Changes in Bowel Habits: When to Consider a Colonoscopy?
Changes in bowel habits Hello, doctor. Previously, I would have a bowel movement every 2-3 days, sometimes normal and sometimes with diarrhea. Even when I felt discomfort in my abdomen, it would usually disappear after I had a bowel movement. About a month ago, I started feeling ...
Dr. Cai Anshun Reply:
Hello: Since there are no significant changes in bowel habits and if there is no family history of colorectal cancer, you can first test for fecal occult blood. If there are any issues, then consider a colonoscopy. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Changes in Bowel Habits: When to Consider a Colonoscopy?
Understanding Blood in Stool: Causes and Concerns in Gastroenterology
Blood in the stool? In the past three months, I have had five bowel movements with a drop of blood at the end. When wiping after a bowel movement, there is fresh red blood about the size of a ten-dollar coin mixed with the stool. I have been experiencing diarrhea continuously for...
Dr. Chen Shidian Reply:
All examinations should be complete; continuous monitoring and medication management are sufficient.[Read More] Understanding Blood in Stool: Causes and Concerns in Gastroenterology
Understanding Gastrointestinal Issues: Symptoms and Concerns
Bowel-related issues, gastrointestinal problems? Due to an unstable routine over the past two months, combined with the consumption of spicy foods and a tendency to overeat, I have been experiencing constipation for more than a month. About two weeks ago, I noticed passing what a...
Dr. Hu Guozheng Reply:
According to your statement, there should be a difference in the color and consistency of the stool, and although a recent endoscopy was normal, the issue has recurred. Gastrointestinal bleeding can manifest as black or bloody stools, but not all black stools necessarily indicate...[Read More] Understanding Gastrointestinal Issues: Symptoms and Concerns
Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Next Steps
Diagnosed with irritable bowel syndrome (IBS)? Doctor, I had a suspected case of acute gastroenteritis two months ago, and after taking medication, it seems to have triggered gastrointestinal dysfunction. I was recently diagnosed with irritable bowel syndrome (IBS). My current sy...
Dr. Hu Guozheng Reply:
If symptoms worsen or persist for more than 3-6 months, leading to weight loss, it may be advisable to consult a physician to discuss the necessity of further examinations. The specific tests to be conducted would depend on the current symptoms and should be assessed accordingly....[Read More] Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Next Steps
Understanding Yellow and Black Stool: GERD and Potential Concerns
Stool that is yellow with black streaks and gastroesophageal reflux? Hello doctor, two months ago I underwent an upper gastrointestinal endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gas...
Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.[Read More] Understanding Yellow and Black Stool: GERD and Potential Concerns
Understanding Yellow Stool with Black Spots: GERD and Potential Concerns
Stool that is yellow with black streaks and gastroesophageal reflux disease (GERD)? Hello doctor, two months ago I underwent an endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gastric ulc...
Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.[Read More] Understanding Yellow Stool with Black Spots: GERD and Potential Concerns
Understanding Right Lower Abdominal Pain: Causes and Solutions
Right lower abdominal cramping pain? Hello, Doctor. For the past six months, I have been experiencing unexplained cramping pain in my lower right abdomen. Sometimes it lasts for 1-2 days, and other times up to a week. Typically, the pain only lasts for 5-10 minutes each day befor...
Dr. Chen Shidian Reply:
Apply local heat therapy and stretching, paying attention to posture, while also monitoring changes in symptoms.[Read More] Understanding Right Lower Abdominal Pain: Causes and Solutions
Understanding Digestive Issues: When to Seek Further Testing
Bowel issues Hello Doctor, I have been experiencing frequent diarrhea and constipation for about 10 years. Initially, my bowel movements were normal, but later on, I started having diarrhea. Sometimes I go to the bathroom 2 to 3 times a day, while other times it can be 2 or 3 day...
Dr. Yang Zhichao Reply:
Hello Ms. STW, based on your symptoms, if there is no improvement with treatment, it is recommended to schedule a colonoscopy to rule out inflammatory bowel disease. Thank you for your inquiry.[Read More] Understanding Digestive Issues: When to Seek Further Testing
Understanding Blood in Stool: Hemorrhoids or Colon Cancer Concerns?
Rectal bleeding About a month ago, I noticed that my stool was normal yellow and had a typical elongated shape. However, there was some blood on the surface from the middle to the end of the stool. The blood is consistently located on the same side, and I experience some squeezin...
Dr. Yang Zhichao Reply:
Hello Mr. K, regarding your issue of blood in the stool, I recommend that you arrange for a colonoscopy at the hospital to rule out the possibility of polyps or tumors. Thank you for your inquiry.[Read More] Understanding Blood in Stool: Hemorrhoids or Colon Cancer Concerns?
Persistent Right Abdominal Pain: Causes and Next Steps for Diagnosis
Right abdominal dull and sharp pain for almost a month? One night, I was suddenly awakened by what seemed to be acute gastroenteritis, experiencing vomiting and fever. The next morning, I saw a doctor and felt some improvement. However, after a few days, my symptoms worsened. Ini...
Dr. Chen Shidian Reply:
Please discuss with the attending physician.[Read More] Persistent Right Abdominal Pain: Causes and Next Steps for Diagnosis
Understanding Left Lower Abdominal Pain: Causes and Next Steps
Left lower abdominal distension and pain? Left lower abdominal bloating and pain, unsure if it's related to the urethra or the ovaries, with some slight stabbing pain in the vagina. After a few days, urination has become more difficult, requiring some effort to empty the bla...
