Understanding Bowel Issues: Narrow Stools and Constipation Concerns
Colorectal bowel issues Hello doctor, I have a question. Recently, over the past two weeks, I have noticed that my stools have become thinner. I also have a history of constipation. After researching online, I suspect that my constipation may have led to the development of colore...
Dr. Chen Shidian Reply:
Fecal occult blood testing can be performed, and it is advisable to increase the intake of fruits and vegetables. If necessary, medication can be used for further management.[Read More] Understanding Bowel Issues: Narrow Stools and Constipation Concerns
Understanding Chronic Abdominal Bloating: Causes and Solutions
Chronic abdominal bloating? Hello, doctor. Around December of last year, I underwent an endoscopy, and the doctor mentioned that I had bloating. I didn't pay much attention to it, but in early January and February, I still experienced bloating. I visited two gastroenterology...
Dr. Chen Shidian Reply:
It is advisable to first adjust the timing and dosage of medication, take a short walk after meals, and avoid prolonged sitting. If there is still no improvement, then a colonoscopy should be considered.[Read More] Understanding Chronic Abdominal Bloating: Causes and Solutions
Understanding Chronic Abdominal Bloating: Causes and Solutions
Chronic abdominal bloating? Hello doctor, around December of last year, I underwent an endoscopy, and the doctor mentioned that I had bloating. I didn't take it seriously, but in early January and February, I still experienced bloating. I visited two gastroenterology clinics...
Dr. Chen Shidian Reply:
It is advisable to first adjust the timing and dosage of medication, take a short walk after meals, and avoid prolonged sitting. If there is still no improvement, then a colonoscopy should be considered.[Read More] Understanding Chronic Abdominal Bloating: Causes and Solutions
Understanding Mucus in Stool: Causes and Concerns for Your Gut Health
Mucus in stool A few weeks ago, I suddenly experienced only mucus during bowel movements and persistent bloating. My stools were soft at that time. I visited a general clinic, and the doctor mentioned it was mild gastroenteritis, but I did not experience any abdominal pain or sym...
Dr. Zhang Kebin Reply:
Hello Mr. Liu: You reported that a few weeks ago, you suddenly experienced mucus-only stools and persistent bloating. After receiving medication from the clinic, you began to have to strain to have bowel movements, and blood streaks appeared in your stool. Previously, your stool ...[Read More] Understanding Mucus in Stool: Causes and Concerns for Your Gut Health
Chronic Abdominal Pain: Understanding Symptoms and Seeking Relief
Chronic abdominal pain with bowel sounds? I have been experiencing sudden and persistent abdominal pain for about three months, with pain occurring nearly every day. The intensity varies between severe pain and a more tolerable discomfort. Sometimes, the pain feels like sharp, st...
Dr. Cai Anshun Reply:
Hello: Borborygmi may be caused by rapid intestinal motility combined with the accumulation of gas in the intestines. If there is a history of abdominal surgery, there may be mild intestinal adhesions. If there is no surgical history, it is important to first check if the diet co...[Read More] Chronic Abdominal Pain: Understanding Symptoms and Seeking Relief
Understanding Bloating and Abdominal Pain: When to Seek Further Testing
Gastrointestinal bloating issues Hello, doctor. Last week, I suddenly experienced persistent sharp pain and bloating in my lower abdomen on both sides. I did not have diarrhea or vomiting. The next day, I went to the emergency room, and it happened to be the morning my menstrual ...
Dr. Cai Anshun Reply:
Hello: After gastroenteritis, there will be a recovery period lasting from several days to a few weeks, which varies from person to person and depends on the severity of the gastroenteritis. A light diet is recommended, and it is advisable to monitor your condition for 2-3 weeks....[Read More] Understanding Bloating and Abdominal Pain: When to Seek Further Testing
Understanding Persistent Bowel Issues: When to Consider a Colonoscopy
Feeling the urge to have a bowel movement again shortly after just having one? About one to two months ago, I started experiencing frequent bowel sounds, especially after meals or when lying down. Initially, I didn't think much of it, but after taking antibiotics for six day...
