Understanding Blood Streaks in Stool: Should You Worry About Colon Cancer?
There are blood streaks on both sides of the stool? Hello doctor, I would like to ask about blood streaks after bowel movements. On the first day, there were symmetrical blood streaks on both sides of the stool, extending from the front to the back, and the color was bright red. ...
Dr. Chen Shidian Reply:
You can seek medical examination.[Read More] Understanding Blood Streaks in Stool: Should You Worry About Colon Cancer?
Understanding Blood Tests for Thyroid Issues and Related Symptoms
About blood tests? Hello Dr. Chen, I would like to ask if my recent symptoms of fatigue, hand tremors, neck pain, and some mental and physical issues could possibly be related to thyroid problems. If there is an issue with the thyroid, which specialty should I consult for blood t...
Dr. Chen Shidian Reply:
Family medicine/Internal medicine/Metabolism department are all acceptable. There will be no specific drug screening tests conducted.[Read More] Understanding Blood Tests for Thyroid Issues and Related Symptoms
Understanding the Connection Between Anxiety and Gastrointestinal Symptoms
I'm not sure if it's a psychological factor, but my gastrointestinal function is not good? Hello, doctor. I have been a patient with anxiety disorder and obsessive-compulsive disorder for over 10 years. I have been intermittently taking medication prescribed by a psychi...
Dr. Chen Shidian Reply:
If it has been over a year, follow-up examinations with ultrasound or blood tests can be performed. Cancer typically does not remain unchanged for 10 years, so it can be ruled out. Please rest assured.[Read More] Understanding the Connection Between Anxiety and Gastrointestinal Symptoms
Understanding Normal Gallbladder Ultrasound with Elevated Bilirubin Levels
Abdominal ultrasound shows normal gallbladder? I apologize, but I would like to ask about abdominal ultrasound results. The gallbladder appears normal, but blood tests show total bilirubin (T-Bil) at 1.3 mg/dL and direct bilirubin (D-Bil) at 0.21 mg/dL. Is this considered normal?...
Dr. Chen Shidian Reply:
Normal margins, largely insignificant; it is sufficient to recheck in 3 to 6 months or during the next health examination.[Read More] Understanding Normal Gallbladder Ultrasound with Elevated Bilirubin Levels
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding Hello, doctor. I've noticed blood in my stool for the past two days, and the stool is formed. What could this issue be?
Dr. Cai Anshun Reply:
Hello: The likelihood of bleeding from a mole is relatively high; however, if there is persistent bleeding, it is still recommended to consult a gastroenterologist or a colorectal specialist to rule out issues such as polyps, tumors, or colitis, among others. Changhua Hospital ca...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Abdominal Discomfort: Causes and Concerns in Gastroenterology
Discomfort in the lower abdomen? Hello Dr. Chen, in May, during my first health check-up, I found out that there were red blood cells in my urine, which made me particularly anxious (I tend to be more prone to anxiety). I went to a large hospital for an IVP (intravenous pyelogram...
Dr. Chen Shidian Reply:
It is likely just a minor abnormality in gastrointestinal motility; a follow-up appointment can be scheduled for further discussion if necessary.[Read More] Understanding Abdominal Discomfort: Causes and Concerns in Gastroenterology
Understanding Hepatitis B Transmission and Cleaning Guidelines
Cleanliness and Transmission Issues of Hepatitis B Hello, doctor. I would like to ask you a few questions that have been bothering me: 1. Should clothing stained with the blood of a hepatitis B carrier be washed separately from other people's clothes? 2. Do regular laundry...
Dr. Chen Shidian Reply:
No need to wash. Fresh blood should not come into contact with the wounds of others.[Read More] Understanding Hepatitis B Transmission and Cleaning Guidelines
Understanding Hepatitis B Transmission and Cleaning Guidelines
Hepatitis B cleaning and transmission issues? Hello, doctor. I would like to ask you a few questions that have been bothering me: 1. Should clothing stained with the blood of a hepatitis B carrier be washed separately from other people's clothes? 2. Do regular laundry deter...
