Understanding Blood-Streaked Diarrhea: When to Seek Further Testing
Diarrhea with blood streaks? Hello Doctor, three years ago I had a colonoscopy due to blood in my stool, which revealed diverticula and hemorrhoids. Recently, I have experienced occasional diarrhea with blood streaks (approximately five times in the past two years). I have return...
Dr. Chen Shidian Reply:
Based on the current description, it does not appear to be inflammatory bowel disease; however, a colonoscopy with biopsy is still necessary to confirm the diagnosis if needed.[Read More] Understanding Blood-Streaked Diarrhea: When to Seek Further Testing
Understanding Normal Stool Color with Dark Water: What You Need to Know
The stool color is normal, but the water is very dark? Is it normal for the stool color to be normal but the water to be very dark? Additionally, should I stop taking probiotics before undergoing a fecal occult blood test to avoid affecting the results?
Dr. Chen Shidian Reply:
There is no need to discontinue use, but food factors (such as dragon fruit) should be excluded. First, take a photo with your mobile phone for reference, and then collect a stool sample for testing.[Read More] Understanding Normal Stool Color with Dark Water: What You Need to Know
Managing Fatty Liver and GERD: A Patient's Journey to Health
I have a question I would like to ask the doctor? Hello Doctor: I have had abnormal liver function since 2003. I do not smoke, drink alcohol, or chew betel nut, but I have always loved sugary drinks. In the past, I also frequently stayed up late, and I only exercised during physi...
Dr. Lin Minghui Reply:
Hello, 1. For those prone to gastroesophageal reflux disease (GERD), it is advisable to pay attention to diet by reducing coffee intake, and limiting chocolate, spicy foods, and high-fat foods. 2. Helicobacter pylori is associated with chronic gastritis, gastrointestinal ulce...[Read More] Managing Fatty Liver and GERD: A Patient's Journey to Health
Understanding Bowel Issues: Symptoms and When to Consider a Colonoscopy
Bowel issues I have been experiencing a feeling of fullness and congestion in my anus after bowel movements, along with a slight stinging sensation inside the anus. Occasionally, my stool has a transparent mucus, and sometimes there are cloudy, milky-white particles that appear i...
Dr. Yang Zhichao Reply:
Hello Ms. Duckhead, based on your symptoms, you can undergo a routine stool examination and have your physician evaluate the situation to arrange for a colonoscopy, in order to rule out the possibility of colorectal cancer and assess for any digestive issues. Changhua Hospital ca...[Read More] Understanding Bowel Issues: Symptoms and When to Consider a Colonoscopy
Understanding Bowel Issues: Symptoms and When to Consider a Colonoscopy
Bowel movement issues I have recently experienced a feeling of fullness and congestion in my anus after bowel movements, along with a slight stinging sensation inside the anus. Occasionally, my stool has a transparent mucus, and sometimes there are cloudy, milky-white floating pa...
Dr. Yang Zhichao Reply:
Hello, Ms. Duckhead. Based on your symptoms, a colonoscopy can be arranged to rule out colorectal cancer. If the examination shows no issues, please make sure to exercise regularly, eat more fruits and vegetables, and stay hydrated. Thank you for your inquiry.[Read More] Understanding Bowel Issues: Symptoms and When to Consider a Colonoscopy
Understanding Bowel Issues: IBS Symptoms and When to Seek Help
Issues with bathroom habits in recent years? Hello Doctor: I had a colonoscopy last April, which was normal. Shortly after, during the summer, I started experiencing frequent diarrhea and alternating constipation, which I suspect is irritable bowel syndrome. I have difficulty eat...
Dr. Chen Shidian Reply:
Irritable bowel syndrome (IBS) is primarily managed through lifestyle and dietary adjustments, along with pharmacological control. Additionally, a fecal occult blood test can be performed.[Read More] Understanding Bowel Issues: IBS Symptoms and When to Seek Help
Understanding Elevated GPT and Indirect Bilirubin Levels: Causes and Concerns
Elevated GPT/indirect bilirubin slightly elevated? Over the past 10 years of regular health check-ups, my GPT/GOT/total bilirubin levels have all been within normal ranges, with GPT/GOT between 10-20. In August 2018, total bilirubin was first noted at 1.8 (with GPT/GOT around 20 ...
