Dr. Lin Minghui reply Gastroenterology and Hepatology Question - Page 29

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Understanding Blood in Stool: Causes, Symptoms, and Treatments

Blood in the stool? Hello Doctor, I have been experiencing blood (bright red) on toilet paper after bowel movements for the past 10 days. It is quite painful when the stool is passing through the anus (I usually have softer stools). I visited a colorectal specialist who performed...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. It is recommended to follow up with a colorectal specialist. 2. Straining during bowel movements, including hard stools, can exacerbate hemorrhoids and anal fissures, with severe anal fissures potentially causing bleeding. 3. After hemorrhoid ligation, there may be slight blee...

[Read More] Understanding Blood in Stool: Causes, Symptoms, and Treatments


Understanding Painful Bowel Movements: Causes and Concerns

Pain in the buttocks during bowel movements? Hello doctor, I would like to ask you about something. For the past two days, I have experienced significant pain in my rectum during bowel movements. The first time I wiped, there was bleeding, but the second time there wasn't. I...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Painful bowel movements accompanied by bleeding are most commonly caused by hemorrhoids or anal fissures. It is advisable to pay attention to hydration and fiber intake, and to develop good bowel habits. If there is frequent pain or bleeding at the anal area, it is recommended to...

[Read More] Understanding Painful Bowel Movements: Causes and Concerns


White Objects in Stool: Should You Be Concerned About Your Health?

There are white substances in the stool? Hello, I have recently noticed some white objects on my stool that look a bit like mold. According to Dr. Lin's previous response, this could be food or sloughed-off epithelial cells from the colon. Should I seek medical attention for...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. White objects in stool can be examined in the stool. 2. Blood on the toilet paper indicates issues with the anal or rectal area. Differential diagnoses include hemorrhoids, anal fissures, polyps, and cancer. A consultation with a colorectal specialist is recommended. Wishing y...

[Read More] White Objects in Stool: Should You Be Concerned About Your Health?


Can You Breastfeed While Taking Hepatitis B Medication?

Can I breastfeed while taking Sibutramine? Dear Doctor: I have been taking ETV (Entecavir) for over a year, and my e-antigen has turned negative. I am currently pregnant and continuing treatment. Is it safe to breastfeed? Are there any clinical cases of breastfeeding while on thi...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. Continuing antiviral medication during pregnancy and monitoring viral load is also a preventive measure. 2. The baby should receive the hepatitis B vaccine at birth. 3. Mothers with hepatitis B can breastfeed. Wishing you good health.

[Read More] Can You Breastfeed While Taking Hepatitis B Medication?


Esophageal Burns from Capsule Ingestion: What to Do Next?

Capsule lodged in the esophagus causing burns? Hello doctor, two days ago I took an antibiotic (capsule form) before bed, and it got stuck when I swallowed it. I drank some water afterward and went straight to bed. The next morning, I woke up with a heavy and painful feeling in m...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Certain antibiotic capsules, when taken with insufficient water and followed by lying down immediately, can cause esophageal burns or even perforation. Symptoms include discomfort in the chest and pain while eating. If there is uncertainty about whether the antibiotic capsule was...

[Read More] Esophageal Burns from Capsule Ingestion: What to Do Next?


Understanding Digestive Issues: Gas, Bloating, and Bathroom Urgency

Gastrointestinal issues In the past year, I have frequently experienced gurgling sounds in my abdomen, which are often followed by an urgent need to use the restroom for a bowel movement, although there is often little to no output. Additionally, I have been passing a lot of gas,...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Irritable bowel syndrome, gastrointestinal issues, and medications can lead to these gastrointestinal problems. Metabolic disorders can also affect gastrointestinal motility. Conditions such as diabetic gastroparesis and thyroid dysfunction, whether hyperthyroidism or hypothyroid...

[Read More] Understanding Digestive Issues: Gas, Bloating, and Bathroom Urgency


Understanding Nightly Stomach Cramps: When to Seek Further Medical Help

About nightly stomach cramps? Hello doctor, I have been experiencing recurrent stomach cramps for three weeks, and for the past four days, my stomach has been cramping and painful every night after 10 PM. However, I feel fine when I wake up the next day. I went to Mackay Memorial...


