Understanding Gastrointestinal Issues: Symptoms, Diagnosis, and Treatment
Gastrointestinal issues Hello Doctor: Recently, I have been experiencing severe bloating and pain in the upper left abdomen. I visited a gastroenterologist who performed an ultrasound on my pancreas and kidneys, both of which were normal. The doctor mentioned that there is air pr...
Dr. Cai Anshun Reply:
Hello: Please pay attention to your diet and bowel movements, as they may be related to your symptoms. If medication does not improve your condition, it is necessary to undergo an endoscopy to check for gastrointestinal issues. Changhua Hospital cares about your health. Dr. Tsai ...[Read More] Understanding Gastrointestinal Issues: Symptoms, Diagnosis, and Treatment
Understanding Rectal Bleeding: Insights on Colonoscopy and Internal Hemorrhoids
Blood in stool and bowel movement issues? Doctor: I occasionally experience rectal bleeding, which is usually diagnosed as internal hemorrhoids through a digital rectal exam at the clinic. Over the past few years, the shape of my stool has changed to either soft or watery, or som...
Dr. Chen Qifeng Reply:
Modern dietary and lifestyle habits make it difficult to avoid the occurrence of hemorrhoids. If a colonoscopy refers to a full colonoscopy, the diagnostic accuracy is very high, and it is rare for any cases to go undetected.[Read More] Understanding Rectal Bleeding: Insights on Colonoscopy and Internal Hemorrhoids
Post-Colonoscopy Complications: When to Seek Further Medical Attention
Post-colonoscopy issues? I previously had issues with gastric ulcers. This time, I underwent an endoscopy and my first colonoscopy, which I completed yesterday on March 29. There were no significant problems found, but I experienced severe pain in the evening that made it difficu...
Dr. Cai Anshun Reply:
Hello: If it is confirmed that no large polyps have been removed, this situation is mostly due to irritation of the intestines, leading to excessive peristalsis and even intestinal spasms. It is recommended to start eating and replenish fluids. If discomfort persists, it is advis...[Read More] Post-Colonoscopy Complications: When to Seek Further Medical Attention
Understanding Post-Colonoscopy Concerns: Adenomatous Polyps and Digestive Issues
Some concerns after a colonoscopy? Hello, doctor. A while ago, I underwent a colonoscopy due to some gastrointestinal symptoms, and the results showed that I had a 0.8 cm benign adenomatous polyp, which has been removed. I would like to know if an adenomatous polyp is considered ...
Dr. Cai Anshun Reply:
Hello: 1. Adenomatous polyps are not cancerous; once removed, there is no need for concern, but follow-up is necessary. 2. Constipation and blood in the stool (bright red blood?) are not closely related to the stomach; dietary management can help, and it's important to incre...[Read More] Understanding Post-Colonoscopy Concerns: Adenomatous Polyps and Digestive Issues
Discomfort After Colonoscopy: Understanding Post-Procedure Symptoms
Discomfort after colonoscopy? After my colonoscopy, I feel like I have to have a bowel movement as if I were being given an enema. I can't hold it in and have a strong urge to push, and when the stool is about to come out, it is extremely painful. What could be the reason fo...
Dr. Chen Shidian Reply:
Hello, please return to the gastroenterology outpatient clinic to discuss with your gastroenterologist. Changhua Hospital cares about your health. Chen Shidian[Read More] Discomfort After Colonoscopy: Understanding Post-Procedure Symptoms
Post-Colonoscopy Concerns: Understanding Symptoms and Treatment Options
Questions regarding post-colonoscopy? Thank you, doctor, for your previous response. I have completed the colonoscopy, and there are no signs of colorectal cancer or polyps, only mild internal hemorrhoids. I have a couple of questions: 1. I underwent a painless colonoscopy, and...
Dr. Cai Anshun Reply:
Hello: 1. This should be considered a normal phenomenon. 2. Nevus should be addressed with surgical intervention. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Post-Colonoscopy Concerns: Understanding Symptoms and Treatment Options
Understanding Colonoscopy Anxiety: What to Expect and Common Concerns
Thank you for the doctor's response last time, but I haven't had a colonoscopy yet? Regarding the previous question, I have undergone tests including stool analysis, urinalysis, blood tests, and abdominal ultrasound, all of which returned normal results. A colonoscopy i...