Dr. Chen Shidian Reply:
No need to wash. Fresh blood should not come into contact with others' wounds.[Read More] Understanding Hepatitis B Transmission and Cleaning Guidelines
Understanding Hepatitis B Surface Antigen and Antibody Test Results
Hepatitis B surface antigen, surface antibody, core antibody? Hello, doctor. I would like to ask about my health examination results. On December 6, 2021, my test report showed a negative Hepatitis B surface antigen (value 0.37), a positive Hepatitis B surface antibody (value 100...
Dr. Cai Anshun Reply:
Hello: 1. A positive Hepatitis B surface antigen (HBsAg) indicates the presence of the Hepatitis B virus. 2. A positive Hepatitis B surface antibody (anti-HBs) indicates immunity against the Hepatitis B virus. 3. A negative Hepatitis B core antibody (anti-HBc) indicates that ther...[Read More] Understanding Hepatitis B Surface Antigen and Antibody Test Results
Understanding Your Bowel Issues: Signs of Potential Colon Cancer?
I would like to inquire about my bowel issues? Hello Doctor: I would like to ask about my bowel movements. I often have normal stools one day, then diarrhea the next, or I might pass a normal stool followed by diarrhea. Sometimes, I also notice a thin stool that sticks to the toi...
Dr. Chen Shidian Reply:
It is just irritable bowel syndrome, but I am still concerned about checking for occult blood in the stool.[Read More] Understanding Your Bowel Issues: Signs of Potential Colon Cancer?
Addressing Hepatitis B Transmission Concerns in Shared Spaces
Hepatitis B Transmission Issues (Continued) Hello, I am the anonymous person (ID <a href="https://adoctor.tw/article/182779">#182779</a>) who consulted you on June 10, 2022, at the e-hospital in Taiwan. Thank you for your response. Based on your reply, it se...
Dr. Cai Anshun Reply:
Hello: It should not be that easy to get infected, as the risk of transmission decreases significantly once the blood dries. Additionally, it would require that the person touching it has an open wound. Typically, a person with an unbandaged wound on their hand would not use that...[Read More] Addressing Hepatitis B Transmission Concerns in Shared Spaces
Understanding Helicobacter Pylori: Symptoms, Testing, and Treatment Options
Helicobacter pylori consultation Dear Dr. Tsai, I have been experiencing gastrointestinal issues in recent years, primarily bloating, acid reflux, belching, stomach pain, and indigestion. Therefore, I would like to proactively check for Helicobacter pylori infection. I have the ...
Dr. Cai Anshun Reply:
Hello: Q1. Not necessarily. Q2. "Blood tests" check for antibodies against Helicobacter pylori; if negative, it indicates no previous infection. Q3. It is possible. Q4. If the bacterial load is low, it may be cleared by the immune system. Q5. If there are ulcers, a fami...[Read More] Understanding Helicobacter Pylori: Symptoms, Testing, and Treatment Options
Understanding Mucus in Stool: Causes and When to Seek Help
Mucus in stool Hello Doctor: I started experiencing diarrhea yesterday. There was a small amount of blood on the toilet paper (none today) and some mucus, and I feel like there is blood (bright red) mixed in my stool. I usually have constipation and irregular bowel movements. Cou...
Dr. Chen Shidian Reply:
If you have persistent blood in your stool, please see a gastroenterologist, especially if accompanied by a fever.[Read More] Understanding Mucus in Stool: Causes and When to Seek Help
Understanding Helicobacter Pylori: Myths, Testing, and Treatment Options
Regarding Helicobacter pylori? Dear Dr. Chen, I have some questions regarding Helicobacter pylori that I would like to ask: Q1. Is it possible for individuals infected with Helicobacter pylori to heal spontaneously without any "eradication therapy"? For example, can t...
