Understanding Right Lower Abdominal Pain: Causes and Diagnostic Approaches
Right-sided abdominal pain inquiry? Hello Dr. Tsai, I would like to ask you a more detailed question. I appreciate your response. Last year, I experienced discomfort about 3 to 4 times in the same area (right lower abdomen to the pelvic region, with soreness, bloating, and a feel...
Dr. Cai Anshun Reply:
Hello: To diagnose Crohn's disease, an endoscopy with biopsy is necessary to confirm the diagnosis. Whether it is Crohn's disease also requires the clinical judgment of a physician, who will arrange for further examinations. It cannot be diagnosed solely by CT or MRI. C...[Read More] Understanding Right Lower Abdominal Pain: Causes and Diagnostic Approaches
Persistent Blood in Stool: When to Consider Small Bowel Endoscopy?
Persistent bloody stools with no identifiable bleeding source on examination: Is a small bowel endoscopy necessary? Symptoms: First episode of bloody stool from January 9 to January 11. Patient: 68-year-old female with a history of mild gastric ulcer and elevated cholesterol. Tre...
Dr. Chen Shidian Reply:
It should not be related to the liver. It is necessary to work with a gastroenterologist and take some time for a thorough examination. Small bowel endoscopy and angiography are both considerations.[Read More] Persistent Blood in Stool: When to Consider Small Bowel Endoscopy?
Understanding Gallstones and Gastrointestinal Issues: A Patient's Journey
Intestinal dryness or gallstones? Hello doctor, I have a question that I hope you can patiently listen to. Over the past six months, I have seen four or five gastroenterologists and undergone various tests including gastroscopy, ultrasound, colonoscopy, X-rays, fecal occult blood...
Dr. Cai Anshun Reply:
Hello: 1. If it is related to the pancreas, issues should be detectable in previous imaging studies such as a CT scan. 2. Symptoms caused by gallstones typically occur after eating a large or fatty meal, or as abdominal bloating and pain 2-3 hours post-meal. Irritable bowel syndr...[Read More] Understanding Gallstones and Gastrointestinal Issues: A Patient's Journey
Persistent Abdominal Pain After Gastroenteritis: Seeking Relief
Gastroenteritis issues with persistent abdominal pain? Hello, doctor. Four days ago, I went to the emergency room due to diarrhea, having bowel movements 7 to 8 times a day, and a fever reaching 41 degrees Celsius. I received antipyretic and anti-diarrheal injections, and underwe...
Dr. Chen Shidian Reply:
A clear liquid diet should be followed until the intestinal mucosa is fully repaired, in order to reduce abnormal contractions and peristalsis. Medications may be necessary to control symptoms.[Read More] Persistent Abdominal Pain After Gastroenteritis: Seeking Relief
Understanding Pancreatic Health: Normal Ultrasound and Blood Test Results
Pancreatic ultrasound and blood draw? Hello Dr. Lin, I would like to ask about my recent abdominal ultrasound and blood tests conducted in the gastroenterology department. My blood tests for CA19-9 and CEA were both normal, and the abdominal ultrasound showed no abnormalities in ...
Dr. Lin Minghui Reply:
Hello, pancreatic cancer is associated with several risk factors such as family history, chronic cholangitis, chronic pancreatitis, and biliary cystic diseases. Inflammation of the bile and pancreas is related to alcohol consumption and gallstones. Currently, if examinations are ...[Read More] Understanding Pancreatic Health: Normal Ultrasound and Blood Test Results
Persistent Oily Stools: Do I Need Further Tests for Digestive Issues?
Floating stools with oil have been evaluated through various tests. I would like to ask if any further examinations are necessary? The patient has been experiencing long-term pain in the right upper abdomen and has had unformed stools. Recently, the stools have been floating and ...
Dr. Lin Minghui Reply:
Hello, a 38-year-old male presents with floating stools. His diet is not excessively greasy, and stool tests can be conducted to check for steatorrhea. Floating stools are associated with diet, medications, and gastrointestinal, liver, gallbladder, and pancreatic diseases. Both g...[Read More] Persistent Oily Stools: Do I Need Further Tests for Digestive Issues?
Understanding Abdominal Discomfort: Insights on Gastrointestinal Issues
Abdominal issues? Hello Dr. Tsai, I have been experiencing gastrointestinal discomfort frequently this year (including multiple episodes of bloating, right lower abdominal tenderness, diarrhea, etc.), occurring approximately every three to four months. The recent symptoms include...
Dr. Cai Anshun Reply:
Hello: The probability of developing diseases in the small intestine is quite low. It is more important to consider whether there are any abnormalities in peristalsis or to recall if there has been any accidental ingestion of fish bones or other foreign objects. Additionally, it ...[Read More] Understanding Abdominal Discomfort: Insights on Gastrointestinal Issues
Understanding Gastrointestinal Issues: Gallstones or IBS?
