Understanding Rectal Bleeding: When to Seek Medical Attention
Rectal bleeding Hello doctor, I have recently experienced rectal bleeding, with the toilet water turning red and obscuring the appearance of my stool. I also feel a sharp pain in my anus during bowel movements, and there is bright red blood and clots on the toilet paper after wip...
Dr. Hu Guozheng Reply:
It is recommended to visit the colorectal surgery outpatient clinic. Thank you.[Read More] Understanding Rectal Bleeding: When to Seek Medical Attention
Understanding Digestive Issues: Irregular Bowel Movements and Blood in Stool
Bowel issues, gastrointestinal problems? Hello Doctor: I would like to ask about my recent bowel movements. They have not been in the shape of normal stools; instead, I have been experiencing more diarrhea. My dietary habits have not changed much, except that I occasionally skip ...
Dr. Hu Guozheng Reply:
Hello, it is recommended to consult a colorectal surgeon. Thank you.[Read More] Understanding Digestive Issues: Irregular Bowel Movements and Blood in Stool
Severe Left Lower Abdominal Pain: Causes and Solutions Explained
Severe pain in the lower left abdomen? Dear Deputy Director, I would like to ask you about my condition. I often experience acute abdominal diarrhea in my lower left abdomen after eating a full meal. At times, the pain is so severe that I suddenly find it difficult to breathe, a...
Dr. Chen Shidian Reply:
It is recommended to first perform a fecal occult blood test to rule out serious intestinal lesions. Additionally, an antispasmodic can be taken before meals. Local heat application can be used to alleviate symptoms during episodes of pain.[Read More] Severe Left Lower Abdominal Pain: Causes and Solutions Explained
Managing Elevated T-Bilirubin: Insights for Liver Health
Laboratory report: T-bilirubin 1.41 is elevated. What are the next steps for management? The liver surface is rough (for several years) with no evidence of hepatitis A, B, or C, and no signs of metabolic syndrome. GOT is 21, GPT is 22, and there are no symptoms such as pain. Bowe...
Dr. Chen Shidian Reply:
It is still within the normal range of fluctuations, so there is no need to worry.[Read More] Managing Elevated T-Bilirubin: Insights for Liver Health
Changes in Bowel Habits: Understanding Symptoms and Risks
Changes in bowel habits and other symptoms? The family has a history of colorectal cancer. Three weeks ago, bowel movements suddenly increased from once a day to three times a day, concentrated in the evening within an hour. There is a sensation of incomplete evacuation after def...
Dr. Hu Guozheng Reply:
Hello, it is advisable to seek medical evaluation as soon as possible. Thank you.[Read More] Changes in Bowel Habits: Understanding Symptoms and Risks
Understanding Left Upper Abdominal Bloating: Causes and Concerns
Abdominal bloating For the past two and a half months, I have been experiencing bloating in the upper left abdomen. When lying down and tapping on the upper left abdomen, I can hear sounds, while there are no abnormal sounds on the right side. When standing, I particularly feel t...
Dr. Hu Guozheng Reply:
Hello, it is recommended to visit the outpatient clinic for evaluation. Thank you.[Read More] Understanding Left Upper Abdominal Bloating: Causes and Concerns
Understanding Green Stool: Causes and When to Seek Medical Advice
Green stool Hello Doctor: Since March 30th, I have been experiencing green stools almost every time I have a bowel movement. Most of the time, the shape is normal, but occasionally it is unformed. I did some research online and found that it could be due to consuming dark-colored...
Dr. Cai Anshun Reply:
Hello: The color of stool can be influenced by the foods consumed; however, it is still recommended to check for fecal occult blood. If the result is positive, a colonoscopy is advised. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Green Stool: Causes and When to Seek Medical Advice
Understanding the Risks of Induced Vomiting: When to Seek Medical Help
Frequent vomiting? Hello Doctor, I have been experiencing body image anxiety and have been inducing vomiting for the past 6-7 years, although not daily—it's been intermittent. I had stopped for about a year or two, but recently it has resumed, occurring about once every two ...
Dr. Hu Guozheng Reply:
Consideration is possible, but the primary focus should be on addressing the anxiety-related vomiting behavior.[Read More] Understanding the Risks of Induced Vomiting: When to Seek Medical Help
Understanding Tea-Colored Urine in Chronic Hepatitis B Patients
Brown urine in the context of hepatitis B concerns? Hello, doctor. I would like to ask you about my situation. I have been a carrier of hepatitis B since childhood, and recently, in the past week, I have experienced two episodes of tea-colored urine, both occurring around 3:00 PM...
Dr. Chen Shidian Reply:
The described symptoms are likely unrelated to hepatitis B and may be due to dietary pigments or urinary tract issues (such as minor bleeding). It is advisable to consult a urologist for a urinalysis.[Read More] Understanding Tea-Colored Urine in Chronic Hepatitis B Patients
Managing Persistent GERD and Tongue Numbness: Seeking Solutions
Gastroesophageal reflux has been recurring for over six months. I have been taking medication to manage it, but it hasn't improved. Recently, I have experienced numbness in my tongue. What should I do? In the second half of 2022, I experienced a burning sensation in my throa...
