Understanding Appendiceal Polyps: When Surgery is Necessary
Appendiceal polyp Hello, Doctor. I recently underwent a routine colonoscopy, and a tubular adenoma measuring 0.8 to 1.0 cm was found at the cecal-appendiceal junction. Due to its location, it could not be removed directly with the endoscope. During my follow-up appointment today,...
Dr. Chen Qifeng Reply:
Surgery on the colon typically involves either resection of the right half or the left half of the colon; if considered as tumor surgery, it is necessary to remove half of the colon.[Read More] Understanding Appendiceal Polyps: When Surgery is Necessary
Understanding Post-Inflammatory Issues in Colitis: Expert Insights
Post-inflammatory bowel disease issues? Hello Dr. Tsai: I previously inquired about colitis on July 7. Although my doctor informed me that the biopsy results showed no disease and my blood tests were normal, I initially observed inflammation, redness, and ulcers during the colono...
Dr. Cai Anshun Reply:
Hello: You should trust the results of the colonoscopy as seen by your clinical physician. Probiotics can help adjust the types of bacteria in the intestines. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Post-Inflammatory Issues in Colitis: Expert Insights
Understanding Gastrointestinal Anxiety: When to Worry About Your Bowel Health
I am very worried? I often find myself imagining that I have serious illnesses due to minor health issues, which leads to anxiety. For a while, my stools have been softer and occasionally floating on the water. Sometimes, my bowel movements are very loose and break apart easily, ...
Dr. Chen Qifeng Reply:
It is recommended to undergo a colonoscopy. If no significant issues are found, it may be a case of functional gastrointestinal disorder.[Read More] Understanding Gastrointestinal Anxiety: When to Worry About Your Bowel Health
Understanding Tubular Adenomas: Surgery vs. Monitoring Options
Colorectal tubular adenoma Hello, doctor. I recently underwent a routine colonoscopy, and it was found that at the cecal appendiceal junction, there is a tubular adenoma measuring 0.8 to 1.0 cm. However, because it is located at the junction, it cannot be directly removed with th...
Dr. Chen Qifeng Reply:
Please discuss in detail with your physician and express your concerns. The information you have provided makes it difficult to determine whether surgery is necessary and the reasons for it.[Read More] Understanding Tubular Adenomas: Surgery vs. Monitoring Options
Understanding Blood-Streaked Mucus in Stool: When to Seek Further Testing
Mucus in stool with blood streaks? Hello Doctor: I have a history of hemorrhoids and occasionally notice white mucus. In March, I observed pink streaks of blood after wiping following a bowel movement. A colonoscopy was performed, and the results were normal, indicating that ther...
Dr. Lin Minghui Reply:
Hello: The presence of mucus with blood in the stool can be commonly caused by conditions such as colitis, proctitis, anal fissures, hemorrhoids, chronic constipation, or mucosal injury due to the use of laxatives. If this occurs frequently, it is advisable to undergo a rectal an...[Read More] Understanding Blood-Streaked Mucus in Stool: When to Seek Further Testing
Understanding the Need for Repeat Colonoscopy: Risks and Recommendations
Repeat colonoscopy? Hello! I have anemia, and in early July, I underwent a colonoscopy at a health check-up clinic. During the procedure, two tubular adenoma polyps were found: one is a 2mm sessile polyp in the descending colon (the polyp contains adenomatous changes, with crowde...
Dr. Cai Anshun Reply:
Hello: 1. This type of polypectomy wound does not increase the risk of bowel perforation. 2. There may be difficulty in distinguishing the base. 3. If the physician recommends another colonoscopy, it can be performed after more than 4 weeks. 4. Depending on the size of the adenom...[Read More] Understanding the Need for Repeat Colonoscopy: Risks and Recommendations
Understanding Bowel Issues: When to Seek Medical Help for IBS Symptoms
Bowel issues Hello doctor, recently I have been experiencing some gastrointestinal issues. Sometimes I have diarrhea, and other times my stools are not well-formed. Currently, my stools are thin and elongated. I consulted a gastroenterologist who diagnosed me with irritable bowel...
