Understanding Rectal Bleeding: Causes, Diagnosis, and Next Steps
Recurrent hematochezia? Two weeks ago, I started experiencing blood in my stool, and there was blood on the toilet paper when I wiped. I went to the hospital for an examination, and after the doctor performed a digital rectal exam, he said there was no bleeding from the rectum an...
Dr. Yang Zhichao Reply:
Hello Mr. VC, please complete the colonoscopy to confirm that there are no tumors or other bleeding phenomena. The majority of bleeding causes are still internal hemorrhoids or anal fissures.[Read More] Understanding Rectal Bleeding: Causes, Diagnosis, and Next Steps
Understanding Diarrhea: When to See a Gastroenterologist or Psychologist
Diarrhea issues? Hello Doctor: I used to have normal bowel movements at irregular times every day (normal without any issues). However, starting in June of this year after losing my job, I began experiencing diarrhea (I have had similar diarrhea issues in the past that varied in ...
Dr. Chen Shidian Reply:
It may still be an irritability syndrome. Management should focus on lifestyle and dietary habits (reducing oil, dairy, and coffee), along with medications for gastrointestinal symptoms and anxiety. Adjustments can be made based on the response.[Read More] Understanding Diarrhea: When to See a Gastroenterologist or Psychologist
Understanding Gastrointestinal Issues: Is Your Symptoms a Sign of Colon Cancer?
Gastrointestinal issues Hello Doctor: I previously visited a doctor due to diarrhea, abdominal bloating, and gastric distension. The doctor prescribed medication to try, but after taking it, I developed constipation, and my gastrointestinal motility seems to have decreased. Addit...
Dr. Cai Jinji Reply:
Hello Mr. Anonymous: Changes in stool consistency can be caused by many factors and are not necessarily indicative of colorectal cancer. The shape of the stool is influenced by various factors including diet, hydration, exercise, stress, and medications. It is advisable to discus...[Read More] Understanding Gastrointestinal Issues: Is Your Symptoms a Sign of Colon Cancer?
Understanding Gastrointestinal Concerns: Anxiety, Fatigue, and Cancer Risks
Gastrointestinal issues consultation? Hello Doctor, I am a 41-year-old male, 172 cm tall and weighing 80 kg. I have been suffering from anxiety disorder, obsessive-compulsive disorder, and hypochondriasis for over ten years. I have long-term issues with fatigue and poor sleep qua...
Dr. Chen Shidian Reply:
First of all, it's understandable to have concerns. However, based on the information you provided, your colonoscopy and gastroscopy results are normal, which is good news and indicates no cancer risk in the short term (1-3 years). It is advisable to collaborate with a menta...[Read More] Understanding Gastrointestinal Concerns: Anxiety, Fatigue, and Cancer Risks
Understanding Right Upper Abdomen Pain: Causes and Next Steps
Pain under the right rib cage in the upper abdomen? Hello, doctor. I occasionally experience pain in the area just below the right rib cage. The pain is localized and typically lasts for about 1 to 2 weeks each time it occurs, but it tends to recur every few months. The pain beco...
Dr. Hu Guozheng Reply:
Hello, it is recommended to visit a pain management clinic. Thank you.[Read More] Understanding Right Upper Abdomen Pain: Causes and Next Steps
Can Traditional Chinese Medicine Cause Rectal Bleeding?
Can traditional Chinese medicine cause me to have bloody stools? Dear Doctor, I have a hard lump near my anus, and a colorectal surgeon diagnosed it as an anal fistula. Currently, I am relying on traditional Chinese medicine. My TCM doctor mentioned that this is just a minor issu...
Dr. Hu Guozheng Reply:
We recommend that you visit the colorectal surgery outpatient clinic for evaluation by a specialist. Thank you.[Read More] Can Traditional Chinese Medicine Cause Rectal Bleeding?
Understanding Pathology Reports for Colorectal Cancer: Key Insights and Next Steps
Pathology Report for Colorectal Cancer Hello Dr. Chen, this year during a colonoscopy, a flat polyp approximately 5 cm in size was found on the right side of the colon. The doctor recommended surgical removal of the right colon or performing endoscopic submucosal dissection (ESD)...
