Understanding Narrow Stools and Constipation: Causes and Solutions
The stool is somewhat thin and there is mild constipation? Hello Doctor, my stools have been thin for several weeks now, and constipation has only started in the past few days. I have seen a doctor who mentioned that my gastrointestinal motility is faster and advised me to eat li...
Dr. Chen Shidian Reply:
Dear Mr. L, I understand your concerns. The symptoms you mentioned are still consistent with irritable bowel syndrome, and medication can help improve your condition, so there is no need to worry too much. I recommend ensuring you have enough fruits and vegetables in your diet....[Read More] Understanding Narrow Stools and Constipation: Causes and Solutions
Understanding Frequent Bowel Movements: Causes and Solutions
I have been wanting to have a bowel movement? Over the past month, I have been having bowel movements more than three times a day. Sometimes the stools are thin and short with some strands, and at times they are shapeless. Shortly after finishing, I still feel the urge to go to t...
Dr. Li Yongming Reply:
Hello, I will answer your inquiry in two parts. First, the gastroscopy has revealed the presence of Helicobacter pylori, so I recommend that you undergo a triple therapy regimen to eradicate the Helicobacter pylori. This bacterium has been shown to be highly associated with gastr...[Read More] Understanding Frequent Bowel Movements: Causes and Solutions
Understanding Changes in Stool Thickness: What You Need to Know
How to distinguish the thickness of stool? Hello Doctor, In the past few weeks, I have noticed that my stools have become very thin, about the size of a 5-cent to 10-cent coin. I had a colonoscopy last October due to this issue, and everything was fine. My diet has been normal ...
Dr. Cai Anshun Reply:
Hello: The shape of stool is influenced by various factors, including total daily fluid intake, the fiber content and moisture levels of fruits and vegetables, as well as the types of food you consume and the time it spends in the intestines, among others. It is difficult to list...[Read More] Understanding Changes in Stool Thickness: What You Need to Know
Chronic Abdominal Discomfort: Seeking Solutions for Persistent Pain
Chronic gastrointestinal discomfort? Dear Dr. Chen, My brother experienced abdominal pain for about six months two to three years ago and was diagnosed with intestinal adhesions. At that time, the doctor recommended surgery once the adhesions improved, but my brother mistakenly ...
Dr. Chen Qifeng Reply:
Hello: Patients who have previously undergone abdominal surgery may experience intestinal adhesions. It is recommended to use medications that promote peristalsis, relieve bloating, and appropriate amounts of stool softeners, which should help alleviate symptoms. If examinations ...[Read More] Chronic Abdominal Discomfort: Seeking Solutions for Persistent Pain
Differences Between ERCP and MRCP: What You Need to Know
What are the differences between ERCP and MRCP examinations? I have been experiencing pain in my right upper abdomen for 3 to 4 years. I have undergone abdominal ultrasound, CT scan, MRI, MRCP, gastroscopy, colonoscopy, small bowel endoscopy, capsule endoscopy, and endoscopic ult...
Dr. Yang Zhichao Reply:
Hello Mr./Ms. Peter, ERCP (Endoscopic Retrograde Cholangiopancreatography) is an invasive procedure. It involves inserting an endoscope, similar to a gastroscope, through the mouth into the duodenal ampulla. A thin catheter is then used to inject contrast dye into the openings ...[Read More] Differences Between ERCP and MRCP: What You Need to Know
Understanding White Specks in Stool: Causes and Concerns
The stool appears to be small, white, and grain-like in size? Hello, I have noticed that a small portion of my stool appears white (about the size of half a fingernail and is solid), but this does not happen every time. Could this be caused by food (I sometimes have a habit of co...
Dr. Chen Qifeng Reply:
Hello: The color of food is related not only to the amount of bile but also primarily to the dietary content. Best regards, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.[Read More] Understanding White Specks in Stool: Causes and Concerns
Understanding Irritable Bowel Syndrome: Symptoms and Diagnosis
Is it irritable bowel syndrome (IBS)? Hello, doctor. Recently, I often feel that my bowel movements are incomplete. There is no blood in my stool, and I don't experience abdominal bloating, but sometimes my stomach makes gurgling noises. I have already visited a nearby gastr...
Dr. Yang Zhichao Reply:
Hello Mr./Ms. L, based on the symptoms you described, it is indeed possible that you are experiencing irritable bowel syndrome. However, a small portion of cases may involve inflammatory bowel disease. If adjustments to your medication and lifestyle (such as increasing exercise, ...[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Diagnosis
When is ERCP Recommended for Abdominal Pain and Pancreatic Cysts?
