Colonoscopy, Gastroenterology and Hepatology FAQ - Page 52

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Understanding Gastrointestinal Issues: When to Consider a Colonoscopy

Gastrointestinal issues Hello doctor, I have been experiencing foul-smelling gas for the past three months, and I pass gas more than 20 times a day. Additionally, my daily bowel movements are thin and brownish-yellow in color, but there is no blood. Previously, my bowel movements...


Dr. Chen Qifeng Reply:
Hello: It is recommended to first visit a gastroenterologist for initial diagnosis and fecal examination. In terms of diet, it is advisable to follow a light and mild regimen, with low oil and low dairy. If necessary, further investigations such as a colon X-ray or even a colonos...

[Read More] Understanding Gastrointestinal Issues: When to Consider a Colonoscopy


Understanding Bloating: A Case Study of Gastrointestinal Challenges

Persistent bloating..? Hello doctor, my father is 63 years old and was diagnosed with diabetes last October. Since then, he has been strictly controlling his diet and exercising, but it seems he has gone a bit overboard, as he cannot tolerate any sugar or oil. His weight has drop...


Dr. Cai Jinji Reply:
It is advisable to discuss with your physician (whether there are other underlying causes?) and to treat the underlying condition in order to effectively resolve the issue.

[Read More] Understanding Bloating: A Case Study of Gastrointestinal Challenges


Persistent Urge to Defecate: Understanding Your Gastrointestinal Concerns

Constant urge to have a bowel movement? I have a persistent feeling of needing to have a bowel movement, even though I have undergone a colonoscopy that showed normal results, and there are no hemorrhoids. I have also consulted with gynecologists, and every doctor has said everyt...


Dr. Chen Qifeng Reply:
Hello: Recommendations: 1. Adjust your diet: Limit greasy, spicy foods, and dairy products. 2. Warm sitz baths: Perform once daily after bowel movements, for 20 minutes each time. Wishing you safety and health. Department of Gastroenterology, Taoyuan General Hospital, Dr. Chen Ch...

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Understanding Chronic Constipation: Symptoms, Causes, and When to Seek Help

Bowel issues Hello Doctor: I would like to ask about my constipation symptoms, which have persisted for almost two years. I usually drink plenty of water, eat fruits and vegetables, take probiotics, and exercise, but I am still troubled by constipation. I often have bowel movemen...


Dr. Cai Anshun Reply:
Hello: The symptoms you listed could be associated with various conditions, including Functional Gastrointestinal Disorders, Irritable Bowel Syndrome, Inflammatory Bowel Disease (such as Ulcerative Colitis or Crohn's Disease), or even colorectal cancer. As for whether furthe...

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Understanding Right Lower Abdominal Pain: Causes and Specialist Guidance

Right lower abdominal pain? I have been experiencing pain in my lower right abdomen (near the groin, which is the lowest part of the lower right abdomen). The pain has woken me up at night, and I feel more discomfort after eating or when I am anxious. This has been ongoing for qu...


Dr. Chen Qifeng Reply:
Hello: You can arrange for an upper gastrointestinal series or a colonoscopy with the gastroenterology department. If the results are normal, it would be classified as a functional disorder. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Department, ...

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Understanding Symptoms of Bloating and Abdominal Pain: When to Seek Help

Bloating in the stomach with left abdominal cramping radiating to the throat? Hello, doctor. A few years ago, I experienced a decrease in bowel movements, and after taking traditional Chinese medicine, I had a significant increase the next day. However, recently, despite eating a...


Dr. Chen Qifeng Reply:
Hello: Based on the described symptoms, it is recommended to consult a gastroenterologist for further clarification on which specific examinations are needed. Wishing you safety and good health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan Hospital, Ministry...

[Read More] Understanding Symptoms of Bloating and Abdominal Pain: When to Seek Help


Understanding Mucus in Stool: Causes and When to Seek Medical Advice

Mucus in stool? Hello Doctor, previously I had bowel movements approximately every two days, but it changed to once or twice a day. I visited the clinic over a month ago and underwent a fecal occult blood test, which diagnosed me with irritable bowel syndrome (IBS). All items in ...


