B, Gastroenterology and Hepatology FAQ - Page 2

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Understanding Anal Pain: Causes and When to Seek Help

Anal issues Hello doctor, recently after a night’s sleep, I have been experiencing pain around my perineum when urinating. It’s not too bad when I have a bowel movement, but I don’t feel any lumps when I palpate the area. However, pressing on the tissue next to the anus does caus...


Dr. Chen Shidian Reply:
You can try soaking in warm water; if the discomfort persists or worsens, seek medical attention.

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


Is Morning Flatulence Normal? Understanding Gut Health and Probiotics

Regarding passing gas upon waking up in the morning? I would like to ask if it is normal to feel gas moving in my intestines and to pass gas frequently every morning as soon as I wake up but before getting out of bed, especially since I started taking probiotics due to gastrointe...


Dr. Chen Shidian Reply:
Increased gas production and increased peristalsis can lead to flatulence; if there are no other discomforts, these variations are considered normal.

[Read More] Is Morning Flatulence Normal? Understanding Gut Health and Probiotics


Understanding Bowel Issues: Is My Digestive Health Normal?

Bowel issues Hello, Doctor: I have a question. I was diagnosed with irritable bowel syndrome (IBS) at another hospital, and the symptoms have persisted for six months. I have been taking medication, which has improved my condition significantly. However, recently, my first bowel ...


Dr. Cai Anshun Reply:
Hello: It is normal for the first part of the stool to be formed while the latter part is unformed, as the water content has not been fully absorbed in the latter segment. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Bowel Issues: Is My Digestive Health Normal?


Understanding Bloating, Gas, and Bowel Issues: When to Seek Help

Abdominal bloating, flatulence, and bowel movement issues? Thank you, doctor, for taking the time to read and respond. Hello, I am a 23-year-old female student. During my high school years, I developed a habit of withholding urination and defecation due to fear of using the schoo...


Dr. Cai Jinji Reply:
Hello, Ms. Shrimp: If both parents are diagnosed with cancer in middle age, it is advisable to consult a colorectal specialist to determine if further examinations are necessary. Director Cai Jin-ji of the Gastroenterology and Hepatology Department at Nantou Hospital.

[Read More] Understanding Bloating, Gas, and Bowel Issues: When to Seek Help


Can You Get Hepatitis B from Sharing a Straw with an Infected Person?

A wound comes into contact with the saliva of a hepatitis B patient? Hello, doctor. A few days ago, I accidentally bit my mouth and caused an ulcer. Today, I accidentally took a sip from a drink that a hepatitis B patient had used (with the same straw). Can my wound come into con...


Dr. Chen Shidian Reply:
The chances are slim, and since you were vaccinated against hepatitis B at birth, you should still have some immune memory to provide protection.

[Read More] Can You Get Hepatitis B from Sharing a Straw with an Infected Person?


Effective Tips to Alleviate Indigestion Symptoms After Meals

Dyspepsia Hello, doctor. Sometimes after I eat, whether I'm lying down or sitting, I feel uncomfortable and need to sit up or stand to burp in order to release gas. It feels a bit like indigestion. I would like to know how to improve this and how to cope when it happens.


Dr. Chen Shidian Reply:
It is likely that you have swallowed some air. Please avoid talking while eating, and take a walk after meals, as it is beneficial for digestion.

[Read More] Effective Tips to Alleviate Indigestion Symptoms After Meals


Understanding Gastrointestinal Issues: When to Seek Further Medical Help

Gastrointestinal issues Hello Doctor: Recently, I've been experiencing occasional bloating in my stomach, and sometimes when I eat, I also feel a sense of bloating along with some soreness in my back, but it goes away after a while. This sensation doesn't occur frequent...


Dr. Chen Shidian Reply:
It is advisable to keep medications prepared in advance, pay attention to diet and daily routines, take medication when feeling unwell or when necessary, and record the reactions for future medical reference.