Dr. Chen Shidian Reply:
1. It may self-resolve shortly after onset, but there is no research to support this. 2. Symptom assessment for the presence of bacteria is often inaccurate. 3. Blood tests may frequently show negative for bacteria, although there are exceptions with unknown causes. 4. There will...[Read More] Understanding Helicobacter Pylori: Myths, Testing, and Treatment Options
Understanding Gastrointestinal Issues: Menstrual Symptoms and Dietary Impact
Are there any gastrointestinal diseases? At the end of my menstrual period, I ate a custard tart which caused diarrhea. The stool had a small amount of bright red blood mixed in. After my period ended, I observed my stool again and noticed it was yellow with black specks (it look...
Dr. Cai Jinji Reply:
Hello Ms. Sss: May I ask if this happens every time? If you have been experiencing this issue consistently, I recommend seeking medical attention. Director Cai JinjI from the Department of Hepatobiliary and Gastroenterology at Nantou Hospital.[Read More] Understanding Gastrointestinal Issues: Menstrual Symptoms and Dietary Impact
Persistent Urgency to Defecate: Possible Causes and Concerns
Persistent urge to defecate? Hello doctor, I have been experiencing persistent urges to have a bowel movement since the day before yesterday. Yesterday, I had yellow watery stools for the first time, and the second time there was only a small amount of yellow watery stool, with n...
Dr. Chen Shidian Reply:
Increased colonic peristalsis leads to the urge to defecate; it is important to maintain a light and easily digestible diet.[Read More] Persistent Urgency to Defecate: Possible Causes and Concerns
Can Hepatitis B Be Transmitted Through Insect Bite Wounds?
Hepatitis B transmission issues? Hello, I am a carrier of hepatitis B. Sometimes when I am outside, I have some insect bite wounds on my hands. I would like to know if these bite wounds (which may or may not be bleeding or oozing bodily fluids) could potentially transmit hepatiti...
Dr. Cai Anshun Reply:
Hello: Most hepatitis B virus infections are transmitted through blood or sexual contact. Blood transfusions, injections, ear piercings, tattoos, eyebrow tattoos, and sharing everyday items such as toothbrushes, towels, nail clippers, and razors can all pose a risk of infection. ...[Read More] Can Hepatitis B Be Transmitted Through Insect Bite Wounds?
How to Differentiate Between Gastrointestinal and Muscle Pain?
Colorectal issues 182706 How can Director Chen determine whether the discomfort is caused by the intestines, muscles, or the urinary system? Is it necessary to perform an endoscopy or similar procedures to clarify the issue, or can the duration of the discomfort help in making a ...
Dr. Chen Shidian Reply:
A simple fecal occult blood test can be used to rule out colorectal diseases. However, if there are still concerns, an invasive colonoscopy may be necessary. The medical history and symptoms do not strongly indicate colorectal disease, but monitoring for changes is still required...[Read More] How to Differentiate Between Gastrointestinal and Muscle Pain?
Understanding Abdominal Bloating: When to Consider a Colonoscopy
Abdominal bloating Hello doctor, I am 47 years old. I had surgery for intestinal obstruction when I was in fifth grade. Recently, for the past three months, I have been experiencing bloating and discomfort in my abdomen. During this time, I have had two fecal occult blood tests, ...
Dr. Chen Shidian Reply:
Start with dietary and medication adjustments, and take walks after meals; a colonoscopy is not necessarily required.[Read More] Understanding Abdominal Bloating: When to Consider a Colonoscopy
Understanding Blood and Mucus in Stool: When to Worry?
Blood-streaked mucus in stool? Doctor, I apologize for asking, but about a month ago, I noticed some blood on my stool. I then purchased hemorrhoid suppositories and have been using them for over a month. While there is no longer blood on the stool itself, I have now developed a ...
Dr. Cai Anshun Reply:
Hello: If self-medication does not improve your condition, it is recommended to consult a colorectal specialist or a gastroenterologist to determine the cause. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Blood and Mucus in Stool: When to Worry?