Is It Cancer? Understanding When to Get a Colonoscopy
Could it be cancer? Is a colonoscopy necessary? Hello doctor, I have been experiencing abdominal bloating for the past five months, along with persistent belching and flatulence (each episode involves a significant amount of gas). I have sought medical attention numerous times du...
Dr. Cai Anshun Reply:
Hello: Is a colonoscopy necessary? It is recommended to be determined by a clinical physician. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Is It Cancer? Understanding When to Get a Colonoscopy
Understanding Bowel Noises and Gastrointestinal Issues in AS Patients
Borborygmi and gastrointestinal issues? Hello, doctor. I am a patient with ankylosing spondylitis, and I have been experiencing bowel sounds for about 3 to 4 months. They usually occur more after meals or when lying down before sleep, with variable locations. I can also feel inte...
Dr. Chen Shidian Reply:
If weight loss persists, further examination is recommended, including capsule endoscopy or small bowel endoscopy.[Read More] Understanding Bowel Noises and Gastrointestinal Issues in AS Patients
Managing Bloating, Constipation, and Unformed Stool: A Guide for Health Professionals
Despite having a good diet, experiencing bloating, constipation, and unformed stools? Hello, Doctor. I am currently 25 years old and started my master's degree abroad last September. I am here to inquire about my health due to concerns about high medical costs. I am a nutrit...
Dr. Chen Shidian Reply:
Fecal occult blood testing can be performed; if the results are normal, dietary adjustments should be made based on the FODMAP food list, and weight should be monitored.[Read More] Managing Bloating, Constipation, and Unformed Stool: A Guide for Health Professionals
Understanding Duodenal Cancer: Key Questions and Diagnostic Options
Duodenal cancer issues I would like to ask a few questions regarding my long-term discomfort in the upper right abdomen. I have undergone colonoscopy, gastroscopy, and ultrasound, all of which showed no abnormalities. A physician suggested considering a small bowel endoscopy to e...
Dr. Cai Anshun Reply:
Hello: 1. Only tumors that can be compared are visible and may be palpable. 2. Both enteroscopy and capsule endoscopy can be used to examine the small intestine. The difference is that capsule endoscopy cannot perform biopsies or treatment; it can only identify lesions. Changhua ...[Read More] Understanding Duodenal Cancer: Key Questions and Diagnostic Options
Can Gallbladder Inflammation Cause Pain in Upper Left and Lower Right Abdomen?
Cholecystitis can cause pain in the upper left abdomen, lower right abdomen, and right abdomen? Dear Dr. Tsai, I recently had an abdominal ultrasound, and the doctor diagnosed me with gallstones and an enlarged gallbladder, suggesting that I should undergo surgery for chronic ch...
Dr. Cai Anshun Reply:
Hello, in cases of gallbladder distension, the area of pain may expand, or gallbladder dysfunction can lead to indigestion, causing discomfort in other areas as well. Additionally, the presence of other concurrent issues should also be considered. It is recommended to follow up w...[Read More] Can Gallbladder Inflammation Cause Pain in Upper Left and Lower Right Abdomen?
Persistent Upper Right Abdominal Discomfort: Next Steps for Diagnosis
Discomfort in the right upper abdomen has been evaluated? I have been experiencing a persistent sensation of heat in the upper right abdomen (similar to the feeling of having a pain relief patch applied) for several months. It is not painful, but it is distinctly uncomfortable in...
Dr. Cai Anshun Reply:
Hello: Generally, the examinations that can diagnose abdominal diseases have been completed. You can consult a gastroenterologist for medication adjustments. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Persistent Upper Right Abdominal Discomfort: Next Steps for Diagnosis
CT vs MRI: Which Imaging is Best for Abdominal Diagnosis?
Computed tomography (CT) and magnetic resonance imaging (MRI) for abdominal diagnosis? I would like to ask, since I have already undergone gastroscopy, ultrasound, and colonoscopy, but the discomfort in my upper abdomen has not improved, if I want to pay out of pocket for advance...