Dr. Chen Shidian Reply:
This is the standard procedure in the medical field to prevent the risk of residual malignant cells with local lymphatic metastasis (lymph nodes will be removed during the surgery for confirmation), therefore surgery is still recommended. In principle, the sooner the surgery, the...[Read More] Understanding Pathology Reports for Colorectal Cancer: Key Insights and Next Steps
Understanding Irregular Bowel Movements: IBS or Something More Serious?
Sometimes bowel movements are normal, while other times there is diarrhea? Hello doctor, I am 20 years old, 186 cm tall, and weigh about 80 kg. My weight has not decreased; in fact, it has increased. I would like to ask about my recent bowel movements, which are sometimes ribbon-...
Dr. Chen Shidian Reply:
It is not colorectal cancer; it is just a variation in digestive motility. A normal diet of fruits and vegetables is recommended, and further observation is advised.[Read More] Understanding Irregular Bowel Movements: IBS or Something More Serious?
Understanding Abdominal Bloating and Constipation: When to Seek Further Testing
Abdominal bloating and constipation? Hello, doctor. In November 2023, I suddenly began experiencing abdominal bloating and constipation. There are audible rumblings in my abdomen, and sometimes I feel the urge to pass gas, but I can only release a small amount or none at all. I a...
Dr. Lin Minghui Reply:
If there are concerns about organic issues, follow-up examinations in an outpatient setting can be conducted. There have been no problems with gastrointestinal endoscopy within the past three years. While medication is effective, the recurrence may be due to gastrointestinal dysf...[Read More] Understanding Abdominal Bloating and Constipation: When to Seek Further Testing
Is It Colon Cancer? Understanding Symptoms and Concerns
Is this colorectal cancer? Hello, doctor: I have a history of nasal allergies, a hunched back, a normal weight, a balanced diet, and I rarely exercise. My bones often make sounds, and I experience bone pain (which resolves within a day, starting from seventh grade). Since I start...
Dr. Yang Zhichao Reply:
Hello Ms. H, this is likely not colorectal cancer; it may be internal hemorrhoids or external hemorrhoids. I recommend that you consult a doctor for an examination. Thank you for your question.[Read More] Is It Colon Cancer? Understanding Symptoms and Concerns
Understanding Stool Shape Changes: A Guide to Colon Health
Issues with stool shape? Hello, doctor! I apologize for the interruption. I would like to ask: If there is a tumor in colorectal cancer, the stool may be thin. However, if the stool is soft but not watery, can it also be affected by the presence of a tumor, resulting in thin stoo...
Dr. Chen Shidian Reply:
Colorectal tumors can cause weight loss, blood in the stool, difficulty in bowel movements, and intestinal obstruction. For thin stools, increasing the intake of fruits and vegetables can help improve the condition. For soft stools, it is advisable to reduce the consumption of oi...[Read More] Understanding Stool Shape Changes: A Guide to Colon Health
Understanding Your Bowel Issues: When to Seek Further Testing
Bowel issues Hello, Dr. Tsai. I have been a patient with constipation since childhood. Recently, I have been drinking some green juice to adjust my digestive system. Over the past two days, my bowel movements have been long and thin, resembling worms, or in small, segmented piece...
Dr. Cai Jinji Reply:
Hello Ms. SS: If there are changes or abnormalities in bowel habits, it is advisable to consider getting checked (cancer is just a reference). Dr. Cai JinjI, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.[Read More] Understanding Your Bowel Issues: When to Seek Further Testing
Concerns About a 0.9cm Flat Polyp: Should I Seek a Specialist?
Colonic polyp measuring 0.8 cm? Hello Doctor: I found a 0.9 cm polyp during my health check-up, which is flat type (0-IIa). Since 0.9 cm is relatively large, I was advised to have it removed at a major hospital. I also brought the diagnosis report and photos from the health check...
Dr. Hu Guozheng Reply:
It is recommended to bring both reports and photos from the two visits to the outpatient clinic for discussion.[Read More] Concerns About a 0.9cm Flat Polyp: Should I Seek a Specialist?
Understanding Changes in Stool Odor: Causes and Dietary Impact
Fecal odor issues? Hello, Deputy Director! Recently, I've noticed that the odor of my stool has become stronger over the past month. Sometimes, I experience abdominal pain shortly after eating. I tend to eat quickly, and the odor seems to be more intense when I'm consti...
