recommendations
Understanding Fistulas: Key Questions for Liver and Gastrointestinal Health
Suspected fistula? Thank you, Dr. Chen, for your response. Regarding the small lump from last time, I sent a photo back to Taiwan and was informed that it is a fistula. I would like to ask Dr. Chen: 1. Due to work commitments, I will not be able to return to Taiwan for another ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Generally, a rectal tube may not necessarily address hemorrhoids simultaneously. As for antibiotics, they can only temporarily suppress the condition, but if the situation is severe, early surgery is necessary. Wishing you safety and health. Dr. Chi-Feng Chen, Gastroentero...[Read More] Understanding Fistulas: Key Questions for Liver and Gastrointestinal Health
Understanding a 2cm Homogeneous Low-Echogenic Nodule in the Liver
An ultrasound examination revealed a 2 cm homogeneous hypoechoic nodule in the liver? Could you please provide more context or details about the medical condition you are inquiring about? Thank you.
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: The assessment should consider conditions such as hepatitis B, and then evaluate the characteristics of the ultrasound images for further judgment. Wishing you safety and health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health a...[Read More] Understanding a 2cm Homogeneous Low-Echogenic Nodule in the Liver
Understanding Small Bumps Near the Anus: Causes and Solutions
There is a small lump near the anus? Last October, I developed hemorrhoids that caused an anal fissure (posterior). Almost every day, I experienced bleeding during bowel movements (in the morning and at noon). Recently, for the past month, I have been taking medication, and my bo...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: It is recommended to take warm sitz baths for 20 minutes each morning and evening, followed by applying medication, in conjunction with anti-inflammatory treatment. If there is no improvement, please visit the colorectal surgery outpatient clinic for further treatment. Wis...[Read More] Understanding Small Bumps Near the Anus: Causes and Solutions
Understanding Hiccups: Insights for Gastroesophageal Reflux Patients
Could you please provide more details or specify your question regarding hiccups? Hello Doctor: I have gastroesophageal reflux disease (GERD) and I would like to ask about experiencing long burps five to six times intermittently within two hours after eating, sometimes accompanie...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Hiccups are related to poor gastric emptying and are generally associated with conditions such as gastritis or peptic ulcers. As a principle, avoid overeating and limit the intake of hard-to-digest foods, while considering the use of medications that promote gastric motili...[Read More] Understanding Hiccups: Insights for Gastroesophageal Reflux Patients