Understanding Right Rib Pain: Symptoms and Necessary Tests
There is a feeling of fullness on the inner side of the lower right rib cage? Dr. Chen, I have a question: Six years ago, I experienced frequent abdominal bloating and discomfort, so I consulted a gastroenterologist. The hospital diagnosed me with excessive stomach acid, mild gas...
Dr. Chen Shidian Reply:
It may still be a gastrointestinal motility or digestion issue. An ultrasound can be performed to rule out extrinsic gastrointestinal lesions. A fecal occult blood test can be conducted for the colon.[Read More] Understanding Right Rib Pain: Symptoms and Necessary Tests
Managing Iron Deficiency Anemia from Duodenal Ulcers: Challenges and Solutions
Duodenal ulcer causing iron deficiency anemia with poor absorption of iron supplements? Hello Doctor, in early April 2020, I visited the clinic due to black stools and underwent an upper gastrointestinal endoscopy. The results indicated a duodenal ulcer. Since I delayed seeking t...
Dr. Cai Anshun Reply:
Hello: If it is confirmed that there is no bleeding from the stomach or colon, you can consult a hematologist to investigate whether there is hereditary Mediterranean anemia or other blood-related issues. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Managing Iron Deficiency Anemia from Duodenal Ulcers: Challenges and Solutions
Understanding Bloating and Stomach Pain: Causes and Solutions
Bloating and stomach pain? Hello, Doctor. I occasionally experience hiccups, followed by frequent flatulence, but it hasn't been a major issue. However, recently I've started to have stomach pain, and I feel bloated and painful after eating. My hiccups have also become ...
Dr. Chen Shidian Reply:
You can visit the gastroenterology outpatient clinic for diagnosis and treatment.[Read More] Understanding Bloating and Stomach Pain: Causes and Solutions
Understanding Stomach Issues: Causes, Symptoms, and Dietary Tips
Gastrointestinal issues? Hello Doctor, I have been troubled by stomach issues for two to three years. I often wake up in the middle of the night with stomach pain, which is usually cramp-like but tolerable. However, I need sleep for work the next day, so I go to the emergency roo...
Dr. Cai Anshun Reply:
Hello: Waking up in the middle of the night due to pain should raise concerns about issues such as duodenal ulcers, gastroesophageal reflux disease (GERD), or gallstones. Foods to avoid include coffee, tea, fried foods, spicy foods, and sweets, while other dietary choices may var...[Read More] Understanding Stomach Issues: Causes, Symptoms, and Dietary Tips
Understanding Severe Colon Dysfunction: Enzymes, Probiotics, and Treatment Options
Colonic dysfunction Hello Dr. Chen, I recently had a colonoscopy, and the report indicated that I have severe colonic dysfunction. I would like to ask if taking enzymes or probiotics could help improve this condition, or if medication treatment is necessary?
Dr. Chen Shidian Reply:
Colonoscopy generally does not address functional disorders; please verify the report details. Additionally, probiotics have only supportive effects and do not have established efficacy; they are for reference only.[Read More] Understanding Severe Colon Dysfunction: Enzymes, Probiotics, and Treatment Options
Understanding Intestinal Metaplasia: Causes, Symptoms, and Treatment Options
Intestinal metaplasia Hello Doctor, my mother started experiencing sudden stomach pain and gastroesophageal reflux three months ago. She consulted a doctor, and after examinations, Helicobacter pylori was ruled out. She then began taking Omeprazole to reduce stomach acid, and her...
Dr. Chen Shidian Reply:
The observation of bile reflux during an endoscopy is a normal finding and is usually not specifically noted. Intestinal metaplasia is a result of long-term inflammation, and it is important to first eliminate Helicobacter pylori, which causes gastritis. There is no indication th...[Read More] Understanding Intestinal Metaplasia: Causes, Symptoms, and Treatment Options
Understanding Yellow Granules in Stool: Causes and Concerns
There are yellow specks in the stool? Hello, I am someone who suffers from chronic constipation. Sometimes I have regular bowel movements, but other times I may go three to four days without a bowel movement, during which I take enzymes (I do not feel uncomfortable when constipat...
