Understanding Bowel Issues: Causes, Concerns, and Solutions
Bowel issues My bowel movements are generally normal (about once a day, or at least every two days), but I don't experience strong urges to go. Usually, when the time comes, even without a strong urge, I can easily have a bowel movement once I sit on the toilet. However, I f...
Dr. Chen Shidian Reply:
If it is just a mild bleeding from an anal fissure or internal hemorrhoids, increasing the intake of fruits and vegetables and maintaining normal bowel movements is sufficient. Medication may be necessary for adjustment if needed.[Read More] Understanding Bowel Issues: Causes, Concerns, and Solutions
Understanding Liver Cancer Diagnosis: Key Insights and Follow-Up Care
Diagnosis of Liver Cancer Hello Doctor: I have been a carrier of hepatitis B since childhood. During a health check-up, it was found that my liver GOT and GPT levels were elevated. I went to a gastroenterology clinic for blood tests and discovered that my AFP level was 166, which...
Dr. Chen Shidian Reply:
It is recommended to discuss the follow-up plan with the attending physician based on the current examination data.[Read More] Understanding Liver Cancer Diagnosis: Key Insights and Follow-Up Care
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort Hello, Dr. Chang. About a month ago, I started feeling discomfort in my abdomen. I thought it might be the same gastrointestinal issues I had before, so I went to a general clinic for medication and injections, but after visiting two clinics, I still d...
Dr. Zhang Kebin Reply:
Hello! If you have not experienced relief from your discomfort after previous medical treatment or if new symptoms have emerged, please return for a follow-up evaluation. Thank you![Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Understanding Anti-HBs Positive Results in Chronic Hepatitis B Carriers
A hepatitis B carrier recently tested positive for anti-HBs? Hello, doctor. I am a carrier of hepatitis B. Recently, my blood test results were as follows: HBsAg Equivocal (1.07), ANTI-HBs Positive (10.44 mIU/mL), reference value <10.0, ANTI-HBc Positive (10.79). The outpatien...
Dr. Chen Shidian Reply:
1. Generally, there is no need for regular follow-up for non-carriers. 2. If you were previously a carrier of hepatitis B but have cleared the infection, follow-up every 1 to 2 years may be considered (there is no consensus in the medical community on this practice). 3. Your cond...[Read More] Understanding Anti-HBs Positive Results in Chronic Hepatitis B Carriers
Does Taking Taik Gastric Medicine Affect Blood Test Results?
Does taking Teku Gastrol affect blood test results? Hello, doctor. Recently, during a gastroscopy, I was diagnosed with Grade B gastroesophageal reflux disease (GERD). The clinic physician prescribed me 30 mg of Tegoprazan to be taken once daily before bedtime for a duration of t...
Dr. Chen Shidian Reply:
It will not have an impact.[Read More] Does Taking Taik Gastric Medicine Affect Blood Test Results?
Understanding Flat Stools: Causes and When to Seek Medical Advice
The stool is flat or thin? Hello Doctor, I am the person who previously asked (https://adoctor.tw/article/172641 &sat=1&[email protected]). Recently, I suddenly noticed that my stools are flat, about the width of a 5 to 10 NT dollar coin. The color is normal, but...
Dr. Chen Shidian Reply:
Flat stools can be improved by increasing the intake of fruits and vegetables. Additionally, the anus may be experiencing mild hemorrhoidal inflammation, so it is advisable to seek medical treatment and use medication. Avoid prolonged sitting and maintain cleanliness and dryness.[Read More] Understanding Flat Stools: Causes and When to Seek Medical Advice
Understanding Hemorrhoids: Causes, Symptoms, and Proper Care
Hemorrhoid issues? Hello, Doctor. I had a colonoscopy a year ago, and everything was normal with no polyps. Today, after having a bowel movement, I wiped and did not notice any blood. However, due to my anxious personality, I kept checking for blood repeatedly. Even though I had ...