Dr. Chen Qifeng Reply:
Consider undergoing a colon X-ray or a colonoscopy.[Read More] Understanding Bowel Issues: When to Seek Medical Help for IBS Symptoms
Managing Severe Bowel Issues: Coping with Ulcerative Colitis Symptoms
Inability to have a bowel movement, but experiencing continuous watery stool? Hello Doctor, I have ulcerative colitis affecting my sigmoid colon and have been holding a major illness card for 8 years. I have been on medication and under follow-up for the past 6 years. I undergo a...
Dr. Chen Shidian Reply:
Hello, Miss. Your condition is complex; please discuss it further with your attending physician. If there is severe stenosis, surgery may be necessary. Changhua Hospital cares about your health. Chen Shidian.[Read More] Managing Severe Bowel Issues: Coping with Ulcerative Colitis Symptoms
Understanding Abnormal Liver Function: Is Fatty Liver the Cause?
Liver dysfunction Hello Doctor, two weeks ago I had a blood test and today the report shows liver function results: GOT: 34 IU/L (5-34), GPT: 54 IU/L (<40). Last year, during a colonoscopy and gastroscopy, the doctor performed an ultrasound of my liver and diagnosed me with fa...
Dr. Chen Shidian Reply:
Hello, sir. It is possible to try losing weight first and rule out hepatitis B/C. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Abnormal Liver Function: Is Fatty Liver the Cause?
Persistent Sensation of Blockage: Seeking Relief from Gastrointestinal Issues
I have been feeling like something is stuck in my rectum for a long time. Please help me? Help! I have a persistent feeling of something being stuck in my rectum, making it uncomfortable whether I sit or stand, severely affecting my quality of life. Over the past year, I have und...
Dr. Chen Qifeng Reply:
Based on the symptoms of tenesmus, in addition to the aforementioned examinations, it is recommended to consult a colorectal surgeon.[Read More] Persistent Sensation of Blockage: Seeking Relief from Gastrointestinal Issues
Understanding Post-Colonoscopy Inflammation and Gastrointestinal Issues
Post-colonoscopy colitis issues? Hello Doctor, I experienced intermittent abdominal pain for over two months last month. The medication I took had varying effects, so after multiple visits to the doctor, I decided to undergo a colonoscopy. The examining physician informed me that...
Dr. Cai Anshun Reply:
Hello: (1) The pathology report should be able to determine whether there is ulcerative colitis or Crohn's disease. (2) It is common to experience some discomfort in the colon for one to two days after a colonoscopy; however, if symptoms persist or if there is severe pain or...[Read More] Understanding Post-Colonoscopy Inflammation and Gastrointestinal Issues
Red Streaks in Stool: Should You Worry About Gastrointestinal Health?
The stool appears to have blood, but there is none on the toilet paper? Hello, doctor. I would like to ask about my recent bowel movements. They have mostly been unformed, and I've noticed a slight reddish color in the toilet water, although there is no blood on the toilet p...
Dr. Chen Qifeng Reply:
1. First, identify which foods may have caused the red discoloration in the stool. 2. The absence of blood on the toilet paper after wiping the anus indicates that the bleeding is not confirmed. 3. Post-defecation anal pain may be related to anal conditions such as anal fissu...[Read More] Red Streaks in Stool: Should You Worry About Gastrointestinal Health?
Understanding Rectal Pressure and Bowel Movement Issues: What to Do?
Anal defecation issues..? For the past month, I have been feeling a heaviness in my anus, as if I need to have a bowel movement, but I can't. I have a bowel movement at least once a day, sometimes every two days, with varying amounts. The color and consistency of the stool s...
Dr. Chen Qifeng Reply:
You can visit a gastroenterologist or a colorectal surgeon. If necessary, you may undergo a colon X-ray or a colonoscopy.[Read More] Understanding Rectal Pressure and Bowel Movement Issues: What to Do?
Understanding Lower Abdominal Discomfort: When to Seek Medical Help
Dull bloating in the lower abdomen? Hello, doctor: Three days ago, I started experiencing bloating and a dull pain in my abdomen. I suspect it might be related to taking antibiotics and anti-inflammatory medication, along with eating spoiled fruit. I have taken antacids, but ther...
