Defecation, Gastroenterology and Hepatology FAQ - Page 3

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Blood in Stool: Should You Get a Full Colonoscopy?

Blood in stool 2 Hello Doctor: Recently, I have occasionally noticed blood streaks in my stool, likely due to holding in my bowel movements and delaying defecation. In my previous inquiry, I mentioned that I underwent a sigmoidoscopy in March of this year. The doctor indicated th...


Dr. Chen Qifeng Reply:
Hello: If you still experience rectal bleeding or other symptoms, you may consider undergoing a colonoscopy. Wishing you safety and health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

[Read More] Blood in Stool: Should You Get a Full Colonoscopy?


Understanding High Water Content in Stool: Is It Irritable Bowel Syndrome?

Difficulty in bowel movements, with high water content in the stool and gas? Doctor, I have had gastrointestinal issues since childhood. When my diet is poor, I tend to experience bloating, and when it gets worse, excessive stomach acid leads to gastric ulcers. In the past, altho...


Dr. Cai Anshun Reply:
Hello: Irritable bowel syndrome (IBS) must meet the following criteria: In the past 6 months, there should be at least 12 weeks or more of abdominal discomfort, with recurrent symptoms including: abdominal pain or bloating that improves after a bowel movement; changes in bowel fr...

[Read More] Understanding High Water Content in Stool: Is It Irritable Bowel Syndrome?


Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Management

Irritable Bowel Syndrome (IBS) Definition of Irritable Bowel Syndrome (IBS): It is characterized by abdominal pain or discomfort occurring at least three days per month in the last three months, along with two or more of the following symptoms: (1) relief of symptoms after defeca...


Dr. Cai Anshun Reply:
Hello: For questions regarding a definitive diagnosis, you should discuss them with your attending physician. I often tell my patients that gastrointestinal functional issues are often influenced by psychological factors. Medications only alleviate discomfort symptoms and do not ...

[Read More] Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Management


Understanding Irritable Bowel Syndrome: Symptoms and Diagnosis

Irritable Bowel Syndrome (IBS) Long-term pain in the lower abdomen on both sides, which can radiate to the pubic area. There is a feeling of pressure and discomfort in the lower back while sitting, but it feels better when standing. The abdominal pain does not trigger the urge to...


Dr. Cai Anshun Reply:
Hello: The Rome III criteria define irritable bowel syndrome (IBS) as the occurrence of abdominal pain or discomfort at least three days per month in the last three months, accompanied by two or more of the following symptoms: (1) relief of symptoms after defecation, (2) a change...

[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Diagnosis


Should You Force Bowel Movements? Expert Insights on Healthy Habits

Regarding bowel movement issues? I often see doctors on television advising the public to develop good bowel habits, suggesting that even if there is no urge to defecate, one should still go to the bathroom at the scheduled time. However, my mother says that if there is no urge, ...


Dr. Cai Anshun Reply:
Hello: The sensation of needing to defecate occurs when feces reach the rectum, causing an increase in pressure that stimulates the pelvic nerves in the rectal wall. This signal is then transmitted to the defecation center in the sacral region, and finally relayed to the hypothal...

[Read More] Should You Force Bowel Movements? Expert Insights on Healthy Habits


Understanding Left Lower Abdominal Discomfort and Increased Bowel Movements

In the past few days, I have experienced a feeling of fullness and bloating in the lower left abdomen, along with an increased frequency of bowel movements? Hello, doctor. Recently, I've been experiencing a noticeable feeling of discomfort in my lower left abdomen that I can...


Dr. Cai Anshun Reply:
Hello: According to the Rome III criteria for Irritable Bowel Syndrome (IBS), abdominal pain or discomfort must occur at least three days per month over the last three months. Additionally, there should be two or more of the following symptoms: (1) relief of symptoms after defeca...

[Read More] Understanding Left Lower Abdominal Discomfort and Increased Bowel Movements


Understanding Excessive Puborectalis Muscle Tension and Its Impact on Bowel Health

Is there excessive tension in the pelvic floor muscles? Hello Dr. Chen, on December 8th, I underwent a defecation X-ray examination at Cathay General Hospital in Taipei, and the results are as follows: http://www.imagehosting.com/photo/x-754?context=user. I initially suspected be...


Dr. Chen Shidian Reply:
Hello Mr. Hsiao-Fan, The examination and treatment of bowel obstruction can be quite complex. Please cooperate with your physician and be patient with the adjustments and medications. Dr. Chen Shih-Dian from Changhua Hospital cares about your health.