Dr. Chen Shidian Reply:
After bowel movements, simple cleaning or patting dry is sufficient. If concerned, you can check for occult blood in the stool annually.[Read More] Understanding Hemorrhoids: Causes, Symptoms, and Proper Care
Post-Colonoscopy Constipation: Understanding Bile Reflux and Next Steps
Constipation after gastrointestinal endoscopy (not having a bowel movement for several days); and some questions regarding the examination? Hello, Doctor: Last month, I visited a gastroenterologist due to severe constipation, and my previous company health check showed positive f...
Dr. Chen Shidian Reply:
1. Bile reflux during gastroscopy is a common phenomenon and usually does not require intervention. 2. If the bowel preparation is inadequate, it may be necessary to enhance the bowel cleansing and repeat the examination; please discuss this with the attending physician. 3. C...[Read More] Post-Colonoscopy Constipation: Understanding Bile Reflux and Next Steps
Concerns About Undercooked Pork: Symptoms and Precautions
Suspected consumption of undercooked pork? Hello doctor, I recently started practicing cooking and just finished stir-frying some dishes. Right before I was about to eat, I realized that some of the pork tenderloin I had prepared might not be fully cooked. I had picked out about ...
Dr. Chen Shidian Reply:
The chance of infection is low; seek medical attention if you experience any discomfort.[Read More] Concerns About Undercooked Pork: Symptoms and Precautions
Understanding Liver Cirrhosis and Biliary Issues: Treatment Options
Cirrhosis and bile issues? Hello, Director: I have been undergoing blood tests for monitoring at the Hepatobiliary and Gastroenterology Department of a hospital in Zhongli for a long time. A few years ago, my GGT level was found to be over 300, and the doctor has been prescribing...
Dr. Lin Minghui Reply:
Hello, a 54-year-old male has a medical history indicating that he has liver cirrhosis, which is attributed to chronic hepatitis. The causes of cirrhosis can include viral hepatitis such as hepatitis B and C, alcoholic liver disease, autoimmune conditions, cardiac issues, biliary...[Read More] Understanding Liver Cirrhosis and Biliary Issues: Treatment Options
Understanding Gallbladder Polyps and Kidney Cysts: Causes and Concerns
What is the reason? During my recent health check-up, I discovered a 0.52 cm gallbladder polyp, a 1.50 cm left renal cyst, and a suspected 0.52 cm kidney stone. I would like to know the causes of the left renal cyst and how it can be resolved or improved (I have been told by my p...
Dr. Cai Anshun Reply:
Hello: Polycystic kidney disease has a genetic predisposition, increasing the incidence of renal failure and kidney cancer. Most other cases are sporadic with no specific cause. A small number of kidney cysts may continue to increase in size, but most do not grow significantly. O...[Read More] Understanding Gallbladder Polyps and Kidney Cysts: Causes and Concerns
Understanding Blood in Diarrhea: Causes and When to Seek Help
Diarrhea with blood in the stool? Hello, doctor. Last night my symptoms changed dramatically. After eating porridge for dinner, I had diarrhea and went to the bathroom five or six times, with blood coming out like a spray, filling the toilet with blood. Eventually, it stopped, bu...
Dr. Cai Anshun Reply:
Hello: Due to the presence of diarrhea, normal stool cannot be observed, making it difficult to determine if the bleeding is caused by hemorrhoids. If the bleeding is significant, it is important to seek medical attention promptly. Unless in an emergency situation, it is essentia...[Read More] Understanding Blood in Diarrhea: Causes and When to Seek Help
Understanding Blood in Stool: Causes and When to Seek Help
Diarrhea with blood in the stool? Hello Doctor, last night my symptoms changed dramatically. After eating porridge for dinner, I had diarrhea and went to the bathroom five or six times, with blood coming out as if it were being sprayed; the toilet was full of blood. Eventually, i...
Dr. Cai Anshun Reply:
Hello: If you notice that your stool is only blood and not normal, it is difficult to determine whether it is due to hemorrhoidal bleeding. If the amount of bleeding is significant, you should seek medical attention promptly. Unless it is an emergency, it is essential to adhere t...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Sudden Abdominal Pain: Possible Causes and When to Seek Help
Sudden severe abdominal pain? I recently went for a walk with my mother, and halfway through, I suddenly experienced sharp pain in the lower right side of my abdomen, which felt like nerve pain. During this time, I also had some mild pain in my right back, but it was bearable, so...