What are the indications for using ERCP? I have been experiencing pain in my upper right abdomen for 3 to 4 years. I have undergone gastroscopy, colonoscopy, CT scans, MRI, and ultrasound, which only showed fatty liver. My bowel movements are normal, and blood tests indicate norm...
Dr. Chen Qifeng Reply:
Hello: ERCP is an invasive procedure with a small risk of causing pancreatitis. If there has been a history of pancreatitis leading to a pancreatic pseudocyst, it is generally not recommended to undergo ERCP, unless absolutely necessary or if the pseudocyst has been resolved. Wis...[Read More] When is ERCP Recommended for Abdominal Pain and Pancreatic Cysts?
Understanding Blood in Stool: Causes and Concerns for Patients
Blood in the stool? Hello Dr. Chen, I would like to ask you a question. Previously, I visited a gastroenterologist who performed a physical examination and mentioned that I have issues with internal and external hemorrhoids. Due to sitting for extended periods, I have been expe...
Dr. Chen Qifeng Reply:
Hello: It is recommended to undergo a rectal or colonoscopy examination to clarify the cause of the bleeding. Best wishes, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.[Read More] Understanding Blood in Stool: Causes and Concerns for Patients
Chronic Abdominal Pain: Seeking Answers for Persistent Right Upper Discomfort
Please, doctor, help me with my long-standing abdominal pain? Symptoms: I feel a dull pain in the upper right abdomen all day, whether sitting or standing, as if there is a heavy object pressing down. I can't tolerate it after sitting or standing for too long, and it doesn&#...
Dr. Chen Qifeng Reply:
Hello: 1. For asymptomatic pancreatic pseudocysts, it is recommended to have regular follow-ups to observe if they will resolve on their own. 2. Regarding the right upper quadrant pain, with only elevated ACP and VGT, and multiple tests yielding no definitive results, ERCP could ...[Read More] Chronic Abdominal Pain: Seeking Answers for Persistent Right Upper Discomfort
Is It Normal to Still Experience Pain After IBS Medication?
Irritable Bowel Syndrome (IBS) issues..? I have been taking medication for irritable bowel syndrome for six months, but I still experience pain. Is this normal? I have had stool tests and an abdominal ultrasound, and the doctor said that I am very young and do not need a colonosc...
Dr. Chen Qifeng Reply:
Hello: 1. A colonoscopy is not only used to rule out colorectal cancer but may also identify other conditions. 2. A barium enema can also be considered. 3. Irritable bowel syndrome often requires adjustments in medication and dietary lifestyle changes. Best wishes, Dr. Chi-Feng C...[Read More] Is It Normal to Still Experience Pain After IBS Medication?
Essential Guide to Pain-Free Gastroscopy and Colonoscopy: Costs, Risks, and Duration
Gastroscopy, colonoscopy Could you please provide the related precautions for painless gastroscopy and colonoscopy at your hospital? 1. Fee standards 2. Risks 3. Duration
Dr. Chen Qifeng Reply:
Hello: 1. Our hospital does not offer painless gastroscopy. 2. For painless colonoscopy, the additional anesthesia fee is approximately 3000 NTD; please arrange this with the colorectal surgery department. 3. Patients with poor cardiac function are not recommended for painless ex...[Read More] Essential Guide to Pain-Free Gastroscopy and Colonoscopy: Costs, Risks, and Duration
Understanding IBS: When to Consider Further Testing and Diagnosis
Irritable Bowel Syndrome Issues 2 Hello, doctor. I have a few questions for you. You mentioned that I should undergo a colon X-ray or colonoscopy, but during my monthly follow-ups, you haven't suggested those tests. You also said that since I am young, have a good appetite, ...
Dr. Chen Qifeng Reply:
Hello: The physician's point is also valid. However, in order to diagnose irritable bowel syndrome (IBS), it is necessary to not only rely on the patient's medical history and the physician's professional judgment but also to conduct further examinations to rule ou...[Read More] Understanding IBS: When to Consider Further Testing and Diagnosis
Blood in Stool: When to See a Doctor and What to Expect
I have blood in my stool today! Today, after having a bowel movement, I noticed blood on the toilet paper and also in the stool. Previously, I occasionally saw a little blood on the toilet paper, but today there was more, and I could see blood in the stool as well. Since it'...
