Dr. Lin Minghui reply Gastroenterology and Hepatology Question - Page 13

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Understanding Intermittent Left Lower Abdominal Pain: Is It IBS?

Occasional left lower abdominal pain that sometimes bulges and then subsides? Hello Dr. Lin, I have been troubled by this issue for over five years. I experience intermittent sharp pain in my lower left abdomen, sometimes intense enough to make me roll on the bed. The frequency i...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 29-year-old female presents with intermittent left lower abdominal pain that occasionally becomes distended and then subsides. The pain is severe during episodes and is relieved after bowel movements. Possible causes for the left lower abdominal pain include gastrointest...

[Read More] Understanding Intermittent Left Lower Abdominal Pain: Is It IBS?


Understanding Lower Abdominal Pain: Causes and Concerns in Digestive Health

Lower abdominal pain? In the past few days, after finishing any meal, I have been experiencing dull pain in the lower abdomen about 5 to 10 minutes later. Sometimes it feels like cramping, but the pain goes away immediately after having a bowel movement. However, the stools have ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 16-year-old female is experiencing abdominal pain after meals, which improves after bowel movements. This could be due to gastroenteritis or irritable bowel syndrome, and follow-up is recommended. Additionally, there is a concern regarding pain in the right upper abdomen...

[Read More] Understanding Lower Abdominal Pain: Causes and Concerns in Digestive Health


Understanding Blood After Bowel Movements: Hemorrhoids or Something More?

Bleeding after bowel movements? On June 23, after having a bowel movement, I noticed blood on the toilet paper while wiping, approximately the size of a five-dollar coin, but there was no pain. Prior to this date, I had also seen one or two spots of blood on the toilet paper afte...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 28-year-old female is experiencing blood after bowel movements, with blood on toilet paper, and has loose stools. There is no pain in the anus, and her weight has not changed after bowel movements. Common causes of post-defecation bleeding include hemorrhoids, anal fissu...

[Read More] Understanding Blood After Bowel Movements: Hemorrhoids or Something More?


Understanding Changes in Stool: What Does Thin Stool Mean?

Stool becomes thin? I am 19 years old and have been experiencing constipation for about 6 years, with bowel movements occurring every 3 to 7 days. The stools are mostly pellet-like, resembling sheep feces, but occasionally I have normal stools and sometimes diarrhea. Recently, I ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 19-year-old female has been experiencing chronic constipation for about six years. One day, she noticed blood in her stool without pain, and recently her stools have become thinner. Common causes include constipation, hemorrhoids, anal fissures, inflammation, and polyps,...

[Read More] Understanding Changes in Stool: What Does Thin Stool Mean?


Post-Hemorrhoid Surgery: Managing Itching, Bleeding, and Hygiene Issues

Post-hemorrhoid surgery Hello, doctor. I underwent a mixed excision surgery for internal and external hemorrhoids last August, and it's been nearly a year since then. I have two questions I would like to ask: 1. After using the restroom, I feel that my anus itches or feels...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 26-year-old male has undergone hemorrhoid surgery a year ago. There is residual stool, and it is recommended to increase the intake of fruits and vegetables for fiber, along with adequate hydration and physical activity to help form and pass stool more easily. The presen...

[Read More] Post-Hemorrhoid Surgery: Managing Itching, Bleeding, and Hygiene Issues


Understanding Elevated Total Bilirubin in Young Children: Causes and Next Steps

Abnormal total bilirubin levels The child has been approximately 2 years old since birth and has consistently had elevated total bilirubin and direct bilirubin levels. These levels have been gradually decreasing, but recent tests in May showed an increase in total bilirubin/direc...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, the child has had abnormal total bilirubin levels since birth, primarily with elevated direct bilirubin, and is now about 2 years old. In adults, elevated direct bilirubin levels can occur. Imaging studies have ruled out obstructive diseases. The causes of elevated direct ...

[Read More] Understanding Elevated Total Bilirubin in Young Children: Causes and Next Steps


Understanding Green Stool: Causes and When to Seek Medical Advice

Stool color Hello Doctor: 1. Since this year, the color of my stool has consistently been grass green, dark green, and blackish green. 2. I have daily bowel movements, the shape is normal, and I do not have diarrhea. 3. I have undergone both colonoscopy and gastroscopy, and t...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, if you are concerned about dark green stool, it is advisable to first check for any signs of bleeding in the stool. If there are any issues, further examinations will be necessary. To determine if there is a relationship with anemia or liver function, blood tests can be co...

