Is Appendicitis Always the Cause of Cecal Inflammation?
Is appendicitis always caused by appendicitis? On November 26, I experienced bloating and pain in my lower right abdomen, along with nausea for 5-6 days. Since I was on a business trip in Ho Chi Minh City, Vietnam, I visited a large hospital there. The doctor performed a CT scan ...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Ms. BB, if diagnosed with appendicitis, I recommend surgery. As for cecitis, it refers to inflammation in the cecum area. If you continue to feel unwell, please return for a follow-up consultation. Thank you for your question.[Read More] Is Appendicitis Always the Cause of Cecal Inflammation?
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal issues Hello Doctor: Recently, when lying down, I feel a pulling sensation near the lower abdomen close to the left rib cage. This sensation is more pronounced when I lie at an angle, and I also feel some discomfort in my stomach. Sometimes, I experience a pullin...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello, Mr. Anonymous. Based on your description, it could be gastritis or a fascial issue. I recommend that you have a physician evaluate it. Thank you for your inquiry.[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Why Do I Still Have Stomach Pain After H. Pylori Treatment?
Is it still painful after taking medication for Helicobacter pylori? Hello doctor, I have undergone an upper gastrointestinal endoscopy, and the diagnosis is chronic gastritis and gastroesophageal reflux disease (GERD), caused by Helicobacter pylori. I am currently on a 14-day co...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Ms. Chen, you have already been seen by a physician. You can discuss your current issues further with your doctor.[Read More] Why Do I Still Have Stomach Pain After H. Pylori Treatment?
Blood in Stool: Understanding Symptoms and When to Seek Medical Help
Blood in the stool? The patient has a history of internal hemorrhoids and has experienced constipation since childhood, often passing hard stools every 3 to 5 days. Recently, the patient noticed that the stool was dark brown and hard, with one of the larger stools having a red di...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Ms. C, based on your description, it is difficult to determine whether it is food or actual blood. You may schedule a routine stool examination at the outpatient clinic. If there is a positive reaction for occult blood, further tests can be conducted. Thank you for your inq...[Read More] Blood in Stool: Understanding Symptoms and When to Seek Medical Help
Understanding Dark Red Blood in Stool: Is It a Sign of Colon Cancer?
Bowel issues I have been noticing dark red blood and bloody mucus in my stool for the past five days when I go to the bathroom. Interestingly, I do not feel any discomfort in my body, and there is no pain or itching around my anus. I would like to ask the doctor if this situation...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Mr. Huang, the presence of dark red blood and bloody mucus in your stool suggests a potential gastrointestinal issue. It is advisable to seek evaluation from a gastroenterologist as soon as possible, as gastrointestinal bleeding should be considered. Thank you for your inqu...[Read More] Understanding Dark Red Blood in Stool: Is It a Sign of Colon Cancer?
Understanding Diverticulitis: Dietary Tips and Concerns for Young Adults
Diverticulitis issues Hello doctor, I am 20 years old. Recently, I visited a doctor due to mild pain in my lower left abdomen and diarrhea. I underwent an abdominal ultrasound and blood tests. The doctor informed me that I have a diverticulum in my intestine, which is inflamed, a...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Ms. Jane, for diverticulitis, it is recommended to consume more fruits and vegetables and to stay well-hydrated. Regarding the colonoscopy issue, I suggest discussing it with your physician, as your age raises some concerns about attributing your symptoms solely to divertic...[Read More] Understanding Diverticulitis: Dietary Tips and Concerns for Young Adults
Understanding Abdominal Pain: When to Seek Medical Attention
Sharp abdominal pain? Hello doctor, I am 20 years old. Recently, for the past week, I have been experiencing sharp pain in the middle of my abdomen, around the navel area. Sometimes the pain is superficial, and other times it feels deeper. There is no cramping sensation, and it o...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello, Miss 55. Surface pain can sometimes be deep pain. If there are no accompanying symptoms, you can monitor the situation. However, if the symptoms persist, please consult a physician to check for possible enteritis or other gastrointestinal diseases.[Read More] Understanding Abdominal Pain: When to Seek Medical Attention
Understanding Your Colonoscopy Results: What Do Polyps Mean for Your Health?
