Chronic Diarrhea: Is It IBS or Colon Cancer?
Chronic diarrhea can be a symptom of irritable bowel syndrome (IBS) or colorectal cancer? I have been experiencing chronic diarrhea for almost three months, with daily bowel movements every morning. Occasionally, I have mild abdominal cramps, followed by borborygmi and flatulence...
Dr. Chen Shidian Reply:
You can first check for occult blood in the stool as a reference.[Read More] Chronic Diarrhea: Is It IBS or Colon Cancer?
Rapid Growth of Liver Tumors: Understanding Risks and Next Steps
Liver tumors (two lesions) grew from 2.9 cm to 6.9 cm within three months? Hello Dr. Chen, my wife (37 years old) had a health check-up in mid-August, and an ultrasound revealed two tumors in her liver, each approximately 2.9 cm. The CA 19-9 level was elevated, around 80. Later, ...
Dr. Chen Shidian Reply:
Await imaging report; fine needle aspiration biopsy may be necessary.[Read More] Rapid Growth of Liver Tumors: Understanding Risks and Next Steps
Understanding Gastrointestinal Symptoms: When to Consider a Colonoscopy
Continuation of question #187758? Hello Doctor, I previously inquired about issues related to bloating and changes in stool consistency (from thick to thin) (<a href="https://adoctor.tw/article/187758">#187758</a>), and here is the link: https://adoctor.tw/a...
Dr. Chen Shidian Reply:
First, it's important to understand that all tests have a limit to their accuracy. While colonoscopy is the most precise, it is possible for all tests to return negative results. Therefore, it is medically logical (and often a standard for health insurance review) to first a...[Read More] Understanding Gastrointestinal Symptoms: When to Consider a Colonoscopy
Intermittent Sharp Pain in Right Abdomen: Possible Causes and Insights
There are occasional sharp pains in the right abdomen? Hello Doctor: I would like to ask you about the issue of having a stabbing pain in my abdomen. About a week ago, I started experiencing a dull ache in my lower right abdomen (occasionally accompanied by a stabbing sensation)....
Dr. Chen Shidian Reply:
Currently, it cannot be confirmed. We will first observe the changes in symptoms and related factors (such as posture, bowel movements, and diet). Local heat application and stretching may be attempted. If necessary, a stool occult blood test can be performed.[Read More] Intermittent Sharp Pain in Right Abdomen: Possible Causes and Insights
Two Weeks Without Normal Bowel Movements: Should I Get Another Colonoscopy?
It has been two weeks since I last had a normal bowel movement? Hello Doctor: I haven't had normal bowel movements for the past two weeks and have no urge to go. I've only gone a few times, producing small amounts. Previously, I had one or two instances of watery stools...
Dr. Hu Guozheng Reply:
Hello, Ying. Your situation may be divided into two parts: changes in bowel habits and the presence of dark red stools. It is true that sometimes hormonal fluctuations caused by menstrual regulation medications can lead to changes in bowel habits, which may include diarrhea or co...[Read More] Two Weeks Without Normal Bowel Movements: Should I Get Another Colonoscopy?
Understanding Changes in Bowel Habits: When to Seek Gastrointestinal Care
Bowel-related issues Hello, doctor. I have previously undergone fecal occult blood tests during my health check-ups (three times), and all results were normal. This month, I have experienced a change in my bowel habits, going from having a bowel movement once a day (or once every...
Dr. Hu Guozheng Reply:
Hello, Miss Lu. The reasons for changes in your bowel habits can be numerous, including diet, lifestyle, and stress. However, since this phenomenon has only occurred in the past month, and if there are no issues with appetite or weight loss, it is advisable to observe for three m...[Read More] Understanding Changes in Bowel Habits: When to Seek Gastrointestinal Care
Understanding Blood-Streaked Mucus in Stool: Causes and Concerns
Blood-streaked mucous in stool? Hello Doctor, due to work demands, I sometimes find it inconvenient to use the restroom. About six months ago, I experienced severe abdominal pain from holding in my bowel movement, which prompted me to go to the bathroom. Afterward, I noticed that...
