Blood During Bowel Movements: Understanding Causes Beyond Hemorrhoids
There is some fresh blood when wiping after a bowel movement. I have seen a doctor, but they said I do not have hemorrhoids? Hello, doctor. Recently, I've noticed a small amount of bright red blood when wiping after a bowel movement. I went to see a doctor, who performed a d...
Dr. Chen Qifeng Reply:
Hello, sometimes internal hemorrhoids cannot be detected through a digital rectal examination, and ultrasound cannot check for colorectal cancer. Generally, to screen for colorectal cancer, one must undergo a colorectal examination, such as a colonoscopy or a barium enema. Based ...[Read More] Blood During Bowel Movements: Understanding Causes Beyond Hemorrhoids
Understanding Bowel Issues: When to Worry About Blood and Soft Stools
Inquiry about bowel movement issues? Hello Doctor: I had a colonoscopy in February of this year, and the doctor said the results were normal, with only mild internal hemorrhoids. However, in the past few days, I have noticed that my stools are often loose or in a fragmented shape...
Dr. Chen Qifeng Reply:
Hello, after undergoing a colonoscopy, if you experience blood in your stool, the most common causes are hemorrhoids or anal fissures. Anal fissures are painful, while hemorrhoids can bleed without pain or itching. If the bleeding persists, please consult a colorectal specialist....[Read More] Understanding Bowel Issues: When to Worry About Blood and Soft Stools
Understanding Your Digestive Issues: Is It Irritable Bowel Syndrome?
About diarrhea? Hello Doctor, I have a problem where I always need to use the restroom when I get nervous. At the end of 2013, I had an incident where I really needed to have a bowel movement but held it in while at work. When I finally went, I had to strain a lot, and I notice...
Dr. Lin Minghui Reply:
Hello, 1. Experiencing frequent diarrhea after eating, with normal findings on a colonoscopy, may indicate irritable bowel syndrome (IBS). For IBS, it is important to pay attention to your diet by avoiding greasy foods and irritants such as caffeinated beverages and chocolate. ...[Read More] Understanding Your Digestive Issues: Is It Irritable Bowel Syndrome?
Left Lower Abdominal Pain and Constipation: What You Need to Know
Mild pain in the lower left abdomen and constipation? I noticed blood around my stool, resembling a halo effect. I have a colonoscopy scheduled for May 20. I mentioned to the doctor that my left testicle also hurts, and he said it could be due to shared nerve pathways, but I forg...
Dr. Chen Qifeng Reply:
Hello, a colonoscopy has been scheduled, and we will discuss further after the examination. If the results are normal, it will be a functional issue. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan General H...[Read More] Left Lower Abdominal Pain and Constipation: What You Need to Know
Understanding Polyp Removal: What It Means for Colon Cancer Risk
Polypectomy Dear Dr. Chen, I just underwent a complete colonoscopy today, and the doctor found a very small polyp, which was removed on the spot. They mentioned it would be sent for pathology testing. At this stage, can I rule out the possibility of colorectal cancer? If the pa...
Dr. Chen Qifeng Reply:
Hello, generally speaking, small polyps have a higher chance of being benign. If they are hyperplastic polyps, the risk of cancer transformation is almost negligible; however, for adenomatous polyps, the risk of malignancy varies depending on the pathological type. After polypect...[Read More] Understanding Polyp Removal: What It Means for Colon Cancer Risk
Concerns After Internal Hemorrhoid Ligation: Is Colon Cancer Possible?
Post-operative issues related to internal hemorrhoid ligation? I previously had a condition of internal hemorrhoids and had undergone a ligation surgery without any issues. However, I experienced rectal bleeding afterward. On April 3rd, the doctor mentioned that two hemorrhoids w...
Dr. Cai Anshun Reply:
Hello: Please seek medical treatment for the healing of the mole and ulcer wounds. After evaluation by a physician, a colonoscopy may be arranged if necessary. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Concerns After Internal Hemorrhoid Ligation: Is Colon Cancer Possible?
Understanding Abnormal Stool and When to Consider a Colonoscopy
Abnormal stool, colonoscopy? Hello, doctor. About three years ago, I underwent a colonoscopy, and the results were generally normal, except for a 0.5 cm hyperplastic polyp in the sigmoid colon that was removed and tested as benign. Additionally, I have a problem with internal hem...
