Blood, Gastroenterology and Hepatology FAQ - Page 19

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Understanding Bowel Issues: Constipation and Digestive Concerns Explained

Hello, doctor. I would like to inquire about bowel movement issues? Hello Doctor: I am currently using some sedative sleeping pills, and one of the side effects is constipation. Therefore, I have been taking 5 mg of bisacodyl, two tablets before bedtime. However, over the past mo...


Dr. Chen Shidian Reply:
There is no evidence to directly link abnormal peristalsis with cancer. It is advisable to perform fecal occult blood testing every 1 to 2 years if necessary.

[Read More] Understanding Bowel Issues: Constipation and Digestive Concerns Explained


Blood in Stool: Is It Related to Hemorrhoids or Something More Serious?

Blood in the stool? Recently, I experienced pain in my buttocks and after examination, I was diagnosed with internal hemorrhoids. There was no bleeding until today, after undergoing a digital rectal exam, I noticed a trace of blood in my stool (the image is linked above). I would...


Dr. Chen Shidian Reply:
It may be bleeding from the anal microvessels, which is associated with internal hemorrhoids or anal fissures and is not related to colorectal cancer.

[Read More] Blood in Stool: Is It Related to Hemorrhoids or Something More Serious?


Post-Appendectomy Concerns: Understanding Abdominal Discomfort and Adhesions

It has been two months since the appendectomy? Hello Dr. Lin, I have some health concerns that I would like to discuss with you. On August 3rd, I underwent an appendectomy at Min-Sheng Hospital on Jingguo Road in Taoyuan and was hospitalized for four days. After being discharge...


Dr. Lin Minghui Reply:
It has been 2.5 months since the appendectomy, and there is still an intermittent feeling of swelling in the right abdomen, raising concerns about adhesions. Wound healing naturally requires time, and preventing adhesions should be considered both during and after surgery. After ...

[Read More] Post-Appendectomy Concerns: Understanding Abdominal Discomfort and Adhesions


Is It Possible to Have Colon Cancer? Understanding Your Symptoms and Concerns

Is it possible to have colorectal cancer? Hello Doctor: I have been experiencing irregular bowel movements; sometimes I go more than three times a day, and other times I have difficulty passing stool. When I do, it is usually in a soft, cylindrical shape but not hard. Recently, I...


Dr. Cai Anshun Reply:
Hello: It may not necessarily be colorectal cancer; it's important to maintain a regular diet and lifestyle. If you notice any abnormalities in your stool, it is advisable to first test for fecal occult blood. The likelihood of gastric ulcers is certainly higher than that of...

[Read More] Is It Possible to Have Colon Cancer? Understanding Your Symptoms and Concerns


Understanding Green Stool: Causes, Symptoms, and Cancer Concerns

Green stool Recently, I have been experiencing occasional bloating, and sometimes when I inhale and exhale, I can hear a "gurgling" sound from inside, but it usually resolves quickly. Just now, I had a large bowel movement that was brown with quite a bit of green mixed ...


Dr. Cai Anshun Reply:
Hello: The likelihood of developing stomach cancer at the age of 12 is extremely low, so there is no need to worry excessively. Having mucus in the stool or gurgling sounds during bowel movements is generally considered normal, unless there is blood in the stool or severe crampin...

[Read More] Understanding Green Stool: Causes, Symptoms, and Cancer Concerns


Unusual Black Particles in Stool: What It Could Mean for Seniors

Foreign objects in feces? Hello, I would like to inquire about an 85-year-old male patient who today had many small, hard, black "stones" in his stool, resembling the size of mouse droppings. The patient currently undergoes dialysis three times a week, has diabetes, and...


Dr. Chen Shidian Reply:
Further imaging can be performed for observation.

[Read More] Unusual Black Particles in Stool: What It Could Mean for Seniors


Chronic Hiccups: Unraveling the Mystery of Persistent Gastrointestinal Issues

Persistent hiccups that cannot be cured? Hello, I would like to inquire about a concern regarding my girlfriend. It started about three years ago when she began experiencing increasing symptoms such as bloating, burping, dry heaving, vomiting, sudden vision changes, weakness in h...