Dr. Chen Shidian Reply:
In typical irritable bowel syndrome, a colonoscopy is generally not necessary. However, dietary adjustments to reduce oil and dairy intake are recommended, along with medication to manage symptoms.[Read More] Understanding Persistent Bowel Issues: When to Consider a Colonoscopy
Understanding Lower Abdominal Pain During Pregnancy: When to Seek Help
Lower abdominal tenderness with pain on movement? Hello doctor, I am currently 16 weeks pregnant and have suddenly experienced pain in my lower abdomen. Pressing on my lower abdomen, turning over, walking, sneezing, and straining during bowel movements all cause significant pain....
Dr. Chen Shidian Reply:
It doesn't seem like a gastrointestinal issue. If possible, a stool occult blood test can be performed to rule out this possibility.[Read More] Understanding Lower Abdominal Pain During Pregnancy: When to Seek Help
Understanding Blood in Stool: Causes and Concerns for Gastrointestinal Health
Bowel issues, rectal bleeding, abdominal pain? Hello, Vice Dean Chen. I apologize for bothering you, but I would like to ask for your advice. About two weeks ago, I sought medical attention due to diarrhea lasting nearly a week, during which I noticed what appeared to be streaks ...
Dr. Chen Shidian Reply:
There should be no major issues; further details can be discussed with the attending physician.[Read More] Understanding Blood in Stool: Causes and Concerns for Gastrointestinal Health
Understanding Weight Loss and Throat Issues from GERD: A Medical Insight
Gastroesophageal reflux disease (GERD)/laryngitis and weight loss? Hello, doctor. In the past few months, I have been experiencing frequent gastroesophageal reflux, which has also affected my throat, causing a sensation of something being stuck. This was the diagnosis and treatme...
Dr. Chen Shidian Reply:
If initial treatment and adjustments are still ineffective, it is recommended to perform an upper gastrointestinal endoscopy and a fecal occult blood test to rule out malignant diseases (it is unlikely, but it is necessary to exclude possibilities).[Read More] Understanding Weight Loss and Throat Issues from GERD: A Medical Insight
Understanding Bowel Sounds and Bloating: When to Seek Further Evaluation
Borborygmi, bloating Hello, doctor. I have been suffering from chronic indigestion for many years. I tend to experience diarrhea when I am stressed, along with occasional bloating and frequently unformed stools. The doctor has mostly diagnosed it as irritable bowel syndrome. Howe...
Dr. Chen Shidian Reply:
Further examination may not be necessary; monitoring, dietary adjustments, and medication management should suffice.[Read More] Understanding Bowel Sounds and Bloating: When to Seek Further Evaluation
Managing HBV Viral Load for Cancer Patients: Treatment Timing and Strategies
Hepatitis B virus load and medication issues? Dear Dr. Chen, My husband is experiencing a recurrence of cancer, and we believe that chemotherapy drugs may no longer be effective. Therefore, we are considering participating in a clinical trial for experimental drugs, but the stud...
Dr. Chen Shidian Reply:
There is no specific rate of decline; it may be necessary to conduct monthly assessments.[Read More] Managing HBV Viral Load for Cancer Patients: Treatment Timing and Strategies
Is Your Stomach Pain a Sign of Cancer? Understanding Gastrointestinal Symptoms
Stomach pain: Cancer? Hello doctor, I suddenly woke up with severe stomach pain at 3 AM on January 28th. The pain was located in the upper abdomen, between the ribs below the sternum. It was so intense that I couldn't stand up straight and felt nauseous. I went to the emerge...
Dr. Chen Shidian Reply:
It is likely acute gastritis, possibly related to the use of anti-inflammatory medication. It is advisable to discontinue the medication and carefully monitor for any changes.[Read More] Is Your Stomach Pain a Sign of Cancer? Understanding Gastrointestinal Symptoms
Understanding Blood Test Results: High Albumin and Its Implications
Blood test report issues? Hello Doctor, I recently had blood and urine tests due to high blood pressure. The day before the tests, I took antibiotics (Pseudomonas-specific tablets) because a previous doctor diagnosed me with "epididymitis." The urine test results show s...