Dr. Chen Shidian Reply:
Follow-up visits are recommended, and please monitor for any fever or worsening symptoms. Diverticulitis is often diagnosed through colonoscopy or computed tomography (CT) and may be associated with fever.[Read More] Understanding Left Lower Abdominal Pain: Causes and Next Steps
Understanding Blood in Stool: When to Seek Medical Attention
There are small traces of blood in the stool? Hello, Doctor! Occasionally in the morning, I experience stomach discomfort and diarrhea, but it usually resolves immediately after using the restroom. At other times, my bowel movements are normal without diarrhea. A few months ago, ...
Dr. Cai Anshun Reply:
Hello: If you notice obvious blood streaks, you can first take a photo with your phone and then consult a gastroenterologist to arrange for appropriate examinations. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Understanding the Risks of Adenomas and Colon Cancer After Polypectomy
Adenoma found during colonoscopy? Hello, Dr. Tsai: I would like to ask you about a recent colonoscopy I had, which revealed a benign adenoma smaller than 1 centimeter. It has been removed, and I am scheduled for follow-up examinations every two years to check for any dysplasia. I...
Dr. Cai Jinji Reply:
Hello Mr. Han: If there are small adenomas, it is advisable to address them, as this will certainly reduce the risk of progression to colorectal cancer; however, it is not absolute, as there are many factors involved. Adenomas are generally benign, but if left untreated, they may...[Read More] Understanding the Risks of Adenomas and Colon Cancer After Polypectomy
Understanding Black Stool After Colonoscopy: Causes and Concerns
After a colonoscopy After a colonoscopy, if your stool is black the next day, it could be due to several reasons. One common cause is the presence of blood in the stool, which may indicate bleeding in the gastrointestinal tract. Additionally, if you were given iron supplements or...
Dr. Chen Shidian Reply:
Please confirm with the examining physician.[Read More] Understanding Black Stool After Colonoscopy: Causes and Concerns
Managing Acute Gastroenteritis: Symptoms, Medications, and Recovery Tips
This time it is acute gastroenteritis? After discussing the colonoscopy with my doctor, I recently stayed up late again, which seems to have weakened my body and led to gastroenteritis. I visited a doctor who prescribed Zhenghe Yue Guizhi tablets, Dubikang (Loperamide) tablets, a...
Dr. Cai Anshun Reply:
Hello: After diarrhea, a sudden decrease in bowel movements may occur, which should not be immediately classified as constipation. It is important to ensure adequate hydration, electrolytes, and intake of fruits and vegetables, as this should gradually improve the situation. Unle...[Read More] Managing Acute Gastroenteritis: Symptoms, Medications, and Recovery Tips
Persistent Upper Abdominal Pain: Next Steps for Diagnosis and Management
Persistent pain in the upper abdomen? Hello doctor, I am currently undergoing treatment for Crohn's disease and have been using biologic agents. After my recent biologic injection, I have experienced persistent discomfort in my upper abdomen. I have tried pressing on various...
Dr. Chen Shidian Reply:
Please discuss with a gastroenterologist regarding medication management.[Read More] Persistent Upper Abdominal Pain: Next Steps for Diagnosis and Management
Understanding Severe Diarrhea: Causes, Symptoms, and Management Tips
Since yesterday, the diarrhea has been getting progressively worse? Hello, doctor. Recently, I visited a physician due to a feeling of urgency and heaviness in my lower abdomen, which I believe was caused by hemorrhoids. The doctor diagnosed me with irritable bowel syndrome (IBS)...
Dr. Chen Shidian Reply:
Please cooperate with a gastroenterologist to adjust your schedule and take your medication.[Read More] Understanding Severe Diarrhea: Causes, Symptoms, and Management Tips
Understanding Left Lower Abdominal Discomfort: Causes and Solutions
Tight and painful in the lower left abdomen? Hello, I would like to inquire about a persistent tightness in my lower left abdomen. I feel that the left side is harder than the right side near the pelvis, although when I contract my abdominal muscles, I don't notice any diffe...
Dr. Cai Anshun Reply:
Hello: If a physician suspects that the issue is related to constipation or fecal impaction, they may first recommend medications from a gastroenterologist or dietary adjustments to address the constipation. If constipation is resolved but bloating persists, a colonoscopy or furt...[Read More] Understanding Left Lower Abdominal Discomfort: Causes and Solutions
Chronic Diarrhea: Is It IBS or Colon Cancer?
Chronic diarrhea can be a symptom of irritable bowel syndrome (IBS) or colorectal cancer? I have been experiencing chronic diarrhea for almost three months, with daily bowel movements every morning. Occasionally, I have mild abdominal cramps, followed by borborygmi and flatulence...
Dr. Chen Shidian Reply:
You can first check for occult blood in the stool as a reference.[Read More] Chronic Diarrhea: Is It IBS or Colon Cancer?
Understanding Gastrointestinal Symptoms: When to Consider a Colonoscopy
Continuation of question #187758? Hello Doctor, I previously inquired about issues related to bloating and changes in stool consistency (from thick to thin) (<a href="https://adoctor.tw/article/187758">#187758</a>), and here is the link: https://adoctor.tw/a...
Dr. Chen Shidian Reply:
First, it's important to understand that all tests have a limit to their accuracy. While colonoscopy is the most precise, it is possible for all tests to return negative results. Therefore, it is medically logical (and often a standard for health insurance review) to first a...[Read More] Understanding Gastrointestinal Symptoms: When to Consider a Colonoscopy