Persistent Diarrhea and Anal Pain: Should I Get a Colonoscopy?
For two weeks, the stools have been loose, and there is anal pain with a constant urge to defecate? Hello, doctor. I am a freshman at Chung Yuan University. I have irritable bowel syndrome and experienced diarrhea for a month when the semester started. However, it returned to nor...
Dr. Chen Qifeng Reply:
Hello, it is recommended to visit a gastroenterologist for stool and colon examinations. A diagnosis of irritable bowel syndrome (IBS) can only be made if the results are normal. An ultrasound examination is not very helpful. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Dep...[Read More] Persistent Diarrhea and Anal Pain: Should I Get a Colonoscopy?
Understanding Blood and Mucus in Stool: When to Seek Colonoscopy
Since the beginning of the year, there have been four instances of blood in the stool, and recently, the stool has also contained mucus? In February and March of this year, as well as recently in September, I noticed blood-tinged mucus attached to my stool. The amount was minimal...
Dr. Chen Qifeng Reply:
Hello, if mucus stools are accompanied by blood, one should consider the possibility of enteritis or tumors, and a colonoscopy may be warranted. If it is just mucus stools, it could also indicate digestive dysfunction. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department...[Read More] Understanding Blood and Mucus in Stool: When to Seek Colonoscopy
Understanding Abdominal Pain and Irregular Bowel Movements: What to Do?
Loose stools with mild pain around the navel? Hello, doctor. Recently, I've been experiencing some pain around my navel when I apply slight pressure with my fingers. Normally, it's just a mild discomfort that isn't unbearable, but it's quite bothersome. It sho...
Dr. Cai Anshun Reply:
Hello: (1) You should consult a gastroenterologist, who will determine whether you need an upper endoscopy or a colonoscopy. (2) The shape of your stool is influenced by the types of food you eat and the speed of intestinal movement. (3) Borborygmi is the sound produced by the mo...[Read More] Understanding Abdominal Pain and Irregular Bowel Movements: What to Do?
Red Blood and Mucus in Stool: When to Seek Further Gastrointestinal Evaluation
The stool has red streaks of blood, and recently there has been mucus resembling nasal discharge in the stool? Since the beginning of the year, I have experienced 2-3 instances of blood-streaked mucus attached to the surface of my stool, with the most recent occurrence in mid-Sep...
Dr. Yang Zhichao Reply:
Dear Miss Lin, White mucus is usually not a concern, as it is mostly intestinal mucus. However, since you have experienced red stools, it is recommended that you undergo further stool testing (routine stool screening). If any issues are found, a colonoscopy should be arranged. ...[Read More] Red Blood and Mucus in Stool: When to Seek Further Gastrointestinal Evaluation
Severe Abdominal Pain and Fainting: Possible Causes and Concerns
Severe abdominal pain followed by fainting? Hello Dr. Chen, my mother-in-law (59 years old) sometimes experiences severe abdominal pain that causes her to faint on the toilet while having a bowel movement. Additionally, the women in our family have similar symptoms. However, her ...
Dr. Chen Shidian Reply:
Hello, Miss: Intense abdominal cramping can trigger a sympathetic nervous system response, leading to a drop in blood pressure, pallor, and fainting. Please monitor your blood pressure regularly and engage in more physical exercise (to train the nervous system response). When fee...[Read More] Severe Abdominal Pain and Fainting: Possible Causes and Concerns
Understanding Gastrointestinal Issues: When to Seek Further Medical Evaluation
Eating a lot but having very little bowel movement? Hello doctor, I exercise regularly every morning and have a large appetite, but I only have small bowel movements before my daily workouts. I consume a lot of fruits and vegetables, but after lunch, I often feel the urge to have...
Dr. Cai Anshun Reply:
Hello: Due to your family history and being 55 years old, if you have not undergone a colonoscopy, it is recommended that you have one. Regarding your bowel movements: having a bowel movement once in the morning and again at noon should not be considered too infrequent. Typically...[Read More] Understanding Gastrointestinal Issues: When to Seek Further Medical Evaluation
Persistent Lower Abdominal Pain: Should You Consider a Colonoscopy?
Lower abdominal discomfort with tenderness upon palpation for an extended period? Hello doctor, I have been experiencing a dull, pressing pain in my lower abdomen for a long time. The color of my stool is normal, but the shape has changed to a tapered end, and sometimes it appear...
