Understanding Diarrhea and Bowel Changes: Stress and Dietary Impact
Recently, I may have been experiencing loose stools and diarrhea due to stress? Hello, Doctor! Recently, I've been worried about my eye condition, and I've started experiencing changes in my bowel movements. My stools have been watery, with colors varying between yellow...
Dr. Cai Anshun Reply:
Hello: 1. There is a correlation. 2. The color of watery stools being yellow or brown cannot be used to determine where the problem lies. 3. Reduce the intake of irritating foods. 4. Urgency and tenesmus. 5. Whether a colonoscopy is necessary should be determined by a clinical ph...[Read More] Understanding Diarrhea and Bowel Changes: Stress and Dietary Impact
Understanding Gastrointestinal Issues: Gallstones or IBS?
Gastrointestinal issues Hello doctor, I have a question that may be a bit common, so please be patient as I explain. Over the past six months, I have seen four or five gastroenterologists and undergone various tests including gastroscopy, ultrasound, colonoscopy, X-rays, stool te...
Dr. Chen Shidian Reply:
It is recommended to discuss further with a gastroenterologist.[Read More] Understanding Gastrointestinal Issues: Gallstones or IBS?
Is It Cancer? Understanding When to Get a Colonoscopy
Could it be cancer? Is a colonoscopy necessary? Hello doctor, I have been experiencing abdominal bloating for the past five months, along with persistent belching and flatulence (each episode involves a significant amount of gas). I have sought medical attention numerous times du...
Dr. Cai Anshun Reply:
Hello: Is a colonoscopy necessary? It is recommended to be determined by a clinical physician. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Is It Cancer? Understanding When to Get a Colonoscopy
Understanding Bowel Noises and Gastrointestinal Issues in AS Patients
Borborygmi and gastrointestinal issues? Hello, doctor. I am a patient with ankylosing spondylitis, and I have been experiencing bowel sounds for about 3 to 4 months. They usually occur more after meals or when lying down before sleep, with variable locations. I can also feel inte...
Dr. Chen Shidian Reply:
If weight loss persists, further examination is recommended, including capsule endoscopy or small bowel endoscopy.[Read More] Understanding Bowel Noises and Gastrointestinal Issues in AS Patients
Managing Bloating, Constipation, and Unformed Stool: A Guide for Health Professionals
Despite having a good diet, experiencing bloating, constipation, and unformed stools? Hello, Doctor. I am currently 25 years old and started my master's degree abroad last September. I am here to inquire about my health due to concerns about high medical costs. I am a nutrit...
Dr. Chen Shidian Reply:
Fecal occult blood testing can be performed; if the results are normal, dietary adjustments should be made based on the FODMAP food list, and weight should be monitored.[Read More] Managing Bloating, Constipation, and Unformed Stool: A Guide for Health Professionals
Understanding Duodenal Cancer: Key Questions and Diagnostic Options
Duodenal cancer issues I would like to ask a few questions regarding my long-term discomfort in the upper right abdomen. I have undergone colonoscopy, gastroscopy, and ultrasound, all of which showed no abnormalities. A physician suggested considering a small bowel endoscopy to e...
Dr. Cai Anshun Reply:
Hello: 1. Only tumors that can be compared are visible and may be palpable. 2. Both enteroscopy and capsule endoscopy can be used to examine the small intestine. The difference is that capsule endoscopy cannot perform biopsies or treatment; it can only identify lesions. Changhua ...[Read More] Understanding Duodenal Cancer: Key Questions and Diagnostic Options
Persistent Upper Right Abdominal Discomfort: Next Steps for Diagnosis
Discomfort in the right upper abdomen has been evaluated? I have been experiencing a persistent sensation of heat in the upper right abdomen (similar to the feeling of having a pain relief patch applied) for several months. It is not painful, but it is distinctly uncomfortable in...
Dr. Cai Anshun Reply:
Hello: Generally, the examinations that can diagnose abdominal diseases have been completed. You can consult a gastroenterologist for medication adjustments. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Persistent Upper Right Abdominal Discomfort: Next Steps for Diagnosis
CT vs MRI: Which Imaging is Best for Abdominal Diagnosis?
