B, Gastroenterology and Hepatology FAQ - Page 4

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Understanding Rectal Blockage: Causes and Solutions for Constipation

Feeling of inability to pass stool with a sensation of something being stuck at the anal opening? During bowel movements, there is a sensation of stool needing to be expelled, but it feels like it gets stuck at the anus and retracts when trying to relax. Sometimes, only thin or p...


Dr. Cai Jinji Reply:
Hello Mr. A-Hai: It is recommended to visit a colorectal specialist to better determine the issue. Director Cai Jin-ji from the Department of Hepatobiliary and Gastroenterology at Nantou Hospital.

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


Safe Pain Relief Options for Patients with Stomach Ulcers

Medication Issues for Peptic Ulcers Hello, doctor. A family member has a severe gastric ulcer and has previously been hospitalized for bleeding and received a blood transfusion. We suspect that the long-term use of pain relief and anti-inflammatory medication (PBF "NAPTONS.R...


Dr. Hu Guozheng Reply:
Patients with a history of peptic ulcer disease or gastrointestinal bleeding should be evaluated by a physician to determine the appropriateness of using non-steroidal anti-inflammatory drugs (NSAIDs) for treatment. If the patient has a long-term migraine issue, it is advisable t...

[Read More] Safe Pain Relief Options for Patients with Stomach Ulcers


High White Blood Cell Count in Liver Abscess: Discharge Considerations

Elevated white blood cell count in liver abscess? 79 years old! After 21 days of drainage, the white blood cell count is still over 20,000. Is it possible to be discharged under these circumstances? Is there a 21-day limit for insurance-covered hospital beds? How many days should...


Dr. Lin Minghui Reply:
The treatment duration for a liver abscess is related to the size of the abscess, the underlying cause, the type of infecting bacteria, and the patient's response to treatment. Treatment for a liver abscess may include surgery, drainage, and antibiotic therapy, with complete...

[Read More] High White Blood Cell Count in Liver Abscess: Discharge Considerations


Why Is My Stomach Growling Loudly? Causes and Solutions Explained

The abdominal sounds suddenly became very loud? Hello, doctor. Since I started university, I often have to stay up late for my studies (sleeping around 1 to 3 AM), and I have also started drinking coffee. However, I have noticed that my stomach growls very loudly, whether I am hu...


Dr. Hu Guozheng Reply:
Borborygmi is the sound produced by the movement of the intestines during peristalsis. It can be triggered by water, food, air, or hunger and is considered a normal physiological phenomenon. If the sounds are louder or more frequent but are not accompanied by other symptoms such ...

[Read More] Why Is My Stomach Growling Loudly? Causes and Solutions Explained


Understanding Granular Stool with Brown Mucus: Causes and Concerns

The stool is granular with brown mucus? Hello, I would like to inquire about the reasons for having pellet-like stools and noticing brown mucus during wiping. Sometimes it occurs, and sometimes it does not.


Dr. Cai Jinji Reply:
Hello Ms. 4392: How long have you been experiencing this condition? If it has persisted for a while, I recommend seeing a specialist in colorectal surgery for an examination. Director Cai Jinjì of the Department of Hepatobiliary and Gastroenterology at Nantou Hospital.

[Read More] Understanding Granular Stool with Brown Mucus: Causes and Concerns


Best Supplements for Fatty Liver and Gallbladder Polyps: What to Consider

For individuals with fatty liver and gallbladder polyps, liver health supplements that may be beneficial include milk thistle, artichoke extract, and omega-3 fatty acids. However, it is essential to consult with a healthcare professional before starting any new supplements to ens...


Dr. Chen Shidian Reply:
The primary strategies for managing fatty liver are weight loss and exercise, while liver-protective medications have limited efficacy (though they are not harmful). The components of artichoke extracts are all similar, showing no significant differences.

[Read More] Best Supplements for Fatty Liver and Gallbladder Polyps: What to Consider


Understanding Anal Pain and Discomfort: Possible Causes and Solutions

Pain in the buttocks accompanied by slight swelling? My usual bowel habit is to have a bowel movement every two to three days, which has been the case since high school. Although I do eat some vegetables, I don't consume them in large quantities, so my stools are often hard,...