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


Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?

Blood in the stool? During bowel movements, I feel significant pain closer to the anus, and I notice fresh blood on the toilet paper. My mother checked and said it doesn't seem like anything is wrong with the anus, but I'm unsure if it could be internal hemorrhoids. In ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: When experiencing hard stools, there is pain at the anal opening, accompanied by some bleeding. Taking stool softeners leads to diarrhea, and applying ointment provides some relief, but there are still streaks of blood in the stool. The presence of blood in the stool commo...

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


Fast Heartbeat, Dizziness, and Hiccups: Is It GERD?

Rapid heartbeat, dizziness, and hiccups? Hello, I have had gastrointestinal issues since childhood, and I often burp after eating. Last week, I started experiencing dizziness, and this week I noticed an increased heart rate (90 when lying down and over 100 when standing). I also ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, after eating and drinking, frequent burping, dizziness, and rapid heartbeat are observed. It is advised not to overeat or drink too quickly. It is recommended to check for any issues related to the esophagus, gastrointestinal tract, liver, gallbladder, and pancreas. Wishin...

[Read More] Fast Heartbeat, Dizziness, and Hiccups: Is It GERD?


Occasional Upper Abdominal Pain: Causes and Concerns Explained

Occasional pain in the upper abdomen? Hello, doctor. Recently, I have been experiencing a vague pain in the upper middle abdomen for the past few days. The pain is not very pronounced and tends to occur only with certain movements or when I walk briefly. I previously had a fibrom...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 26-year-old female is experiencing occasional pain in the upper abdomen/mid-upper abdomen, which sometimes worsens with movement. The fibroid removal is likely unrelated. She also has issues with gastrointestinal bloating and gastroesophageal reflux. It is advised to pay...

[Read More] Occasional Upper Abdominal Pain: Causes and Concerns Explained


Understanding Digestive Issues: Weight Loss and Bowel Changes Explained

Issues related to bowel movements and loud bowel sounds after meals? Hello Doctor, I underwent a colonoscopy at a colorectal clinic in early May, and the doctor later informed me that they would remove three hyperplastic polyps. Before the procedure, a digital rectal exam was per...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: The colonoscopy revealed polyps and benign tumors that require follow-up. You may consult a gastroenterologist or a colorectal specialist. Changes in stool patterns and weight loss are noted. It feels like the intestines are not absorbing nutrients, leading to weight loss....

[Read More] Understanding Digestive Issues: Weight Loss and Bowel Changes Explained


Understanding Bowel Issues: Symptoms, Causes, and Dietary Solutions

Bowel movement issues Hello, lately when I go to the bathroom to have a bowel movement, I still feel a lingering urge to go, as if something is stuck inside, giving me a sense of incomplete evacuation. I have tried to push harder, but after a long time, it feels too hard to come ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, you are experiencing difficulty in having a complete bowel movement, with a frequency of every 2-3 days. There is a family history of colorectal cancer. It is recommended to adjust your diet and develop healthy bowel habits. Increasing your intake of fruits and vegetables ...

[Read More] Understanding Bowel Issues: Symptoms, Causes, and Dietary Solutions


Post-Surgery Constipation: Understanding Lack of Bowel Urge and Solutions

Post-surgery lack of bowel movement can lead to constipation? I underwent a radical hysterectomy in early March. Although I experienced difficulty with bowel movements, I at least had the sensation of needing to go. In the third week post-surgery, I developed abdominal pain the d...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 48-year-old female patient is experiencing constipation and lack of bowel movement after surgery, requiring the use of stool softeners. It is common for gastrointestinal function to take time to adjust post-surgery, leading to decreased intestinal motility. It is recomme...

