Understanding Duodenal Ulcers and White Spots: What You Need to Know
Pylorus/Duodenum: There are necrotic white spots????? Hello! In the past two days, I underwent a colonoscopy and an upper gastrointestinal endoscopy. On the day of the endoscopy, the doctor mentioned that there were areas of erosion in the pylorus and duodenum. Today, during the ...
Dr. Lin Minghui Reply:
Hello, 1. Regarding the diagnosis using endoscopy (gastroscopy and colonoscopy), it is advisable to consult a physician. 2. Four samples may be taken, which could involve biopsies that require histopathological examination; the results will take longer, approximately one week ...[Read More] Understanding Duodenal Ulcers and White Spots: What You Need to Know
Understanding Symptoms: Could It Be Colon Cancer?
No abdominal pain? I would like to ask if there is no visible blood in the stool, but there is blood when wiping after a bowel movement, without any pain in the anus, abdomen, or stomach. The stool is somewhat muddy and a darker yellow-brown color. Bowel movements occur once in t...
Dr. Chen Shidian Reply:
Dear Mr. T-Wei: It is not possible to make a definitive diagnosis at this time. You may first undergo a flexible sigmoidoscopy (which is simple and painless) to confirm that there is no cancer, and then continue with medication for monitoring. We can discuss whether to proceed wi...[Read More] Understanding Symptoms: Could It Be Colon Cancer?
Navigating Care Decisions for Elderly Patients with Gastrointestinal Issues
Hello, doctor. I would like to ask for your advice? Hello Doctor, my grandmother has generally been in good health, but due to her age (currently in her 80s), she can only consume liquid foods (milk and carrot puree). She often expresses feelings of hopelessness, saying things li...
Dr. Zhang Siyuan Reply:
To MustLee: Honestly, as a doctor with many years of experience, I can say that in cases similar to your grandmother's, there are numerous human factors involved behind modern medical practices. No one has the right to force a patient to undergo treatment. When facing your g...[Read More] Navigating Care Decisions for Elderly Patients with Gastrointestinal Issues
Understanding Gastrointestinal Issues: Possible Causes and Diagnostic Tests
Gastroenterology Gastroenterology: Due to my unfortunate experiences during military service, I had an irregular diet, often going several meals without eating, and even when I did eat, I had to lift heavy objects immediately afterward. As a result, my gastrointestinal system was...
Dr. Zhang Siyuan Reply:
To Mr. Chen: Your symptoms do not seem to follow the typical course of appendicitis, nor do they appear to be related to spinal injury. Instead, they resemble gastrointestinal dysfunction, potentially including dysfunction of the important gastrointestinal sphincters. These issue...[Read More] Understanding Gastrointestinal Issues: Possible Causes and Diagnostic Tests
Understanding Chronic Left Lower Abdominal Pain: Causes and Solutions
Left lower abdominal pain? 1. The current symptoms include bloating and pain in the lower left abdomen, which have persisted for four years. There is still abdominal bloating and pain regardless of diet. 2. So far, I have consulted various specialists, including gastroenterolog...
Dr. Lin Minghui Reply:
Hello Mrs. Wu, You have been experiencing pain in your lower left abdomen, which must have been quite bothersome for a long time. You have undergone examinations for muscular, neurological, urinary, gastrointestinal, and gynecological issues, all of which showed no problems. Ho...[Read More] Understanding Chronic Left Lower Abdominal Pain: Causes and Solutions
Chronic Left Lower Abdominal Pain: Seeking Solutions and Expert Advice
Left lower abdominal distension and pain? The patient would like to ask: 1. Currently, the symptoms include bloating and pain in the lower left abdomen, which have persisted for four years. Is there any dietary consideration that could alleviate the bloating and pain? 2. Up to no...
Dr. Chen Shidian Reply:
Dear Mrs. Wu, If the tests have returned normal results but you still experience symptoms, it is recommended to continue medication and follow-up (it may be functional impairment—likely Irritable Bowel Syndrome). Changhua Hospital cares about your health. Sincerely, Chen Shi...[Read More] Chronic Left Lower Abdominal Pain: Seeking Solutions and Expert Advice
Understanding Changes in Bowel Habits: When to Seek Medical Advice
Bowel issues Hello, doctor. I used to have a very regular bowel habit of once a day, but in the past six months, my bowel habits have changed. I often go several times a day, sometimes 3 to 4 times, and the time spent in the bathroom has increased. I also experience a feeling of ...
