Understanding Long-term Bloating and Changes in Bowel Habits
Chronic bloating and changes in bowel habits? Hello Doctor, thank you for answering my questions. I am a 19-year-old student. Since early December 2019, I have been experiencing upper abdominal bloating. After undergoing ultrasound, blood tests, and an endoscopy, I was diagnosed ...
Dr. Lin Minghui Reply:
Hello: It is recommended to follow up with the gastroenterology outpatient clinic for treatment. After the colonoscopy, please review the report. Symptoms of ulcerative colitis may include abdominal pain, diarrhea, blood in the stool, malnutrition, weight loss, and fever. A colon...[Read More] Understanding Long-term Bloating and Changes in Bowel Habits
Understanding Internal Hemorrhoids: Symptoms, Diagnosis, and Treatment Options
Regarding hemorrhoids, it should indeed be internal hemorrhoids? My symptoms include a daily habit of bowel movements, regardless of the amount, and my stool shape is always normal. I do not strain; it comes out naturally. I am unsure if this is just a habit or something else. If...
Dr. Lin Minghui Reply:
Hello: A 38-year-old female is experiencing soft tissue protruding from the anus during bowel movements, sometimes accompanied by blood and a sensation of foreign body, which can be pushed back in. Based on this description, differential diagnoses may include hemorrhoidal prolaps...[Read More] Understanding Internal Hemorrhoids: Symptoms, Diagnosis, and Treatment Options
Understanding Medications for Stomach Ulcers: Side Effects and Management
Medications for Peptic Ulcer Disease Hello, Doctor. After my gastroscopy, the doctor mentioned that I have some abrasions (likely referring to a duodenal ulcer) and mild inflammation in my stomach. The doctor prescribed Ulcerin (20 mg), magnesium oxide tablets (250 mg), and Gasco...
Dr. Chen Shidian Reply:
Please discuss medication adjustments with the original gastroenterologist, and pay attention to dietary changes. A fecal occult blood test may also be added.[Read More] Understanding Medications for Stomach Ulcers: Side Effects and Management
Understanding Duodenal Ulcers: Treatment, Side Effects, and Recovery
Can gastric ulcers heal? Hello, Doctor. After undergoing an upper gastrointestinal endoscopy, the physician mentioned that I have some erosion (likely referring to a duodenal ulcer) and mild gastritis. The doctor prescribed Sucralfate (20 mg), Magnesium Oxide tablets (250 mg), an...
Dr. Cai Anshun Reply:
Hello: 1. First, discontinue the medication to see if the side effects persist. 2. One medication suppresses gastric acid secretion, while the other neutralizes gastric acid; their mechanisms of action are different. 3. Depending on clinical needs, improvement does not necessaril...[Read More] Understanding Duodenal Ulcers: Treatment, Side Effects, and Recovery
Understanding Chronic Constipation: Symptoms and Recommended Tests
Straining during bowel movements / frequent bowel movements / feeling of incomplete evacuation? Hello, I have been experiencing constipation for six months. For the past month, I have been having bowel movements at least 5 to 6 times a day, usually concentrated in the morning. Th...
Dr. Cai Jinji Reply:
Hello: It is recommended to consult a gastroenterologist to evaluate whether further tests such as a stool analysis or colonoscopy are necessary. Dr. Cai Jin-ji, Nantou Hospital.[Read More] Understanding Chronic Constipation: Symptoms and Recommended Tests
Understanding Black Stool After Endoscopy: When to Seek Medical Attention
Black stools after gastric biopsy? Hello, doctor. I recently underwent an endoscopy, and no ulcers or abnormalities were found. However, a biopsy for Helicobacter pylori was performed, and the doctor explained that the biopsy site would heal in about two to three days. The next d...
Dr. Chen Shidian Reply:
Gastric biopsy should not cause black stools; if black stools are present, it indicates gastrointestinal bleeding, and further examinations such as small bowel endoscopy or colonoscopy should be conducted.[Read More] Understanding Black Stool After Endoscopy: When to Seek Medical Attention
Understanding Rectal Bleeding: Causes and Concerns in Gastrointestinal Health
Sudden rectal bleeding? Hello Doctor, I have been experiencing ongoing gastrointestinal discomfort for the past three months, so I scheduled a painless colonoscopy. After the examination, the doctor said everything was fine, but I still experience bloating almost daily and have c...