Computed tomography (CT) and magnetic resonance imaging (MRI) for abdominal diagnosis? I would like to ask, since I have already undergone gastroscopy, ultrasound, and colonoscopy, but the discomfort in my upper abdomen has not improved, if I want to pay out of pocket for advance...
Dr. Cai Anshun Reply:
Hello: If you are examining solid organs, a CT scan of the liver, gallbladder, pancreas, spleen, kidneys/adrenal glands, ovaries, and uterus will suffice. However, if you need to reconstruct images of the pancreatic duct or bile duct, an MRI is required. Of course, any lesions vi...[Read More] CT vs MRI: Which Imaging is Best for Abdominal Diagnosis?
Understanding Gastrointestinal Issues: Insights on Bowel Health and Diet
Gastrointestinal issues Hello, doctor. Due to the lockdown caused by the pandemic, since October, I have been experiencing bowel movements 2-3 times a week. The first one is usually normal (Bristol Stool Type 4), while the second one is diarrhea (Bristol Stool Types 5-6). This oc...
Dr. Zhang Kebin Reply:
Hello Mr. Hsiao: You reported that your bowel habits and frequency have been unstable recently, and you are concerned about the risk of cancer? The risk of colorectal cancer is usually associated with age, a diet high in red meat, smoking, a family history of polyps, and a family...[Read More] Understanding Gastrointestinal Issues: Insights on Bowel Health and Diet
Persistent Diarrhea After Flu Shot: What to Do Next?
If taking anti-diarrheal medication is ineffective and diarrhea persists, what should be done? Hello Doctor: My father had a colonoscopy at the end of October, and the doctor said there were no polyps. The next day, he went to get the flu vaccine, and since then, he has been expe...
Dr. Zhang Kebin Reply:
Dear Ms. Ya, You reported that your father has been experiencing diarrhea for a month. Here are the responses to your questions: 1. Will he experience diarrhea after a colonoscopy, or could it be related to the flu vaccine? => A colonoscopy is a physical examination and shou...[Read More] Persistent Diarrhea After Flu Shot: What to Do Next?
Understanding Abdominal Pain: Insights into Gastrointestinal Issues
Abdominal issues? Hello Doctor, I have been experiencing pain in the upper right quadrant of my abdomen for the past six months. I underwent an ultrasound which revealed fatty liver and gallbladder polyps, and an endoscopy indicated mild gastritis. A few weeks later, I suddenly d...
Dr. Cai Anshun Reply:
Hello, your comprehensive examinations are sufficient to diagnose diseases of all abdominal organs. However, functional issues such as abnormal peristalsis, irritable bowel syndrome; metabolic disorders (such as thyroid dysfunction, blood sugar abnormalities; or rarer conditions ...[Read More] Understanding Abdominal Pain: Insights into Gastrointestinal Issues
Understanding Bowel Issues: When to Seek Further Gastrointestinal Evaluation
Bowel-related issues? Hello doctor, I would like to inquire about my recent experience. I had a hemorrhoid ligation surgery due to fresh blood in my stool. After undergoing a colonoscopy and a digital rectal exam, the doctor mentioned that I have irritable bowel syndrome (IBS). S...
Dr. Chen Shidian Reply:
Dietary adjustments combined with necessary medication management are sufficient for treatment.[Read More] Understanding Bowel Issues: When to Seek Further Gastrointestinal Evaluation
Persistent Discomfort in the Upper Right Abdomen: Causes and Next Steps
Persistent discomfort in the right upper abdomen? For the past two months, I have been experiencing a tight, burning sensation in the upper right part of my abdomen (approximately from just above the navel to just below the lower rib margin). At the end of last month, I had an ab...