[Read More] Understanding Excessive Puborectalis Muscle Tension and Its Impact on Bowel Health


Understanding Recent Abdominal Pain and Irregular Bowel Movements: Causes and Solutions

Recent frequent pain in the stomach and lower abdomen can be caused by various factors. Possible reasons include gastritis, peptic ulcers, irritable bowel syndrome (IBS), gastrointestinal infections, or even conditions such as appendicitis or diverticulitis. It is important to co...


Dr. Chen Qifeng Reply:
Hello: Gas, stomach pain, are symptoms of the upper gastrointestinal tract, with chronic gastritis being the most common condition. It is advisable to avoid irritating foods, limit tea and coffee intake, and refrain from smoking and drinking alcohol. If there is no improvement, f...

[Read More] Understanding Recent Abdominal Pain and Irregular Bowel Movements: Causes and Solutions


Understanding Digestive Issues: Insights on Bowel Health and Treatment Options

Gastrointestinal issues, etc? Hello Dr. Lee: After I have a bowel movement, I sometimes notice that I can wipe some stool with toilet paper after a while, which seems to indicate that I am not fully emptying my bowels (without blood in the stool). I have visited the hospital, and...


Dr. Li Yongming Reply:
Many patients in gastroenterology clinics report the symptom of incomplete bowel evacuation, which is often benign in nature. Possible causes include: 1. Insufficient fiber intake, leading to poorly formed (non-shaped) stools, or poor water absorption in the intestines, resulting...

[Read More] Understanding Digestive Issues: Insights on Bowel Health and Treatment Options


Understanding Post-Defecation Bleeding: Causes and Concerns

Rectal bleeding Hello doctor, I experienced rectal bleeding for about five hours in mid-June, which was bright red and painless. (On that day, I had diarrhea, which was somewhat hard at first and then soft; there was no blood in the stool itself.) In August, I underwent a fecal i...


Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, it appears to be bleeding near the anus, possibly from hemorrhoids or anal fissures. You should consult a colorectal surgeon. Generally, post-defecation bleeding refers to bleeding that occurs immediately after a bowel movement. Wishing you good heal...

[Read More] Understanding Post-Defecation Bleeding: Causes and Concerns


Understanding Constipation and Its Link to Colon Health

Regarding issues of fecal retention and constipation? Hello, I would like to ask about my situation. During my junior high and high school years, I mainly ate fast food, rarely consumed vegetables, and exercised little, which led to long-term constipation. I usually have a bowel ...


Dr. Lin Minghui Reply:
Hello: Regarding your question, here are the responses: (1) Chronic constipation and excessive straining during bowel movements can lead to hemorrhoids, anal fissures, rectal prolapse, and intestinal obstruction. (2) The causes of constipation and irregular bowel movements includ...

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How to Identify and Address Your Constipation Concerns?

How can one distinguish if they have constipation? I have been experiencing symptoms similar to constipation in the past few days. The amount I eat and the amount I pass have noticeably decreased. When I do have a bowel movement, it’s not hard stools; rather, they are somewhat so...


Dr. Lin Minghui Reply:
Hello: The definition of constipation includes: (1) decreased frequency of bowel movements (less than three times a week), passing hard stools, straining during defecation, feeling of incomplete evacuation, and a sensation of obstruction at the anal opening, all of which may indi...

[Read More] How to Identify and Address Your Constipation Concerns?


Understanding Rectal Prolapse: Symptoms, Concerns, and When to Seek Help

I am experiencing a protrusion from my anus when I exert myself (I have a picture...)? I'm experiencing a situation where a large mass protrudes from my anus when I strain during bowel movements. This has been happening for many years, and I haven't paid much attention ...


Dr. Lin Minghui Reply:
Hello, the imaging appears to show a rectal prolapse, which may be related to hemorrhoids. It is advised to avoid irritating foods and maintain normal bowel movements. A consultation with a colorectal surgeon for examination and treatment is recommended. Wishing you good health. ...

[Read More] Understanding Rectal Prolapse: Symptoms, Concerns, and When to Seek Help


Understanding Frequent Urges to Defecate: Causes and Concerns

Frequent urge to defecate? Hello Doctor: 1. Recently, for the past two or three days, I have frequently felt the urge to have a bowel movement, but it doesn't feel like I can't pass stool; it's just the urge. I have normal bowel movements every day. I've bee...


