Follow-Up Guidelines for Benign Colon Polyp Removal: Timing and Recommendations
Follow-up after colon polypectomy? Hello, doctor. I had a colonoscopy two years ago where two polyps were removed. If the removed colon polyps were benign and approximately 0.5 cm in size, how long should I wait for the next follow-up examination (2-3 years or 3-5 years)? Thank y...
Dr. Chen Shidian Reply:
In Taiwan, it can be done in a shorter time frame, while in the United States, it typically takes 3 to 5 years.[Read More] Follow-Up Guidelines for Benign Colon Polyp Removal: Timing and Recommendations
Long-Term Use of Medications: Impact on Gastrointestinal Health and Function
Taking Nizatidine and Omeprazole for more than 5 years, could it affect gastrointestinal function? Recently, due to the discontinuation of Laxative, taking fiber supplements has caused severe bloating and pain. Two years ago, a colonoscopy revealed black bowel syndrome, and the d...
Dr. Chen Shidian Reply:
Anemia is not related to gastrointestinal medications, but it is recommended to investigate the underlying cause (hematology). Stomach medications can be reduced in intensity (lower dosage or switch medications) or taken only when necessary. Laxatives are often needed due to indi...[Read More] Long-Term Use of Medications: Impact on Gastrointestinal Health and Function
Understanding Yellow and Black Stool: GERD and Potential Concerns
Stool that is yellow with black streaks and gastroesophageal reflux? Hello doctor, two months ago I underwent an upper gastrointestinal endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gas...
Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.[Read More] Understanding Yellow and Black Stool: GERD and Potential Concerns
Understanding Yellow Stool with Black Spots: GERD and Potential Concerns
Stool that is yellow with black streaks and gastroesophageal reflux disease (GERD)? Hello doctor, two months ago I underwent an endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gastric ulc...
Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.[Read More] Understanding Yellow Stool with Black Spots: GERD and Potential Concerns
Understanding Gastric Polyps and Familial Adenomatous Polyposis Risks
Gastric polyps and familial adenomatous polyposis? Hello, Doctor. I have a question. I undergo gastroscopy every year, and each time the doctor mentions that I have dozens of gastric polyps, which seem to be increasing every year. I have seen some information stating that having ...
Dr. Lin Minghui Reply:
Familial adenomatous polyposis (FAP) is an autosomal dominant genetic disorder characterized by the presence of hundreds to thousands of polyps in the colon. Ninety percent of individuals will experience gastrointestinal symptoms before the age of 35, and around the age of 40, th...[Read More] Understanding Gastric Polyps and Familial Adenomatous Polyposis Risks
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? Hello doctor, I have a question. Today when I went to the bathroom, there was no blood in my stool, but after straining a bit, I noticed fresh red blood on the edge of the stool. The first time I wiped, there was blood, but the second time there was none. I ha...
Dr. Lin Minghui Reply:
Hello, it is advisable to investigate the cause of blood in the stool in order to provide appropriate treatment. Common causes of blood in the stool include anal fissures, hemorrhoids, rectal or colon polyps, tumors, or inflammation. It is recommended to increase fiber and fluid ...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Differentiating Between Colon Polyps and Irritable Bowel Syndrome
Distinguishing between colorectal polyps and irritable bowel syndrome (IBS)? How can I distinguish whether my current condition is colorectal polyps or irritable bowel syndrome (IBS)? My current symptoms include severe constipation (having a bowel movement every 3 to 4 days), thi...
Dr. Chen Shidian Reply:
Irritable bowel syndrome (IBS) should be considered. Polyps are a separate diagnosis and are not related to symptoms. Generally, fecal occult blood screening should begin at age 50 or older. Individuals with symptoms may consider seeking early evaluation and examination through h...[Read More] Differentiating Between Colon Polyps and Irritable Bowel Syndrome
Understanding Bowel Issues: Can Stool Tests Detect Colon Polyps?
Bowel issues Hello Doctor, regarding the question I asked yesterday, the doctor's suggestion was to check for fecal occult blood. Can this fecal occult blood test also detect the presence of colorectal polyps? As a follow-up to yesterday's question, I would like to add ...