Dr. Chen Qifeng Reply:
Hello: To diagnose irritable bowel syndrome (IBS), it is essential to first rule out any structural abnormalities of the colon. If relevant tests, such as colonoscopy and stool examinations, have already been performed, a diagnosis can then be made. If it is indeed IBS, managemen...

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Understanding Recent Diarrhea: Gastrointestinal Concerns Explained

Recently experiencing diarrhea? Hello, doctor. On Wednesday night at 8 PM, I finished dinner and then had a lot of snacks around 10 PM. Later, when I went to bed at 1 AM, I suddenly felt discomfort in my stomach and had diarrhea. The next day, Thursday morning, I had another epis...


Dr. Chen Qifeng Reply:
Hello: The sudden onset of gastroenteritis symptoms, dumplings and chicken rice are a bit greasy for gastroenteritis. Wishing you safety and health. Dr. Chen Qifeng, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

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Understanding Gastrointestinal Issues: When to Consider a Colonoscopy

Gastrointestinal issues Hello, doctor. I have a few questions to ask you. Recently, I went to the hospital due to abdominal pain and underwent an endoscopy, blood tests, and a fecal occult blood test. The results showed that I have gastritis after the endoscopy, my blood tests we...


Dr. Chen Qifeng Reply:
Hello: Fecal occult blood primarily tests for the presence of blood in the stool and is not directly related to inflammation. If there are changes in bowel habits, it is recommended to consult a gastroenterologist for evaluation. Wishing you peace and health. Sincerely, Dr. Chi-F...

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Persistent Right Lower Abdominal Pain: Seeking Non-Radiation Diagnostic Options

A mass in the right lower abdomen with dull pain during the urge to defecate and urinate? Hello Doctor, my question is about a mass in my lower right abdomen (located about 6-7 cm to the right of my navel and 5-6 cm downwards). I experience dull pain when I have the urge to defec...


Dr. Chen Qifeng Reply:
Hello: Based on the description, I personally believe the key point lies in the CT scan report. If the mass is located in the muscle layer, it is not an intra-abdominal issue. Therefore, it is necessary to confirm: 1. Is there really a mass? 2. Is the mass caused by inflammation?...

[Read More] Persistent Right Lower Abdominal Pain: Seeking Non-Radiation Diagnostic Options


Understanding Gastrointestinal Discomfort: What to Do If Tests Are Positive

Gastrointestinal discomfort? Hello, doctor. Thank you for your patience in answering my questions. After that, the outpatient physician arranged for a stool test. If it unfortunately comes back positive, what diseases could I potentially have? What are the next steps in managemen...


Dr. Chen Qifeng Reply:
Hello: Positive fecal occult blood can occur in conditions such as hemorrhoids, colitis, diverticulosis, colorectal polyps, and colorectal cancer. Based on age, hemorrhoids are the most likely cause, particularly internal hemorrhoids, which may be painless and itch-free, presenti...

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Do I Need a Colonoscopy After Rectal Exams for Blood in Stool?

If a patient has experienced rectal bleeding and has undergone a flexible sigmoidoscopy, is it still necessary to perform a colonoscopy? Hello doctor, I previously experienced blood in my stool, and doctors have said it is due to internal hemorrhoids. I have undergone a sigmoidos...


Dr. Yang Zhichao Reply:
Dear Mr./Ms. Chen, Hello, you are 27 years old. Most cases of blood in the stool are likely caused by anal fissures or hemorrhoids, and the chance of cancer is relatively low. You can start with a fecal occult blood test, and if the result is positive, a colonoscopy can be arran...

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Struggling with Constipation: Seeking Solutions and Medical Advice

Constipation issues? Dear Doctor: I have been struggling with constipation for the past couple of years. I often only have a bowel movement every five to six days, and when I do, it's usually just a thin strip or a few small pellets. Sometimes, after five or six days, I expe...


Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, there is a clear indication of gastrointestinal dysfunction. However, further evaluation and examination are needed to determine if there are any organ pathologies. Wishing you peace and health. Sincerely, Dr. Chen Chih-Feng, Gastroenterology Departm...

[Read More] Struggling with Constipation: Seeking Solutions and Medical Advice


Blood in Stool: Should You Get a Full Colonoscopy?