Dr. Cai Anshun Reply:
Hello: Colonoscopy has its unique characteristics and cannot be replaced by blood tests. Metastasis can occur in many locations and cannot be completely ruled out by ultrasound. Before determining the cause, there is no need for speculation; if necessary, please consult a gastroe...[Read More] Understanding Colonoscopy Anxiety: What to Expect and Common Concerns
Understanding Persistent Lower Abdominal Pain: When to Consider a Colonoscopy
Persistent mild lower abdominal pain? I have been experiencing a dull pain in my lower abdomen for the past few days, specifically in the area just below my navel. The pain is not unbearable. My bowel habits have remained relatively unchanged over the years, typically having a bo...
Dr. Chen Qifeng Reply:
1) Abdominal pain can be merely a functional disorder, and the most likely cause of blood in the stool is hemorrhoids. 2) Lower abdominal pain is not necessarily related to blood in the stool. 3) You may consult a colorectal surgeon.[Read More] Understanding Persistent Lower Abdominal Pain: When to Consider a Colonoscopy
Understanding Minor Rectal Bleeding: Causes and Concerns
Slight rectal bleeding? Hello, doctor! Recently, I have noticed bright red blood on the toilet paper after having a bowel movement, but it doesn't happen every time. Sometimes it is accompanied by pain near the anus, while other times it is not; it seems to come and go. I ha...
Dr. Chen Shidian Reply:
Hello, sir. It is likely just an anal fissure or damaged blood vessels from hemorrhoids, so there is no need to worry. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Minor Rectal Bleeding: Causes and Concerns
Understanding Weight Loss Concerns in Cancer Patients: Key Insights
Regarding the issue of weight loss? Dear doctors, if a person has cancer, will their weight continuously decrease? Is it possible that their weight never increases at all? Last November, I weighed 80 kilograms. Recently, I have been eating a more balanced diet and have developed ...
Dr. Cai Anshun Reply:
Hello: If you are intentionally exercising and have lost weight as a result, there is no need to worry too much, especially since you have already undergone basic examinations, including blood tests, urine tests, stool tests, abdominal ultrasound, and colonoscopy. Additionally, m...[Read More] Understanding Weight Loss Concerns in Cancer Patients: Key Insights
Understanding Chronic Constipation: Causes, Treatments, and Solutions
Chronic constipation issues? Dear Dr. Tsai, I have been experiencing long-term constipation issues (lack of bowel urge). I am currently 30 years old, and this problem has been present since my university days. I previously had a habit of using stimulant laxatives (such as Sennos...
Dr. Cai Anshun Reply:
Hello: 1. It may not be noticeable. 2. If kidney function is normal, magnesium oxide can be used. 3. Irritable bowel syndrome is diagnosed based on recurrent and periodic symptoms, and colonoscopy is used to rule out abnormalities in the colon (such as tumors or colitis). Changhu...[Read More] Understanding Chronic Constipation: Causes, Treatments, and Solutions
Understanding Blood in Stool: Causes and Next Steps for Diagnosis
Rectal bleeding Hello, I have blood in my stool, which is mostly golden yellow with a small amount of bright red blood, along with lower abdominal pain. Previous examinations indicated that it is not hemorrhoids. A colonoscopy showed some inflammation, but no bleeding point was f...
Dr. Cai Anshun Reply:
Hello: Whether to repeat a colonoscopy or arrange for other examinations should be determined by consulting a gastroenterologist, who will make a decision based on clinical judgment. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Blood in Stool: Causes and Next Steps for Diagnosis
Understanding Positive Fecal Occult Blood Test After Prostate Cancer Surgery
My father's issue with fecal occult blood? Hello Doctor: My father was diagnosed with prostate cancer at the end of December last year and underwent a radical prostatectomy. The pathology report indicated stage 2c. In February of this year, during his first blood test, the d...
Dr. Yang Zhichao Reply:
Dear Rita: Fecal occult blood will not be affected by food intake. A positive result indicates the presence of blood in the stool. It is recommended that your father consult a gastroenterologist for evaluation, and it would be best to arrange for a colonoscopy. Thank you for your...[Read More] Understanding Positive Fecal Occult Blood Test After Prostate Cancer Surgery
Understanding Bloating and Vomiting: Gastrointestinal Distress Explained
Abdominal distension accompanied by vomiting, and in severe cases, vomiting and diarrhea with gastric cramping? Hello Doctor, first of all, I am very grateful for your time in helping the public with various health issues. I do not smoke, drink only occasionally, and maintain a g...
