Understanding Digestive Issues: Symptoms, Causes, and Solutions
I've been feeling strange in my abdomen lately? About a month ago, I started to notice that my appetite was smaller than before; often, I couldn't eat as much as I used to without feeling overly full and a bit nauseous. Additionally, I would feel full for a long time af...
Dr. Cai Anshun Reply:
Hello: 1. Whether or not you have eaten, you may feel bubbling sounds in your stomach and intestines, along with occasional sensations of peristalsis. This likely indicates a combination of increased intestinal motility and bloating. 2. Your appetite has not returned to what ...[Read More] Understanding Digestive Issues: Symptoms, Causes, and Solutions
Understanding Green Stool: When to Worry and What It Means
Stool color Hello Doctor: Since December of last year, I have noticed that my stool color has been consistently varying between grass green, dark green, and deep green. I have undergone both a colonoscopy and an upper endoscopy, both of which came back normal, but the color has n...
Dr. Cai Anshun Reply:
Hello: If you have undergone gastroscopy and colonoscopy, it is likely that there are no lesions in the stomach or colon. I'm not sure if you have had a fecal occult blood test; if the results are normal, I suggest you not to worry too much about the color of your stool. You...[Read More] Understanding Green Stool: When to Worry and What It Means
Understanding Changes in Appetite and Bowel Issues in Teens
Dietary Intake and Bowel Issues I am currently about 17 and a half years old. About 2 to 3 weeks ago, I experienced abdominal pain, bloating, and nausea for about 3 days. On the third day, after having a bowel movement (which was diarrhea), I felt better. However, since then, it ...
Dr. Cai Jinji Reply:
Hello Ms. Anonymous: (1) There are many reasons for a decreased appetite, including metabolism and psychological factors. It may be advisable to consult other specialties. (2) Issues with bowel movements can also have various causes. It is recommended to see a physician to evalua...[Read More] Understanding Changes in Appetite and Bowel Issues in Teens
Does Cancer Treatment Drug Cause Elevated Liver Enzymes?
Does cancer treatment medication cause elevated liver enzymes? Hello Doctor, my father was diagnosed with rectal cancer two years ago and underwent surgery, recovering well. However, during a routine check-up two months ago, a recurrence was found, but the original treating physi...
Dr. Chen Shidian Reply:
I have never used Esomeprazole capsules and my condition is complicated, so please discuss it further with my attending physician.[Read More] Does Cancer Treatment Drug Cause Elevated Liver Enzymes?
Understanding Digestive Issues: Weight Loss and Bowel Changes Explained
Issues related to bowel movements and loud bowel sounds after meals? Hello Doctor, I underwent a colonoscopy at a colorectal clinic in early May, and the doctor later informed me that they would remove three hyperplastic polyps. Before the procedure, a digital rectal exam was per...
Dr. Lin Minghui Reply:
Hello: The colonoscopy revealed polyps and benign tumors that require follow-up. You may consult a gastroenterologist or a colorectal specialist. Changes in stool patterns and weight loss are noted. It feels like the intestines are not absorbing nutrients, leading to weight loss....[Read More] Understanding Digestive Issues: Weight Loss and Bowel Changes Explained
Unusual Bowel Movements and Weight Loss: Seeking Gastroenterology Advice
Stool, postprandial borborygmi, weight loss inquiry? I would like to ask the doctor, I had a colonoscopy at the clinic in early May, where three benign polyps were removed. The doctor did not schedule a follow-up appointment, stating that my intestines are very healthy. However, ...
Dr. Yang Zhichao Reply:
Hello Mr. Joe, regarding your weight loss and bowel/gurgling issues, you may consult a gastroenterologist. The throat problem could also be related to gastroesophageal reflux, so seeing a gastroenterologist would be appropriate. However, if these issues cannot be resolved, I reco...[Read More] Unusual Bowel Movements and Weight Loss: Seeking Gastroenterology Advice
Understanding Stool Color Changes: When to Worry About Black Spots
Bowel-related issues? Hello doctor, I have recently started to pay special attention to the characteristics of my stool during bowel movements. I noticed that my stool is yellow, but for a continuous period, there have been black spots in it. Some are long, black streaks, while o...