Dr. Cai Anshun Reply:
Hello: If you have undergone an endoscopy and no issues were found, there is no need to worry excessively. Sometimes, the presence of undigested or unchewed food can lead to such phenomena. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Yellow Granules in Stool: Causes and Concerns
Understanding Bright Red Blood in Stool: Causes and Recommendations
Rectal bleeding Hello Doctor, I know I have gallstones, but when I went out to eat with friends, I had some greasy Hong Kong-style food, like pineapple buns. That night, I experienced pain in my lower back, and I noticed bright red blood in my stool, which dissolved in water, but...
Dr. Chen Shidian Reply:
Further observation is needed to determine if bleeding persists, or a colonoscopy should be scheduled for examination of the sigmoid colon.[Read More] Understanding Bright Red Blood in Stool: Causes and Recommendations
Sudden Abdominal Pain and Blood in Stool: What You Need to Know
Waking up in the middle of the night with abdominal pain and noticing blood in the stool after using the bathroom? Hello, today (July 6th) I took a nap in the afternoon and suddenly woke up with abdominal pain. I rushed to the bathroom and after some time on the toilet, I started...
Dr. Chen Shidian Reply:
Just wait for the results of the colonoscopy. If the pain is severe, it may be necessary to go to the emergency department.[Read More] Sudden Abdominal Pain and Blood in Stool: What You Need to Know
Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?
Occasionally, there may be blood in the stool? 1. Before having a bowel movement, I sometimes feel a mild cramping sensation in my lower abdomen, just below the navel. Occasionally, it feels slightly more intense, but it's not extremely painful. Is this normal? I have a tend...
Dr. Lin Minghui Reply:
Hello, I experience constipation and mild pain near the navel before bowel movements. When I was 19, I had instances of blood in my stool, and I have hemorrhoids. I experience rectal bleeding one to three times every six months, and recently I have felt that my bowel movements ar...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?
Understanding Gastrointestinal Issues: Symptoms and Management Insights
Gastrointestinal issues Dr. Lin: Hello, I have been experiencing abdominal discomfort for half a month. Initially, my symptoms included unformed stools that were loose and soft, occasionally containing undigested food particles, which felt like indigestion. After eating, I would ...
Dr. Lin Minghui Reply:
Hello, a 31-year-old female has been experiencing abdominal discomfort, loose stools, indigestion, and frequent bloating for the past two weeks. She has seen a gastroenterologist, and her symptoms have improved; it is likely a case of irritable bowel syndrome (IBS), with symptoms...[Read More] Understanding Gastrointestinal Issues: Symptoms and Management Insights
Understanding Gastrointestinal Issues: Insights on Irritable Bowel Syndrome
Gastrointestinal issues Hello Dr. Yang: I have been experiencing abdominal discomfort for almost half a month now. I have visited three different clinics, and the doctors have given me different opinions, but my symptoms have been consistent. Feeling that something was wrong, I w...
Dr. Yang Zhichao Reply:
Hello Ms. Pan, the diagnosis of irritable bowel syndrome (IBS) still requires completing clinical examinations. I recommend that you undergo the basic stool tests. If your symptoms persist or if there is a family history of colorectal cancer, it is advisable to arrange for a colo...[Read More] Understanding Gastrointestinal Issues: Insights on Irritable Bowel Syndrome
Understanding Irritable Bowel Syndrome: Symptoms and Management Strategies
Irritable Bowel Syndrome (IBS) Hello Dr. Yang, I have been experiencing abnormal bowel movements for 1 to 2 years. The main symptoms include having at least 6 bowel movements a day, often feeling the urge to go immediately after meals, and rushing to the bathroom. More than half...
