Abdominal pain, Gastroenterology and Hepatology FAQ - Page 3

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Understanding Megacolon: New Treatments for Chronic Constipation

Megacolon Hello Doctor, I have suffered from constipation since childhood. It is common for me to go several days without a bowel movement, but my diet has always been quite normal and I do not have any food aversions. However, as I have aged, my constipation has become increasin...


Dr. Lin Minghui Reply:
Since your issue has been present since childhood, it may have worsened with age due to decreased gastrointestinal motility and smooth muscle function. Pelvic muscle coordination can also affect bowel movements. Stress, anxiety, and depression can impact the nerves that facilitat...

[Read More] Understanding Megacolon: New Treatments for Chronic Constipation


Recurring Lower Abdominal Pain and Burning Sensation After Bowel Movements

Recurrent lower abdominal pain with persistent burning sensation in the anus after bowel movements? Hello, doctor. I have a long-standing issue with irregular bowel movements; sometimes I go once a day, and other times it can be two to three days before I go again. Over the past ...


Dr. Lin Minghui Reply:
Abdominal pain with persistent burning sensation after bowel movements may be due to difficulty in passing stools, which can cause pelvic muscle coordination issues leading to abdominal pain. It could also be caused by colitis or proctitis resulting in abdominal pain. The presenc...

[Read More] Recurring Lower Abdominal Pain and Burning Sensation After Bowel Movements


Understanding Abdominal Pain and Diarrhea: What You Need to Know

Abdominal pain with diarrhea? Hello, Dr. Chen. I am 16 years old and have been experiencing frequent abdominal pain and bowel sounds since last week. When I go to the bathroom, my stools are mostly watery, sometimes containing undigested food, and occasionally they are sticky gas...


Dr. Chen Shidian Reply:
It is likely just abnormal gastrointestinal motility. Increase the intake of fruits and vegetables, eat slowly, and continue to monitor the situation.

[Read More] Understanding Abdominal Pain and Diarrhea: What You Need to Know


Understanding False Negative Results in Fecal Occult Blood Tests

Negative occult blood issue Recently, I had a fecal occult blood test that showed visible blood, but the results came back negative. 1. Could this be due to hemorrhoids or anal fissures, and how can it be negative if blood is visible? I have also been experiencing frequent left a...


Dr. Lin Minghui Reply:
(1) Regarding fecal occult blood sampling, the general purpose of the occult blood test is to detect blood that is not visible to the naked eye. The most common causes of visible blood after a bowel movement are hemorrhoids and anal fissures. If there is significant bleeding, it ...

[Read More] Understanding False Negative Results in Fecal Occult Blood Tests


Understanding Gastrointestinal Gas: Is Abdominal Pressure Normal?

Gastrointestinal issues, flatulence problems? Hello doctor, when I press on my abdomen, I hear a sound similar to bubbles, and after pressing for a while, I end up passing gas. Is this normal? Is it beneficial or harmful?


Dr. Lin Minghui Reply:
The gastrointestinal tract naturally contains gas, which can be increased by swallowing air, as well as the fermentation of food and gut bacteria. If there is more gas than usual, it is important to pay attention to dietary habits (avoid eating too quickly) and food choices (limi...

[Read More] Understanding Gastrointestinal Gas: Is Abdominal Pressure Normal?


Understanding Negative Fecal Occult Blood Tests: Causes and Next Steps

Hemorrhage in stool with negative fecal occult blood test? Recently, I had a fecal occult blood test that showed visible blood, but the results came back negative. 1. Could this be due to hemorrhoids or anal fissures, and how can it be negative if there is visible blood? I have a...


Dr. Hu Guozheng Reply:
It is recommended to discuss further treatment or examinations with your attending physician. Thank you.

[Read More] Understanding Negative Fecal Occult Blood Tests: Causes and Next Steps


Gallbladder Removal: When Is Surgery Necessary for Gallstones?

Cholecystectomy Hello, doctor. I have gastroesophageal reflux disease, and recently I've experienced right upper abdominal pain twice within a week. The emergency department diagnosed me with gallstones leading to cholecystitis, but my blood tests are normal. I would like to...