Dr. Cai Jinji Reply:
Hello Mr. A-Kai: In general medical terms, black stools refer to feces that have a tarry appearance. If you are truly concerned, it is advisable to take a picture first and then visit a hospital to consult a physician. Director Cai Jin-ji, Department of Hepatobiliary and Gastroen...[Read More] Understanding Stool Color Changes: When to Worry About Black Spots
Understanding Blood in Stool: Causes, Concerns, and When to Seek Help
Blood in the stool? Hello Doctor, I have been experiencing constipation for a long time, and it has worsened since I started losing weight this past year. I usually drink at least 2000 cc of water but still only have a bowel movement about once every five days. For the past two w...
Dr. Chen Shidian Reply:
It is likely mild bleeding from internal hemorrhoids. Initially, medication to improve bowel movements should be administered. If symptoms persist or there are concerns, a fecal occult blood test or colonoscopy should be considered.[Read More] Understanding Blood in Stool: Causes, Concerns, and When to Seek Help
Understanding Chest Tightness and Shallow Breathing: Possible Causes and Solutions
Chest tightness and shallow breathing? Hello, Doctor. Recently, I have been experiencing noticeable chest tightness and shallower breathing. I have a history of hyperthyroidism, and my blood tests indicate that my medication is being managed fairly well. I also underwent an elect...
Dr. Chen Shidian Reply:
It seems less likely to be a gastrointestinal issue. Acid reflux often presents with a burning sensation. You may want to reduce your intake of sweet, acidic foods, coffee, and tea. If symptoms persist, you can try using gastrointestinal medications to see if there is any improve...[Read More] Understanding Chest Tightness and Shallow Breathing: Possible Causes and Solutions
Managing Diarrhea, Chest Tightness, and Palpitations: A Patient's Journey
Diarrhea, chest tightness, and palpitations? Hello doctor, on the night of June 5th around 11 PM, I experienced diarrhea with watery stools twice, followed by chest tightness and palpitations. The next morning, I had another bowel movement, and I took over-the-counter cold and st...
Dr. Chen Shidian Reply:
There may be gastrointestinal dysfunction and autonomic nervous system disorders, which may require treatment from gastroenterologists and psychosomatic medicine specialists if necessary.[Read More] Managing Diarrhea, Chest Tightness, and Palpitations: A Patient's Journey
Understanding Liver Pain and Yellowing Eyes After Alcohol Abuse
Dull pain in the liver area and yellowing of the sclera? Hello! I have been a long-term alcoholic for about 7 to 8 years, starting with red wine, then whiskey, and later consuming approximately 250 to 300 cc of 58% sorghum liquor each night (I have a habit of drinking until I fal...
Dr. Chen Shidian Reply:
It would still be reassuring to go to the hospital for an ultrasound examination.[Read More] Understanding Liver Pain and Yellowing Eyes After Alcohol Abuse
Understanding Abnormal Liver Function Tests: SGOT and SGPT Insights
Liver function tests (LFTs) Hello Doctor: Recent health check reports indicate abnormal liver function with SGOT: 45 U/L and SGPT: 45 U/L. What could be the issue or what recommendations do you have? Is there a need for immediate medical attention, re-examination, or treatment? T...
Dr. Chen Shidian Reply:
Check for hepatitis B and perform an ultrasound. If it is only fatty liver, then lose weight for 1 to 2 months before following up with blood tests.[Read More] Understanding Abnormal Liver Function Tests: SGOT and SGPT Insights
Understanding Lower Abdominal Pain and Bowel Irregularities
Lower abdominal pain and abnormal bowel movements? Hello Doctor: I have been experiencing difficulty with bowel movements for many years, characterized by sticky, small, and hard stools. Each time I go to the bathroom, it takes over 30 minutes, and I feel like I can't fully ...
Dr. Chen Shidian Reply:
Blood in the stool may require medical evaluation, including a colonoscopy or a fecal occult blood test.[Read More] Understanding Lower Abdominal Pain and Bowel Irregularities
Understanding Minor Rectal Bleeding: Causes and Concerns
Small amount of rectal bleeding? Hello Doctor: In the past, I experienced rectal bleeding during bowel movements. I previously underwent a colonoscopy at a large hospital, where the doctor diagnosed me with hemorrhoids and anal fissures as the cause of the bleeding. After using t...
