Blood, Gastroenterology and Hepatology FAQ

Understanding Anal Spasms: When to Seek Medical Attention

Anal issues The anus has been twitching intermittently for several days, without pain or blood in the stool. Should I undergo further examination? Thank you.

Dr. Lin Minghui Reply:
Anal twitching is mostly caused by spasms of the pelvic floor muscles or the muscles surrounding the anus. It may be triggered by inflammation of the pelvis or anus, or it could simply be due to emotional stress. Even in healthy individuals, emotional stress can lead to pelvic sp...

Understanding Duodenal Ulcers: Accuracy of H. Pylori Testing After Medication

Duodenal ulcer issues? I previously had some stomach issues and took medication prescribed by a clinic for a while, which helped alleviate the symptoms. The medications included those for treating peptic ulcers, gastric ulcers, and duodenal ulcers, such as Esomeprazole 20 mg, Pan...

Dr. Chen Shidian Reply:
Testing should still be primarily prepared, and other methods (stool test/blood test/breath test) should only be used if necessary.

Understanding Abnormal Liver and Pancreatic Function Test Results

Health check report red text Hello Dr. Lin: During the recent company health check, the ultrasound technician mentioned that my liver appeared somewhat coarse and discovered a liver cyst (0.43 cm). The doctor advised me to undergo additional blood tests for liver function. After ...

Dr. Lin Minghui Reply:
The diagnosis of acute pancreatitis involves several steps: First, assess for symptoms such as abdominal pain and postprandial back pain. Second, identify any risk factors such as gallstones, bile duct stones, alcohol consumption, and hyperlipidemia. Third, evaluate biochemical t...

Understanding Blood and Mucus in Stool: Possible Gastrointestinal Issues

Blood and mucus in the stool? In the past week, I have noticed blood streaks in my stool, and sometimes I experience pain in my anus during bowel movements. Once, I noticed blood on the toilet paper after wiping. Occasionally, there is white mucus present. My bowel habits have no...

Dr. Chen Shidian Reply:
Pain in the perianal area accompanied by blood is due to anal fissures. Mucus discharge is considered normal.

Morning Stomach Pain and Diarrhea: Is It Irritable Bowel Syndrome?

Experiencing abdominal pain and diarrhea after waking up? Hello Doctor, I have been experiencing this issue since around middle school. Sometimes, after I wake up in the morning and have breakfast, I will have stomach pain and the urge to use the bathroom within about 1-2 hours. ...

Dr. Cai Anshun Reply:
Hello: After meals, especially after breakfast, the urge to have a bowel movement should not be considered irritable bowel syndrome; rather, it is likely a manifestation of the gastrocolic reflex. If it is not too bothersome, you can take the opportunity to have a complete bowel ...

Understanding Bowel Issues: Symptoms, Concerns, and Insights on IBS

Intestinal issues? Hello Doctor, recently I have been experiencing a sensation of incomplete bowel movements. Sometimes, I have to exert myself to pass out thin stools, but there is no blood. Today, my stool was normal, well-formed, and brown, but there was some water with it. I ...

Dr. Cai Anshun Reply:
Hello: It is normal for the colon to contain some moisture or mucus, so there is no need to worry too much. If a colonoscopy is necessary, it can be performed under sedation to alleviate discomfort and pain. Changhua Hospital cares about your health. Dr. Tsai An-shun.

Understanding Diverticula and Positive Fecal Occult Blood Test Results

Diverticula & Fecal Occult Blood Test Hello, doctor. I underwent a colonoscopy in early March this year, and the results showed no tumors or polyps, but I have internal hemorrhoids and one diverticulum. Recently, I had a stool test, and the fecal occult blood test came back p...

Dr. Cai Anshun Reply:
Hello: There are many causes of occult blood, including conditions such as moles, polyps, and tumors, as well as enteritis or other gastrointestinal bleeding. A physician should evaluate whether further examination is necessary. Diverticula refer to the degeneration of the muscul...

Understanding Blood in Stool: Causes, Symptoms, and Dietary Tips

Rectal bleeding Hello, doctor. My usual bowel habit is once every two days. Recently, I haven't eaten any particularly spicy foods or large amounts of meat. However, this afternoon I suddenly experienced abdominal pain, similar to the pain associated with diarrhea. After usi...

Dr. Cai Anshun Reply:
Hello: If the color of the stool is normal but there is bright red blood, it may be due to anal fissures, hemorrhoids, or injury to the mucosa near the anus. It is advisable to consume a light diet, reduce foods that boost energy, and avoid spicy and fried foods initially. If the...

Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?

Fecal occult blood I sometimes notice a bit of blood in my stool. Is this hemorrhoids or colon cancer? Some people say that with hemorrhoids, the blood does not mix with the stool and instead drips into the toilet. However, it happens occasionally, and whenever I see blood in my ...

Dr. Cai Anshun Reply:
Hello: This qualifies as a family history, and you can consult a gastroenterologist or a colorectal specialist to have the physician assess whether a colonoscopy is necessary. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

Understanding Blood in Diarrhea: Causes and Concerns

Diarrhea with bleeding Hello doctor, every time I have diarrhea, it starts off normal, but after several episodes, I end up passing mucus with blood. Is this due to damage to the intestinal mucosa, an issue with the small intestine, or could it be another condition? (I had a colo...

Dr. Chen Shidian Reply:
If there is only temporary mucosal damage, observation and treatment for diarrhea can continue. If there is also weight loss, further medical evaluation should be sought to determine the cause.