Dr. Chen Shidian Reply:
Hello Mr. Kevin: The symptoms you described are mostly indicative of "Irritable Bowel Syndrome" (IBS). However, due to your history of blood in the stool, it is recommended that you visit a gastroenterology clinic for a colonoscopy (you may request a sedation option for...[Read More] Understanding Changes in Bowel Habits: When to Seek Medical Advice
Understanding Blood in Stool: Is It Hemorrhoids or Something More?
Hematochezia Recently, whenever I exert a little effort to have a bowel movement, I notice some bleeding. However, the blood only appears in the stool (I see red in the fissures of the stool), and there is no dripping of blood. If the stool is loose, there is no blood. I have pre...
Dr. Lin Minghui Reply:
Hello, 1. If you see red in the fissures of your stool, it may indicate actual bleeding, and a stool test can be performed. 2. Common causes of blood in the stool include hemorrhoids, anal fissures, polyps, colitis, and colorectal tumors. If necessary, a colon examination (ima...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something More?
Understanding White Mucus in Stool: Should You Worry About Colon Cancer?
White mucus in stool? Having white mucus in your stool for three consecutive days, along with the presence of mucus during flatulence, can be concerning. While these symptoms can be associated with various gastrointestinal issues, they are not definitive indicators of colorectal ...
Dr. Chen Shidian Reply:
Hello Miss Hsiao-Wen: It is likely indigestion (Irritable Bowel Syndrome). You mainly need to adjust your diet and medication; it is not colon cancer (which includes blood in the stool). Please rest assured. Changhua Hospital cares about your health. Chen Shih-Tien[Read More] Understanding White Mucus in Stool: Should You Worry About Colon Cancer?
Understanding Blood in Stool: Is It Hemorrhoids or a Gut Issue?
Hematochezia I have been experiencing chronic constipation, and recently I noticed some blood on the toilet paper after having a bowel movement. The last time I went to the bathroom, there was blood in the stool, and the blood on the toilet paper was bright red, with a significan...
Dr. Chen Shidian Reply:
Dear Ms. Fish A: Please monitor for any changes in bowel habits and weight loss. Additionally, take a stool softener and use hemorrhoid ointment. If there is no improvement, a colonoscopy (sigmoidoscopy) is recommended. Changhua Hospital cares about your health. Sincerely, Chen S...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or a Gut Issue?
Understanding Left Lower Abdominal Pain: Causes and Diagnostic Procedures
Left lower abdominal bloating and pain? I started experiencing pain in my lower left abdomen since last Wednesday (August 29). The pain is more noticeable when standing or walking, but less so when lying down. I do not have any symptoms of constipation; I usually have regular and...
Dr. Lin Minghui Reply:
Hello, 1. Left lower abdominal pain can have many differential diagnoses, including musculoskeletal, gynecological, urological, and gastrointestinal inflammatory conditions, all of which may cause pain. Antispasmodic medications can help alleviate the pain. If there is persiste...[Read More] Understanding Left Lower Abdominal Pain: Causes and Diagnostic Procedures
Understanding Rectal Bleeding: Causes and Concerns for Office Workers
Rectal bleeding Yesterday afternoon, while using the restroom, after squatting for a while, I only passed gas and noticed what appeared to be blood spraying from my anus. Several drops of bright red blood were on the toilet, and there was still blood on the toilet paper after wip...
Dr. Chen Shidian Reply:
Dear Ms. Jorbin: The likelihood of bleeding from an internal hemorrhoid is higher. You may first apply a topical hemorrhoid cream. If discomfort persists, you may consider undergoing an anoscopy or colonoscopy. Changhua Hospital cares about your health. Sincerely, Chen Shidian.[Read More] Understanding Rectal Bleeding: Causes and Concerns for Office Workers
Persistent Diarrhea: When to Seek Further Medical Evaluation?
Persistent diarrhea? Hello doctor, I started experiencing diarrhea on June 25th, which occurs about 2 to 3 hours after eating, and it has been watery. I visited the clinic on June 28th for treatment and received medication. For my meals, I only consumed white toast or congee. How...
Dr. Lin Minghui Reply:
When experiencing gastroenteritis, it is important to maintain a light diet and ensure adequate hydration and electrolyte replenishment. Gastroenteritis can have many causes, including poor dietary practices, viruses, bacteria, or medications. Endocrine disorders and psychologica...[Read More] Persistent Diarrhea: When to Seek Further Medical Evaluation?
Understanding Small Intestinal Inflammation: Causes and Treatment Options
Inflammation of the small intestine Hello! My elder, approximately 85 years old, underwent surgery for small bowel obstruction four months ago (during which a hernia was also discovered). They are now hospitalized due to abdominal distension and vomiting. Upon examination, it was...