Dr. Cai Anshun Reply:
Hello: If you are examining solid organs, a CT scan of the liver, gallbladder, pancreas, spleen, kidneys/adrenal glands, ovaries, and uterus will suffice. However, if you need to reconstruct images of the pancreatic duct or bile duct, an MRI is required. Of course, any lesions vi...[Read More] CT vs MRI: Which Imaging is Best for Abdominal Diagnosis?
Understanding Abdominal Pain: Insights into Gastrointestinal Issues
Abdominal issues? Hello Doctor, I have been experiencing pain in the upper right quadrant of my abdomen for the past six months. I underwent an ultrasound which revealed fatty liver and gallbladder polyps, and an endoscopy indicated mild gastritis. A few weeks later, I suddenly d...
Dr. Cai Anshun Reply:
Hello, your comprehensive examinations are sufficient to diagnose diseases of all abdominal organs. However, functional issues such as abnormal peristalsis, irritable bowel syndrome; metabolic disorders (such as thyroid dysfunction, blood sugar abnormalities; or rarer conditions ...[Read More] Understanding Abdominal Pain: Insights into Gastrointestinal Issues
Understanding Bowel Issues: Causes and Solutions for Discomfort
Bowel movement issues, constipation issues? Hello, doctor: Sometimes my stool has oil in it. I have been taking psychiatric medication and stool softeners for a long time. When I wipe after a bowel movement, there is a bit of blood. My stools are mostly soft, but at times I strai...
Dr. Zhang Kebin Reply:
Hello, Miss Hibiscus: You reported that there is a small amount of blood when wiping after a bowel movement, and you have a sensation of incomplete evacuation. Although you are young, this is usually related to diet and medication. However, it is still recommended that you visit ...[Read More] Understanding Bowel Issues: Causes and Solutions for Discomfort
Persistent Discomfort in the Upper Right Abdomen: Causes and Next Steps
Persistent discomfort in the right upper abdomen? For the past two months, I have been experiencing a tight, burning sensation in the upper right part of my abdomen (approximately from just above the navel to just below the lower rib margin). At the end of last month, I had an ab...
Dr. Cai Anshun Reply:
Hello, since you have already undergone abdominal ultrasound, gastroscopy, and colonoscopy, most diseases in the right upper abdomen can be diagnosed. You may want to review your dietary habits to see if they are contributing to your gastric discomfort, such as the consumption of...[Read More] Persistent Discomfort in the Upper Right Abdomen: Causes and Next Steps
Chronic Constipation and Digestive Issues: Seeking Solutions and Answers
Severe constipation with the use of stool softeners has not improved? Hello Doctor, due to being unemployed recently, I have been using the computer at home every day, which has resulted in low physical activity and a lack of exercise habits. I have been overweight. Around Octobe...
Dr. Chen Shidian Reply:
It is recommended to first use medication, improve dietary fiber intake, and take a walk after meals. Keep a record of bowel movements, return for follow-up appointments as scheduled, and if necessary, perform a fecal occult blood test.[Read More] Chronic Constipation and Digestive Issues: Seeking Solutions and Answers
Challenges in Draining Liver Abscess: Risks and Treatment Options
The location of the liver abscess makes drainage impossible? On December 1, 2021, I had a fever and went to the emergency room. A CT scan of my abdomen revealed a liver abscess, which led to my hospitalization for treatment. During my hospital stay, an abdominal ultrasound showed...
Dr. Chen Shidian Reply:
It is recommended to closely cooperate with the physician for follow-up, providing a daily temperature log for three meals. If the fever exceeds 38 to 39 degrees Celsius, return for an earlier consultation or visit the emergency department.[Read More] Challenges in Draining Liver Abscess: Risks and Treatment Options
Understanding Upper Right Abdominal Tightness and Heat Sensation
Tightness and a prickling heat sensation in the upper right abdomen? Recently, I have been experiencing a tight sensation in the upper right abdomen (approximately from above the navel to just below the rib cage) that feels warm at times. This has persisted for about a month and ...
Dr. Chen Shidian Reply:
First, apply local heat therapy and observe. Avoid vigorous exercise or local strain, and return for a follow-up if necessary.[Read More] Understanding Upper Right Abdominal Tightness and Heat Sensation
Understanding Right Upper Abdominal Pain: Causes and Concerns
Right upper quadrant pain? Hello, doctor. For about 1 to 2 years, I have experienced occasional dull or sharp pain in my upper right abdomen. Recently, it has been happening more frequently, with a few episodes each week (the duration of the pain varies, but sometimes it lasts qu...
