Should You Worry About Blood-Streaked Stool? A Guide for Adults
Stool suspected to contain blood streaks? Hello Dr. Tsai, I am 41 years old, with no significant medical history, and my height and weight are normal (although I am slightly overweight, with elevated triglycerides and mild fatty liver; I usually work in an office). Recently, I ha...
Dr. Cai Anshun Reply:
Hello: You can seek medical attention first, and the physician will determine what examinations are necessary. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Should You Worry About Blood-Streaked Stool? A Guide for Adults
Understanding Mucus in Stool: When to Worry and Seek Help
Bowel issues Hello Dr. Chen, in the past few days, I have noticed that my stool has a slight amount of transparent white mucus. Upon closer observation, it seems that there is a slight indentation in the stool, but it is not very deep. There is no blood in the stool, no abdominal...
Dr. Chen Shidian Reply:
Hello, miss. It is likely just a change in intestinal motility. If necessary, a fecal occult blood test can be performed. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Mucus in Stool: When to Worry and Seek Help
Understanding Rapid Intestinal Motility: Symptoms and Solutions
Rapid intestinal peristalsis Hello Dr. Tsai: I am the one who previously asked whether eating oranges could stimulate the intestines and trigger symptoms. Thank you for your previous response. I would like to continue asking Dr. Tsai: 1. Rapid intestinal peristalsis can indeed ...
Dr. Cai Anshun Reply:
Hello: 1. Rapid peristalsis may cause the symptoms you described. 2. It is not necessarily caused by rapid peristalsis; it could also be due to incomplete evacuation. 3. Pay attention to your diet and avoid irritating foods. 4. If there is no improvement, you may consult a gastro...[Read More] Understanding Rapid Intestinal Motility: Symptoms and Solutions
Should You Remove Gallstones? Understanding Risks and Symptoms
Should gallstones be removed? Hello Doctor: Since my mother had a cerebral hemorrhage five years ago (thankfully, the neurosurgery team at Chung Shan Medical University handled it well), I have started experiencing physical discomfort. I have been taking medication for my stomach...
Dr. Chen Shidian Reply:
Hello, Miss. There is no definitive treatment guideline; it is a personal choice. I tend to prefer conservative treatment. Changhua Hospital cares about your health. Chen Shidian.[Read More] Should You Remove Gallstones? Understanding Risks and Symptoms
Understanding Lower Abdominal Discomfort: When to Seek Colonoscopy?
Lower abdominal discomfort or pain? I have daily bowel movements, but I still feel the urge to have diarrhea after I go. I also pass gas frequently, about ten times a day, and I've been experiencing a dull pain lately (similar to premenstrual cramps). The discomfort goes awa...
Dr. Chen Shidian Reply:
Hello, Miss. Please check for occult blood in your stool and adjust your diet as well as your bowel motility medications. Changhua Hospital cares about your health. Chen Shih-Tien.[Read More] Understanding Lower Abdominal Discomfort: When to Seek Colonoscopy?
Understanding Blood in Stool: Should You Worry About Colon Health?
Blood in the stool? Hello, doctor. About six months ago, I underwent a colonoscopy due to the discovery of blood in my stool. The results were normal, although five small polyps were removed, which was considered a relatively high number. The physician at that time mentioned that...
Dr. Chen Shidian Reply:
Hello, Mr. Internal hemorrhoids are vascular tissues located at the anal opening, which may occasionally bleed due to friction from prolonged sitting or constipation. Generally, this condition is not serious. However, since you have a history of polyps, it is important to follow ...[Read More] Understanding Blood in Stool: Should You Worry About Colon Health?
Managing Long-Term Diarrhea: Causes, Treatments, and Next Steps
Chronic diarrhea I have been vegetarian from third grade to senior high school, and after starting college, I switched back to eating meat. Since then, my bowel movements have gradually changed, and I often experience diarrhea. In the second semester of my sophomore year, I under...
Dr. Cai Anshun Reply:
Hello: If further examination is needed, a physician's assessment can determine whether a stool test and a stool fat test are necessary. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Managing Long-Term Diarrhea: Causes, Treatments, and Next Steps
Understanding Abdominal Motility: When to Seek Medical Advice
The gastrointestinal tract is often in peristalsis? Hello, doctor. I apologize for bothering you, but I would like to ask about something. Recently, over the past week or two, I've been experiencing frequent abdominal movements and sounds, especially in the lower left and lo...