[Read More] Post-Surgery Constipation: Understanding Lack of Bowel Urge and Solutions


Understanding Left Lower Abdominal Pain and Its Causes

Left lower abdominal pain with slight protrusion? About two months ago, I suddenly started experiencing sharp pains in my lower left abdomen, similar to cramping. The pain is not constant; it comes in waves. Sometimes, it radiates to my lower back, causing soreness. Upon closer e...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, regarding a female patient experiencing intermittent pain in the lower left abdomen, common potential causes include gastrointestinal, gynecological, and urinary tract issues. Therefore, it is recommended to rule out any gynecological problems, such as pelvic inflammatory ...

[Read More] Understanding Left Lower Abdominal Pain and Its Causes


Understanding Long-Term Bloating: When to Seek Medical Advice

Chronic bloating Hello Doctor, I am 23 years old and have been experiencing bloating and pain on the left side of my abdomen near the navel for the past four years. Sometimes I also have pain in the upper left abdomen. I visited a major hospital for examination, and during an ult...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, A 23-year-old female presents with abdominal bloating, left upper abdominal pain, and a history of esophageal reflux with gastric mucosal erosion. In addition to gastrointestinal disorders, differential diagnoses should also consider liver, gallbladder, and pancreatic di...

[Read More] Understanding Long-Term Bloating: When to Seek Medical Advice


Understanding Long-term Bloating: When to Seek Medical Attention

Chronic bloating Hello doctor, I am 23 years old. Four years ago, I started experiencing bloating and pain on the left side of my abdomen near the navel, and sometimes pain in the upper left abdomen. I went to a large hospital for examination, and during an ultrasound, a hepatic ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: A 23-year-old female presents with abdominal bloating, left upper quadrant pain, and a history of esophageal reflux with gastric erosion. In addition to gastrointestinal disorders, differential diagnoses should also consider liver, gallbladder, and pancreatic diseases. The...

[Read More] Understanding Long-term Bloating: When to Seek Medical Attention


Understanding Hemorrhoids and Anal Fissures: A Teen's Guide to Relief

Hemorrhoids and anal fissures? Dear Dr. Lin Ming-Hui, I am currently a senior high school student with a normal routine and diet, and I also exercise regularly. However, I have had a bad habit of constipation since childhood, having a bowel movement approximately every three day...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, if you are drinking too little water and consuming insufficient fruits and vegetables, you may experience a stinging sensation during bowel movements, and sometimes there may be blood in your stool, which could indicate anal fissures. It is recommended to pay attention to ...

[Read More] Understanding Hemorrhoids and Anal Fissures: A Teen's Guide to Relief


Understanding White Stool: Causes, Concerns, and When to Seek Help

White stool Hello Dr. Lin, I noticed white stools when I had a bowel movement on Monday (April 12). After researching online, I found that the symptoms related to my condition could be gallstones and hepatitis. A few years ago, I had an abdominal ultrasound for hepatitis B and w...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: Normal stool is yellow, while white stool is often caused by the inability of bile to flow, which can be due to liver, gallbladder, or pancreatic diseases. Common causes include bile duct obstruction. If bile duct obstruction is suspected, there may also be symptoms such a...

[Read More] Understanding White Stool: Causes, Concerns, and When to Seek Help


Understanding Mucus in Stool: Causes and Concerns in Gastrointestinal Health

Mucus in stool Hello, doctor. I would like to ask about a recent issue I've been experiencing. I've noticed that there is thick mucus in my stool, which can be both clear and yellow, with varying amounts. However, the color and shape of the stool itself are normal, alth...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: It is normal to have more mucus in the stool. However, if there is a foul odor or blood, it is important to pay attention to whether there is inflammation in the intestines. Wishing you peace and health! Sincerely, Dr. Ming-Hui Lin, Attending Physician, Gastroenterology De...

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


One Month of Diarrhea: Is It a Side Effect of Antibiotics?

Diarrhea for one month? Hello, doctor. A while ago, I had sinusitis and took antibiotics for about three weeks. Now, I've been experiencing diarrhea, watery stools, and occasionally abdominal cramps that feel like the pain associated with needing to have a bowel movement. Co...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, after taking antibiotics for three weeks, you are experiencing diarrhea, which may be due to gastroenteritis or possibly antibiotic-associated diarrhea, which can be severe enough to lead to pseudomembranous colitis. Regardless of the cause of the diarrhea, it is recommend...

[Read More] One Month of Diarrhea: Is It a Side Effect of Antibiotics?


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