[Read More] Understanding Gastrointestinal Issues: When to Seek Further Medical Help


Struggling with Constipation: Causes and Solutions for Bowel Issues

Inability to pass stool, accompanied by only passing gas and frequent urination? After seeing the doctor and taking the medication he prescribed for three weeks, it feels as if I have completely lost my ability to have bowel movements (before starting the medication, I had relati...


Dr. Chen Shidian Reply:
Please return for a follow-up appointment with your physician to discuss the examination and medication, and to avoid potential side effects of the drugs.

[Read More] Struggling with Constipation: Causes and Solutions for Bowel Issues


Understanding IBS: Why Travel Relieves Diarrhea and Abdominal Pain

Recurrent abdominal pain, flatulence, and diarrhea? Hello, doctor. At the end of April, I experienced discomfort in my stomach, so I underwent an upper gastrointestinal endoscopy and a colonoscopy in May. The results showed that there were no issues with the colon, but there was ...


Dr. Cai Jinji Reply:
Hello Mr. Jack: It may be advisable to discuss with your physician whether to first evaluate the situation regarding the original gastroscopy, colonoscopy, and CT scan. Dr. Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.

[Read More] Understanding IBS: Why Travel Relieves Diarrhea and Abdominal Pain


Understanding Diarrhea and Hemorrhoids: Key Questions Answered

Questions about diarrhea and hemorrhoids? Hello Doctor, I have not experienced diarrhea from January to June of this year, and my bowel movements have been regular with well-formed stools. Occasionally, I had small pellet-like stools, but there was some blood in my stool intermit...


Dr. Cai Jinji Reply:
Hello Ms. Chen: If there is no improvement, it is recommended to consult a gastroenterologist to see if further examination is needed. Director Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.

[Read More] Understanding Diarrhea and Hemorrhoids: Key Questions Answered


Understanding Bowel Movements and Gas: Is It Irritable Bowel Syndrome?

I have been experiencing intestinal peristalsis and issues with flatulence over the past few days? Hello, doctor. I previously asked some questions regarding gastroesophageal reflux, fresh blood on toilet paper after bowel movements, and abdominal tenderness upon palpation. Curre...


Dr. Chen Shidian Reply:
Fruits and vegetables/dietary fiber can promote peristalsis/bowel movements/gas expulsion, so please adjust the intake accordingly.

[Read More] Understanding Bowel Movements and Gas: Is It Irritable Bowel Syndrome?


Understanding IBS: Is Stress the Cause of Your Chronic Diarrhea?

Irritable Bowel Syndrome (IBS) Diagnosis Issues Hello Dr. Chen, I have been experiencing long-term constipation for six months, primarily characterized by diarrhea, mostly yellow in color. In May, due to gastrointestinal discomfort, I underwent a series of tests. The gastroscopy ...


Dr. Chen Shidian Reply:
If the abnormal intestinal motility is solely caused by diet or lifestyle, adjustments can be made. However, if symptoms persist after making these changes, it is advisable to seek medical attention for further management.

[Read More] Understanding IBS: Is Stress the Cause of Your Chronic Diarrhea?


Understanding Digestive Issues: Concerns About Bowel Changes in Teens

Bowel-related issues? I am currently 17 years old and preparing for my college entrance exams, but my health has been concerning me to the point where I can't focus on studying. I've been staying up late since around the second year of junior high, and recently, over th...


Dr. Cai Jinji Reply:
Hello, Student Wu: If there is no improvement, it is recommended that you visit a gastroenterologist for a detailed consultation and examination, which may help resolve your concerns. Director Cai Jin-ji, Gastroenterology Department, Nantou Hospital.

[Read More] Understanding Digestive Issues: Concerns About Bowel Changes in Teens


Understanding Abdominal Ultrasound Results: What You Need to Know

Issues related to abdominal ultrasound? About a year ago, I visited a hospital's hepatobiliary and gastroenterology department due to stomach discomfort. The doctor arranged for an ultrasound and endoscopy. During the follow-up appointment, the doctor only mentioned that I h...