Dr. Chen Qifeng Reply:
Hello, hyperplastic polyps are benign and generally do not undergo malignant transformation. If there is a recurrence of blood in the stool or fecal occult blood, further examination can certainly be considered. It is best to perform a complete colonoscopy of the entire colon; if...[Read More] Understanding Abnormal Stool and When to Consider a Colonoscopy
Understanding Abnormal Bowel Movements: When to Seek Further Testing
Abnormal bowel movements? In May 2009, a colonoscopy was performed and the results were normal. In October 2012, a polyp was found in the sigmoid colon. In the same month, due to occasional blood-tinged mucus in the stool, another colonoscopy was performed, and the results were n...
Dr. Chen Qifeng Reply:
Hello, regarding the polyps, it is recommended to just monitor them. Since you are 45 years old, you can start receiving fecal tests for colorectal cancer every two years starting at age 50. The diarrhea with mucus is likely a digestive function issue; it is advisable to reduce o...[Read More] Understanding Abnormal Bowel Movements: When to Seek Further Testing
Understanding Left Lower Abdominal Discomfort After Overeating
After eating Hello, doctor. Sometimes, if I go a long time without eating and then eat a large amount, I notice a dull pain in my lower left abdomen. After resting for an hour or two, it improves significantly. I would like to know what this issue might be. (I had a colonoscopy l...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, it is recommended to first visit a gastroenterologist for an X-ray to check for any signs of bloating or bowel irregularities. If there are none, and medication does not improve the condition, an endoscopy and abdominal ultrasound may be considered. ...[Read More] Understanding Left Lower Abdominal Discomfort After Overeating
Understanding Positive Fecal Occult Blood Test Results: What You Need to Know
The fecal occult blood test result is positive? My father had a positive fecal occult blood test two years ago but has been reluctant to undergo a colonoscopy. At that time, the doctor mentioned that he had mild gastritis from an upper endoscopy, and that he also has diverticulit...
Dr. Chen Qifeng Reply:
Hello: Individuals over the age of 50 can receive free fecal occult blood screening for colorectal cancer every two years from the National Health Administration. If the test result is positive, statistics indicate that approximately 1 in 2 individuals who undergo further colonos...[Read More] Understanding Positive Fecal Occult Blood Test Results: What You Need to Know
Understanding Colonoscopy Reports: Addressing Concerns About Colorectal Health
Colonoscopy report Hello, doctor. Could you please take a look at the colonoscopy report? I am worried that my father might be concealing his condition, and my uncle has previously had colon cancer, which makes me very concerned. Thank you very much for your help. I will take a p...
Dr. Chen Qifeng Reply:
Hello: According to the report, it is a benign polyp. Please undergo regular fecal occult blood screening for colorectal cancer. Wishing you safety and health. Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare, Dr. Chen Chi-Feng.[Read More] Understanding Colonoscopy Reports: Addressing Concerns About Colorectal Health
Understanding Villous Polyps: What You Need to Know About This Gastrointestinal Issue
Villous polyp A few days ago, I had a colonoscopy and found a polyp about 0.8 centimeters. The doctor removed it on the spot, and when I returned for the follow-up, the pathology report indicated it was benign. I remember the doctor mentioned it was a villous polyp. What is a vil...
Dr. Chen Qifeng Reply:
Hello: Polyps can be classified into: 1. Non-familial polyps: (1) Hyperplastic - the most common, with a low risk of malignant transformation (2) Inflammatory (3) Adenomatous: a. Tubular adenoma b. Villous adenoma (higher risk of malignant transformation) c. Mixed type (higher ri...[Read More] Understanding Villous Polyps: What You Need to Know About This Gastrointestinal Issue
Understanding Lower Back Pain and Bladder Discomfort After Endoscopy
Lower back soreness? I underwent a painless colonoscopy and a painless gastroscopy. After the procedures, I felt a strange sensation in my bladder with some discomfort, but it wasn't very painful—just a feeling of pressure. Today, however, my bladder pain has increased compa...
Dr. Chen Qifeng Reply:
Hello: In principle, after a painless endoscopic examination, the occurrence of bladder pain during urination and lower back pain should primarily raise the suspicion of other urinary tract conditions. Please consult a urologist for urine tests and further evaluation. Wishing you...[Read More] Understanding Lower Back Pain and Bladder Discomfort After Endoscopy
Painless Colonoscopy: Costs and Same-Day Appointment Information
Painless rectoscopy examination Hello! I would like to undergo a painless colonoscopy at your hospital, but I do not have health insurance. Could you please let me know the approximate cost for the procedure? Can I register on-site and have the examination on the same day? Thank ...