Dr. Chen Shidian Reply:
It is often a functional disorder or hyperactivity syndrome; a stool examination can be performed first to rule out intestinal lesions.[Read More] Understanding Bowel Issues: Can Stool Tests Detect Colon Polyps?
Managing Fatty Liver and Gastrointestinal Issues: Your Questions Answered
Inquiry and consultation? Hello Doctor: I had a liver ultrasound today. I have been associated with the hepatobiliary and gastroenterology department since many years ago due to elevated liver enzymes. In my younger days, I often stayed up late and had a penchant for sweet foods ...
Dr. Lin Minghui Reply:
Hello, fatty liver refers to the accumulation of fat in liver cells, which may sometimes cause fluctuations in liver enzyme levels, but typically involves minimal liver fibrosis. Once it progresses to non-alcoholic steatohepatitis (NASH), the liver may exhibit inflammation or fib...[Read More] Managing Fatty Liver and Gastrointestinal Issues: Your Questions Answered
Could Your Bowel Changes Indicate Colorectal Cancer Risk?
Is the issue of bowel movements and flatulence possibly related to colorectal cancer? Hello Doctor, I am a junior staff member working in a real estate company. I usually have bowel movements about 1-3 times a day, but a month ago, I started experiencing irregular bowel habits. I...
Dr. Cai Anshun Reply:
Hello: The symptoms of colorectal cancer are mostly non-specific, so there is no need to overly worry about certain symptoms. It is essential to develop proper lifestyle and dietary habits. If there is no improvement, you can consult a gastroenterologist, who will determine wheth...[Read More] Could Your Bowel Changes Indicate Colorectal Cancer Risk?
Understanding Rectal Foreign Bodies: Symptoms and Concerns
Rectal foreign body I would like to ask about a situation. Three years ago, I underwent a colonoscopy and a small polyp was found, which was cauterized at that time. A large internal hemorrhoid was also discovered, and I attempted a ligation a month later, but it was unsuccessful...
Dr. Lin Minghui Reply:
Hello: I have a sensation of a foreign body at the anal opening. I have a history of hemorrhoids and colon polyps. The most common cause of the sensation of a foreign body at the anal opening is hemorrhoids. Is there a possibility of concurrent polyps or tumors? I recommend follo...[Read More] Understanding Rectal Foreign Bodies: Symptoms and Concerns
Understanding Mucus in Stool: What It Could Mean for Your Health
Mucus in stool? Hello, Doctor. Recently, for the past month, I've noticed that when I wipe after using the bathroom, there is transparent mucus in my stool. Although the stool is formed, it has more moisture than normal. I have done some research and have not experienced sym...
Dr. Chen Shidian Reply:
Hello, sir. Mucus in the colon is a normal secretion, so there is no need to worry. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Mucus in Stool: What It Could Mean for Your Health
Understanding Colon Polyps: Risks, Screening, and Prevention Strategies
Colorectal polyp Hello Doctor, I underwent a colonoscopy screening in April 2017, but recently I have been experiencing frequent bowel movements with loose stools, going to the bathroom 7 to 8 times a day. Additionally, there is a family history of colorectal cancer. Therefore, I...
Dr. Chen Shidian Reply:
Hello, please cooperate with your attending physician for follow-up. There's no need to worry, as the chance of cancerous transformation for polyps smaller than 1 centimeter is very low. Some very small polyps may not be easily visible and are not necessarily new growths, so...[Read More] Understanding Colon Polyps: Risks, Screening, and Prevention Strategies
Understanding Colon Polyps: Concerns, Treatment, and Care Tips
Colorectal polyp Hello, doctor. I previously experienced stomach rumbling and had loose stools, so I went to the hospital for a consultation. A colonoscopy revealed a polyp about one centimeter, which was removed on the spot. After three weeks, during my follow-up appointment, th...