Dr. Chen Qifeng Reply:
Hello: Rectal bleeding is commonly caused by bleeding near the anus, including areas such as the rectum. Conditions such as hemorrhoids and proctitis are common causes. If the amount of bleeding is not significant, please consult a colorectal surgeon. Wishing you good health. Dr....[Read More] Blood in Stool: When to See a Doctor and What to Expect
Understanding Abdominal Discomfort: Gas, Pain, and Possible IBS
I have discomfort in my abdomen with persistent bloating and abdominal pain? I have been experiencing constipation for almost a month after undergoing a colonoscopy. Before the procedure, my bowel movements were normal, but I had long-term abdominal discomfort and bloating. Last ...
Dr. Chen Qifeng Reply:
Hello: After a colonoscopy, there may be temporary colonic dysfunction, such as poor motility or bloating. Please avoid fried and irritating foods in the coming days, reduce oil and dairy intake, and increase your consumption of fruits and vegetables. If symptoms do not improve, ...[Read More] Understanding Abdominal Discomfort: Gas, Pain, and Possible IBS
Understanding Irritable Bowel Syndrome: Persistent Pain and Management Tips
Irritable Bowel Syndrome (IBS) Issues Hello doctor~~ Last July, I visited a doctor due to pain in my lower abdomen on both sides. The doctor ordered a stool test, which came back normal. They diagnosed me with irritable bowel syndrome (IBS), but I have been dealing with IBS sympt...
Dr. Chen Qifeng Reply:
Hello: If a colonoscopy (colonoscopy or barium enema) has been performed and colorectal lesions have been ruled out, then it can be confirmed that the issue is related to functional disorders. Best regards, Dr. Chi-Feng Chen, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Irritable Bowel Syndrome: Persistent Pain and Management Tips
Can Internal Hemorrhoids Disappear with Dietary and Lifestyle Changes?
Can internal hemorrhoids disappear? Hello Doctor: Recently, after reviewing my colonoscopy report, I found out that I have internal hemorrhoids. The doctor informed me that they are neither large nor small. He advised me not to stand or sit for long periods, to eat more fruits an...
Dr. Chen Qifeng Reply:
Hello: It is quite rare for modern individuals to be free of hemorrhoids, and even after surgical treatment, hemorrhoids may recur. Generally speaking, hemorrhoids without complications (such as severe bleeding, inflammation, or fistulas) are usually managed primarily with medica...[Read More] Can Internal Hemorrhoids Disappear with Dietary and Lifestyle Changes?
Understanding Lower Abdominal Pain: Causes and Solutions
Abdominal issues? Hello, Doctor: Recently, I have been experiencing intermittent sharp pain in my lower left abdomen (just below the navel), and occasionally, I feel cramping pain (but I don't have the urge to have a bowel movement). The pain is particularly noticeable when ...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, there is a high possibility of gastrointestinal dysfunction. It is recommended to prioritize dietary adjustments, such as reducing oil and dairy intake, avoiding irritating foods, and steering clear of hard-to-digest meals. Try to maintain smooth bow...[Read More] Understanding Lower Abdominal Pain: Causes and Solutions
Understanding Stool Shape: Is It Normal to See Variations?
Stool shape Doctor, I sometimes notice that a small section at the beginning or the end of my stool (about 3 or 4 centimeters) appears to be in a flattened cylindrical shape, while the rest is mostly round. Is this normal?
Dr. Chen Qifeng Reply:
Hello: If the size of the stool becomes consistently thinner or continues to narrow, rectal pathology should be suspected, and a colonoscopy is necessary. However, if the stool varies between being thick and thin, it is often due to rectal dysfunction. Wishing you health, Dr. Chi...[Read More] Understanding Stool Shape: Is It Normal to See Variations?
Follow-Up Care for Colon Polyps and Stomach Issues: What You Need to Know
Colonoscopy, gastroscopy Last year, during a self-paid health checkup at the hospital, I was found to have colon polyps (which were small and did not require removal, only follow-up monitoring was recommended), as well as a gastric ulcer and gastroesophageal reflux disease (GERD)...
Dr. Chen Qifeng Reply:
Hello: If the colonoscopy report confirms the presence of polyps, you can schedule an appointment with the Gastroenterology or Colorectal Surgery department under the National Health Insurance. A follow-up colonoscopy is recommended. Wishing you good health. Sincerely, Dr. Chi-Fe...[Read More] Follow-Up Care for Colon Polyps and Stomach Issues: What You Need to Know