Dr. Cai Anshun Reply:
Hello: It is possible that there is still some bleeding. You can apply the medication again and also make sure to increase your intake of fruits and vegetables, as well as fluids, to help soften your stool, which may reduce this phenomenon. If there is still no improvement, you m...[Read More] Understanding Minor Rectal Bleeding: Causes and Concerns
Understanding Abnormal Fecal Occult Blood Test Results: When to Seek Care
Fecal occult blood The fecal occult blood immunoassay (quantitative) result is *>400.0 ng/mL, which is classified as abnormal and may be related to gastrointestinal diseases. Please follow up with a gastroenterology clinic within one week; however, given the current severe pan...
Dr. Cai Jinji Reply:
Hello Andy: According to statistical reports, among adults aged 50-66 with positive fecal occult blood tests, 20 individuals will have 10 with polyps and 1 with colorectal cancer. Please evaluate your condition to determine if there is an urgent need for medical attention. Nantou...[Read More] Understanding Abnormal Fecal Occult Blood Test Results: When to Seek Care
Is a Cholesterol Level of 254 mg/dL Dangerous? Doctor's Advice
Cholesterol level of 254, no need for medication? Hello, Dr. Chang. I have had hepatitis B since I was about 12 years old. Recently, while I was abroad, I experienced some discomfort, such as slight swelling and pain on the left side of my neck and muscle discomfort in my left sh...
Dr. Zhang Kebin Reply:
Dear Ms. Wang, You have had hepatitis B since the age of 12. Recently, while abroad, you experienced discomfort, such as mild swelling and pain on the left side of your neck and muscle discomfort in your left shoulder, prompting you to seek medical attention and request blood te...[Read More] Is a Cholesterol Level of 254 mg/dL Dangerous? Doctor's Advice
Understanding Bowel Issues: Symptoms, Concerns, and Possible Causes
Bowel issues Hello, doctor. For the past month, after having a bowel movement, I always feel like I haven't fully emptied my bowels and still want to go again. I have a constant feeling of discomfort and pain in my abdomen, and when I do go, I usually have to go about three ...
Dr. Zhang Kebin Reply:
Hello Mr. Hsiao: You mentioned that after having a bowel movement, you feel that you haven't fully evacuated, and you have a persistent dull pain in your abdomen, along with frequent urination issues. This may suggest a sympathetic nervous system imbalance and a narrowing of...[Read More] Understanding Bowel Issues: Symptoms, Concerns, and Possible Causes
Understanding Rectal Discomfort: Causes and When to Seek Help
The anus feels unusual? Hello Doctor, I previously experienced frequent rectal bleeding when wiping after bowel movements, but stool occult blood tests were negative. Recently, I've been having abdominal pain, and when I consulted a doctor, I was diagnosed with gastroenterit...
Dr. Chen Shidian Reply:
The sensation of a foreign body is likely caused by internal hemorrhoids (mild inflammation). Please keep the anal area clean and dry, and apply topical medication if necessary.[Read More] Understanding Rectal Discomfort: Causes and When to Seek Help
Understanding Deep Anal Pain: Causes and Concerns for Patients
Deep anal pain? Hello Doctor! Last month, while I was working, I suddenly felt a sharp pain deep in my anus, similar to cramping, which lasted about 4 to 6 seconds and then subsided. This occurred continuously for 3 days, a total of 6 times. I would like to ask the doctor about t...
Dr. Chen Shidian Reply:
Symptoms can be monitored; if concerned, a fecal occult blood test can be performed.[Read More] Understanding Deep Anal Pain: Causes and Concerns for Patients
Understanding Soft and Unformed Stool: Causes and Concerns
Loose stools can sometimes be unformed and occasionally watery? Hello, I have been experiencing soft stools almost every time I go to the bathroom recently. Occasionally, they are unformed and mushy, and while I don't have diarrhea very often, it does happen occasionally. Al...
Dr. Chen Shidian Reply:
It may simply be increased peristalsis; if necessary, medication can be administered and a stool occult blood test can be performed.[Read More] Understanding Soft and Unformed Stool: Causes and Concerns