Diarrhea, Gastroenterology and Hepatology FAQ - Page 31

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Understanding Mucus Discharge from the Anus: Causes and Concerns

There is mucus discharge from the anus? Hello, Doctor. About two weeks ago, I suddenly experienced diarrhea 3-4 times two hours after lunch. I had two packets of loperamide at home, so I took them in two doses to stop the diarrhea. However, starting the next day, I noticed a smal...


Dr. Chen Shidian Reply:
It appears to be normal secretions from the colon, and further observation is recommended.

[Read More] Understanding Mucus Discharge from the Anus: Causes and Concerns


Irritable Bowel Syndrome: Managing Weight Loss and Bloating Challenges

Irritable Bowel Syndrome (IBS): Dietary bloating, weight loss to underweight? Irritable Bowel Syndrome: Dietary Bloating, Weight Loss to Underweight Hello Doctor, I have been seeking medical attention for over a year and have consulted many doctors. As of January 19, 2021, I had...


Dr. Chen Shidian Reply:
You seem to have a tendency towards anxiety, and it is advisable to seek assistance from a psychosomatic specialist (along with a metabolic specialist to rule out any new metabolic diseases) for management.

[Read More] Irritable Bowel Syndrome: Managing Weight Loss and Bloating Challenges


Understanding Long-Term Constipation and Rectal Issues: Causes and Solutions

Chronic constipation, rectal issues? Hello, doctor. I am currently working abroad and unable to return to Taiwan. I am on a waiting list to see a specialist, but due to the pandemic, I have not been able to get an appointment yet. I have been experiencing chronic constipation for...


Dr. Chen Shidian Reply:
It is likely a constipation type of irritable bowel syndrome, but it is still recommended to check for occult blood in the stool to rule out colorectal disease. Additionally, increase the intake of fruits and vegetables, engage in post-meal walking exercises, establish a regular ...

[Read More] Understanding Long-Term Constipation and Rectal Issues: Causes and Solutions


Understanding Abdominal Pain: Is It Appendicitis or Something Else?

Is it appendicitis? Hello Dr. Chen, I would like to ask a few questions: 1. I occasionally experience a twitching or pinching pain in the right lower quadrant, slightly more towards the center (it seems to be around the location of the appendix or about ten centimeters to the r...


Dr. Chen Shidian Reply:
Acute appendicitis should be ruled out. If symptoms persist, a colonoscopy or computed tomography may be necessary to exclude diverticulitis.

[Read More] Understanding Abdominal Pain: Is It Appendicitis or Something Else?


Understanding Persistent Diarrhea: When to Seek Medical Help

Persistent diarrhea? After eating char siu ramen at 7 PM on December 21, I experienced abdominal pain and diarrhea until about 7 PM on December 22, with approximately five episodes of loose stools. Could this be food poisoning or something else? Under what circumstances should I ...


Dr. Chen Shidian Reply:
If there are friends or companions who have eaten together and are experiencing similar symptoms, medical attention is required. Please pay attention to any presence of blood in the stool, fever, or severe pain, as these also necessitate an emergency visit. Initially, focus on re...

[Read More] Understanding Persistent Diarrhea: When to Seek Medical Help


Blood in Stool: Is It a Sign of Allergies or Rectal Issues?

Blood-streaked stool? It was discovered that diarrhea only occurs after consuming a large amount of milk. I went to the hospital once and was told I had an anal fissure. Later, I found that consuming a lot of dairy products was the cause of this situation. The next day, I was com...


Dr. Cai Anshun Reply:
Hello: If you experience diarrhea every time you consume milk or dairy products, it is possible that you have lactose intolerance. It is advisable to avoid drinking milk, as the occurrence of diarrhea may harm the intestinal lining. Changhua Hospital cares about your health. Dr. ...

[Read More] Blood in Stool: Is It a Sign of Allergies or Rectal Issues?


Understanding Duodenal Ulcers: Causes, Symptoms, and Treatment Options

Duodenal ulcer Around mid-November, I underwent an upper gastrointestinal endoscopy at the hospital, which revealed a duodenal ulcer without Helicobacter pylori infection. I have been taking Dexilant for nearly a month now, but I am experiencing some issues, including bloating an...


Dr. Chen Shidian Reply:
PPIs may lead to an increase in small intestinal bacteria, resulting in diarrhea. Please discuss this further with your attending physician.