Dr. Yang Zhichao Reply:
Dear Hamburger, If you are experiencing bloating or discomfort in the lower abdomen, it is advisable to have an evaluation by a gynecologist, as some gynecological conditions can present with these symptoms. If gynecological issues are ruled out, a colonoscopy or further examin...[Read More] Understanding Lower Abdominal Discomfort: When to Seek Medical Help
Understanding Long-Term Bowel Issues: Symptoms and Solutions
Chronic bowel issues? Hello, doctor! Personally, I have had unstable bowel movements since high school and college, and my gastrointestinal health has been poor. Most of the time, my stools are hard and pellet-like or in a tubular shape, usually brown or coffee-colored. Near the ...
Dr. Chen Shidian Reply:
Hello, sir. You meet the criteria for a diagnosis of irritable bowel syndrome. You may proceed with a fecal occult blood test. Please maintain a low-fat diet and increase your intake of fruits and vegetables. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Long-Term Bowel Issues: Symptoms and Solutions
Understanding Post-Colonoscopy Symptoms: When to Worry About Bleeding
Colonoscopy Hello Doctor, I underwent a colonoscopy on the 17th of this month. On the same day, I experienced bleeding from internal hemorrhoids due to frequent bowel movements, but it did not affect the examination. After the procedure, I was informed that a biopsy would be perf...
Dr. Cai Anshun Reply:
Hello: Generally, colonic tissue biopsies do not require hemostasis. The likelihood of persistent bleeding is also low. If there are any suspicious symptoms, it is still recommended to consult a gastroenterologist and perform a fecal occult blood test for definitive diagnosis. Ch...[Read More] Understanding Post-Colonoscopy Symptoms: When to Worry About Bleeding
Understanding Colonic Dysfunction: Polyp Concerns and Solutions
Colonic dysfunction? Polyp issues? At the beginning of the month, I had a colonoscopy as part of a health check-up. The report indicated the following: 1. There is a 9mm polyp in the cecum, and there are also 2-3 polyps measuring 2mm in the rectum, all of which are hyperplastic. ...
Dr. Chen Shidian Reply:
Hello, sir. 1. Polyps measuring 9mm generally warrant consideration for removal and biopsy. 2. Flatulence typically does not have a fundamental treatment and is mostly a normal physiological phenomenon. 3. Probiotics may be worth trying, although there is no strong evidence of ...[Read More] Understanding Colonic Dysfunction: Polyp Concerns and Solutions
Understanding Weight Loss, Bloating, and Digestive Issues: A Gastroenterology Perspective
Diarrhea, belching, weight loss? Hello, I have been experiencing severe insomnia for the past year or two, and my sleep schedule has been irregular. I have been under a lot of stress and tension. Six months ago, I started feeling bloated, frequently burping and passing gas, feeli...
Dr. Cai Anshun Reply:
Hello: If gastrointestinal issues are ruled out, you may consider visiting a metabolic specialist to determine the cause of your weight loss. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Weight Loss, Bloating, and Digestive Issues: A Gastroenterology Perspective
Understanding Irritable Bowel Syndrome: Causes and Management Strategies
Irritable Bowel Syndrome (IBS) Hello, doctor. I have been experiencing irritable bowel syndrome (IBS) symptoms for the past nine months. About three to four months ago, my doctor prescribed medication for IBS, which did help alleviate my symptoms during the treatment period. Howe...
Dr. Cai Anshun Reply:
Hello: Please pay attention to your dietary habits and emotional factors, as they may be helpful. If you still have issues, you may consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Irritable Bowel Syndrome: Causes and Management Strategies
Understanding Gastrointestinal Issues: From GERD to Polyps and IBS
Gastroenterology and Hepatology I have been experiencing symptoms of gastroesophageal reflux disease (GERD) for a long time, but in early April, I had severe gastrointestinal discomfort with alternating diarrhea and constipation. The diarrhea consisted of loose stools that felt u...
Dr. Lin Minghui Reply:
There are many causes of abdominal pain and bloating. Discomfort may occur after undergoing endoscopic examinations due to the introduction of air for inspection. However, after completing gastroscopy and colonoscopy, one can feel more reassured as there are no major diseases det...[Read More] Understanding Gastrointestinal Issues: From GERD to Polyps and IBS