Dr. Hu Guozheng Reply:
The primary treatment for symptomatic gallstones is cholecystectomy. If a physician assesses that a patient is not suitable for surgery, extracorporeal shock wave lithotripsy combined with medication can be considered. Additionally, lifestyle and dietary modifications are necessa...

[Read More] Gallbladder Removal: When Is Surgery Necessary for Gallstones?


Understanding Abdominal Pain: Causes and When to Seek Medical Help

Abdominal pain issues? Hello Doctor, I would like to ask you some questions: 1. For the past few days, I have been experiencing pain to the right of my navel (approximately one centimeter away). The pain is localized to that small area (about the size of a fingertip), and it hu...


Dr. Chen Shidian Reply:
It is difficult to make a straightforward assessment; it is recommended to seek medical evaluation and treatment if you are experiencing discomfort.

[Read More] Understanding Abdominal Pain: Causes and When to Seek Medical Help


Understanding Abdominal Pain and Gas: Causes and Solutions

Abdominal pain with gas? There is a lot of gas in the abdomen, and there is pain in the lower right area of the chest. Additionally, sitting is uncomfortable (it feels like clenching a fist, and I need to stretch it out immediately to feel more relaxed). This condition has been o...


Dr. Lin Minghui Reply:
It is recommended to undergo examinations (X-ray, abdominal ultrasound, and gastrointestinal endoscopy) to check for any organic issues. Wishing you good health!

[Read More] Understanding Abdominal Pain and Gas: Causes and Solutions


Chronic Constipation Since Childhood: Seeking Effective Solutions

Severe constipation since childhood that cannot be improved? Hello Doctor, I have had a history of constipation since childhood, often going over 5 days without a bowel movement, which leads to severe abdominal pain and vomiting, requiring emergency care. I am 154 cm tall and wei...


Dr. Lin Minghui Reply:
Since your issue has been present since childhood and you have made significant efforts to try various methods with limited results, it is recommended that you visit a medical center to consult with a specialist in gastrointestinal neurology and motility, as well as functional ga...

[Read More] Chronic Constipation Since Childhood: Seeking Effective Solutions


Understanding Abdominal Pain and Blood in Stool: When to Seek Help

Hemorrhage, pressure sensation? Hello Dr. Hu, I previously asked about my condition: about a year ago, I experienced gastrointestinal motility issues, with pellet-like stools, difficulty in bowel movements, and a sensation of being completely blocked with abdominal bloating and g...


Dr. Hu Guozheng Reply:
We apologize, but online consultations cannot replace in-person diagnoses. We recommend that you visit a regional hospital or higher-level facility specializing in hepatobiliary and gastroenterology or colorectal surgery. As for what examinations are needed, please have your atte...

[Read More] Understanding Abdominal Pain and Blood in Stool: When to Seek Help


Understanding Left Lower Abdominal Pain and Bloating: Causes and Concerns

Bloating, with dull pain and discomfort in the lower left abdomen? Hello, doctor. In recent years, I have occasionally experienced a dull pain in the lower left abdomen, near the pelvic area. This occurs regardless of whether I have eaten or not. I tend to have a lot of gas, so i...


Dr. Lin Minghui Reply:
Please cherish our online medical resources. When asking the same question, please specify only one physician or nutritionist. Gas can be present throughout the abdomen and is not necessarily limited to one side. It is recommended to have a comfortable dining environment, maintai...

[Read More] Understanding Left Lower Abdominal Pain and Bloating: Causes and Concerns


Understanding Left Upper Abdominal Pain: Causes and Concerns

Left upper abdominal pain issues? Hello Doctor, I am #206452. This morning I discovered that the area of tenderness is likely just above the left side of my navel, approximately 4x4 cm in size, which is somewhat tender (the area above the navel on the left side when facing forwar...


Dr. Chen Shidian Reply:
Observation or warm compresses can be applied first, and seek medical attention if necessary. Stool samples can be collected only when there is no bleeding from external hemorrhoids.

[Read More] Understanding Left Upper Abdominal Pain: Causes and Concerns


Monitoring Weight Changes and Digestive Health After Diarrhea

Follow-up observations regarding diarrhea and weight issues? Hello doctor, I am the questioner from #206140. After about a week of taking probiotics, my mother's diarrhea and abdominal pain have improved. This week, she has not experienced any diarrhea or pain, and her bowel...