Dr. Chen Qifeng Reply:
Hello: A standard flexible sigmoidoscopy only examines the area from the anus up to 30 to 50 centimeters, so it is not performed under sedation; only a colonoscopy is done with sedation. For a sedated colonoscopy, if the colonoscopy portion meets the criteria for insurance covera...[Read More] Painless Colonoscopy: Costs and Same-Day Appointment Information
Understanding Red Blood Streaks in Stool: Causes and Solutions
There are red streaks? Hello, doctor. Recently, I have occasionally noticed that when I feel the urge to have a bowel movement but do not go immediately, I end up holding it in until it becomes urgent. When I do finally go, I feel a lot of pressure at the anal opening. After I fi...
Dr. Chen Qifeng Reply:
Hello: The most common cause of bloody stools is hemorrhoids; however, it may sometimes be necessary to consult a gastroenterologist or a colorectal surgeon to determine if further evaluation with a colonoscopy is needed. Wishing you safety and good health. Dr. Chi-Feng Chen, Gas...[Read More] Understanding Red Blood Streaks in Stool: Causes and Solutions
Painless Colonoscopy for Polyp Removal: What You Need to Know
Polypectomy Hello! I would like to inquire if your hospital offers painless colonoscopy procedures. Here’s the situation: I underwent a colonoscopy abroad this year, where a benign polyp measuring nearly 2 cm was found. At that time, it was not removed immediately. Now, with my c...
Dr. Chen Qifeng Reply:
Hello: If you have rectal polyps that need to be removed, it is recommended to undergo a full colonoscopy to check for the presence of polyps in other parts of the colon besides the rectum. Whether to undergo a painless colonoscopy will be assessed by the physician. Wishing you s...[Read More] Painless Colonoscopy for Polyp Removal: What You Need to Know
Understanding Crohn's Disease: Symptoms, Diagnosis, and Treatment Options
Treatment methods for Klippel-Feil syndrome? Hello doctor, I recently experienced discomfort in my lower right abdomen, often feeling air trapped in my abdomen. I underwent a colonoscopy and found that area to be inflamed and swollen. I've been experiencing diarrhea for a wh...
Dr. Chen Qifeng Reply:
Hello: Crohn's disease is a chronic, transmural inflammatory condition that can affect any part of the gastrointestinal tract from the mouth to the anus. Approximately half of the patients will have rectal involvement, and it is often associated with various extraintestinal ...[Read More] Understanding Crohn's Disease: Symptoms, Diagnosis, and Treatment Options
Concerns About Colonoscopy Findings: What You Need to Know
Colonoscopy issues? Hello, My wife (25 years old) has been experiencing symptoms such as constipation, abdominal pain, and blood in her stool for the past year. Her stools are usually thin and soft, and she often alternates between constipation and diarrhea. Despite increasing ...
Dr. Chen Shidian Reply:
Hello, Sir: 1. You should trust your physician's judgment, but there are indeed exceptions in the world. 2. If you have no symptoms, there is no need for medication treatment. 3. Hemorrhoids are vascular tissues at the anal opening, and everyone has them to some extent; if t...[Read More] Concerns About Colonoscopy Findings: What You Need to Know
Understanding Rectal Bleeding: Causes and Concerns for Your Digestive Health
Rectal bleeding Hello Doctor: About six months ago, I experienced rectal bleeding during bowel movements. My stool is usually yellowish, and it seems to darken slightly after consuming chocolate or similar foods. Sometimes the stool is formed, and other times it is not. I do not ...
Dr. Chen Shidian Reply:
Hello, Miss: If you are experiencing intermittent blood in your stool or blood-streaked stools, rather than passing bright red blood (which is often associated with hemorrhoidal bleeding), it is recommended to undergo a flexible sigmoidoscopy (to examine the lower colon up to 60 ...[Read More] Understanding Rectal Bleeding: Causes and Concerns for Your Digestive Health
Understanding Chronic Digestive Discomfort: Causes and Solutions
Recently, I have been experiencing frequent gastrointestinal discomfort? Hello Doctor: I have been experiencing bloating and discomfort in my stomach for at least over a decade, but in the past year, the symptoms have slightly changed to a sensation of acid reflux (my stomach fee...
Dr. Chen Qifeng Reply:
Hello: Upper abdominal bloating is related to gastritis and gastroesophageal reflux disease (GERD). In addition to medication, it is important to follow dietary and lifestyle precautions. Furthermore, individuals with a history of abdominal surgery are more prone to bloating, abd...[Read More] Understanding Chronic Digestive Discomfort: Causes and Solutions