Dr. Chen Shidian Reply:
It may just be neuromuscular pain; you can try applying a warm compress.[Read More] Understanding Right Upper Abdominal Pain: Causes and Concerns
Understanding Right Lower Abdominal Pain: Causes and Concerns
Right lower abdominal pain inquiry? Hello doctor, I have been experiencing pain in my lower right abdomen for the past few days. The pain is located just slightly below the belly button. It doesn't hurt when I'm sitting or lying down, but it does hurt when I'm stan...
Dr. Chen Shidian Reply:
Pain related to movement and posture is similar to a strain; local heat application and avoiding local exertion are recommended. If fever or increased pain occurs, please seek medical attention.[Read More] Understanding Right Lower Abdominal Pain: Causes and Concerns
Understanding Right Upper Abdomen Discomfort: Causes and Insights
Right upper quadrant issues? In recent months, I have frequently experienced a tight sensation in my upper right abdomen, especially during times of stress. It can also feel bloated, and sometimes there is pain, although it is tolerable and not severe. Additionally, there is a fe...
Dr. Chen Shidian Reply:
You can schedule an appointment for an ultrasound examination, and in the meantime, you can apply a warm compress.[Read More] Understanding Right Upper Abdomen Discomfort: Causes and Insights
Understanding Gastrointestinal Issues: Symptoms and When to Seek Help
Gastrointestinal issues For the past 1-2 days, I have been experiencing gastrointestinal discomfort with alternating diarrhea and constipation. Occasionally, I feel a slight pain in my lower abdomen, and I have been passing gas frequently. Additionally, my bowel sounds have somet...
Dr. Lin Minghui Reply:
Hello: You are experiencing abdominal pain, alternating diarrhea and constipation, borborygmi, and unformed stools, with your gastrointestinal function being sometimes normal and sometimes abnormal. This could possibly indicate gastroenteritis or irritable bowel syndrome (IBS). I...[Read More] Understanding Gastrointestinal Issues: Symptoms and When to Seek Help
Can Cat Worms Infect Humans? Understanding Risks and Symptoms
Abdominal pain? The cat discovered a worm in its feces yesterday. For the past few days, I have been sleeping in the same bed with the cat, and I usually sleep without pants. Recently, I have also occasionally felt some pain in the upper part of my abdomen. I would like to know i...
Dr. Lin Minghui Reply:
Hello: The parasites in cats can potentially enter through the skin or be transmitted via the oral-fecal route, and ingestion is also possible. It is important to wash your hands frequently to maintain cleanliness. Not all infections are pathogenic. Please observe the situation. ...[Read More] Can Cat Worms Infect Humans? Understanding Risks and Symptoms
Understanding Constipation: Symptoms and Solutions for Digestive Health
Constipation issues? Hello, doctor. I have been experiencing constipation for almost a week. The day before yesterday, I finally felt the urge to go, but only a small piece came out. I drink plenty of water every day, and for the past couple of days, I've also had unsweetene...
Dr. Chen Shidian Reply:
Incorporate more fruits and vegetables into your diet, engage in regular exercise, and perform abdominal massages in a clockwise direction. If you still experience discomfort from not having a bowel movement for several days, it is advisable to take an oral laxative or use a simp...[Read More] Understanding Constipation: Symptoms and Solutions for Digestive Health
Understanding Selina Enteric-Coated Tablets for Gastrointestinal Issues
Selina Enteric-Coated Tablets Doctor, after receiving my first vaccine dose, I experienced gastrointestinal issues. I underwent an ultrasound and endoscopy, which only indicated reflux. Later, I sometimes felt bloating in my upper abdomen and sometimes in my lower abdomen, and oc...
Dr. Cai Anshun Reply:
Hello: Selina could not find this medication. Delibs (enteric-coated tablets) should be a medication used to adjust rapid intestinal motility or relieve intestinal spasms. Some gastrointestinal bloating is caused by excessive motility, and if taking the medication improves the co...[Read More] Understanding Selina Enteric-Coated Tablets for Gastrointestinal Issues