Dr. Cai Anshun Reply:
Hello, since you have already undergone abdominal ultrasound, gastroscopy, and colonoscopy, most diseases in the right upper abdomen can be diagnosed. You may want to review your dietary habits to see if they are contributing to your gastric discomfort, such as the consumption of...[Read More] Persistent Discomfort in the Upper Right Abdomen: Causes and Next Steps
Understanding Stool Shape: Signs of Potential Colon Issues
Stool shape Hello Doctor: I would like to ask, if during bowel movements my stool is formed but accompanied by irregular small pieces (with a feeling of incomplete evacuation) and this has persisted for 2 to 3 years, could it be due to the presence of polyps in the colon? Additio...
Dr. Cai Anshun Reply:
Hello, the shape of your stool can be influenced by your diet and is not necessarily caused by polyps. It is recommended to consult a gastroenterologist, who can determine whether a colonoscopy is necessary. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Stool Shape: Signs of Potential Colon Issues
Chronic Constipation and Digestive Issues: Seeking Solutions and Answers
Severe constipation with the use of stool softeners has not improved? Hello Doctor, due to being unemployed recently, I have been using the computer at home every day, which has resulted in low physical activity and a lack of exercise habits. I have been overweight. Around Octobe...
Dr. Chen Shidian Reply:
It is recommended to first use medication, improve dietary fiber intake, and take a walk after meals. Keep a record of bowel movements, return for follow-up appointments as scheduled, and if necessary, perform a fecal occult blood test.[Read More] Chronic Constipation and Digestive Issues: Seeking Solutions and Answers
Understanding Dark Stools: Causes and Concerns After Colonoscopy
Black stool Hello Dr. Chen, my father-in-law had a colonoscopy at the beginning of November, where a large polyp was found and removed. After treatment with medication, he has recovered. However, at the beginning of December, he started having dark stools again. He underwent an u...
Dr. Chen Shidian Reply:
If food coloring is not the cause, then it is necessary to consider checking for bleeding lesions in the small intestine.[Read More] Understanding Dark Stools: Causes and Concerns After Colonoscopy
Understanding Upper Right Abdominal Tightness and Heat Sensation
Tightness and a prickling heat sensation in the upper right abdomen? Recently, I have been experiencing a tight sensation in the upper right abdomen (approximately from above the navel to just below the rib cage) that feels warm at times. This has persisted for about a month and ...
Dr. Chen Shidian Reply:
First, apply local heat therapy and observe. Avoid vigorous exercise or local strain, and return for a follow-up if necessary.[Read More] Understanding Upper Right Abdominal Tightness and Heat Sensation
Can You Get Gastroscopy and Colonoscopy at Different Hospitals?
Can gastroscopy and colonoscopy be performed at different hospitals? Hello, can gastroscopy and colonoscopy be performed at different hospitals or clinics? If I have a gastroscopy done at Hospital A and then go to Hospital B for a colonoscopy, will the doctor at Hospital B be abl...
Dr. Chen Shidian Reply:
It is also possible to do so if necessary, but the results should be provided for reference to another physician. Recent data can be accessed through the health insurance cloud system.[Read More] Can You Get Gastroscopy and Colonoscopy at Different Hospitals?
Do I Need to Stop My Medications Before a Colonoscopy?
Colonoscopy issues? Hello Doctor: I am taking medication prescribed by a urologist - Solifenacin, and medication prescribed by an obstetrician - Aldactone. Should I stop taking these two medications before undergoing a colonoscopy? If so, how long should I discontinue them? Thank...
Dr. Chen Shidian Reply:
You can skip eating for that day, and if necessary, consult the prescribing physician.[Read More] Do I Need to Stop My Medications Before a Colonoscopy?
Unexplained Left Lower Abdominal Pain: Seeking Solutions and Next Steps
Left lower abdominal pain of unknown origin? Since March of this year, I have been experiencing pain in the left lower abdomen after walking for extended periods (more than 5-10 minutes). I have consulted with medical professionals and undergone blood tests, colonoscopy, gastrosc...
Dr. Chen Shidian Reply:
It is likely caused by neuromuscular issues; you may also consult a rehabilitation physician.[Read More] Unexplained Left Lower Abdominal Pain: Seeking Solutions and Next Steps