Dr. Chen Shidian Reply:
You can first check for occult blood in normal stool or directly arrange for a colonoscopy.[Read More] Understanding Blood-Streaked Mucus in Stool: Causes and Concerns
Understanding Blood in Stool: Hemorrhoids or Anal Fissures?
Rectal bleeding Hello, doctor. Yesterday, I noticed fresh blood in my stool (not mixed with it), and there was blood on the toilet paper (about half a sheet) when I wiped. It was painful when the stool passed through the anus. Today, the stool also caused a stinging pain during p...
Dr. Chen Shidian Reply:
It is likely an anal fissure, which can be treated with stool softeners and topical ointments.[Read More] Understanding Blood in Stool: Hemorrhoids or Anal Fissures?
Understanding Digestive Sounds and Bowel Changes: When to Seek Help
Bowel issues Hello Doctor, I often notice that my stomach makes sounds (similar to digestive noises) quite frequently, especially after eating. It usually happens a couple of times after a while. Could this be related to my eating habits? Additionally, I have a mild case of exter...
Dr. Cai Anshun Reply:
Hello: 1. It is likely just the sound of intestinal peristalsis; if there is no cramping pain, there is no need to worry too much. 2. It is recommended to increase your fluid intake and consume more fruits and vegetables. If there is no improvement, you may consult a gastroentero...[Read More] Understanding Digestive Sounds and Bowel Changes: When to Seek Help
Bloating, Belching, and Changes in Bowel Movements: Causes and Solutions
Bloating, belching, and changes in bowel movements from thick to thin? I have had constipation issues for a long time (having a bowel movement once or twice a week). However, after taking probiotics and enzymes for the past few months, I have started to see improvement (having a ...
Dr. Chen Shidian Reply:
It is likely not directly related to cancer, but rather due to digestive motility and possibly the effects of taking probiotics. It is advisable to pay attention to diet (low oil and low dairy) and continue to monitor the situation.[Read More] Bloating, Belching, and Changes in Bowel Movements: Causes and Solutions
Understanding Elevated AST and ALT Levels in Hepatitis B Patients
The reference value for enS-GOT (AST) is 0-32, and the test result value is 38? Hello: I am a carrier of hepatitis B. My blood test report shows that the enS-GOT (AST) reference value is (0-32) and my result is 38. The AST/SGOT liver enzyme reference value is (10-42) and my resul...
Dr. Chen Shidian Reply:
There is an abnormal increase; please cooperate with the gastroenterologist for ongoing monitoring of changes, and avoid obesity/fatty liver as well as herbal medicine/alcohol.[Read More] Understanding Elevated AST and ALT Levels in Hepatitis B Patients
Understanding Your Liver and Gastrointestinal Test Results: What to Know
Continuation of question #187746? Doctor, thank you for your response. I recently had some tests done at the laboratory, and I'm not sure if the blood tests you mentioned were included. Could you please help me check? Thank you. My results are as follows: GOT 15, GPT 19, γ-G...
Dr. Chen Shidian Reply:
I agree with his statement; localized heat therapy can be applied, and attention should be paid to posture while monitoring changes in symptoms.[Read More] Understanding Your Liver and Gastrointestinal Test Results: What to Know
Understanding Gastrointestinal Issues: Abdominal Pain and Black Stool Concerns
Bowel movements and gastrointestinal issues? Recently, I have been experiencing frequent abdominal pain, and the clinic diagnosed me with gastrointestinal dysfunction. Last night, I consumed dragon fruit, and today, I noticed an unusual odor in the ground pork I ate. Tonight, I s...
Dr. Lin Minghui Reply:
The consumption of dragon fruit and foul-smelling ground pork can lead to the passage of black stools. The reasons for black stools can include the intake of iron-rich foods or pigmented foods such as red dragon fruit, hibiscus, and beets, which can cause stools to appear reddish...[Read More] Understanding Gastrointestinal Issues: Abdominal Pain and Black Stool Concerns
Understanding Gastrointestinal Issues: When to Seek Medical Advice
Gastrointestinal issues Hello, doctor. I would like to ask about some gastrointestinal issues. I have had digestive problems since childhood; I easily get diarrhea after eating junk food (like cookies and snacks, or high-fat fried foods). I also experience abdominal pain when the...