Dr. Chen Shidian Reply:
It should not be necessary; you can discuss it during your follow-up appointment after finishing the medication.[Read More] Understanding Blood Test Results: High Albumin and Its Implications
Understanding Mucus Discharge from the Anus: Causes and Concerns
There is mucus discharge from the anus? Hello, Doctor. About two weeks ago, I suddenly experienced diarrhea 3-4 times two hours after lunch. I had two packets of loperamide at home, so I took them in two doses to stop the diarrhea. However, starting the next day, I noticed a smal...
Dr. Chen Shidian Reply:
It appears to be normal secretions from the colon, and further observation is recommended.[Read More] Understanding Mucus Discharge from the Anus: Causes and Concerns
Irritable Bowel Syndrome: Managing Weight Loss and Bloating Challenges
Irritable Bowel Syndrome (IBS): Dietary bloating, weight loss to underweight? Irritable Bowel Syndrome: Dietary Bloating, Weight Loss to Underweight Hello Doctor, I have been seeking medical attention for over a year and have consulted many doctors. As of January 19, 2021, I had...
Dr. Chen Shidian Reply:
You seem to have a tendency towards anxiety, and it is advisable to seek assistance from a psychosomatic specialist (along with a metabolic specialist to rule out any new metabolic diseases) for management.[Read More] Irritable Bowel Syndrome: Managing Weight Loss and Bloating Challenges
Understanding Changes in Stool Size and Abdominal Pain: Possible Causes
The stool has become thinner, and there are occasional feelings of abdominal pain? I would like to ask about my situation. A doctor previously diagnosed me with an anal fissure, but after more than a year, I have recently been experiencing frequent abdominal pain, specifically in...
Dr. Chen Shidian Reply:
Further observation is recommended; if concerns persist, a fecal occult blood test can be performed.[Read More] Understanding Changes in Stool Size and Abdominal Pain: Possible Causes
Understanding Long-Term Constipation and Rectal Issues: Causes and Solutions
Chronic constipation, rectal issues? Hello, doctor. I am currently working abroad and unable to return to Taiwan. I am on a waiting list to see a specialist, but due to the pandemic, I have not been able to get an appointment yet. I have been experiencing chronic constipation for...
Dr. Chen Shidian Reply:
It is likely a constipation type of irritable bowel syndrome, but it is still recommended to check for occult blood in the stool to rule out colorectal disease. Additionally, increase the intake of fruits and vegetables, engage in post-meal walking exercises, establish a regular ...[Read More] Understanding Long-Term Constipation and Rectal Issues: Causes and Solutions
Understanding Right Lower Abdominal Pain: Causes and When to Seek Help
Right lower abdominal tenderness upon palpation? Hello doctor, I have always had a constitution where I have to use the bathroom 5 to 10 minutes after eating, and for the past few days, I have been feeling a dull pain in my abdomen. I have the urge to go, but I can only manage to...
Dr. Chen Shidian Reply:
Further observation/localized heat application or consultation for examination (fecal occult blood test).[Read More] Understanding Right Lower Abdominal Pain: Causes and When to Seek Help
Understanding Pancreatitis: Causes, Symptoms, and Risks of Recurrence
Pancreatitis issues Hello, doctor. My father experienced severe abdominal pain about 5.6 years ago and went to the emergency room, where he was diagnosed with acute pancreatitis. At that time, his enzyme levels were over 10,000, but he did not want to be hospitalized and went hom...
Dr. Cai Anshun Reply:
Hello: 1. The pancreatic inflammation index usually refers to amylase or lipase levels that rise to more than three times the normal value. 2. Alcohol consumption is the primary cause; additionally, the presence of gallstones (some of which may be small and not visible on a CT sc...[Read More] Understanding Pancreatitis: Causes, Symptoms, and Risks of Recurrence