Understanding Abdominal Pain and Bowel Changes: Is It Colon Cancer?
Bowel-related issues. Abdominal pain? Hello Doctor, I have recently experienced sudden sharp pain in my left abdomen while standing or sitting, along with tenderness when pressing on that area of my abdominal muscles. Additionally, I sometimes feel discomfort during lunch or dinn...
Dr. Cai Anshun Reply:
Hello: The situation you described seems more like a phenomenon caused by retained stool or constipation. Although there are cases of colon cancer in individuals in their twenties, the probability is extremely low, so there is no need to worry excessively. It is important to main...[Read More] Understanding Abdominal Pain and Bowel Changes: Is It Colon Cancer?
Understanding Constipation: When to Consider a Colonoscopy
Bowel issues I have been experiencing constipation issues, having bowel movements every 3 to 5 days. During college, I had bleeding during bowel movements and consulted a doctor who diagnosed me with anal fissures. I also had a history of internal hemorrhoids. Recently, I visited...
Dr. Chen Shidian Reply:
Increase the intake of soft foods, and if necessary, use medication for adjustment; observation may also be employed.[Read More] Understanding Constipation: When to Consider a Colonoscopy
Understanding Bowel Issues: When to Worry About Rectal Pain and Bleeding
Bowel issues Hello Doctor, I recently experienced rectal bleeding during bowel movements, and after a digital rectal examination at a large hospital, I was diagnosed with an anal fissure. No further tests were conducted. However, the bleeding has recurred, and I am experiencing p...
Dr. Lin Minghui Reply:
Hello, a 17-year-old female is experiencing bowel issues—severe anal fissures causing bleeding and pain. Diarrhea or difficulty in bowel movements can exacerbate the fissure problem. It is important to drink plenty of water, increase fiber intake, engage in moderate exercise, and...[Read More] Understanding Bowel Issues: When to Worry About Rectal Pain and Bleeding
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 Irregular Bowel Movements: Causes and Next Steps
It occurs regularly every 4 to 5 days? Hello Doctor, since September of last year, I have noticed that my bowel movements follow a cycle of 4 to 5 days, alternating between formed, loose, mushy, and watery stools. The next day, it returns to formed stools, and this pattern contin...
Dr. Chen Shidian Reply:
Further observation or follow-up consultation may be necessary.[Read More] Understanding Irregular Bowel Movements: Causes and Next Steps
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
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 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
Understanding Abnormal Bowel Movements and Rectal Discomfort Symptoms
There is often a sensation of foreign objects after bowel movements, and the stool varies in thickness from thick to thin? Hello Doctor: Since January of last year, I have frequently experienced a feeling of heaviness and a foreign body sensation in my anus. Initially, I did not ...
Dr. Cai Anshun Reply:
Hello: Whether further examination is needed can be determined by a clinical physician. If the clinical physician assesses that it is not necessary, but you still wish to understand your condition better, you may consider participating in a private advanced health check-up. Addit...[Read More] Understanding Abnormal Bowel Movements and Rectal Discomfort Symptoms
Understanding Bloating After Bowel Movements: Causes and Solutions
Experiencing bloating despite having a bowel movement? Hello Doctor, since December 2021, I have experienced multiple episodes of bloating and indigestion that led to vomiting, resulting in visits to the emergency room. The emergency physician suggested that it might be gastroent...
Dr. Chen Shidian Reply:
Please continue to follow up on treatment in the gastroenterology outpatient clinic. Avoid foods that are prone to causing bloating (refer to the FODMAP food classification).[Read More] Understanding Bloating After Bowel Movements: Causes and Solutions
Changes in Stool Color and Consistency: What You Need to Know
Change in stool shape? Hello Doctor, due to my personal weight issues, I have been controlling my diet recently. I have been following this for three days: for breakfast, I have either an apple or a large tomato; for lunch, I have a bento box with white meat and vegetables; for d...
Dr. Yang Zhichao Reply:
Hello Mr. Rouke, due to your family history of colorectal cancer, it is recommended that you schedule a colonoscopy. If the examination shows no issues, you can feel reassured. After the examination, if everything is clear, you can ask your physician to prescribe medication to se...[Read More] Changes in Stool Color and Consistency: What You Need to Know
Understanding Right Abdominal Pain: Causes, Tests, and Vaccine Concerns
Frequent abdominal pain on the right side? Hello, Doctor. Over the past year, I have been experiencing right abdominal pain approximately every three months. Recently, the pain has returned, and the location is somewhat variable, including around the navel, the lower right abdome...
