Frequent Urgency After Meals: Understanding Gastrointestinal Issues
Having to use the restroom immediately after eating? This phenomenon has been occurring for three years, but previously it would happen once every few months. In the past six months, it has been happening daily, specifically after meals (within 10 to 20 minutes), resulting in loo...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, it may be irritable bowel syndrome (IBS), but a diagnosis from a gastroenterologist is still necessary. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Frequent Urgency After Meals: Understanding Gastrointestinal Issues
Understanding Upper Abdominal Bloating: Causes and Solutions
Upper abdominal bloating and pain? Hello Dr. Tsai, I have been experiencing bloating and pain in my upper abdomen (just above the navel) for over a week. Over the past six months, I have intentionally lost about 20 kilograms through exercise without taking any medication. Due to ...
Dr. Cai Anshun Reply:
Hello: Psychiatric medications should be gradually tapered under the supervision of a psychiatrist, rather than abruptly discontinued. As for whether further examinations are necessary, this should be determined after an evaluation by a gastroenterologist. Changhua Hospital cares...[Read More] Understanding Upper Abdominal Bloating: Causes and Solutions
What Does White Substance in Stool Indicate? Understanding Gastrointestinal Health
The stool has white substances? Hello, I previously underwent a colonoscopy due to blood in my stool, and no abnormalities were found in the colon. The doctor diagnosed me with internal hemorrhoids, and after medication treatment, I no longer have blood in my stool. However, occa...
Dr. Chen Qifeng Reply:
Hello: Generally speaking, it should be mucus, which is related to digestive function. Wishing you peace and health. Dr. Chen Chih-Feng, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] What Does White Substance in Stool Indicate? Understanding Gastrointestinal Health
Do You Need a Colonoscopy? Understanding Symptoms and Concerns
Is there a need to get a colonoscopy? Weight loss from 58 kg to 55 kg, with slightly thinner stools and a strange feeling in the lower right abdomen, though not painful. I am considering getting a colonoscopy. Is it necessary? There is no family history, but I am concerned due to...
Dr. Chen Qifeng Reply:
Hello: 1. Weight loss of 3 kilograms should be evaluated over what period of time. 2. If the stool varies between being thin and thick, it may indicate a rectal function issue. 3. Diagnosing cancer based on symptoms is not that straightforward, and colorectal conditions are not l...[Read More] Do You Need a Colonoscopy? Understanding Symptoms and Concerns
Understanding Green Diarrhea: Causes and When to Seek Help
Occult blood and parasitic examination? I have been experiencing diarrhea since the end of January and have seen many doctors. I have also undergone tests for occult blood and parasites, both of which came back normal. The stool is greenish in color and appears to have a layer on...
Dr. Chen Qifeng Reply:
Hello: A diet low in oil, dairy, and刺激 foods is recommended. If there is still no improvement, medication may be necessary. If that does not work, a colonoscopy may need to be scheduled. Wishing you peace and health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan Hospita...[Read More] Understanding Green Diarrhea: Causes and When to Seek Help
Understanding Right Lower Abdominal Pain: Causes and Concerns
It seems to be focused on a specific point? I have been experiencing excessive flatulence for the past three years, and about a year ago, I started to notice occasional pain in the lower right abdomen, seemingly concentrated at a specific point near the area where the appendix co...
Dr. Chen Qifeng Reply:
Hello: It could be functional bloating or fecal impaction, or there may be structural issues. It is recommended to undergo a colon X-ray or colonoscopy if necessary. Wishing you safety and health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital...[Read More] Understanding Right Lower Abdominal Pain: Causes and Concerns
Understanding Colonoscopy: Preparation, Procedures, and Alternatives
Gastrointestinal Endoscopy in Internal Medicine Do I need to get an injection for a colonoscopy in gastroenterology? How many injections will I receive? Will the injection be administered in the buttocks on the day of the examination? Do both gastroenterology and colorectal surge...
Dr. Chen Qifeng Reply:
Hello: A colonoscopy can be arranged through the gastroenterology department or the colorectal surgery department. Generally, oral medications are used for bowel preparation, and at the examination site, you may receive injections of agents to suppress gastrointestinal motility a...[Read More] Understanding Colonoscopy: Preparation, Procedures, and Alternatives
Effective Solutions for Chronic Constipation: What You Need to Know
I have been experiencing constipation? I have been experiencing constipation for a long time, but I haven't paid much attention to it. Now, when I see a doctor, the medications have gradually become ineffective. I often have a poor appetite and sometimes feel dizzy and nause...