Dr. Liu Nanshan Reply:
Hernias can be a cause of small bowel obstruction. Postoperative adhesions are a common complication after abdominal surgery, varying in severity, with severe cases requiring reoperation. Patients may experience recurrent abdominal cramping, causing significant distress. Examinat...[Read More] Understanding Small Intestinal Inflammation: Causes and Treatment Options
Understanding Colorectal Cancer Symptoms: What to Watch For
What are the symptoms of colorectal cancer? Hello Dr. Liu, I would like to ask you about my mother. Recently, she went to the hospital for a colonoscopy due to rectal bleeding, but only hemorrhoids were found. However, her symptoms are somewhat similar to those of colorectal can...
Dr. Liu Nanshan Reply:
Colorectal cancer does not have specific symptoms; the symptoms you mentioned are all possible. Clinically, rectal bleeding (which must be distinguished from hemorrhoidal bleeding) is common, and chronic iron deficiency anemia is the most frequent presentation. Since your mother’...[Read More] Understanding Colorectal Cancer Symptoms: What to Watch For
Understanding Chronic Abdominal Pain and Bloating: Causes and Solutions
Abdominal bloating and lower abdominal discomfort? Hello Doctor, I have a history of stomach pain and discomfort in the lower abdomen for about four years. Over the past four years, I have undergone regular gastroscopy and abdominal ultrasound examinations, with results showing ...
Dr. Chen Shidian Reply:
Hello Mr. Easy: Based on the information provided, major diseases have mostly been ruled out (only colonoscopy and small bowel endoscopy have not been performed), so there should be no significant issues. You may discuss related medications and lifestyle adjustments with your phy...[Read More] Understanding Chronic Abdominal Pain and Bloating: Causes and Solutions
Managing Constipation in Elderly Patients with Parkinson's Disease
Constipation in the elderly? Hello Dr. Lin, My father has Parkinson's disease and is currently on medication for management. However, one of the side effects of the medication is constipation. He often goes a week without a bowel movement. Last month, he experienced abdomi...
Dr. Lin Minghui Reply:
1. A colonoscopy has been performed, ruling out the possibility of colorectal tumors and polyps. 2. Patients with Parkinson's disease experience a reduction in neurons in the colonic plexus, leading to slow colonic motility. Additionally, the intrinsic extrapyramidal movemen...[Read More] Managing Constipation in Elderly Patients with Parkinson's Disease
Chronic Right Lower Abdominal Pain: Seeking Answers After 4 Years
Persistent pain in the lower right abdomen for four years, with a trend of increasing severity... however, all examinations have returned normal results? Hello Doctor, about four years ago, I started experiencing discomfort in my lower right abdomen. During the first year of disc...
Dr. Lin Minghui Reply:
1. Is dizziness related to anemia? A blood test to check hemoglobin levels can determine this. 2. If there are abnormalities in the stool, a stool test can be performed to check for occult blood, parasites, etc. 3. Currently, there are no tests that can confirm or rule out ir...[Read More] Chronic Right Lower Abdominal Pain: Seeking Answers After 4 Years
Understanding Bowel Issues: Causes of Diarrhea and Incomplete Evacuation
Defecation I have hemorrhoids, which were quite severe for a while, but I improved after taking painkillers. A few weeks ago, I started experiencing frequent diarrhea, but when sitting on the toilet, I mostly just passed gas, with very little actual stool. In the past few days, t...
Dr. Chen Shidian Reply:
Hello Umex: If there is blood in the stool or if the condition is severe, a rectal or colonoscopy can be arranged to rule out specific diseases. If the examination is normal, it may be diagnosed as "Irritable Bowel Syndrome" (IBS) with symptoms of dyspepsia and bowel ob...[Read More] Understanding Bowel Issues: Causes of Diarrhea and Incomplete Evacuation
Understanding Abdominal Pain and Changes in Stool Shape: Causes and Solutions
Abdominal pain with stool that is small and pencil-shaped? In the past couple of months, I've been experiencing bloating after eating even a little bit, specifically in the lower right side of my abdomen near the navel. It feels like there's excess air inside, and when ...
Dr. Chen Shidian Reply:
Hello, Xiao Yu: There are many causes of abdominal pain, and a diagnosis cannot be made solely based on the symptoms described. It is advisable to visit a gastroenterology clinic for examinations (such as stool tests, colonoscopy, ultrasound, etc., depending on the results of the...[Read More] Understanding Abdominal Pain and Changes in Stool Shape: Causes and Solutions