Dr. Chen Shidian Reply:
If the fecal occult blood test is normal, it can be monitored. If symptoms persist, a colonoscopy may still be considered. Vaccination can still be administered while carefully monitoring for side effects.[Read More] Understanding Right Abdominal Pain: Causes, Tests, and Vaccine Concerns
Understanding Right Lower Abdominal Pain: Causes and Diagnostic Approaches
Right-sided abdominal pain inquiry? Hello Dr. Tsai, I would like to ask you a more detailed question. I appreciate your response. Last year, I experienced discomfort about 3 to 4 times in the same area (right lower abdomen to the pelvic region, with soreness, bloating, and a feel...
Dr. Cai Anshun Reply:
Hello: To diagnose Crohn's disease, an endoscopy with biopsy is necessary to confirm the diagnosis. Whether it is Crohn's disease also requires the clinical judgment of a physician, who will arrange for further examinations. It cannot be diagnosed solely by CT or MRI. C...[Read More] Understanding Right Lower Abdominal Pain: Causes and Diagnostic Approaches
Persistent Blood in Stool: When to Consider Small Bowel Endoscopy?
Persistent bloody stools with no identifiable bleeding source on examination: Is a small bowel endoscopy necessary? Symptoms: First episode of bloody stool from January 9 to January 11. Patient: 68-year-old female with a history of mild gastric ulcer and elevated cholesterol. Tre...
Dr. Chen Shidian Reply:
It should not be related to the liver. It is necessary to work with a gastroenterologist and take some time for a thorough examination. Small bowel endoscopy and angiography are both considerations.[Read More] Persistent Blood in Stool: When to Consider Small Bowel Endoscopy?
Do You Need an Upper Endoscopy for IBS After a Healthy Colonoscopy?
Does irritable bowel syndrome require an examination of the stomach? Hello, I underwent a colonoscopy due to issues with irritable bowel syndrome, and the doctor said my intestines are healthy with no problems. Do I need to have an upper endoscopy as well? If there are issues wit...
Dr. Chen Shidian Reply:
Irritable bowel syndrome generally does not require endoscopy; it can be managed with dietary adjustments and medication.[Read More] Do You Need an Upper Endoscopy for IBS After a Healthy Colonoscopy?
Understanding Gallstones and Gastrointestinal Issues: A Patient's Journey
Intestinal dryness or gallstones? Hello doctor, I have a question that I hope you can patiently listen to. Over the past six months, I have seen four or five gastroenterologists and undergone various tests including gastroscopy, ultrasound, colonoscopy, X-rays, fecal occult blood...
Dr. Cai Anshun Reply:
Hello: 1. If it is related to the pancreas, issues should be detectable in previous imaging studies such as a CT scan. 2. Symptoms caused by gallstones typically occur after eating a large or fatty meal, or as abdominal bloating and pain 2-3 hours post-meal. Irritable bowel syndr...[Read More] Understanding Gallstones and Gastrointestinal Issues: A Patient's Journey
Are There Gastrointestinal Medications to Take Before Meals?
Are there any gastrointestinal medications to be taken before meals? Hello, I have Irritable Bowel Syndrome (IBS) and my colonoscopy results are normal. I often feel the urge to use the bathroom after meals, but every time I visit the doctor, the prescribed medication is to be ta...
Dr. Chen Shidian Reply:
It is recommended to take the medication about 15 minutes before meals.[Read More] Are There Gastrointestinal Medications to Take Before Meals?
Persistent Oily Stools: Do I Need Further Tests for Digestive Issues?
Floating stools with oil have been evaluated through various tests. I would like to ask if any further examinations are necessary? The patient has been experiencing long-term pain in the right upper abdomen and has had unformed stools. Recently, the stools have been floating and ...
Dr. Lin Minghui Reply:
Hello, a 38-year-old male presents with floating stools. His diet is not excessively greasy, and stool tests can be conducted to check for steatorrhea. Floating stools are associated with diet, medications, and gastrointestinal, liver, gallbladder, and pancreatic diseases. Both g...[Read More] Persistent Oily Stools: Do I Need Further Tests for Digestive Issues?
Post-Ulcer Complications: Understanding Ongoing Abdominal Pain and Bloating
Issues Following Gastric Ulcers Hello Doctor: In early January 2021, I noticed persistent abdominal bloating and pain, so I went to the hospital for a gastroscopy, which revealed a gastric ulcer and inflammation. The colon only had benign polyps. After taking the PPI medication p...
Dr. Zhang Kebin Reply:
Hello Jack: You report persistent abdominal bloating and pain. After undergoing colonoscopy and gastroscopy, you still experience abdominal pain and bloating. You later visited a clinic and received treatment for irritable bowel syndrome, but the results were unsatisfactory. You ...[Read More] Post-Ulcer Complications: Understanding Ongoing Abdominal Pain and Bloating