Dr. Lin Minghui Reply:
Prolonged sitting or standing can lead to varicose veins and hemorrhoids. It is recommended to eat more fruits and vegetables, drink plenty of water, establish good bowel habits, avoid prolonged sitting or standing, and engage in moderate exercise. If there are concerns about gro...

[Read More] Understanding Anal Pain and Discomfort: Possible Causes and Solutions


Understanding Elevated Lipase Levels: A Guide for Concerned Parents

Amylase and lipase? I would like to ask about my son's situation. He is in his twenties and was diagnosed with acute gastroenteritis in August 2022. During an emergency visit, his lipase level was 82. When we followed up with a gastroenterologist, the doctor mentioned that t...


Dr. Lin Minghui Reply:
Causes of elevated lipase levels include acute and chronic pancreatitis, renal failure, cholecystitis, intestinal obstruction or infarction, duodenal ulcers, pancreatic stones, pancreatic tumors, diabetes, hepatitis C infection, HIV infection, hyperlipasemia, inflammatory bowel d...

[Read More] Understanding Elevated Lipase Levels: A Guide for Concerned Parents


Understanding Muddy Stool: Gastrointestinal Concerns and Next Steps

Gastrointestinal and bowel-related issues? Hello Doctor: For the past 5-7 days, my stools have been muddy and coffee-colored. Prior to this, I experienced stomach pain and bloating, which led me to visit the emergency room for blood and urine tests. The emergency physician indica...


Dr. Lin Minghui Reply:
Abdominal pain, bloating, and diarrhea improved after medication, but after three days, there are still gastrointestinal discomfort, poor appetite, and muddy, coffee-colored stools. It is possible that the gastroenteritis has not completely resolved. It is recommended to pay atte...

[Read More] Understanding Muddy Stool: Gastrointestinal Concerns and Next Steps


Understanding Post-Discharge Bloating After Gallstone Treatment

Bloating due to gallstones? My father is 80 years old and was admitted to the emergency room due to abdominal pain, where he was found to have gallstones, bile duct stones, and pancreatitis. The doctor performed an endoscopic procedure to remove the bile duct stones and placed a ...


Dr. Chen Shidian Reply:
Cholecystopancreatitis can affect digestion, so a bland diet with small, frequent meals is recommended. If necessary, enzyme medications may be added. Please discuss this further with your attending physician.

[Read More] Understanding Post-Discharge Bloating After Gallstone Treatment


Understanding Anal Fissures: Causes, Symptoms, and Treatment Options

Anal fissure issues? Hello, doctor. This past week (starting from June 10), I have been having bowel movements every day, but the stools have been hard, and I have to exert a lot of effort to pass them. In the previous days, I only needed to push, and there was no pain in the anu...


Dr. Chen Shidian Reply:
Short-term use of oral laxatives (such as magnesium oxide) can be combined with topical ointments. During bowel movements, try to control the force, and consider passing smaller amounts in multiple attempts. Afterward, clean the area and apply medication.

[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options


Understanding Persistent Esophageal Candidiasis: Causes and Treatment Challenges

Esophageal candidiasis? Dr. Hu: Hello, I have been undergoing endoscopic surveillance for intestinal metaplasia in recent years, and I have consistently found Candida in my esophagus every year. Although the doctors have prescribed a week-long course of antifungal medication, the...


Dr. Hu Guozheng Reply:
Esophageal candidiasis is a fungal infection of the esophagus that commonly occurs in older adults, individuals with a history of alcohol consumption, or those with chronic kidney disease or who are on immunosuppressive medications such as steroids, due to a weakened immune syste...

[Read More] Understanding Persistent Esophageal Candidiasis: Causes and Treatment Challenges


Chronic Abdominal Pain: Understanding Complications and Treatment Options

Abdominal pain persisting for over a year accompanied by multiple complications? Hello, doctor. Since February of last year, I have been experiencing abdominal pain every night, and sometimes I have to rush to the bathroom in the middle of the night. At that time, my bowel moveme...


Dr. Chen Shidian Reply:
If the weight is normal, irritable bowel syndrome (IBS) may be the most likely cause. In addition to using gastrointestinal medications for management, a stool occult blood test can be conducted. If necessary, a referral to a mental health specialist may help with anxiety control...