Dr. Yang Zhichao Reply:
Hello Mr. Alan, due to the impact of your symptoms on your daily life and considering your age, it is recommended that you schedule a colonoscopy. It is advisable to have a gastroenterologist evaluate and treat your condition. Thank you for your inquiry.[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Management Strategies
Understanding Gastrointestinal Issues: Insights on IBS and Digestive Health
Gastrointestinal issues Hello Dr. Tsai, I have been experiencing abdominal discomfort and irregular bowel movements for the past month. During this time, I visited three different clinics. At the first clinic, I explained my condition to the doctor, who suggested that my gastric...
Dr. Cai Jinji Reply:
Dear Ms. Pan, if there is no improvement after taking the medication, you may inquire with your physician about further examinations to confirm the diagnosis. Dr. Tsai Jin-chi, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.[Read More] Understanding Gastrointestinal Issues: Insights on IBS and Digestive Health
Managing Gallstones: Non-Surgical Options and Concerns About Pancreatic Duct Size
Gallstone issues? Dear Doctor, my mother is 65 years old and has been experiencing abdominal pain for a long time, so she went to the hospital for an ultrasound and a colonoscopy. The results showed that she has some gallstones, but it's not very serious. Additionally, the p...
Dr. Chen Shidian Reply:
If gallstones cause pain in the right upper abdomen, surgical treatment is still recommended. Additionally, if gallstones lead to bile duct obstruction, it may also result in acute pancreatitis. Chronic pancreatitis or tumors can cause dilation of the pancreatic duct. Furthermore...[Read More] Managing Gallstones: Non-Surgical Options and Concerns About Pancreatic Duct Size
Understanding Your Endoscopy Results: Next Steps for Peace of Mind
After gastroscopy and colonoscopy? Hello, I would like to ask the doctor, I am currently abroad. Recently, I visited a specialist due to gastroesophageal reflux disease and underwent both gastroscopy and colonoscopy, which showed no issues. My attending physician mentioned that e...
Dr. Cai Anshun Reply:
Hello: Could you please key in the text report for us to review? Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Your Endoscopy Results: Next Steps for Peace of Mind
Understanding Bowel Issues: Causes and Solutions for Soft Stools
Bowel issues Hello, doctor. A few years ago, due to stress and an irregular lifestyle, I started experiencing frequent unformed stools, sometimes feeling incomplete after bowel movements, going 3 to 4 times a day. After turning 45, I began to pay more attention to my health. Due ...
Dr. Cai Jinji Reply:
Dear Mr. Jack: It is recommended that you return to the Department of Colorectal Surgery for follow-up to determine if further examinations are necessary. Nantou Hospital cares about you. Dr. Tsai Jin-chi, Director of the Department of Hepatobiliary and Gastroenterology, Nantou H...[Read More] Understanding Bowel Issues: Causes and Solutions for Soft Stools
Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Concerns
Gastrointestinal issues Hello Dr. Chen: I have been experiencing abdominal discomfort for half a month. I visited a gastroenterologist at a large hospital, and the doctor suggested that I might have irritable bowel syndrome (IBS). He also mentioned that if I was concerned, I coul...
Dr. Chen Shidian Reply:
The manifestations of irritable bowel syndrome (IBS) can be further evaluated by performing a stool occult blood test to rule out other possibilities. Also, please try not to be too anxious![Read More] Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Concerns
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 Blood in Stool: When to Seek Medical Attention
Recently, there has been blood in the stool? 1. About 8 years ago, during my university years, I experienced symptoms of rectal bleeding. After seeking medical attention at Kaohsiung Medical University, I underwent a colonoscopy, and the doctor indicated that there were polyps, b...
Dr. Chen Shidian Reply:
Please avoid hard stools to prevent anal fissures or bleeding from hemorrhoids.[Read More] Understanding Blood in Stool: When to Seek Medical Attention