Dr. Chen Shidian Reply:
Hello, sir: There is currently no need for further invasive examinations (the likelihood of a normal colonoscopy is quite high). Just be patient and follow up regularly, using symptomatic treatment medications and maintaining a balanced diet to monitor any changes in weight. Chan...[Read More] Persistent Lower Abdominal Pain: Should You Consider a Colonoscopy?
Persistent Diarrhea: When to Seek Further Gastrointestinal Evaluation?
Gastrointestinal discomfort? I have been experiencing diarrhea for the past month. I underwent a fecal occult blood test, which showed no issues, but I am still having diarrhea. Should I undergo further testing? Thank you.
Dr. Chen Qifeng Reply:
Hello, you may consider undergoing a barium enema or a colonoscopy, along with other tests such as stool culture for infections. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Persistent Diarrhea: When to Seek Further Gastrointestinal Evaluation?
Understanding Fecal Occult Blood Test Results and Next Steps
Fecal occult blood test issues? Hello, doctor. I would like to ask a few questions and would appreciate your assistance. Thank you. 1. Currently, the National Health Administration is promoting fecal occult blood testing, and if the result is positive, a colonoscopy is required....
Dr. Chen Qifeng Reply:
Hello, hemorrhoid issues can be observed during a colonoscopy. If the colonoscopy results are normal, then observation is sufficient for individuals with disabilities. If a barium enema has already been performed, considering a flexible sigmoidoscopy may have a higher chance of s...[Read More] Understanding Fecal Occult Blood Test Results and Next Steps
Understanding Rectal Discomfort: Causes of Mucus and Blood in Stool
There is a sensation of a foreign body in the anus, with mucus and blood streaks in the stool? Hello Doctor: I have been suffering from constipation for many years, typically having a bowel movement only 1 to 2 times a week. I often feel that my bowels are not completely empty, a...
Dr. Chen Shidian Reply:
Hello, Miss: Your colonoscopy and CT scan have confirmed that there are no structural abnormalities, so it is likely that your bowel movement difficulties are due to dysmotility. You may use prokinetic or stool softener medications, and ensure that your menstrual cycle (endocrine...[Read More] Understanding Rectal Discomfort: Causes of Mucus and Blood in Stool
Chronic Abdominal Pain: Understanding Symptoms and Concerns
Chronic abdominal pain? Hello Dr. Yang. I started experiencing dull pain in my lower left abdomen on October 26. My bowel movements have mostly been watery, resembling diarrhea. Initially, I went to the hospital for a stool occult blood test, but the doctor said it came back nega...
Dr. Yang Zhichao Reply:
Dear Mr. Hsiao, Hello. Your symptoms seem to be more indicative of inflammation. However, given your family history, if this situation occurs repeatedly, we can arrange for further examinations (including repeat stool tests, colonoscopy, and even a CT scan).[Read More] Chronic Abdominal Pain: Understanding Symptoms and Concerns
Understanding Severe Diarrhea: Causes and Solutions for Gastrointestinal Issues
I have recently started experiencing severe diarrhea? I have been experiencing frequent diarrhea for the past two months, with a maximum of 10 times a day and at least 5 times daily. Sometimes the stool is solid, but most of the time it is liquid. Before having a bowel movement, ...
Dr. Chen Qifeng Reply:
Hello, in addition to stool tests, colonoscopy or barium enema may be considered. Additionally, it is important to rule out any previous history of antibiotic use. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministr...[Read More] Understanding Severe Diarrhea: Causes and Solutions for Gastrointestinal Issues
Understanding Changes in Stool Shape and Frequent Diarrhea: Causes and Solutions
Frequent diarrhea with thin, unformed stools? Hello Dr. Chen, I have noticed a significant change in the shape of my stool over the past month; it has become noticeably thinner, and I often experience diarrhea with unformed stools. Initially, I had no urge to defecate, and when I...
Dr. Chen Qifeng Reply:
Hello, generally speaking, hemorrhoids do not affect the caliber of stool. Your symptoms may indicate gastrointestinal dysfunction, which can also be referred to as irritable bowel syndrome (IBS). The main dietary adjustments are as follows: reduce oil, dairy, and irritating food...[Read More] Understanding Changes in Stool Shape and Frequent Diarrhea: Causes and Solutions
Understanding Changes in Stool Shape: When to Seek Medical Advice
Stool shape Recently, my stools have been thinner than before (about 2 to 2.5 cm in diameter, irregular shape, sometimes thicker at the front and thinner at the back). When I have a bowel movement, it often comes out along with gas. At night, I sometimes experience mild abdominal...