Dr. Chen Shidian Reply:
The taste is within normal variation; consider reducing meat intake and increasing fruits and vegetables, then monitor the changes.[Read More] Understanding Changes in Stool Odor: Causes and Dietary Impact
Understanding Hyperplastic Polyps: Cancer Risk and Pathology Insights
Please consult the pathology report for colorectal polyps? DIAGNOSIS: Large intestine, ascending colon, biopsy removal - hyperplastic polyp. Description: The specimen submitted consists of one tissue fragment measuring 0.2 x 0.1 x 0.1 cm, fixed in formalin. Grossly, it appears br...
Dr. Cai Jinji Reply:
Hello Mr. Fatty: Typically, hyperplastic polyps are benign and do not lead to cancer. However, it is not advisable to rely solely on a single report to conclude that there are no issues. It is recommended that you discuss with your physician whether follow-up monitoring is necess...[Read More] Understanding Hyperplastic Polyps: Cancer Risk and Pathology Insights
Understanding Bowel Issues: When to Consider a Colonoscopy
Bowel issues Hello Doctor, I am currently 27 years old and have a habit of daily bowel movements. In the past, my stools were often thick and long, but now the frequency has decreased significantly; the last time I had a bowel movement was at the beginning of last month. This mon...
Dr. Lin Minghui Reply:
Abnormal bowel movements and normal fecal occult blood test results from last June—should a colonoscopy be performed? Abnormal bowel movements could be related to anxiety-induced irritable bowel syndrome, irregular diet, dietary changes, or gastroenteritis. It is recommended to a...[Read More] Understanding Bowel Issues: When to Consider a Colonoscopy
Understanding Irregular Bowel Habits: Causes, Symptoms, and Solutions
Bowel habits I would like to ask about the situation with the vice president. Due to irregular bowel habits, I have been trying to adjust to having a bowel movement once a day. Recently, I felt the urge to have a bowel movement after experiencing some flatulence and a slight sens...
Dr. Chen Shidian Reply:
It is primarily peristalsis/defecation response/degree of bowel movement, and it is generally not indicative of intestinal obstruction or colorectal cancer. Increase fluid intake and consume more fruits and vegetables, and take a walk after meals, then continue to monitor the sit...[Read More] Understanding Irregular Bowel Habits: Causes, Symptoms, and Solutions
Understanding Changes in Bowel Habits and Fecal Occult Blood Testing
Changes in bowel habits and fecal occult blood testing? Hello, doctor. I have two personal experience questions to ask: 1. For colorectal cancer patients, common symptoms include changes in bowel habits, such as loose or soft stools and diarrhea. Will these symptoms persist, or...
Dr. Chen Shidian Reply:
Colorectal cancer can cause difficulty or obstruction in bowel movements. A negative fecal occult blood test almost never indicates the presence of moderate to advanced colorectal cancer (which causes bowel difficulties), but it cannot completely rule out the possibility of very ...[Read More] Understanding Changes in Bowel Habits and Fecal Occult Blood Testing
Excessive Flatulence: Understanding Gastrointestinal Issues and Concerns
Flatulence and gastrointestinal issues? Hello Doctor, I have recently noticed a significant increase in the frequency of flatulence, particularly after dinner. I often exceed 20 times a day, and it seems to be more pronounced when I am lying down. Occasionally, I experience sudde...
Dr. Chen Shidian Reply:
Excessive gas is generally not related to tumors; it is mostly caused by dietary content and habits. Further observation is recommended.[Read More] Excessive Flatulence: Understanding Gastrointestinal Issues and Concerns
Understanding Bowel Issues: Why Do My Stools Change Throughout the Day?
Bowel issues? I have a question for the doctor. Recently, I've noticed that when I feel the urge to have a bowel movement in the morning but don't go, by the time I go in the evening, the stool is small and pellet-like, resembling rabbit droppings, and the odor is stron...
Dr. Chen Shidian Reply:
Everyone's bowel response is different. It is recommended to eat more fruits and vegetables, not to eat too quickly during meals, take a walk after eating, and then observe the changes.[Read More] Understanding Bowel Issues: Why Do My Stools Change Throughout the Day?