Dr. Chen Shidian Reply:
It is likely a change related to irritable bowel syndrome. A fecal occult blood test can be performed first; if the result is negative and normal, dietary and lifestyle adjustments can be made. If necessary, medication can also be added for control, and follow-up should be conduc...[Read More] Understanding Gastrointestinal Issues: When to Seek Medical Advice
Accidentally Swallowed a Staple: What to Do Next?
Ingestion of a staple pin? I would like to ask the doctor, I went to a breakfast shop for lunch yesterday, and there was a staple in my meal. I noticed halfway through that I had expelled one of the staples, but I'm not sure if I swallowed any others. I currently feel fine; ...
Dr. Chen Shidian Reply:
The size of the staple is small, so it should pass through the body without issue. If there are no symptoms, it can be monitored.[Read More] Accidentally Swallowed a Staple: What to Do Next?
Understanding Fecal Occult Blood Test: Implications of a 350 Index
Fecal occult blood test index: 350? If the index exceeds 100, it is considered positive. Does a higher value indicate a higher probability of colorectal cancer?
Dr. Lin Minghui Reply:
Hello: An abnormal result from an immunochemical fecal occult blood test indicates potential issues in the colon, but it does not necessarily mean colon cancer. Domestic studies show that 40% of individuals with abnormal results from the immunochemical fecal occult blood test wer...[Read More] Understanding Fecal Occult Blood Test: Implications of a 350 Index
Understanding Gastrointestinal Discomfort: Causes and When to Seek Help
Gastrointestinal discomfort with a feeling of nausea? Hello Dr. Chen, I have recently been experiencing a lack of appetite and nausea during meals (I can still eat more than half). Upon waking, I notice bowel sounds and a feeling of bloating above my navel. Two weeks ago, I visit...
Dr. Chen Shidian Reply:
It doesn't seem like colitis (which often presents with bloody stools). If symptoms persist, it is still recommended to return for a follow-up consultation.[Read More] Understanding Gastrointestinal Discomfort: Causes and When to Seek Help
Understanding Anal Pain During Bowel Movements: Causes and Remedies
Anal injury during defecation? Hello doctor, yesterday I felt a sharp pain at the anal opening during bowel movement. Upon inspecting my stool, I noticed that the front part was hard and pellet-like, resembling rabbit droppings. There didn't seem to be any blood in the stool...
Dr. Chen Shidian Reply:
Topical medications/lubricants can be used, and it is advisable to avoid hard stools to prevent friction. Pain should subside in about one week, but recurrence may occur with hard stools.[Read More] Understanding Anal Pain During Bowel Movements: Causes and Remedies
Understanding Sticky Stool: Is It Digestive Issues from High Protein Diet?
Is the sticky consistency of stool after a bowel movement due to overeating and resulting in indigestion? Hello Doctor, during my muscle-building phase, I need to consume protein equivalent to 1.6 times my body weight and 4-5 times the amount of carbohydrates. For the past three ...
Dr. Chen Shidian Reply:
It is likely due to the food (taro), so it is recommended to make adjustments first.[Read More] Understanding Sticky Stool: Is It Digestive Issues from High Protein Diet?
Understanding Back Pain and Abdominal Discomfort: Is It Pancreatic Issues?
Back pain and a feeling of heaviness in the abdomen? Hello doctor, I had an endoscopy six months ago, which indicated that I have gastroesophageal reflux disease (GERD) and esophagitis. I have been on medication for six months and have lost weight from 100 kg to 80 kg, but I stil...
Dr. Lin Minghui Reply:
A 23-year-old male is experiencing back pain and a feeling of heaviness in the abdomen, with a history of gastroesophageal reflux disease (GERD) that is managed with medication and weight loss. He reports abdominal bloating, back pain, frequent belching, and occasional heart rate...[Read More] Understanding Back Pain and Abdominal Discomfort: Is It Pancreatic Issues?