Dr. Lin Minghui Reply:
Recently, I have been experiencing recurrent abdominal bloating, burning sensations, and abdominal pain. It is recommended to undergo an upper gastrointestinal endoscopy to examine the esophagus, stomach, and duodenum for any signs of inflammation, ulcers, or other mucosal lesion...[Read More] Understanding Bloating and Vomiting: Gastrointestinal Distress Explained
Understanding Hemorrhoids: When to Consider Surgery and What to Expect
Sticky stools can cause discomfort during bowel movements? Hello, Doctor. Following your advice, I consulted a colorectal surgeon who confirmed that I have grade 3 hemorrhoids and that my rectum is fine at 6 cm. I was advised to undergo a colonoscopy later since other internal ex...
Dr. Chen Qifeng Reply:
Hello: Stage III hemorrhoids are typically recommended for surgical intervention; however, it is important to understand that recurrence is still possible after hemorrhoid surgery. If you prefer not to undergo surgery at this time, using hemorrhoid ointments and taking warm sitz ...[Read More] Understanding Hemorrhoids: When to Consider Surgery and What to Expect
Understanding Bowel Issues: Hard Stools and Gastrointestinal Concerns
Bowel issues Hello, doctor! Recently, my bowel movements have been hard and pellet-like, although I do have a bowel movement almost every day. I eat a good amount of vegetables daily, so I'm wondering if this could be due to insufficient water intake or if it might be caused...
Dr. Cai Anshun Reply:
Hello: 1. You should pay attention to whether you are adequately hydrated. 2. If you have the urge to defecate but cannot, it is essentially a constipation issue. If you have made dietary and hydration adjustments and the symptoms persist without improvement, you should consult a...[Read More] Understanding Bowel Issues: Hard Stools and Gastrointestinal Concerns
Understanding Left Lower Abdominal Pain: Causes and Concerns
There is a dull pain in the lower left abdomen or to the left of the navel? Hello doctor, recently I've been experiencing a dull pain in my lower left abdomen and to the left of my navel, which comes and goes (it's not very painful, more like a mild discomfort). I previ...
Dr. Chen Qifeng Reply:
It's really very low... I have 25 years of experience in gastroenterology, and I have only encountered one case in individuals under 20 years old. If you are truly concerned, you can undergo a barium enema or even a colonoscopy in the gastroenterology department.[Read More] Understanding Left Lower Abdominal Pain: Causes and Concerns
How Long Can I Rely on Normal Colonoscopy Results?
Follow-up questions after a colonoscopy? Hello doctor, I had a colonoscopy four years ago and another one two and a half years ago, both with normal results. How long can I feel reassured by these colonoscopy results? Recently, I have been experiencing occasional gastrointestinal...
Dr. Cai Anshun Reply:
Hello: If the bowel is very clean and there are no omissions in the examination, follow-up can be done every 3-5 years. For gastrointestinal discomfort, adjustments in diet and lifestyle can be made first; if there is no improvement, you may consult a gastroenterologist for furth...[Read More] How Long Can I Rely on Normal Colonoscopy Results?
Understanding Gastrointestinal Discomfort: When to Seek Further Testing
Gastrointestinal discomfort? Hello Doctor, I have recently been experiencing discomfort and bloating in my abdomen, especially when fasting (around 3-5 PM). Eating helps alleviate the discomfort slightly. Additionally, I occasionally notice mucus and blood in my stool. About six ...
Dr. Chen Shidian Reply:
Hello, you only need to monitor your symptoms or undergo a fecal occult blood test. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Gastrointestinal Discomfort: When to Seek Further Testing
Understanding Constipation: Symptoms, Causes, and When to Seek Help
Bowel issues Hello, doctor. I have some questions. I have a habit of constipation and usually rely on drinking milk to help me have bowel movements (I am lactose intolerant). Sometimes after drinking milk, I need to go to the bathroom (the stool is normal), but other times it...
Dr. Chen Qifeng Reply:
Based on the symptoms, it appears to be functional gastrointestinal disorder. It is recommended to increase the intake of fruits and vegetables, drink plenty of water, maintain adequate physical activity, and perform abdominal massage during bowel movements. Additionally, adjustm...[Read More] Understanding Constipation: Symptoms, Causes, and When to Seek Help