Dr. Chen Qifeng Reply:
Hello: At the end of the year, a complete bowel cleansing can be performed using methods such as colonoscopy or barium enema. These bowel preparation medications are generally not covered by health insurance and must be paid for out of pocket. For habitual constipation, it is pri...[Read More] Effective Solutions for Chronic Constipation: What You Need to Know
Understanding Colorectal Cancer Screening: Key Questions Answered
Colorectal cancer screening Hello, Doctor: 1. Are all colorectal cancers derived from polyps? 2. I have heard that it takes about five years for a polyp to develop into colorectal cancer, so does this mean that individuals who have had a colonoscopy with no abnormalities can w...
Dr. Chen Qifeng Reply:
Hello: 1. More than 90% of colorectal cancers arise from polyps. 2. In principle, if a colonoscopy is normal and there is no special medical or family history, it can be repeated in 3 to 5 years. 3. Recent screening statistics show that among those who test positive for fecal occ...[Read More] Understanding Colorectal Cancer Screening: Key Questions Answered
Understanding Rectal Bleeding: Risks of Cancer vs. Hemorrhoid Recurrence
Concern for bleeding Hello, doctor. Two years ago, I experienced bleeding during bowel movements and was diagnosed with internal hemorrhoids at the hospital. I underwent a ligation procedure, and the post-operative bleeding symptoms decreased. However, I still occasionally have s...
Dr. Cai Anshun Reply:
Hello: The rate of tumor development varies, and it is uncertain whether there is a possibility of tumor occurrence within two years. It is recommended to consult a clinical physician or undergo a digital rectal examination and a sigmoidoscopy to determine if there is a recurrenc...[Read More] Understanding Rectal Bleeding: Risks of Cancer vs. Hemorrhoid Recurrence
Understanding Rectal Bleeding: When to Worry and Seek Further Testing
Questions after microscopy examination? Hello, doctor. About three years ago, I started noticing blood when wiping after bowel movements. It later became more severe. After a digital rectal examination at the hospital, I was diagnosed with internal hemorrhoids and underwent a lig...
Dr. Cai Anshun Reply:
Hello: The pathological formation of hemorrhoids is caused by varicose veins, prolonged sitting, inactivity, or frequent constipation, which makes it easier to develop hemorrhoids or for them to recur. As for whether the current bleeding is caused by hemorrhoids, you can consult ...[Read More] Understanding Rectal Bleeding: When to Worry and Seek Further Testing
Understanding Sigmoid Colon Inflammation and Polyps: Key Insights for Patients
Ulcerative colitis of the sigmoid colon, grade 3? Hello, I previously inquired about colonic erosion, and now I have received my health check report with some questions. I would like to share an excerpt from the report: Colonoscopy report excerpt: Colitis (Slice A), Colon Polyp...
Dr. Cai Anshun Reply:
Hello: The biopsy results indicate chronic inflammation of the sigmoid colon and lymphoid aggregation at the ileocecal valve (this area is connected to the terminal ileum, where lymphoid tissue is normally more abundant, and there is a low likelihood of malignant transformation)....[Read More] Understanding Sigmoid Colon Inflammation and Polyps: Key Insights for Patients
Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Blood in stool Last Friday to this Monday, I noticed bright red blood in my stool, and there was also dripping blood when I wiped with toilet paper. I experienced a similar situation around May of this year, and I underwent X-rays and a colonoscopy. At that time, I had difficulty...
Dr. Chen Qifeng Reply:
Hello: The recurrent bleeding condition is significant, and you may consider consulting a colorectal surgeon. If necessary, a colonoscopy should be performed. Wishing you safety and health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Minis...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Understanding Irregular Bowel Movements: When to Seek Medical Advice
Having a bowel movement every three to four days? Hello, I have recently been experiencing constipation, having a bowel movement every three to four days, but then it returns to normal. In the past few days, I went two days without a bowel movement, then on the third day, my stoo...