Dr. Lin Minghui Reply:
Endless hiccups, dry heaving, and vomiting... Additionally, due to continuous hiccups, there are difficulties in breathing, elevated blood pressure, dizziness, headaches, and increased heart rate. A psychiatric evaluation has confirmed autonomic nervous system dysfunction. Initia...

[Read More] Chronic Hiccups: Unraveling the Mystery of Persistent Gastrointestinal Issues


Understanding Your Hepatitis B Test Results: What Does Reactive Anti-HBC Mean?

The anti-HBc test result is Reactive 0.007? Hello, I first experienced urticaria in early October 2022. After several visits to the clinic for medication and injections, I was unable to effectively control the symptoms even after two weeks of treatment. Subsequently, I was referr...


Dr. Chen Shidian Reply:
The patient has a history of hepatitis B infection, but the virus is currently undetectable. Please discuss the details further with the physician who performed the blood draw.

[Read More] Understanding Your Hepatitis B Test Results: What Does Reactive Anti-HBC Mean?


Understanding Elevated FOBT Results: Should You Worry About Colon Cancer?

Fecal occult blood test (FOBT) value greater than 30? Hello, doctor. Last month, during my company's health check-up, it coincided with the first day of my menstrual period. I informed the nurse that I would submit my stool and urine samples later. The nurse advised that it ...


Dr. Chen Shidian Reply:
To address anxiety, a colonoscopy may be performed. If the values are not high, there is no need to worry.

[Read More] Understanding Elevated FOBT Results: Should You Worry About Colon Cancer?


Weight Loss Concerns: Understanding Gastrointestinal Issues and Stress

Weight loss over the past year? Hello, doctor. I am a 32-year-old male, 172 cm tall and weighing 56 kg. Since November 2021, I have been experiencing belching and bloating after meals. I have consulted both Western and Traditional Chinese medicine, and they suggested possible gas...


Dr. Chen Shidian Reply:
Please discuss with the attending physician about increasing caloric intake and whether to consult or refer to other specialties for assistance in diagnosis and treatment.

[Read More] Weight Loss Concerns: Understanding Gastrointestinal Issues and Stress


Changes in Bowel Habits: When to Consider a Colonoscopy?

Changes in bowel habits Hello, doctor. Previously, I would have a bowel movement every 2-3 days, sometimes normal and sometimes with diarrhea. Even when I felt discomfort in my abdomen, it would usually disappear after I had a bowel movement. About a month ago, I started feeling ...


Dr. Cai Anshun Reply:
Hello: Since there are no significant changes in bowel habits and if there is no family history of colorectal cancer, you can first test for fecal occult blood. If there are any issues, then consider a colonoscopy. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

[Read More] Changes in Bowel Habits: When to Consider a Colonoscopy?


Is Using a Stool Softener Safe? Insights on Digestive Health

Regarding bedside commodes? I came across a product for aiding bowel movements online, and I'm wondering if it's safe according to medical professionals. Also, why is there no related research and development in Taiwan? Are invasive methods unsafe, or could frequent use...


Dr. Lin Minghui Reply:
Hello: It seems to be similar to the functions of a bidet. The anal area has a cushion made up of blood vessels, connective tissue, and smooth muscle fibers, primarily to prevent the uncontrolled leakage of rectal contents. Invasive products are akin to a rectal examination, whic...

[Read More] Is Using a Stool Softener Safe? Insights on Digestive Health


Understanding Abdominal Ultrasound Results: Key Insights for Liver and Kidney Health

Abdominal ultrasound Hello, my mother underwent an ultrasound examination, and the results were unclear. The interpretation of the imaging report on the National Health Insurance app is difficult to understand, so I would like to inquire about any important points to note. Thank ...


Dr. Chen Shidian Reply:
Pay attention to the aging/degradation of the kidneys; it is advisable to have a blood test for kidney function assessment.

[Read More] Understanding Abdominal Ultrasound Results: Key Insights for Liver and Kidney Health


Understanding Blood in Stool: Causes and Concerns in Gastroenterology

Blood in the stool? In the past three months, I have had five bowel movements with a drop of blood at the end. When wiping after a bowel movement, there is fresh red blood about the size of a ten-dollar coin mixed with the stool. I have been experiencing diarrhea continuously for...