Dr. Chen Shidian Reply:
Weight has been stable for a week without any abnormalities. Abdominal rumbling is the vibration of air during peristalsis; it is advisable to avoid foods that are prone to causing gas.

[Read More] Monitoring Weight Changes and Digestive Health After Diarrhea


Understanding Left Abdominal Pain: When to Seek Medical Attention

Left abdominal pain issues? Hello doctor, I have been experiencing a dull pain in my abdomen for the past two to three days, which is quite bothersome and uncomfortable. I’m not sure how to describe it, but it seems to be pain on the left side of my abdomen. The location is aroun...


Dr. Chen Shidian Reply:
You can first visit a family medicine clinic to address your symptoms (including a fecal occult blood test), and if necessary, you can then proceed to a gastroenterology clinic.

[Read More] Understanding Left Abdominal Pain: When to Seek Medical Attention


Understanding Gastrointestinal Issues After Heat Stroke in SLE Patients

Gastrointestinal discomfort following heatstroke? Hello, Doctor. I am an SLE patient. After suffering from heatstroke in mid-July last year, I have been experiencing indigestion, bloating, borborygmi, and excessive flatulence. Before bowel movements, I often pass gas, and my abdo...


Dr. Hu Guozheng Reply:
The manifestations of lupus erythematosus may also include gastrointestinal discomfort. It is recommended that you consult with a rheumatology and immunology specialist for evaluation. Thank you.

[Read More] Understanding Gastrointestinal Issues After Heat Stroke in SLE Patients


Concerns About Overusing Omezol: What to Expect for Your Health

Medication Consultation I have been prescribed stomach medication at the clinic for a few weeks, including a medication called "Omezol" (Omeprazole) 20 mg capsules, which I am supposed to take once daily. However, I accidentally took it three times a day for the past fe...


Dr. Hu Guozheng Reply:
According to the package insert for Yao Ning capsules, excessive intake may result in symptoms such as nausea, vomiting, dizziness, abdominal pain, diarrhea, and headache. However, these symptoms are typically temporary. If you have concerns, please consult your physician. Thank ...

[Read More] Concerns About Overusing Omezol: What to Expect for Your Health


Managing IBS with Anxiety: Medication Duration and Side Effects Explained

Please inquire about medication for irritable bowel syndrome (IBS)? Hello, doctor. I have been experiencing anxiety due to diarrhea-predominant irritable bowel syndrome (IBS-D) for nearly a year. My family medicine doctor prescribed Loperamide and benzodiazepines, which I have on...


Dr. Lin Minghui Reply:
Irritable bowel syndrome (IBS) is influenced by many emotional factors. Therefore, treatment involves not only medication but also lifestyle changes, exercise, stress relief, and dietary modifications. The medication "Dicyclomine" is used to alleviate gastrointestinal s...

[Read More] Managing IBS with Anxiety: Medication Duration and Side Effects Explained


Understanding Gastrointestinal Issues: The Role of Probiotics and Symptoms Analysis

More detailed statement? Hello Doctor, I am the person who asked question #206140. Below is a more detailed statement after a few days of observation, and I hope you can provide me with answers. As mentioned earlier, my mother has been experiencing diarrhea for two months, accomp...


Dr. Chen Shidian Reply:
There is no objection to the use of probiotics, and it is also recommended to confirm the results of a fecal occult blood test, adjust the diet (low in oil and dairy), and medications, while continuing to monitor the situation. Additionally, diarrhea is often not associated with ...

[Read More] Understanding Gastrointestinal Issues: The Role of Probiotics and Symptoms Analysis


Frequent Urge to Defecate with Minimal Output: Causes and Solutions

Frequent urges to defecate but only passing small amounts? On Friday, I experienced gastrointestinal motility sensations and the urge to defecate (without abdominal pain), going to the bathroom 7 to 8 times, but each time producing only a small amount of stool (some unformed and ...


Dr. Chen Shidian Reply:
Possible enteritis; start with fasting (except for hydration) and a bland diet for observation. If symptoms worsen or discomfort increases, seek medical attention.

[Read More] Frequent Urge to Defecate with Minimal Output: Causes and Solutions


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