Dr. Chen Shidian Reply:
Dear Student Li, Your diagnosis is clear; you have Irritable Bowel Syndrome (IBS). It is advisable to adjust your diet (reduce fats and dairy), and if necessary, take digestive aids. Colorectal polyps typically do not present symptoms. A large colorectal tumor may cause obstruct...[Read More] Understanding Changes in Stool Shape: When to Seek Medical Advice
Understanding Dark Red Blood in Stool After Hemorrhoid Surgery
Blood in the stool with a dark red color? Hello Doctor: I underwent a full painless colonoscopy in February of this year, which did not reveal any issues. However, from September to October, I experienced an increasing frequency of bright red blood in my stool. The doctor diagnos...
Dr. Yang Zhichao Reply:
Dear Mr. Kevin, Question 1: The likelihood of developing something concerning within 8 months is very low, so there should be no need for worry. If you have any doubts, you may consider undergoing a colonoscopy. Question 2: Please return to the physician who treated you for f...[Read More] Understanding Dark Red Blood in Stool After Hemorrhoid Surgery
Do I Still Need a Colonoscopy After Negative Fecal Occult Blood Test?
The fecal occult blood test result is negative? Hello, doctor: Last week, I had a stool occult blood test, and the doctor said there was no occult blood. Do I still need to have a colonoscopy? Is there still a risk of colorectal cancer?
Dr. Chen Qifeng Reply:
Hello, it is important to first inquire about the reasons for performing a fecal occult blood test. Additionally, a negative result on the fecal occult blood test does not equate to the absence of colorectal cancer, as there are other potential causes. Even with a negative result...[Read More] Do I Still Need a Colonoscopy After Negative Fecal Occult Blood Test?
Persistent Mucous and Blood in Stool: Seeking Solutions for Gastrointestinal Issues
I have been continuously passing mucus with blood for nearly a month, sometimes having bowel movements 5-6 times a day, and medication has not improved the condition? Hello Dr. Yang: At the beginning of August this year, I noticed a change in my bowel habits, experiencing alterna...
Dr. Yang Zhichao Reply:
Dear Ms. Abai, based on your detailed description, your symptoms are more indicative of ulcerative colitis. The symptoms may fluctuate, but it is essential to consult a professional physician. Therefore, please seek an appointment with a gastroenterologist. Changhua Hospital care...[Read More] Persistent Mucous and Blood in Stool: Seeking Solutions for Gastrointestinal Issues
Understanding Small Intestinal Polyps: Concerns and Next Steps After Colonoscopy
During the colonoscopy, a polyp was found in a portion of the small intestine? Hello, doctor. Due to irregular bowel movements and soft, unformed stools, I underwent a colonoscopy. During the procedure today, no abnormalities were found in the colon, but several polyps were disco...
Dr. Lin Minghui Reply:
Hello, 1. Polyps are nodules that protrude from the mucosa, and most polyps smaller than 0.5 cm are benign. The benefit of biopsy is that it allows us to determine the tissue type, which may include inflammatory glandular hyperplasia, adenomas, dysplastic lesions, or neuroendoc...[Read More] Understanding Small Intestinal Polyps: Concerns and Next Steps After Colonoscopy
Understanding Transparent Mucus After Bowel Movements: Causes and Concerns
After bowel movements, there is transparent mucus on the tissue? Hello Doctor, last October I went to the hospital for a check-up due to blood in my stool and was diagnosed with chronic anal fissure after undergoing a colonoscopy. Since then, I have experienced recurrent episodes...
Dr. Yang Zhichao Reply:
Dear, the clear mucus you mentioned may be intestinal mucus. If you are concerned, you can arrange for a stool examination. Additionally, you have a chronic anal fissure, and if there is an increase in discharge, it is important to rule out an anal fistula. You may want to consul...[Read More] Understanding Transparent Mucus After Bowel Movements: Causes and Concerns
Understanding Blood in Stool: Causes and Concerns for Digestive Health
Blood in the stool? Hello, at the end of August this year, I experienced a period of constipation, and after my bowel movements became more regular, I noticed fresh blood. I consulted a doctor who diagnosed it as an anal fissure. After my bowel movements improved, I didn't h...
Dr. Yang Zhichao Reply:
Ms. Bella, based on your condition, it is advisable to consider either an anal fissure or hemorrhoids. You should monitor the situation for 3-5 days, and if the bleeding persists, we will arrange for a colonoscopy. Changhua Hospital is concerned about your health.[Read More] Understanding Blood in Stool: Causes and Concerns for Digestive Health