25004C Fourth Level Surgical Pathology Dear Doctor: It has been three years since my last colonoscopy, and during the recent procedure, the doctor found polyps and removed them, advising me to return for another check in three years. I reviewed the examination report in my healt...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Mr. Mamoru, 1. The pathology report indicates that your polyp is a benign hyperplastic polyp. 2. Not all polyps will necessarily develop into cancer; you can undergo regular monitoring. As for the frequency of follow-ups, you can establish a reasonable schedule with your...[Read More] Understanding Your Colonoscopy Results: What Do Polyps Mean for Your Health?
Understanding Changes in Stool: Could It Indicate Colon Cancer?
Bowel-related issues? In the past few weeks, I have noticed that my stool starts off thick and gradually becomes very thin. Additionally, I have been having bowel movements about 4-6 times a week. Could this be a sign of colon cancer?
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Ms. Fish, based on your description, it appears to be within the normal range. If you have concerns, you may consult a gastroenterologist for an evaluation. Thank you for your question.[Read More] Understanding Changes in Stool: Could It Indicate Colon Cancer?
Understanding Blood in Stool: Causes and Concerns for Gastrointestinal Health
Blood in the stool? Hello Doctor: I do not have issues with constipation and have regular bowel movements every day. I previously experienced issues with hemorrhoids, but that was quite some time ago. However, in the past two days, I have noticed that my stool has been somewhat h...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Mr. Ayou: If there is a phenomenon of rectal bleeding with bowel movements, it is recommended to schedule a colonoscopy in the outpatient department to rule out certain conditions. Thank you for your inquiry.[Read More] Understanding Blood in Stool: Causes and Concerns for Gastrointestinal Health
Understanding the Link Between GERD and Ventricular Premature Contractions
Gastroesophageal reflux disease (GERD), Cardiac syndrome X Hello, Doctor. I apologize for bothering you. I would like to ask if you have heard of VPC (ventricular premature contractions)? Previously, when this symptom occurred, I experienced gastroesophageal reflux, and after a w...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Mr. Andy, theoretically there is not much correlation, but gastroesophageal reflux is related to emotions. You can undergo an endoscopy to check for gastroesophageal reflux, although it is not closely related to VPCs (ventricular premature contractions). Thank you for your ...[Read More] Understanding the Link Between GERD and Ventricular Premature Contractions
Understanding GERD: Is PPI Treatment Enough for Loose LES?
Gastroesophageal reflux with lower esophageal sphincter relaxation? I previously underwent an upper gastrointestinal endoscopy, and the doctor mentioned that my gastroesophageal junction was slightly lax, prescribing me a proton pump inhibitor (PPI) for three months. However, I a...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello, Mr. Anonymous. Regarding your question, esophageal sphincter relaxation is a structural issue that cannot be improved with medication. However, both surgery and Stretta procedure come with associated risks and side effects. If your symptoms do not significantly impact your...[Read More] Understanding GERD: Is PPI Treatment Enough for Loose LES?
Colonoscopy Frequency: When to Get Tested Again?
Colonoscopy expiration date Hello, doctor. Due to long-term constipation and recently experiencing occasional red blood in my stool (attached to the stool), along with a family history of colorectal cancer, I am reconsidering whether I need to undergo another colonoscopy. I had a...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Ms. Lu, based on your condition, I recommend scheduling another colonoscopy. There is no expiration for colonoscopy; it can be performed as needed based on symptoms or medical necessity. Thank you for your inquiry.[Read More] Colonoscopy Frequency: When to Get Tested Again?
Can Lifestyle Changes Heal Internal Hemorrhoids Naturally?
Hemorrhoidal bleeding I have noticed blood during my last two bowel movements and suspect I may have hemorrhoids. If it is an internal hemorrhoid, will improving my lifestyle habits lead to self-healing?