Understanding Week-Long Diarrhea: Causes and Solutions

Diarrhea for one week? Hello Doctor, due to my work schedule, I've only been eating one meal a day this week, which is dinner, and I've mostly been having bento boxes from 7-11. About 1 to 2 hours after eating, I feel the urge to have a bowel movement. In the first two ...

Dr. Chen Shidian Reply:
First, test for fecal occult blood; if normal, maintain a regular diet with controlled portions, low fat, and low dairy. Medications may be necessary to manage symptoms of irritable bowel syndrome.

Persistent Abdominal Bloating for 3 Months: Possible Causes and Insights

Abdominal distension for approximately 3 months? Hello, for the past three months, I have been experiencing persistent abdominal bloating in the upper abdomen, which feels different from the usual gastric bloating. I do not have belching, flatulence, nausea, vomiting, or pain. Ev...

Dr. Chen Shidian Reply:
It may be a slight abnormality in peristaltic digestion. You can manage caloric intake and increase post-meal physical activity to promote peristalsis. If concerned, a fecal occult blood test can be performed to rule out the possibility of colorectal disease.

Understanding Upper Abdominal Discomfort: Causes and Solutions

Upper abdominal discomfort or pain? Hello Doctor, I have been experiencing a dull pain in my upper abdomen for almost eight months now, located around the epigastric area. Currently, the symptoms persist as dull pain, and I have issues with bowel movements, sometimes having diffi...

Dr. Chen Shidian Reply:
If weight, cancer markers, and lipase blood tests are normal, there is generally no need for further imaging studies. However, if there are still concerns, you may opt for out-of-pocket testing.

Understanding Bowel Issues: Symptoms and Concerns for Your Health

Bowel issues Hello doctor, today I experienced cramping pain in my abdomen (there's a gurgling sound in the lower left side of my intestines) and diarrhea. Initially, my stool was normal and formed, but I’m not sure if it’s because I ate too much. Later, it turned into water...

Dr. Chen Shidian Reply:
Irritable bowel syndrome (IBS) is related not only to diet and lifestyle but also to anxiety. Proper management and adjustments can help alleviate symptoms.

Blood in Stool: Understanding Symptoms and When to Seek Help

Noticing blood in the stool? Hello, doctor. Recently, I've been under a lot of academic pressure and often stay up late. Today, after having a bowel movement, I noticed dark red blood clots on the toilet paper that resembled dried nasal blood. The amount was small and powder...

Dr. Chen Shidian Reply:
Mild internal hemorrhoid bleeding is still considered normal. Increase your intake of fruits and vegetables, stay hydrated, exercise more, and avoid prolonged sitting.

Understanding Blood in Stool: Causes and When to Seek Help

Blood in the stool? I have been experiencing diarrhea every morning lately, but today I noticed some blood in my stool. Could this be due to anal fissures or hemorrhoids? I hope it's not colon cancer. Should I get a stool test done? The bleeding is occasional, not frequent, ...

Dr. Yang Zhichao Reply:
Outpatient services available.

Blood in Stool: Understanding Causes and When to Seek Help

Blood in the stool? I have been experiencing diarrhea every morning lately, and today I noticed some blood in my stool. Could this be a sign of anal fissure or hemorrhoids? I hope it's not colon cancer. Should I get a stool test done? The bleeding is occasional, not frequent...

Dr. Yang Zhichao Reply:
Hello, Mr. Hsin-Yi. This is usually related to internal hemorrhoids or mucosal injury. However, if there is a family history of colorectal cancer or if the condition recurs, it is essential to have a physician evaluate the situation and consider undergoing a colonoscopy. Thank yo...

Understanding Stool Issues: Hemorrhoids or Something More Serious?

Bowel issues Hello doctor, I previously visited a gastroenterology clinic where the doctor diagnosed me with internal hemorrhoids. Recently, my stools have been about the thickness of a ten-dollar coin and 7 to 8 centimeters long, but I noticed that one end of the stool has what ...

Dr. Yang Zhichao Reply:
Hello Mr. Hsiao, it is usually related to internal hemorrhoids or mucosal injury. However, if there is a family history of colorectal cancer or if it occurs repeatedly, it is essential to have a physician evaluate the situation and consider undergoing a colonoscopy. Thank you for...

Managing Chronic Diarrhea in Elderly Patients: Causes and Solutions

Consultation for Elderly Patients with Persistent Diarrhea Hello, doctor. I would like to inquire about my elderly family member. She is in her eighties, follows a vegetarian diet, and has diabetes (she regularly administers insulin). For nearly six months, she has been experienc...

Dr. Chen Shidian Reply:
Patients with poorly controlled long-term diabetes are prone to digestive issues such as constipation or diarrhea. First, a stool occult blood test should be performed to determine the need for a colonoscopy. Additionally, dietary adjustments (low in fat and dairy) and necessary ...

Post-Pancreatic Head Resection: Strategies to Combat Muscle Loss and Weight Gain

After pancreatic head resection surgery, there is muscle wasting in the body? Hello Doctor, I was diagnosed two years ago with a "benign" liquid tumor in the head of the pancreas. After undergoing surgery for pancreatic cancer to remove the head of the pancreas and a ye...

Dr. Chen Shidian Reply:
If there are no gastrointestinal symptoms, it is recommended to discuss with a nutritionist or rehabilitation specialist on how to correct sarcopenia. The principle is to increase protein intake and engage in resistance training.

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