Dr. Chen Qifeng Reply:
Your doctor used some adjectives, including benign but with some signs, a bit of change, and early-stage, which can indeed be confusing. You might want to ask him to explain this part in more detail. From my understanding, there is a 1 cm benign polyp that needs to be followed up...[Read More] Understanding Colon Polyps: Concerns, Treatment, and Care Tips
Understanding Changes in Stool Size: When to Seek Medical Advice
Narrowing of stool? Hello Doctor: My bowel movement frequency has always been quite good, typically once a day or at least every two days. Since June of this year, I have been focusing on weight loss and health maintenance. In addition to drinking over 2000cc of water daily, I ha...
Dr. Chen Qifeng Reply:
Hello, there may be recent occurrences of gastroenteritis. It is recommended to consume less oil, less dairy, and fewer raw or cold foods. If your stool returns to a normal consistency, there is no need to worry. Polyps generally do not grow large enough to cause a change in stoo...[Read More] Understanding Changes in Stool Size: When to Seek Medical Advice
Post-Endoscopic Polypectomy Care: Recovery Tips and Lifestyle Impact
Endoscopic removal of colorectal polyps? After endoscopic removal of colon polyps, what should be noted? How long is the recovery period? Will it cause any inconvenience to normal life and work? Is it true, as mentioned online, that one should avoid riding a motorcycle and going ...
Dr. Chen Qifeng Reply:
Hello: Avoid excessive strain on the abdomen, and be mindful of any abdominal pain or blood in the stool. Generally, 3 to 5 days is not considered safe. Wishing you safety and health. Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare, Dr. Ch...[Read More] Post-Endoscopic Polypectomy Care: Recovery Tips and Lifestyle Impact
Understanding Colon Polyps: Risks, Recurrence, and Family Screening
Colon polyp issues? Dear Dr. Tsai, My mother-in-law underwent a health check at around 55 years old, where 2 to 3 colorectal polyps were discovered and subsequently removed. After continued monitoring, she developed another 3 to 5 polyps. This year, during a follow-up examinatio...
Dr. Cai Anshun Reply:
Hello: Benign polyps come in various types, such as hyperplastic polyps, adenomas, and inflammatory polyps, all of which are classified as benign. The colon can indeed undergo genetic changes due to aging, making it more susceptible to the development of polyps as one gets older....[Read More] Understanding Colon Polyps: Risks, Recurrence, and Family Screening
Understanding Bowel Consistency: Insights from Gastroenterology
Issues with stool consistency? Hello Dr. Tsai, My husband has a bowel movement about twice a day, mostly after meals. Sometimes the stools are shaped, varying in thickness, and occasionally they have a slightly higher water content, allowing the shape to be faintly visible, but ...
Dr. Cai Anshun Reply:
Hello: Bowel habits should be compared to your own previous patterns. If your bowel habits have been consistent over a long period, there is usually no need for excessive concern. However, if there are changes in your bowel habits or stool consistency, you should seek medical att...[Read More] Understanding Bowel Consistency: Insights from Gastroenterology
Understanding Normal Bowel Habits and Gas Issues in Adults
Bowel habits Dear Dr. Chen, I apologize for reaching out again. My husband, who is 47 years old, has been having bowel movements 2 to 3 times a day for many years, mostly after meals. There is no blood in his stool, and sometimes the stool is thick while other times it is thin. ...
Dr. Chen Shidian Reply:
Mrs. Lin should be fine. A stool occult blood test can be performed first. If the result is negative, the risk is lower. After the age of 50, a colonoscopy can be considered once, followed by stool tests every 1-2 years. Changhua Hospital cares about your health. Dr. Chen Shidian...[Read More] Understanding Normal Bowel Habits and Gas Issues in Adults
Do Colon Polyps in Adults Shrink or Disappear with Diet Changes?
Do colorectal polyps in adults disappear on their own? Hello Dr. Yang, I hope it's not too presumptuous to ask you a question about colorectal polyps. May I ask, for an average adult with a colorectal polyp (approximately 1 cm in size), can changes in dietary habits lead to ...
Dr. Yang Zhichao Reply:
Hello Mr. Jack: Colorectal polyps are usually recommended to be biopsied or removed once discovered. If you have a one-centimeter colorectal polyp, it is unlikely to disappear even with dietary control. It is advisable to remove the polyp via endoscopy rather than through surgery...[Read More] Do Colon Polyps in Adults Shrink or Disappear with Diet Changes?