Dr. Chen Qifeng Reply:
Hello: Irritable bowel syndrome can also present with similar courses and symptoms. If there is no improvement, please consult a gastroenterologist. Wishing you peace and health. Dr. Chen Chi-Feng, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Irregular Bowel Movements: When to Seek Medical Advice
Understanding Costs and Coverage for Endoscopy in Gastroenterology
Endoscopy Hello, I would like to ask about the charges for colonoscopy and gastroscopy covered by health insurance. Do these charges include anesthesia and polyp removal fees? Should I first visit a general gastroenterology outpatient clinic to undergo a fecal occult blood test?
Dr. Chen Qifeng Reply:
Hello: If clinically necessary, gastroscopy and colonoscopy are covered by insurance. However, if performed under sedation, an additional anesthesia fee will apply. Polypectomy is covered by health insurance. Based on age, a fecal occult blood test for colorectal cancer screening...[Read More] Understanding Costs and Coverage for Endoscopy in Gastroenterology
Colonic Hydrotherapy: A Solution for Severe Constipation Concerns?
Colonic hydrotherapy I have not had a bowel movement for over 10 days and am experiencing abdominal pain with cramping. I saw a doctor who prescribed medication to soften my stool and help with gas, but after taking it for 2 days, I still have no urge to go. I tried using a glyce...
Dr. Chen Qifeng Reply:
Hello: The preparation for a colonoscopy involves bowel cleansing, which generally should eliminate any residual stool. Wishing you safety and health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Colonic Hydrotherapy: A Solution for Severe Constipation Concerns?
Is Colonoscopy Safe During Pregnancy After Positive Stool Test?
Is it appropriate to undergo a colonoscopy during pregnancy if fecal occult blood (not from hemorrhoids) is detected? Hello, doctor. I had a health check-up shortly after becoming pregnant (in mid-August this year) and found that my stool occult blood test was positive. In Novemb...
Dr. Chen Qifeng Reply:
Hello: If routine stool tests show a positive result, it may indicate bleeding from the mouth to the anus. If an Enzyme Immunoassay (EIA) is used, it is more focused on detecting lower gastrointestinal bleeding. A digital rectal exam cannot completely rule out internal hemorrhoid...[Read More] Is Colonoscopy Safe During Pregnancy After Positive Stool Test?
Understanding Stool Color: When to Seek Colonoscopy for Concerns
Bowel movement color Hello, doctor: I have been experiencing sheep-like stools with a dark brown color for the past two months. Do I need to undergo a colonoscopy? Additionally, what is meant by black stools? Does it refer to stools that are dark in color or stools that are actua...
Dr. Cai Jinji Reply:
Hello: If there are any unexplained changes in bowel habits, it may be advisable to consider a colonoscopy. The presence of black stools is primarily significant for checking for occult blood. Wishing you good health.[Read More] Understanding Stool Color: When to Seek Colonoscopy for Concerns
Understanding Rectal Erosion: Concerns and Possible Conditions Explained
Ulcerative colitis of the sigmoid colon Hello, I am currently 30 years old. During a health check-up, I underwent a colonoscopy and found a 0.5 cm polyp in the ascending colon, some erosion in the sigmoid colon, and also internal hemorrhoids. The polyp and the eroded area have al...
Dr. Cai Anshun Reply:
Hello: The term "colonic erosion" refers to mild redness and lesions in the colonic mucosa. It differs in severity from ulcerative colitis. It is advisable to patiently wait for the biopsy results and the physician's explanation, and there is no need to worry exces...[Read More] Understanding Rectal Erosion: Concerns and Possible Conditions Explained
Chronic Abdominal Pain Without Diagnosis: What Are Your Options?
If you are experiencing chronic abdominal pain and cannot find the cause, it is important to take the following steps: 1. **Consult a Healthcare Professional**: Schedule an appointment with a primary care physician or a gastroenterologist to discuss your symptoms in detail. 2. ...
Dr. Chen Qifeng Reply:
Hello: It is recommended to perform a stool test. If the results are normal, it is likely post-infectious irritable bowel syndrome following gastroenteritis, and you will need to regulate your gastrointestinal function. Wishing you good health, Dr. Chi-Feng Chen, Taoyuan Hospital...[Read More] Chronic Abdominal Pain Without Diagnosis: What Are Your Options?