Gastrointestinal issues Hello doctor, I have a question that may be a bit common, so please be patient as I explain. Over the past six months, I have seen four or five gastroenterologists and undergone various tests including gastroscopy, ultrasound, colonoscopy, X-rays, stool te...
Dr. Chen Shidian Reply:
It is recommended to discuss further with a gastroenterologist.[Read More] Understanding Gastrointestinal Issues: Gallstones or IBS?
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
Persistent Abdominal Pain After Gastroenteritis: Seeking Relief
Gastroenteritis issue with persistent abdominal pain? Hello, doctor. Four days ago, I went to the emergency room due to diarrhea, having bowel movements 7 to 8 times a day, and a fever reaching 41 degrees Celsius. I received antipyretic and anti-diarrheal injections, and underwen...
Dr. Chen Shidian Reply:
A clear liquid diet should be followed until the intestinal mucosa is fully healed, reducing abnormal contractions and peristalsis. Medications may be necessary to control symptoms.[Read More] Persistent Abdominal Pain After Gastroenteritis: Seeking Relief
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 Changes in Stool: Is It a Sign of Rectal Cancer?
Fecal-related issues? Hello Doctor, I would like to inquire about the issue of stool narrowing caused by rectal cancer. I came across an article that mentioned that alternating between thick and thin stools could indicate the presence of a tumor in the intestines, which made me a...
Dr. Cai Anshun Reply:
Hello: Stool consistency is a nonspecific symptom of colorectal cancer and does not necessarily indicate a relationship with the disease. It is often more related to the types of food consumed or the amount of water intake. Changhua Hospital cares about your health. Dr. Tsai An-S...[Read More] Understanding Changes in Stool: Is It a Sign of Rectal Cancer?
Understanding Changes in Stool: Is It a Sign of Rectal Cancer?
Colon cancer concerns? Hello Doctor, I would like to inquire about the issue of stool narrowing caused by rectal cancer. I came across an article that mentioned that alternating between thick and thin stools could indicate the presence of a tumor in the intestines, which made me ...
Dr. Cai Anshun Reply:
Hello: Stool consistency is a nonspecific symptom of colorectal cancer and is not necessarily related to the disease. It is often more associated with the types of food consumed or the amount of fluid intake. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Changes in Stool: Is It a Sign of Rectal Cancer?
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
Understanding Pencil-Shaped Stool: Should You Worry About Rectal Cancer?
Bowel issues Hello doctor, I saw online that finding stool shaped like a pencil could indicate colorectal cancer, and I'm a bit worried. Recently, I've noticed that my stools have been thick at the beginning and tapering to a point about 1 cm at the end, resembling a pe...
Dr. Cai Anshun Reply:
Hello: Changes in stool patterns are generally considered one of the non-specific symptoms of colorectal cancer. Non-specific, by definition, means that it is not necessarily indicative of cancer. If a recent stool occult blood test came back normal, there is no need to worry exc...[Read More] Understanding Pencil-Shaped Stool: Should You Worry About Rectal Cancer?
Understanding Changes in Stool Shape: When to Worry?
Bowel movement issues I had a fecal occult blood test done last month, and the results were normal. I would like to inquire about my recent bowel movements. The color and consistency of the stool have been normal, and there is no blood. However, the last one centimeter of the sto...
Dr. Chen Shidian Reply:
You can increase your intake of fruits and vegetables and monitor the situation.[Read More] Understanding Changes in Stool Shape: When to Worry?
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
Understanding Dark Stools: Causes and Concerns After Colonoscopy
Black stool Hello Dr. Chen, my father-in-law had a colonoscopy at the beginning of November, where a large polyp was found and removed. After treatment with medication, he has recovered. However, at the beginning of December, he started having dark stools again. He underwent an u...
Dr. Chen Shidian Reply:
If food coloring is not the cause, then it is necessary to consider checking for bleeding lesions in the small intestine.[Read More] Understanding Dark Stools: Causes and Concerns After Colonoscopy
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
Severe Upper Abdominal Pain at Night: Could Gallstones Be the Cause?
Experiencing upper abdominal pain for two consecutive nights that wakes you up, leading to a visit to the emergency room? Hello Doctor, a few days ago I experienced severe upper abdominal pain for two consecutive nights, waking up from the pain in my sleep. I initially thought it...
Dr. Chen Shidian Reply:
It is still possible that the gallstone is temporarily lodged. If the pain occurs again, you can go to the emergency department for an ultrasound to confirm. The medication is not very effective, but surgery can be considered based on the situation and is not urgently needed at t...[Read More] Severe Upper Abdominal Pain at Night: Could Gallstones Be the Cause?