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello, Miss Yue. If it is simply hemorrhoids and not severe, improving your lifestyle habits can lead to recovery. If there is no improvement, please see a gastroenterologist immediately. Thank you for your inquiry.[Read More] Can Lifestyle Changes Heal Internal Hemorrhoids Naturally?
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding Hello, doctor. I would like to ask about a bleeding issue. Several months ago, possibly over a year ago, I experienced rectal bleeding, usually occurring after a bowel movement. There was one instance of a significant amount of blood, and at other times, I noticed...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Dear Mr. Chen, Hello. You described experiencing rectal bleeding. It is recommended that you visit a gastroenterology clinic for evaluation and to arrange for further examinations. Thank you for your inquiry.[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Blood-Tasting Saliva After Treating GERD: Causes and Concerns
Gastroesophageal reflux disease (GERD) has been treated, but there is a blood taste in the saliva? Hello, I had a severe issue with gastroesophageal reflux a year ago and delayed seeing a doctor for a long time. I was vomiting to the point of having blood in it. After undergoing ...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello, Ms. Li. The presence of a slight blood taste in your saliva may not be related to gastroesophageal reflux disease. I recommend checking your nasal cavity, oropharynx, or hypopharynx, as these areas are more likely to have the issues you mentioned. If you notice blood in yo...[Read More] Understanding Blood-Tasting Saliva After Treating GERD: Causes and Concerns
Understanding Post-Colonoscopy Findings: What Do Spider Web-Like Red Spots Mean?
Colorectal issues After the colonoscopy, the doctor mentioned that there was a red area (with spider web-like blood vessels) that had red spots and was smooth in texture. What does this condition indicate? A biopsy has already been performed. Thank you, doctor.
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello, Miss An. It is possible that it is just a benign vascular malformation or inflammation. You can wait for the pathology results. Thank you for your inquiry.[Read More] Understanding Post-Colonoscopy Findings: What Do Spider Web-Like Red Spots Mean?
Understanding Tardive Dyskinesia: Risks and Concerns in Long-Term Medication
Irreversible tardive movement disorders Psychiatry: Before bedtime: Leeyo (ESCITALOPRAM) 10mg * 2 tablets, Lendormin 0.25mg * 2 tablets, Eurodin 2mg * 2 tablets, Lorazepam 0.5mg * 4 tablets. Dermatology: Before bedtime: Doxepin 25mg * 2 tablets, Lyrica (pregabalin) 75mg * 2 table...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Mr. LOV157, the medication insert does mention this situation, but the incidence is very low. There are also individuals who have been taking this medication long-term. If you have concerns, it would be best to discuss them with your prescribing physician, as this can help ...[Read More] Understanding Tardive Dyskinesia: Risks and Concerns in Long-Term Medication
Understanding Abdominal Pain and Digestive Issues: A Comprehensive Guide
Alternating constipation and diarrhea for six months, occasionally feeling a lump in the lower right abdomen, and experiencing pain in the right side of the back? Hello Dr. Yang, I have been experiencing gastrointestinal discomfort for nearly seven months. It comes and goes, with...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Miss Li-Ying, irritable bowel syndrome is primarily limited to the intestines and typically does not cause back pain. I recommend that you consult a physician for evaluation and to rule out other issues. Thank you for your question.[Read More] Understanding Abdominal Pain and Digestive Issues: A Comprehensive Guide
Should You Worry About Mild Stomach Pain? When to See a Doctor
It seems like there is a slight discomfort or pain in the stomach? Recently, I've been experiencing some discomfort in my stomach, feeling a bit bloated and painful, but it seems to have subsided over the past few days. Should I see a doctor? If I wait until the discomfort b...
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Mr. Ni, please don't scare yourself. Based on your age, the likelihood of stomach cancer and pancreatic cancer is low. I recommend consulting a gastroenterologist. Thank you for your question.[Read More] Should You Worry About Mild Stomach Pain? When to See a Doctor