Blood in stool 2 Hello Doctor: Recently, I have occasionally noticed blood streaks in my stool, likely due to holding in my bowel movements and delaying defecation. In my previous inquiry, I mentioned that I underwent a sigmoidoscopy in March of this year. The doctor indicated th...


Dr. Chen Qifeng Reply:
Hello: If you still experience rectal bleeding or other symptoms, you may consider undergoing a colonoscopy. Wishing you safety and health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

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Understanding Blood in Stool: Causes and Concerns for Gastrointestinal Health

Blood in the stool? Hello doctor, I have recently 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 finally do go, I feel a lot of pressure at the anal opening, and after I finish, I notice...


Dr. Chen Qifeng Reply:
Hello: Based on the above condition, it is concluded that the rectal bleeding is likely a result of hemorrhoids. You should consult a colorectal surgeon. Wishing you safety and good health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Heal...

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Understanding Blood in Stool: Hemorrhoids or Something More Serious?

Blood in the stool? Hello doctor, about 7 years ago, I experienced rectal bleeding (the toilet had noticeable blood stains). I was later diagnosed with internal hemorrhoids. However, since that bleeding incident, I have not experienced any severe bleeding again for the past 7 yea...


Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, there are two issues: 1. hematochezia (blood in stool) 2. gastrointestinal dysfunction. It is recommended to undergo a routine stool examination and a barium enema or colonoscopy. If no abnormalities are found, it may be hemorrhoids and irritable bow...

[Read More] Understanding Blood in Stool: Hemorrhoids or Something More Serious?


Understanding Post-Bowel Movement Pain and Bleeding: What to Know

After a bowel movement, there was a sensation of pain? Last week, after having a bowel movement, I experienced difficulty and had to strain to pass stool. I initially thought that straining might have caused a small tear in the anal area, leading to some bleeding, and that it wou...


Dr. Chen Qifeng Reply:
Hello: It is likely an anal fissure, which causes pain and bleeding. If symptoms persist, you may visit a colorectal surgery specialist. Wishing you safety and health. Dr. Chen Qi-Feng, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

[Read More] Understanding Post-Bowel Movement Pain and Bleeding: What to Know


Understanding Recent Digestive Issues: When to Consider a Colonoscopy

Issues that have arisen in the past month? I have been experiencing frequent bloating in my lower abdomen, along with lower back pain and discomfort. My stools have been soft and not formed, and recently I have noticed undigested food in my stool. I had a stool occult blood test ...


Dr. Chen Qifeng Reply:
Hello: Lower back pain is not necessarily related to gastrointestinal issues. However, gastroenteritis and indigestion do exist. It is recommended to consult a gastroenterologist. Wishing you safety and health. Dr. Chen Qi-Feng, Gastroenterology Department, Taoyuan General Hospit...

[Read More] Understanding Recent Digestive Issues: When to Consider a Colonoscopy


Understanding Blood in Stool: Causes, Concerns, and Next Steps

The presence of blood in my stool scared me? Last month, I suddenly experienced constipation followed by a large bowel movement that had blood in it. It was very painful afterward, so I told my mom, and she suggested that I might have hemorrhoids or something similar. After that,...


Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, the likelihood of bleeding from hemorrhoids is the highest. The weight loss may or may not be related; it could be coincidental. If you are concerned, you may visit a colorectal surgery department for consultation. Wishing you safety and health. Dr. ...

[Read More] Understanding Blood in Stool: Causes, Concerns, and Next Steps


Understanding White Substance in Stool: Signs of Colitis?

The stool has a white liquid? Hello doctor, three weeks ago I experienced a severe episode of diarrhea, having 7 to 8 bowel movements in one day. During the last bowel movement, I noticed some blood in my stool. The amount of blood was not significant, but seeing it was quite ala...


Dr. Lin Minghui Reply:
Hello: In cases of severe gastroenteritis, there may be blood and mucus in the stool. If stool tests show blood and mucus, or if symptoms such as abdominal pain, diarrhea, bloody stools, or weight loss are present, a colonoscopy may be arranged to check for the possibility of inf...

[Read More] Understanding White Substance in Stool: Signs of Colitis?


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