Dr. Hu Guozheng Reply:
Hello! It is advisable to discuss this with your attending physician. Thank you.[Read More] Managing Persistent GERD and Tongue Numbness: Seeking Solutions
Understanding Gastrointestinal Issues: Causes and Necessary Tests
Gastrointestinal issues In the past month, I have been experiencing dizziness almost every day, with a slightly elevated body temperature, usually between 37.4-38 degrees Celsius when measured in the ear. My weight has dropped from 75 kg to 70 kg, and my bowel movements are somet...
Dr. Hu Guozheng Reply:
Hello! You can come to the outpatient clinic for an evaluation. Thank you.[Read More] Understanding Gastrointestinal Issues: Causes and Necessary Tests
Managing Side Effects and Dosage Adjustments for Nexavar in Liver Cancer Treatment
Issues related to the reduction of side effects and dosage adjustments for Nexavar in liver cancer treatment? Dear Dr. Lin, My father is 65 years old and has been diagnosed with liver cancer. He has been taking Nexavar at a dosage of 200 mg twice a day for nearly two years. Earl...
Dr. Lin Minghui Reply:
Lenvatinib is a multi-kinase inhibitor used as a targeted therapy for patients with advanced liver cancer. It works by reducing blood supply and slowing the growth of cancer cells, thereby inhibiting tumor growth and spread. The goal is to delay the progression of the tumor. Prol...[Read More] Managing Side Effects and Dosage Adjustments for Nexavar in Liver Cancer Treatment
Blood in Stool: Understanding Possible Causes and Concerns
Blood in the stool during bowel movements? Hello Doctor, I would like to seek your advice. Yesterday morning, I noticed blood during bowel movements, but since it was just before my menstrual period, I thought it was related to that and didn't think much of it. However, th...
Dr. Chen Shidian Reply:
It is likely an anal fissure; medical treatment may include the use of stool softeners and topical ointments.[Read More] Blood in Stool: Understanding Possible Causes and Concerns
Understanding Rectal Sensations: When to Seek Gastroenterology Advice
I would like to request a medical evaluation? Hello Doctor, I previously inquired about the sensation of a foreign body in the anus. From last Saturday, the 6th, to today, the 14th, I have seen two doctors, and I still feel a sensation of a foreign body in the anus. Is this norma...
Dr. Chen Shidian Reply:
It may be a personal sensation of abnormality or anxiety; if necessary, one can seek treatment from a psychiatry department or undergo anal rectal pressure measurement tests at a medical center's colorectal surgery department.[Read More] Understanding Rectal Sensations: When to Seek Gastroenterology Advice
Understanding Irregular Bowel Movements: When to Seek Medical Advice
Bowel issues Hello Doctor, I am in my 20s and I am not sure if this has been the case since childhood or if I have only recently noticed it. I have found that my bowel movements are never in the shape of a banana or sausage. I often feel the urge to use the bathroom multiple time...
Dr. Chen Shidian Reply:
It is just a personal bowel habit and falls within the normal range, so there is no need to worry. If anxiety persists, a stool occult blood test can be performed.[Read More] Understanding Irregular Bowel Movements: When to Seek Medical Advice
Can Hepatitis C Be Transmitted Through Contaminated Dishes?
Questions about Hepatitis C transmission? If a person with a wound on their hand is infected with hepatitis B or C and their blood contaminates utensils while washing them, is there a risk of transmission through food the next day?
Dr. Chen Shidian Reply:
The chances are very low; most infections occur due to direct contamination of wounds or puncture wounds with fresh blood or bodily fluids.[Read More] Can Hepatitis C Be Transmitted Through Contaminated Dishes?
Understanding Rectal Foreign Sensation: When to Seek Further Evaluation
Anorectal foreign body sensation Hello, I inquired about the sensation of a foreign body in the anus yesterday. I would like to ask again. Yesterday, I visited a gastroenterologist who used an anoscope to examine me and said that there was nothing abnormal, only internal hemorrho...
Dr. Chen Shidian Reply:
There is no need to return unless it's necessary after finishing the medication.[Read More] Understanding Rectal Foreign Sensation: When to Seek Further Evaluation
Understanding Black Stool: Causes and Concerns for Digestive Health
Black stool issue Hello Doctor: Recently, I have been experiencing loose stools that appear black from a distance, but up close, they seem more like a very dark brown. There doesn't seem to be any bloody smell (though I can't really identify what blood smells like). Thi...
Dr. Hu Guozheng Reply:
Hello, it is recommended to seek medical evaluation. Thank you.[Read More] Understanding Black Stool: Causes and Concerns for Digestive Health
Blood in Stool and Left Rib Pain: Gastrointestinal Concerns Explained
Blood in the stool and rebound tenderness below the left rib cage? Hello, doctor. In the past year, I have experienced some gastrointestinal issues. Initially, an endoscopy revealed that I had a gastric ulcer, but follow-up reports indicated that it has healed. However, I have co...
Dr. Hu Guozheng Reply:
Hello, it is recommended to return for a follow-up appointment and discuss with the physician. Thank you.[Read More] Blood in Stool and Left Rib Pain: Gastrointestinal Concerns Explained
Understanding Rectal Foreign Sensation: When to Seek Further Testing
Anorectal foreign body sensation Hello, I inquired about the sensation of a foreign body in the anus yesterday. I would like to ask again. I visited a gastroenterologist who used an anoscope to examine me and said that there was nothing concerning, only internal hemorrhoids. Afte...
Dr. Chen Shidian Reply:
It is not necessary; you can return for a follow-up appointment only after finishing the medication.[Read More] Understanding Rectal Foreign Sensation: When to Seek Further Testing