Dr. Lin Minghui Reply:
Hello, 1. Irritable bowel syndrome (IBS) and increased intestinal sensitivity are related to emotions, with clinical manifestations that may include constipation, diarrhea, or alternating episodes of both. 2. The color of stool is related to the foods consumed; dark-colored v...

[Read More] Understanding Frequent Urges to Defecate: Causes and Concerns


Understanding Blood in Stool: Causes, Concerns, and Next Steps

The issue of rectal bleeding? I previously visited the hospital due to bowel issues, experiencing pain during defecation and blood in my stool. The doctor suggested it might be hemorrhoids or anal fissures and prescribed an ointment and a stool softener, which improved my conditi...


Dr. Lin Minghui Reply:
Hello, if you are experiencing recurrent rectal bleeding during bowel movements and are concerned about the presence of blood in your stool, it is advisable to visit a colorectal surgeon or a gastroenterologist for an examination to determine the cause. Wishing you good health. S...

[Read More] Understanding Blood in Stool: Causes, Concerns, and Next Steps


Understanding Bright Red Blood in Stool: Causes and Concerns

Hemorrhoidal bleeding Hello, doctor. I would like to ask about my bowel movements, which are usually normal. However, today I noticed a small amount of bright red blood during defecation, separate from the stool. After urinating, I also see a small amount of blood on the toilet p...


Dr. Lin Minghui Reply:
Hello, blood in the stool is generally associated with issues related to the rectum or anus. Common problems in young individuals include hemorrhoids, anal fissures, and enteritis, while less common causes may include diverticula, polyps, or tumors. It is advisable to avoid spicy...

[Read More] Understanding Bright Red Blood in Stool: Causes and Concerns


Understanding the Causes of Pellet-Like Stool: A Gastrointestinal Perspective

Gastrointestinal issues Hello, could you please explain the reasons for having pellet-like stools for over a year? (My diet is normal, and I have sufficient intake of fruits, vegetables, and water.) Thank you.


Dr. Lin Minghui Reply:
Hello Dennispeng, 1. Pellet-like stools can be seen in various causes of constipation and irritable bowel syndrome. When feces remain in the colon for too long, a significant amount of water is absorbed by the intestinal wall, resulting in hard and dry stools that are difficult ...

[Read More] Understanding the Causes of Pellet-Like Stool: A Gastrointestinal Perspective


Natural Remedies for Constipation: A Guide to Relieving Symptoms

Bowel movement issues Hello, I have symptoms of internal hemorrhoids, and I have a bowel movement approximately every three days. After defecation, I still feel like I haven't completely emptied my bowels and want to feel clean and comfortable. However, I'm still consid...


Dr. Chen Shidian Reply:
Hello, Miss: Drinking water in the morning (without adding salt) can promote bowel movements. However, it does not have a direct relationship with internal hemorrhoids or incomplete evacuation. It is recommended to consume more fiber-rich foods, and enemas should only be used for...

[Read More] Natural Remedies for Constipation: A Guide to Relieving Symptoms


Understanding Left Upper Abdominal Pain and Digestive Issues

Pressing on the upper left abdomen causes pain? Dear Dr. Lin Ming-Hui, I would like to ask you about some symptoms I have been experiencing recently. Since March and April of last year, I have noticed alternating bowel movements, sometimes having a solid stool and other times ex...


Dr. Lin Minghui Reply:
You are experiencing symptoms of abnormal bowel movements, bloating, and abdominal pain, which improve after defecation. If you do not have a proper bowel movement, your abdomen feels bloated. These symptoms are consistent with a diagnosis of irritable bowel syndrome (IBS). Stres...

[Read More] Understanding Left Upper Abdominal Pain and Digestive Issues


Understanding Urgency: Gastrointestinal Issues and Their Causes

urgent bowel movement Hello Dr. Tsai, My wife wakes up every morning around 6 AM and takes our dog for a walk for about 30 to 40 minutes. Frequently, as she is about to return home, she feels an urgent need to use the restroom (this occurs about twice every three days) and exper...


Dr. Cai Yaozhou Reply:
Irritable Bowel Syndrome (IBS) is a functional gastrointestinal disorder characterized by unexplained abdominal pain or discomfort associated with changes in bowel habits. The term "functional" indicates that current examinations do not reveal any organic lesions. The d...

[Read More] Understanding Urgency: Gastrointestinal Issues and Their Causes


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