Dr. Lin Minghui Reply:
Hello, I often experience abdominal bloating, abdominal pain, and constipation. My stools are pellet-like and there is blood in my stool. A painless colonoscopy showed no issues. Common causes of blood in the stool include hemorrhoids, anal fissures, colitis, and proctitis. I rec...[Read More] Understanding Rectal Bleeding: Causes and Concerns in Gastrointestinal Health
Understanding Abdominal Pain and Vomiting in Elderly Patients
Lower abdominal pain and vomiting? Hello doctor, my mother is 80 years old. Last year, she experienced infrequent bowel movements, frequent lower abdominal pain, and dry mouth. Drinking water would also cause her lower abdomen to hurt. Therefore, I arranged for her to have a colo...
Dr. Lin Minghui Reply:
Hello, there are many reasons for constipation in the elderly, including gastrointestinal diseases, poor gastrointestinal function, neurological disorders, endocrine diseases, and medications (such as those for Parkinson's disease and hypertension) that may be related. It is...[Read More] Understanding Abdominal Pain and Vomiting in Elderly Patients
Understanding Blood in Stool After Norovirus: Causes and Concerns
Diarrhea that turns into bloody stools? Hello Doctor, I was diagnosed with norovirus three days ago. On the first day, I had a fever and experienced vomiting and diarrhea. On the second day, I stopped vomiting, and the frequency of watery stools decreased. By the third day, I had...
Dr. Chen Shidian Reply:
Please have the gastroenterology outpatient clinic perform a flexible sigmoidoscopy or colonoscopy as needed.[Read More] Understanding Blood in Stool After Norovirus: Causes and Concerns
Understanding Left Lower Abdominal Pain: IBS or Something More Serious?
There is a dull pain in the lower left abdomen, accompanied by a persistent urge to have a bowel movement, and at times there is a feeling of needing to pass gas but being unable to do so? Hello Doctor, since last year, I have occasionally experienced dull pain in my lower left a...
Dr. Cai Anshun Reply:
Hello: Symptoms that may indicate irritable bowel syndrome (IBS) include abdominal pain, diarrhea, urgency, and bloating. Whether to perform another colonoscopy or other examinations should be evaluated by a clinical physician. Adjusting medication may help improve the condition....[Read More] Understanding Left Lower Abdominal Pain: IBS or Something More Serious?
Understanding Gastrointestinal Issues: Blood in Stool and Colonoscopy Concerns
Gastrointestinal issues I have been experiencing symptoms of blood in my stool for the past two to three years. The bleeding usually occurs at the front end of the stool, with blood mixed in, and sometimes it is accompanied by mucus (I have hemorrhoids, which typically cause blee...
Dr. Yang Zhichao Reply:
Hello Mr. Z, 1. If you are experiencing blood in your stool along with weight loss, please seek immediate evaluation from a nearby medical facility. 2. The accuracy of endoscopic examinations depends on factors such as cleanliness, cooperation, equipment, and the physician...[Read More] Understanding Gastrointestinal Issues: Blood in Stool and Colonoscopy Concerns
Understanding Mucus in Stool and Watery Diarrhea: When to Seek Help
Mucus in stool, watery flatulence (liquid but without feces)? Hello Doctor: I have been experiencing long-term constipation, which has led to straining during bowel movements and hemorrhoids (both internal and external). I previously consulted a doctor for my internal hemorrhoids...
Dr. Chen Shidian Reply:
Fecal occult blood testing can be performed first, and medication/dietary adjustments are often related to irritable bowel syndrome.[Read More] Understanding Mucus in Stool and Watery Diarrhea: When to Seek Help
Persistent Abdominal Pain: Understanding Your Symptoms and Next Steps
There has been a dull pain in the lower left abdomen and the upper right abdomen for more than three months? Hello Doctor, I have been experiencing intermittent pain in my left lower abdomen and right upper abdomen for over three months (the pain in the right upper abdomen is mor...