Dr. Chen Shidian Reply:
There should be no special findings, but please monitor for any signs of hepatitis B or liver function.

[Read More] Understanding Abdominal Ultrasound Results: What You Need to Know


Understanding Digestive Issues: Color Changes and Abdominal Pain Explained

Bowel issues? Recently, my diet has been irregular because I want to lose weight; I sometimes skip meals and don't eat much. In early July, I ate dragon fruit for three consecutive days, and since then, my stools have been a deep purple color. However, for a few days, I expe...


Dr. Chen Shidian Reply:
First, stop consuming dragon fruit (which contains pigments that may interfere), and then observe. It is also recommended to maintain a balanced diet and avoid excessive dieting.

[Read More] Understanding Digestive Issues: Color Changes and Abdominal Pain Explained


Understanding Bloating and Loss of Appetite: Causes and Solutions

Bloating, loss of appetite? I often experience bloating in my left flank and a lack of appetite. What should I do? I have seen a doctor who mentioned that my lack of appetite is caused by anxiety; is that really the case? I have undergone an endoscopy, which showed only gastritis...


Dr. Chen Shidian Reply:
It is recommended to consult with a physician for discussion, maintain regular meal times, and engage in regular exercise to support metabolic circulation.

[Read More] Understanding Bloating and Loss of Appetite: Causes and Solutions


Understanding Changes in Bowel Habits: When to Seek Medical Advice

Bowel and defecation-related issues? Hello doctor, my bowel habits have changed for a while now, and it has been almost six months. I used to have regular bowel movements, but now I either go a long time without a bowel movement or I have difficulty passing stool. The consistency...


Dr. Chen Shidian Reply:
If there is no bleeding or weight loss, it is likely a change in digestive motility. Pay attention to diet, hydration, and exercise. If concerned, a stool occult blood test can be performed first.

[Read More] Understanding Changes in Bowel Habits: When to Seek Medical Advice


Understanding Chronic Abdominal Discomfort: Constipation or IBS?

Chronic recurrent abdominal discomfort? Hello Doctor, I have been experiencing constipation issues (about every 3-4 days or longer for a bowel movement). A year or two ago, I suddenly noticed a slight dull pain around my lower abdomen near the navel. I still have bowel movements ...


Dr. Cai Anshun Reply:
Hello: Constipation can lead to fecal impaction or irritable bowel syndrome. Even if you have soft stools every 3-4 days, it is still recommended to develop a daily bowel movement habit and to ensure adequate hydration and intake of fruits and vegetables. Changhua Hospital cares ...

[Read More] Understanding Chronic Abdominal Discomfort: Constipation or IBS?


Black Particles in Stool: What You Need to Know About Your Digestive Health

Black stool? Hello Doctor, I often experience diarrhea or loose stools, and I have never had constipation. Recently, I noticed that regardless of whether my stool is in a diarrheal state or loose, there are black particles the size of Thai rice. My stool is of normal color, so th...


Dr. Chen Shidian Reply:
It is mostly food residue, so there is no need to worry too much. You can continue to observe.

[Read More] Black Particles in Stool: What You Need to Know About Your Digestive Health


Understanding Esophageal Varices and Liver Cirrhosis: Key Insights for Patients

Esophageal varices caused by liver cirrhosis? Hello Doctor, my father is 61 years old and is a carrier of Hepatitis B. He has been taking Baraclude for about 2-3 years and has a history of excessive alcohol consumption. After experiencing his first episode of esophageal variceal ...


Dr. Chen Shidian Reply:
1. It varies by individual, and there are also differences among physicians. 2. Medication and regular endoscopy are recommended, along with minimizing activities that increase abdominal pressure (such as lifting heavy objects). 3. Blood tests and ultrasound are necessary, an...

[Read More] Understanding Esophageal Varices and Liver Cirrhosis: Key Insights for Patients


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