Dr. Chen Shidian Reply:
All examinations should be complete; continuous monitoring and medication management are sufficient.

[Read More] Understanding Blood in Stool: Causes and Concerns in Gastroenterology


Understanding Gastrointestinal Issues: Symptoms and Concerns

Bowel-related issues, gastrointestinal problems? Due to an unstable routine over the past two months, combined with the consumption of spicy foods and a tendency to overeat, I have been experiencing constipation for more than a month. About two weeks ago, I noticed passing what a...


Dr. Hu Guozheng Reply:
According to your statement, there should be a difference in the color and consistency of the stool, and although a recent endoscopy was normal, the issue has recurred. Gastrointestinal bleeding can manifest as black or bloody stools, but not all black stools necessarily indicate...

[Read More] Understanding Gastrointestinal Issues: Symptoms and Concerns


Understanding Total Bilirubin Levels: Is 1.3 mg/dL a Cause for Concern?

Total bilirubin 1.3? Hello, Dr. Lin! My total bilirubin level is 1.3, which is slightly above the normal value of 1.2, but my GOT level is 14 and GPT level is 8, both of which are normal. Is this related to anemia? My hemoglobin level is 10.6. Thank you for taking the time to res...


Dr. Lin Minghui Reply:
Hello: Elevated total bilirubin can be primarily due to increased direct bilirubin or increased indirect bilirubin. Possible causes of elevated direct bilirubin include liver diseases and hepatobiliary disorders. If the elevation is primarily in indirect bilirubin, it may be due ...

[Read More] Understanding Total Bilirubin Levels: Is 1.3 mg/dL a Cause for Concern?


Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Next Steps

Diagnosed with irritable bowel syndrome (IBS)? Doctor, I had a suspected case of acute gastroenteritis two months ago, and after taking medication, it seems to have triggered gastrointestinal dysfunction. I was recently diagnosed with irritable bowel syndrome (IBS). My current sy...


Dr. Hu Guozheng Reply:
If symptoms worsen or persist for more than 3-6 months, leading to weight loss, it may be advisable to consult a physician to discuss the necessity of further examinations. The specific tests to be conducted would depend on the current symptoms and should be assessed accordingly....

[Read More] Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Next Steps


Is This Bump at the Anus Causing My Constipation?

Is this symptom indicative of external hemorrhoids? Hello, doctor. I have noticed a lump at the anal opening that can be pushed back in when I exert myself. Recently, I have been experiencing difficulty with bowel movements, which has caused discomfort and a feeling of fullness i...


Dr. Lin Minghui Reply:
Hello: Difficulty in bowel movements and the sensation of something protruding from the anus may indicate hemorrhoids. The anal cushions are composed of blood vessels, connective tissue, and smooth muscle fibers, primarily functioning to prevent the involuntary leakage of rectal ...

[Read More] Is This Bump at the Anus Causing My Constipation?


Blood on Toilet Paper: What It Means and When to Worry

There is blood on the toilet paper after wiping? Hello Doctor, I would like to inquire about a situation I am experiencing. When I have a bowel movement, I do not feel any pain, and the stool is well-formed and does not have any blood mixed in. However, the first wipe after I f...


Dr. Lin Minghui Reply:
Hello: Possible rectal bleeding can commonly be caused by hemorrhoids, anal fissures, or inflammation. It is recommended to follow up with a colorectal specialist or a gastroenterologist for further examination. It is advisable to develop habits such as drinking plenty of water, ...

[Read More] Blood on Toilet Paper: What It Means and When to Worry


Understanding Abdominal Pain and Bloating: A Gastrointestinal Perspective

Abdominal distension and lower abdominal pain? Last month, one day after just waking up, I experienced severe abdominal cramps, sweating, and persistent diarrhea. This was unusual for me, as I typically suffer from constipation. I had occasionally taken probiotics to help with bo...


Dr. Chen Shidian Reply:
Fecal occult blood testing can be performed for reference; if the results are normal, it should still be considered as abnormal gastrointestinal motility.

[Read More] Understanding Abdominal Pain and Bloating: A Gastrointestinal Perspective


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