Dr. Lin Minghui reply Gastroenterology and Hepatology
An endoscopy can examine the esophagus, stomach, and duodenum for any painful changes, such as inflammation or ulcers. It is recommended to avoid irritating foods and to pay attention to your diet to prevent the onset of gastritis. Additionally, further examinations such as abdom...

[Read More] Understanding Nightly Stomach Cramps: When to Seek Further Medical Help


Severe Lower Abdominal Pain: Possible Causes and Insights

Severe pain in the lower abdomen that occurs intermittently over a long period of time? Hello Dr. Lin, I have noticed that in recent years I have been experiencing severe pain in my lower abdomen (specifically about 5 centimeters below my navel). A few years ago, it occurred occa...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Possible causes of lower abdominal pain include: 1. Gynecological issues (such as pelvic inflammatory disease, endometriosis, menstrual cramps, ovulation pain) 2. Gastrointestinal problems: poor gastrointestinal function, constipation, enteritis, diverticulitis, etc. 3. Urinary t...

[Read More] Severe Lower Abdominal Pain: Possible Causes and Insights


Understanding Mild Anal Discomfort and Residual Stool During Walking

Experiencing slight anal pain and noticing residual stool while walking or exercising? Hello, I have recently experienced a very mild stinging sensation in the anal area while walking or exercising. After returning home from my workout, I noticed a small amount of residual stool....


Dr. Lin Minghui reply Gastroenterology and Hepatology
Gastroenteritis and indigestion may present with symptoms such as rectal pain and a feeling of incomplete bowel evacuation. If these symptoms persist, it is advisable to test for fecal occult blood or consult a gastroenterologist or colorectal surgeon for evaluation. Wishing you ...

[Read More] Understanding Mild Anal Discomfort and Residual Stool During Walking


Is It Hemorrhoids? Understanding Rectal Bleeding Symptoms

I would like to confirm..? I want to confirm if I have hemorrhoids. I have been having regular bowel movements and do not experience hard stools that cause pain during defecation. However, recently I have been experiencing frequent bleeding, not from the stool itself, but enough ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
If there is complete blood in the stool, it is recommended to consult a colorectal surgeon to check for hemorrhoids, anal fissures, or rectal ulcers, among other anorectal issues. Wishing you good health.

[Read More] Is It Hemorrhoids? Understanding Rectal Bleeding Symptoms


Persistent Food Sensation in Throat and Blood in Stool: What to Do?

Food is stuck in the throat, and there is blood in the stool? Hello Dr. Lin, About half a month ago, I experienced indigestion and took some antacids, which resolved the issue after a few days. On February 15th, Monday, I noticed a small amount of blood in my stool, but my bowe...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. If food feels stuck in the throat, it is advisable to pay attention to dietary habits, avoid overeating, eat at a moderate pace, and limit the intake of fried foods that are hard to digest. If symptoms persist, an upper gastrointestinal endoscopy is recommended to check for ga...

[Read More] Persistent Food Sensation in Throat and Blood in Stool: What to Do?


Understanding Rectal Blockage: Causes and Solutions for Constipation

Obstruction of the anal canal? I underwent a ligation procedure for internal hemorrhoids, but there has been no improvement. Previously, I felt that the internal hemorrhoids made it difficult to pass stool, and now it seems that they are completely obstructing the passage, making...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Follow-up on internal hemorrhoids is possible after sterilization. If there is still swelling, other causes should be investigated. Wishing you good health.

[Read More] Understanding Rectal Blockage: Causes and Solutions for Constipation


Identifying Fatty Stools: What You Need to Know

Diagnosis of steatorrhea? Hello: Recently, I have noticed that sometimes a thin layer of substance floats on the surface of my stool, but I'm not sure if it is fat. It seems that fat tends to appear in small circles on the water's surface. It looks somewhat like the ima...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Dyspepsia can lead to steatorrhea, which can be tested for the presence of fat in the stool. Wishing you good health.