[Read More] Chronic Abdominal Pain: Understanding Complications and Treatment Options


Understanding Right Lower Abdominal Pain: Causes and Insights

Right lower abdominal pain? Hello Doctor, I have been experiencing frequent pain in my lower right abdomen recently, and I feel bloated even after eating a small amount. About a month ago, I sought medical attention for this issue, and at that time, I was diagnosed with a right o...


Dr. Cai Anshun Reply:
Hello, the X-ray report indicates that there is a significant amount of intestinal gas, with some parts of the intestines appearing distended and the presence of fecal impaction. Additionally, there are some calcifications noted in the pelvic cavity, which may be due to vascular ...

[Read More] Understanding Right Lower Abdominal Pain: Causes and Insights


Morning Bloating and Discomfort: Tips for IBS Relief

I often feel discomfort in my stomach upon waking up in the morning? Hello, I am a patient with irritable bowel syndrome (IBS). Every morning when I wake up, I experience discomfort in my abdomen. Upon waking (still lying in bed), I often have bloating (belching) and flatulence. ...


Dr. Cai Anshun Reply:
Hello: Sometimes excessive gas and urgent bowel movements are not necessarily caused by excessive intestinal gas; it may also be due to rapid peristalsis. It is advisable to consult a clinical physician for appropriate treatment. Additionally, in terms of diet, it is recommended ...

[Read More] Morning Bloating and Discomfort: Tips for IBS Relief


Understanding Persistent Candida in the Esophagus: Causes and Concerns

Esophageal candidiasis? Dr. Chen: Hello, I have intestinal metaplasia in my stomach, so I undergo annual gastroscopy for monitoring. However, each time I find that there is Candida in my esophagus. Although the doctor has prescribed Fluconazole, it still appears every year. My at...


Dr. Chen Shidian Reply:
Related to personal immunity, blood sugar, peristalsis, and gastric acid, they are mostly harmless, but it is still advisable to understand the causes and seek treatment as necessary.

[Read More] Understanding Persistent Candida in the Esophagus: Causes and Concerns


Understanding the Circular Structure Inside the Anus: Is It the Sphincter?

When inserting a finger into the anus, there is a ring-like structure that can be felt approximately one finger's length in? I previously experienced constipation and anal fissures, so I bought hemorrhoid cream to apply. While applying the cream, I noticed a ring-like struct...


Dr. Chen Shidian Reply:
The anal canal and sphincter tissue should not be subjected to excessive manipulation.

[Read More] Understanding the Circular Structure Inside the Anus: Is It the Sphincter?


Emergency Surgery for Acute Cholecystitis: Navigating High Liver Enzymes

The emergency physician arranged for an urgent surgical operation? Hello Dr. Chen, I would like to inquire about the following narrative: A patient presented to the emergency department late at night with abdominal pain. Blood tests revealed elevated liver enzymes, and a CT s...


Dr. Chen Shidian Reply:
If the liver function tests are significantly elevated, anesthesia or surgery may not be advisable. Please discuss the details with your attending physician.

[Read More] Emergency Surgery for Acute Cholecystitis: Navigating High Liver Enzymes


Accidental Consumption of Raw Pork: Risks and Prevention Tips

Accidental ingestion of raw pork stored in the refrigerator? Hello, Doctor! I apologize for the interruption. I accidentally consumed about half a bowl of raw pig ears that were stored in the refrigerator the night before last. The pig ears were pickled, and I mistakenly thought ...


Dr. Chen Shidian Reply:
It is recommended to monitor for any discomfort symptoms and seek medical evaluation if necessary.

[Read More] Accidental Consumption of Raw Pork: Risks and Prevention Tips


Does Diarrhea Have a Stronger Odor Than Normal Bowel Movements?

Does diarrhea smell worse than usual bowel movements? Hello doctor, I usually experience constipation, so my stool tends to have a stronger odor than average. However, I have been monitoring the color and shape of my stool, and it consistently has a similar smell. I don't of...


Dr. Chen Shidian Reply:
The odor is inevitable and unrelated to the polyps. Be sure to stay hydrated.

[Read More] Does Diarrhea Have a Stronger Odor Than Normal Bowel Movements?


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