Dr. Chen Shidian Reply:
The condition is somewhat different from others, but still poses no danger. It is recommended to continue monitoring at the same healthcare facility. Maintain a normal diet and avoid exposure to toxic volatile substances. Referral to a medical center should only be made if necess...[Read More] Understanding Elevated GPT and Indirect Bilirubin Levels: Causes and Concerns
High Liver Enzymes: Understanding Symptoms and Seeking Solutions
If liver enzyme levels double, can it lead to symptoms such as abdominal bloating and pain, dizziness and headaches, blurred vision, generalized weakness, and loss of appetite? Hello, I would like to ask about my mother. Recently, she has been experiencing bloating and stomach pa...
Dr. Chen Qifeng Reply:
1. A twofold increase in liver enzymes is considered a mild elevation. 2. Many liver function abnormalities are asymptomatic; even if levels exceed 1000, symptoms, if present, are often non-specific, such as fatigue, decreased appetite, and nausea. 3. Your mother's symptoms ...[Read More] High Liver Enzymes: Understanding Symptoms and Seeking Solutions
Unexplained Recurring Fever: A Gastroenterology Case Study
Recurrent fever of unknown origin for an extended period? Hello Doctor, my mother is 62 years old. Since returning from a trip to Europe at the beginning of the year, she has had a poor appetite and has lost weight (from 60 kg to 50 kg). She says she is not accustomed to European...
Dr. Chen Qifeng Reply:
Please visit the infectious disease department and undergo nuclear medicine scanning if necessary.[Read More] Unexplained Recurring Fever: A Gastroenterology Case Study
Do You Really Need a Colonoscopy? Understanding Your Gastrointestinal Symptoms
Is a colonoscopy necessary? Hello Doctor, for the past six months to a year, my stools have been unformed, alternating between diarrhea and constipation. Sometimes I feel the urge to have a bowel movement, but I can't go, or I feel like I haven't fully emptied my bowels...
Dr. Chen Qifeng Reply:
Abdominal ultrasound examination of the gastrointestinal tract is not very helpful. The likelihood of irritable bowel syndrome (IBS) is high. If symptoms persist, a colonoscopy may be considered.[Read More] Do You Really Need a Colonoscopy? Understanding Your Gastrointestinal Symptoms
Understanding Pancreatic Cysts: Symptoms, Diagnosis, and Follow-Up Care
Pancreatic pseudocyst Hello Doctor Chen: I have been experiencing a sensation of a foreign body in my right abdomen for 3-4 years. Sometimes, I also have abdominal pain that radiates to my back (the area is not fixed). My blood test showed a slightly elevated bilirubin level (1.6...
Dr. Chen Qifeng Reply:
Pancreatic cysts are generally not a major concern, while liver nodules need to be evaluated based on their characteristics. Typically, ultrasound examinations do not specifically emphasize the relationship between height and pancreatic size, but rather observe whether there is a...[Read More] Understanding Pancreatic Cysts: Symptoms, Diagnosis, and Follow-Up Care
Understanding Mucus in Stool: Causes and Concerns for Gastrointestinal Health
Mucus in stool Hello Doctor: I had a complete colonoscopy three years ago that was normal, and I also had a fecal occult blood test last September that was normal, with a diagnosis of internal hemorrhoids. Since February of this year, I have been experiencing frequent bowel movem...
Dr. Chen Qifeng Reply:
Issues related to gastrointestinal and digestive function.[Read More] Understanding Mucus in Stool: Causes and Concerns for Gastrointestinal Health
Understanding Jaundice: When to See a Gastroenterologist
Jaundice Hello doctor, I recently noticed that the sclera of my eyes is slightly yellow, but the area near the iris is white. Only the part that requires me to slightly pull back my eyelid appears a bit yellow. Does this count as jaundice? Should I see a specialist in hepatobilia...