Dr. Cai Anshun Reply:
Hello: Some discomfort may not necessarily indicate an issue with the organs, but rather a functional problem. If you have already undergone gastroscopy, colonoscopy, and ultrasound without any significant abnormalities, it may be necessary to improve your condition through emoti...[Read More] Persistent Abdominal Pain: Understanding Your Symptoms and Next Steps
Understanding Abdominal Discomfort: Symptoms and Possible Causes
Stomach discomfort? Last week, I felt swelling in my lower right abdomen and underwent an abdominal ultrasound and colonoscopy, both of which showed no issues, except for mild hemorrhoids. However, I have been experiencing stomach pain intermittently, located about 5 centimeters ...
Dr. Cai Jinji Reply:
Hello Mr. A-Chung: It is recommended to see a doctor to see if you can undergo an upper gastrointestinal endoscopy. Nantou Hospital cares about you.[Read More] Understanding Abdominal Discomfort: Symptoms and Possible Causes
Understanding Mucus in Stool: When to Consider a Colonoscopy
Mucus in stool I've been experiencing a dull pain in my abdomen frequently, and my stools have been somewhat soft. Sometimes there's mucus or symptoms resembling diarrhea, but there's no blood. My eating habits have been irregular lately, often skipping meals or ea...
Dr. Chen Shidian Reply:
It is likely just irritable bowel syndrome; if you're concerned, you can schedule an appointment to check for occult blood in the stool.[Read More] Understanding Mucus in Stool: When to Consider a Colonoscopy
Understanding Rectal Bleeding and Pain: Is It Hemorrhoids?
Blood in stool, accompanied by itching and pain? Every time I have a bowel movement, I almost always notice blood. Sometimes, there is a small amount of wet, sticky mucus, and I experience itching. I often have blood and pain in my anus after using the restroom, and this pain con...
Dr. Cai Jinji Reply:
Hello, Student Chen: It is recommended that you visit a colorectal surgery specialist, as they should be able to determine the issue. Nantou Hospital cares about you.[Read More] Understanding Rectal Bleeding and Pain: Is It Hemorrhoids?
Understanding Abdominal Discomfort: Constipation and Its Implications
Abdominal issues? Hello Doctor: I have been experiencing chronic constipation, with bowel movements occurring every 2 to 4 days, and my stools are hard and pellet-like, resembling sheep droppings. Previously, I would experience dull pain about 1 cm to the left of my navel about 1...
Dr. Cai Jinji Reply:
Hello, Miss Meow: If there is no improvement after taking the medication, it is recommended to schedule another appointment with your physician to consider further examinations. Nantou Hospital cares about you.[Read More] Understanding Abdominal Discomfort: Constipation and Its Implications
Persistent Left Upper Abdominal Pressure: Causes and Solutions
There has been a persistent sensation of a foreign body and pressure in the left upper abdomen and under the rib cage for nearly two months? Hello Dr. Chen, I have been troubled by a sensation of pressure and tightness from a foreign body in my left upper abdomen for quite some t...
Dr. Chen Shidian Reply:
Cancer and other causes can be ruled out, so please rest assured. If necessary, medication can be used to control the symptoms.[Read More] Persistent Left Upper Abdominal Pressure: Causes and Solutions
HPV Concerns and Colonoscopy: What You Need to Know
Hello, doctor. I would like to inquire about the relationship between HPV and colonoscopy? Hello, doctor. About four to five years ago, I engaged in high-risk sexual behavior involving the anal area, but I haven't had any specific check-ups since then, so I'm unsure if ...
Dr. Yang Zhichao Reply:
Hello, doctor. 1. HPV is not significantly related to colorectal cancer. 2. Having grandparents with colorectal cancer does count as a family history. You may want to discuss with a gastroenterologist whether you should undergo further testing, which might give you some peace of ...[Read More] HPV Concerns and Colonoscopy: What You Need to Know
Understanding Constipation and Anxiety: Insights from Gastroenterology
I have been experiencing frequent constipation lately? Hello, doctor. Since early December, I've been having trouble sleeping and have been feeling anxious and tense. I experienced similar issues around this time last year. In the past few weeks, I've also been experien...
Dr. Chen Shidian Reply:
The symptoms described are consistent with irritable bowel syndrome (IBS). If the treatment is not effective, further discussion with a mental health specialist regarding anxiety management may be considered.[Read More] Understanding Constipation and Anxiety: Insights from Gastroenterology