[Read More] Identifying Fatty Stools: What You Need to Know


Understanding Abdominal Pain and Blood in Urine: A Guide for Parents

Abdominal pain in the colon and stomach accompanied by slight hematuria? Dear Dr. Lin, My daughter has been suffering from persistent pain in her colon and stomach. In January of this year, she also experienced hematuria. Subsequently, she underwent examinations at Chang Gung Me...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. If there are issues with the colon and stomach, it is recommended to see a gastroenterologist. 2. You may refer to the blood test results, such as the presence of tumors in certain sections. 3. Urine tests can be monitored; for females, there may be hematuria around the menstr...

[Read More] Understanding Abdominal Pain and Blood in Urine: A Guide for Parents


Understanding the Growth of Liver Hemangiomas: What You Need to Know

Hepatic hemangiomas grow larger over time? Hello, Doctor: Our company conducts health check-ups every year. During the first year, an ultrasound examination revealed that I have a 5 cm hepatic hemangioma. The doctor referred me to the hospital for an MRI, which confirmed the diag...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hemangiomas are benign tumors caused by vascular proliferation, with unknown origins. Some are congenital, while others may be related to hormones. Generally, hemangiomas are asymptomatic; however, if they are large (greater than 10 centimeters), they may present symptoms such as...

[Read More] Understanding the Growth of Liver Hemangiomas: What You Need to Know


Understanding Abdominal Pain: Dietary Changes for Digestive Health

Abdominal pain, gastrointestinal pain? Hello doctor, I had digestive issues when I was younger, and recently I noticed blood in my stool, which scared me. Is it possible to improve my condition and adjust my dietary habits?


Dr. Lin Minghui reply Gastroenterology and Hepatology
Blood in the stool is most commonly associated with rectal and anal conditions, such as hemorrhoids and anal fissures. It is advised to avoid spicy foods, consume adequate fiber and water, engage in moderate exercise, and establish good bowel habits. Wishing you good health.

[Read More] Understanding Abdominal Pain: Dietary Changes for Digestive Health


Understanding Changes in Stool Thickness and Possible Causes

Stool becomes thin? Recently, I noticed that my stool is not as thick as it used to be, but it is not as thin as a pencil either; it resembles the texture of the sweet potato balls sold in supermarkets. Sometimes, after using the restroom, I notice a bit of fresh blood on the toi...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. The narrowing of stools is related to the amount of dietary fiber intake and the presence of colorectal lesions. If there is blood in the stool, it is advisable to consult a colorectal specialist to check for issues in the rectum and anus, such as hemorrhoids, anal fissures, p...

[Read More] Understanding Changes in Stool Thickness and Possible Causes


Unexplained Soft Lump Near the Anus: What Could It Be?

Unknown mass near the anus? During a shower, I noticed a round, soft, unidentified mass at the edge of my anus. It doesn't hurt or bleed when I use the restroom or touch it. What could this be?


Dr. Lin Minghui reply Gastroenterology and Hepatology
For any growths near the anus, such as skin lesions or hemorrhoids, it is advisable to consult a colorectal specialist for a clearer examination. Wishing you good health.

[Read More] Unexplained Soft Lump Near the Anus: What Could It Be?


Digestive Issues: Understanding Constipation, Bloating, and Stool Changes

Bowel issues I used to experience frequent constipation, which caused acne on my face and jawline. Later, I took enzymes, and it improved a bit. However, after having a large dinner the next day, I felt bloated and had no appetite, even feeling nauseous. I took an antacid, but fo...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Loose stools, abdominal gurgling, bloating, and nausea may be due to indigestion or gastroenteritis. Please pay attention to your diet and ensure adequate hydration. If severe dehydration occurs or symptoms persist, please follow up at a clinic. Wishing you good health.

[Read More] Digestive Issues: Understanding Constipation, Bloating, and Stool Changes


Understanding Stomach Bloating: Causes and When to Seek Help

Bloating of the stomach? I'm sorry to hear that you've been experiencing these symptoms. A feeling of bloating and vomiting once a day can be concerning, especially if you feel like your stomach isn't moving properly. Waking up and noticing that the bloating has su...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Sudden bloating, vomiting, and abnormal peristalsis can occur, but the body has a self-healing ability that allows the gastrointestinal system to rest and recover its function. If symptoms recur, outpatient follow-up and treatment are necessary. Wishing you good health.

[Read More] Understanding Stomach Bloating: Causes and When to Seek Help


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