Dr. Cai Anshun Reply:
Hello: The cause of abdominal pain after exercise may be due to the presence of food in the stomach, which increases abdominal pressure, combined with rapid breathing that affects the organs near the diaphragm, insufficient warm-up leading to abdominal muscle spasms, or excessive...[Read More] Sudden Abdominal Pain: Possible Causes and When to Seek Help
Understanding Blood and Mucus in Stool: Causes and Home Remedies
Having several consecutive days of bowel movements that consist of blood accompanied by mucus? Hello Doctor, my bowel movements have always been normal, but three days ago I suddenly noticed that the toilet paper after wiping was a lump of red (not bright red) mucus and stool. Th...
Dr. Cai Anshun Reply:
Hello: It may be necessary to differentiate whether the stool is of normal color before it has mixed with water. If the stool is of normal color and has blood mixed in, it could indicate hemorrhoids or bleeding in the lower part of the colon. If the stool is entirely black or red...[Read More] Understanding Blood and Mucus in Stool: Causes and Home Remedies
Understanding Changes in Bowel Habits: When to Seek Medical Advice
Gastroenterology and Hepatology Hello Doctor, I usually have regular bowel movements at least twice a day, but I have noticed an increase in the frequency of my urges to have a bowel movement over the past couple of days. The shape of my stool is about the same, and there is no s...
Dr. Chen Shidian Reply:
Low oil and low dairy, eat at regular intervals and in appropriate portions, and observe the results.[Read More] Understanding Changes in Bowel Habits: When to Seek Medical Advice
Chronic Right Lower Abdominal Pain: Is It a Gallbladder Issue?
Persistent dull pain in the lower right abdomen for more than one year, occurring periodically? Hello Doctor, I have been experiencing a mild dull pain in my lower right abdomen for over a year now, which occurs every 1-2 days, usually about 6 hours after eating. The episodes las...
Dr. Chen Shidian Reply:
Not related to the gallbladder (which is located in the right upper abdomen); it may be an issue with digestive motility. If still concerned, a fecal occult blood test can be performed first.[Read More] Chronic Right Lower Abdominal Pain: Is It a Gallbladder Issue?
Understanding Mucus in Diarrhea: Causes and Treatment Options
Diarrhea with mucus in the stool? Hello, doctor. Last Friday (February 11), I sought medical attention due to fever and mild diarrhea, and I was diagnosed with viral gastroenteritis. After returning home, I did not take any antidiarrheal medication; I only took probiotics and ant...
Dr. Chen Shidian Reply:
Clostridium difficile infection cannot be ruled out; therefore, it is advisable to first check for red and white blood cells in the stool and assess inflammatory markers such as CRP in the blood. If necessary, testing for C. difficile toxins in the stool and performing a colonosc...[Read More] Understanding Mucus in Diarrhea: Causes and Treatment Options
Understanding Elevated Urobilinogen Levels: Causes and Next Steps
Urobilinogen Hello, I had a regular follow-up for hepatitis B at the end of last year, and my blood tests were all normal. Before the Lunar New Year, I had a health check-up, and now the report indicates that my urobilinogen level is abnormal, with a value of 2+. However, all blo...
Dr. Chen Shidian Reply:
No further examination is necessary. Urobilinogen is for reference only.[Read More] Understanding Elevated Urobilinogen Levels: Causes and Next Steps
Understanding Loose Stools: Causes and When to Seek Help
Loose and unformed stools? Since October of last year, I have been experiencing difficulty with bowel movements, which have become slightly thinner than before. I consulted a doctor at that time and underwent a stool occult blood test, both of which came back normal. The doctor s...
Dr. Cai Anshun Reply:
Hello: If there is red in the stool and it does not disperse into the water, it is more likely to be food residue rather than blood. However, if there are still noticeable changes in bowel habits, it is advisable to consult a gastroenterologist to determine if further examination...[Read More] Understanding Loose Stools: Causes and When to Seek Help