Dr. Cai Anshun Reply:
Hello: Borborygmi may be caused by rapid peristalsis and the presence of intestinal gas. It is advisable to observe if there have been any recent instances of dietary irritation or irregular bowel movements. If there is no improvement, you may consider consulting a gastroenterolo...[Read More] Understanding Abdominal Motility: When to Seek Medical Advice
Discomfort After Colonoscopy: Understanding Post-Polypectomy Symptoms
Discomfort after polypectomy during colonoscopy? Hello Doctor: About two years ago, I underwent a colonoscopy due to blood in my stool, which was caused by hemorrhoids. During the procedure, polyps were unexpectedly discovered and removed—two in total, one on the left side and on...
Dr. Chen Shidian Reply:
Hello, the colonoscopy may cause localized abrasions or small wounds due to friction or polypectomy, which usually heal naturally within a few days. Your condition should not be related to the colonoscopy; please continue to follow up with your physician. Changhua Hospital cares ...[Read More] Discomfort After Colonoscopy: Understanding Post-Polypectomy Symptoms
Understanding Persistent Lower Abdominal Pain: Is It IBS?
Persistent lower abdominal pain? Dear Dr. Tsai, I previously asked you some questions, and I appreciate your response. I have been experiencing lower abdominal pain that persists for a while, especially during the evenings when I am resting. Although I have undergone both gastro...
Dr. Cai Anshun Reply:
Hello: Some pain is not due to issues with the organs themselves, but rather functional problems, such as abnormal movement speed, constipation, or improper diet. It may not even be related to the intestines at all. If you have symptoms, it is important to seek medical attention ...[Read More] Understanding Persistent Lower Abdominal Pain: Is It IBS?
Persistent Lower Abdominal Discomfort: When to Consider a Colonoscopy?
Dull pain in the lower abdomen? I have been experiencing persistent dull pain in my lower abdomen for the past few weeks. It's not too severe, but I feel discomfort 24 hours a day, and my intestines are making frequent noises, especially at night when I lie down; it seems to...
Dr. Chen Qifeng Reply:
Please visit a colorectal surgery clinic.[Read More] Persistent Lower Abdominal Discomfort: When to Consider a Colonoscopy?
Managing GERD Symptoms: Can Medication Alone Solve Your Discomfort?
Can gastroesophageal reflux disease (GERD) symptoms such as chest pain be resolved solely with the use of medications like Gaviscon? Hello, Doctor. I have been experiencing a burning sensation in my chest since April. Initially, I thought it was a thoracic issue, so I underwent a...
Dr. Chen Shidian Reply:
Hello, Miss. It is advisable to discuss any medication issues with your attending physician. There should be no major concerns, so please rest assured. You only need to make long-term adjustments to your diet and medication. Changhua Hospital cares about your health. Chen Shidian...[Read More] Managing GERD Symptoms: Can Medication Alone Solve Your Discomfort?
Understanding Chronic Stomach Pain: Causes, Genetics, and When to Seek Help
Frequent stomach pain? Hello doctor, I have had stomach issues since I was young and often visit the doctor due to abdominal pain. Although I feel a bit better after using the restroom and taking medication, I still worry that there might be something wrong with my gastrointestin...
Dr. Lin Minghui Reply:
Hello, In response to case 129009, 19-year-old Xiao Xi, who frequently experiences abdominal pain that improves after taking medication and having a bowel movement: general examinations are normal, and it may be a case of irritable bowel syndrome (IBS). Gastrointestinal issues ...[Read More] Understanding Chronic Stomach Pain: Causes, Genetics, and When to Seek Help
Upper Abdominal Pain Above the Navel: Causes and Next Steps
Tenderness above the umbilicus, normal findings on gastroscopy? Hello, doctor. I am a 30-year-old male office worker who sits for long periods. My symptoms include tenderness in the abdomen, specifically at a small point just above the navel and just below the xiphoid process. Pr...