Dr. Chen Qifeng Reply:
It is more accurate to have a specialist physician make the assessment, and blood tests can also be considered.[Read More] Understanding Jaundice: When to See a Gastroenterologist
Understanding IBS: Persistent Bloating and Gastrointestinal Discomfort
I have been experiencing bloating and symptoms of irritable bowel syndrome for almost a month? Hello, doctor. Recently, I've been feeling uncomfortable with my gastrointestinal system and have visited several clinics and hospitals. I've had ultrasounds and X-rays done, ...
Dr. Chen Shidian Reply:
It should be one of the symptoms of irritable bowel syndrome; however, a fecal occult blood test should be conducted first to rule out any intestinal diseases. Additionally, confirm that bowel habits are normal. Taking a walk after meals is recommended, and if necessary, medicati...[Read More] Understanding IBS: Persistent Bloating and Gastrointestinal Discomfort
Understanding Your Bowel Issues: When to Seek Gastrointestinal Care
Bowel issues Hello Doctor, I have been busy with work recently. After a few weeks of observation, I noticed that my stool is half black (hard) and half coffee-colored (soft). I have not eaten any blood-containing foods, and the thickness is normal. I have chronic gastritis. Could...
Dr. Chen Qifeng Reply:
If necessary, a fecal occult blood test may be performed first.[Read More] Understanding Your Bowel Issues: When to Seek Gastrointestinal Care
Understanding Abdominal Pain and Bowel Issues in College Students
Abdominal pain and bowel issues? Hello, doctor. I am currently a university student and a typical fast-food consumer. I have occasionally experienced diarrhea and abdominal pain in the past, often feeling the urge to have a bowel movement, but after passing gas in the restroom, t...
Dr. Chen Qifeng Reply:
It is recommended to consult a gastroenterologist, and if necessary, to undergo further examinations, including thyroid function tests and colonoscopy.[Read More] Understanding Abdominal Pain and Bowel Issues in College Students
Can You Get Hepatitis B from Ear Piercing? Understanding the Risks
Ear piercing // Hepatitis B Recently, I received a hepatitis B vaccination, and my blood test report shows that I have antibodies. I would like to ask... I went to get my ears pierced, and the staff wore gloves; however, they did not change gloves after piercing the previous cust...
Dr. Chen Qifeng Reply:
In principle, individuals with antibodies will not be infected.[Read More] Can You Get Hepatitis B from Ear Piercing? Understanding the Risks
Understanding Digestive Issues: Symptoms and Concerns After Endoscopy
Bowel issues The doctor performed an endoscopy yesterday and found mild inflammation and ulcers. My stomach feels strange now; could it be because the test for Helicobacter pylori made me feel like the endoscope was pulling in my stomach? Also, if it were colon cancer, would the ...
Dr. Chen Qifeng Reply:
1. After the gastroscopy, there may be slight discomfort due to air insufflation, which is unrelated to the Helicobacter pylori test. 2. This is likely a symptom of gastroenteritis; a light diet low in oil, dairy, and irritants is recommended, and you may also consider consulting...[Read More] Understanding Digestive Issues: Symptoms and Concerns After Endoscopy
Understanding Bowel Issues: Causes and Solutions for Discomfort
Bowel issues Hello, Dr. Chen. I usually have normal bowel movements, once every morning. However, about a week ago, I suddenly felt a burning and bloated sensation in my anus during the night. The next day, after having a bowel movement, I continued to feel the urge to defecate, ...
Dr. Chen Qifeng Reply:
As the physician mentioned, it is a symptom of gastroenteritis; regarding the anal itching, you may consult a colorectal surgeon.[Read More] Understanding Bowel Issues: Causes and Solutions for Discomfort
Understanding Bowel Issues: Causes of Color Changes and Pain After Gastroenteritis
Bowel issues Hello doctor, after experiencing gastroenteritis last month, I have been having stomach pain every morning, which eases after bowel movements (I feel a sense of fullness and nausea). Why is my stool today two colors, yellow and brown? Could this indicate bleeding? Is...
Dr. Chen Qifeng Reply:
This is classified as post-gastroenteritis dysfunction. There is no evidence of bleeding.[Read More] Understanding Bowel Issues: Causes of Color Changes and Pain After Gastroenteritis