Dr. Cai Anshun Reply:
Hello: After undergoing gastroscopy, colonoscopy, and ultrasound without finding any specific issues, it is important to consider functional problems, such as spasms or gastroesophageal reflux that does not cause esophagitis, as well as bloating and dyspepsia. It may be beneficia...[Read More] Upper Abdominal Pain Above the Navel: Causes and Next Steps
Understanding Rectal Bleeding: When to Consider a Colonoscopy
Rectal bleeding Hello doctor, I had a physical examination over three months ago, during which a colonoscopy showed no abnormalities or polyps. However, today I noticed blood in my stool, bright red and mixed with some mucus, but not significantly mixed with the stool. I also do ...
Dr. Chen Qifeng Reply:
It is likely hemorrhoidal bleeding; hemorrhoidal bleeding does not necessarily cause pain.[Read More] Understanding Rectal Bleeding: When to Consider a Colonoscopy
Is Mild Abdominal Pain Normal After Polyp Removal During Colonoscopy?
Mild abdominal discomfort after polypectomy during colonoscopy? Hello Doctor, I had a colonoscopy yesterday morning in the gastroenterology clinic, during which three polyps were removed. The doctor informed me that I could resume my normal diet immediately. Although I read onlin...
Dr. Cai Anshun Reply:
Hello: Mild pain is a common phenomenon. Try not to eat too much, avoid spicy foods, and refrain from lifting heavy objects. If the pain worsens, you should seek medical evaluation as soon as possible. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Is Mild Abdominal Pain Normal After Polyp Removal During Colonoscopy?
Should I Undergo Further Health Checks for My Ongoing Symptoms?
Should I undergo further comprehensive health screening? Hello, doctor. I have been experiencing fatigue and dizziness for the past two months, so I would like to ask a question. On August 12, 2017, I drank quite a bit of alcohol for my birthday, and after returning home, I start...
Dr. Cai Anshun Reply:
Hello: The possible side effects of Propafenone (心利正) listed in the package insert include dizziness, drowsiness, dry mouth, headache, gastrointestinal discomfort, diarrhea, constipation, vomiting, and decreased appetite. However, these may not necessarily be caused by the medica...[Read More] Should I Undergo Further Health Checks for My Ongoing Symptoms?
Choosing the Right Specialist for Your Colonoscopy: Gastroenterology vs. Colorectal Surgery
Colonoscopy should be performed in the gastroenterology department? Hello, doctor. I would like to undergo a colonoscopy but I'm unsure whether to schedule an appointment with a gastroenterologist or a colorectal surgeon. This is related to technical and professional issues,...
Dr. Cai Anshun Reply:
Hello: Both gastroenterologists and colorectal surgeons perform colonoscopies, so it's advisable to inquire first before making an appointment. If there are no clinical indications and you simply wish to have the procedure done, you can opt for a self-paid premium health che...[Read More] Choosing the Right Specialist for Your Colonoscopy: Gastroenterology vs. Colorectal Surgery
Unexplained Anemia: Seeking Answers for Low Hemoglobin Levels
Unable to determine the cause of low hemoglobin levels? Hello Doctor, my younger brother has been experiencing pale yellowish skin and a lack of color in his face since last year. He has also been getting easily short of breath and fatigued while walking, which he has never exper...
Dr. Chen Shidian Reply:
Hello, if there is no obvious black stool or bleeding, it may be related to hematopoietic or hemolytic issues. Please discuss this with your healthcare team. Changhua Hospital cares about your health. Chen Shidian[Read More] Unexplained Anemia: Seeking Answers for Low Hemoglobin Levels
Concerns About Colonoscopy with Ovarian Cyst and Health Conditions
Ovarian cyst observed during colonoscopy? Recently, I have been coughing up blood and a stool occult blood test came back positive. My bowel movements are usually regular, but the stools break apart into pieces when they hit the water. I often hear gurgling sounds, and I also exp...
Dr. Cai Anshun Reply:
Hello: 1. A painless colonoscopy does not require intubation, so if there are respiratory symptoms, it can be performed once the symptoms improve. 2. During the colonoscopy, abdominal pressure may be applied, and it is not possible to predict whether it will rupture a cyst. 3. Th...[Read More] Concerns About Colonoscopy with Ovarian Cyst and Health Conditions