[Read More] Understanding Duodenal Ulcers: Causes, Symptoms, and Treatment Options


Understanding Chest Tightness and Breathing Difficulties: A Gastrointestinal Perspective

Chest tightness and difficulty breathing? Hello Doctor: On November 21 (Saturday), I went to the emergency room because I suddenly experienced chest tightness, difficulty breathing, and rapid heartbeat shortly after taking a shower. The hospital conducted chest X-rays, blood test...


Dr. Zhang Kebin Reply:
Hello, you reported the following symptoms: 1. Chest tightness, shortness of breath, and rapid heartbeat. 2. Mild dizziness and nausea, which are common symptoms of gastroesophageal reflux disease (GERD), including heartburn and acid regurgitation. Generally, chest tightness, sho...

[Read More] Understanding Chest Tightness and Breathing Difficulties: A Gastrointestinal Perspective


Increased and Foul-Smelling Gas: What Could Be the Cause?

Increased frequency of flatulence and a foul odor? Hello Doctor: The symptoms have persisted for about three weeks, with an increased frequency of flatulence, averaging over 20 times a day, and it has become quite foul-smelling. My diet has remained the same, consisting of red te...


Dr. Chen Shidian Reply:
Currently, Western medicine does not have clinical evidence to diagnose based on the odor or quantity of gas. If concerned, a stool examination can be performed. It is advisable to consume more fruits and vegetables and maintain a light diet.

[Read More] Increased and Foul-Smelling Gas: What Could Be the Cause?


Understanding Diverticulitis: Symptoms, Concerns, and Diagnosis

Questions related to diverticulitis? Hello Doctor, I discovered in my company's health check report in January 2019 that I had a positive fecal occult blood test with a level of 200. However, I did not undergo a colonoscopy and later went abroad. Prior to this, I had never e...


Dr. Cai Anshun Reply:
Hello: 1. If the pain subsides after a bowel movement or lasts only for a brief moment, there is usually no need for excessive concern; typically, if there is a problem, the pain would persist. 2. Bloating or fecal impaction can also present similar symptoms. 3. The presence of r...

[Read More] Understanding Diverticulitis: Symptoms, Concerns, and Diagnosis


Understanding Chronic Left Abdominal Pain: Is It Functional Bowel Spasm?

Left abdominal pain in the colon that has been cramping for several months? Hello Doctor, I have a long-standing issue that I would like to consult you about: About three months ago, I discovered a cramping pain in the upper left abdomen, specifically in the area of the colon, wh...


Dr. Chen Shidian Reply:
From a theoretical standpoint, there should be no major issues with the diagnoses made by various physicians. The discomfort is likely caused by intestinal motility or spasms, which can be managed with medication and local heat application, followed by observation.

[Read More] Understanding Chronic Left Abdominal Pain: Is It Functional Bowel Spasm?


Understanding Digestive Issues: Abdominal Pain and Bowel Changes

Bowel issues and abdominal pain? Since last year, I have frequently experienced abdominal cramps after breakfast, followed by diarrhea. This issue seemed to disappear after nearly a year. However, two months ago, I started staying up late every day to finish assignments, and I be...


Dr. Chen Shidian Reply:
Due to weight loss (if not due to reduced food intake), it is recommended to seek medical evaluation.

[Read More] Understanding Digestive Issues: Abdominal Pain and Bowel Changes


Midnight Diarrhea: Is It a Sign of Serious Health Issues?

Diarrhea in the middle of the night? Hello doctor, I have been frequently waking up in the middle of the night with diarrhea over the past month. This is the only unusual symptom I have. Could this possibly be a brain tumor or another type of cancer?


Dr. Chen Shidian Reply:
It is unlikely to be related to cancer; you may consider adjusting your diet, and if necessary, check for occult blood in the stool.

[Read More] Midnight Diarrhea: Is It a Sign of Serious Health Issues?


Understanding Right Abdominal Pain Near the Navel: Causes and Insights

Pain to the right of the navel? Hello, doctor. I would like to ask: I started feeling pain about three finger widths to the right of my navel two days ago. I also feel a general discomfort and bloating in my abdomen. The pain is persistent and there is a specific point that is pa...


Dr. Zhang Kebin Reply:
Hello Anne! You report abdominal pain on the right side of your belly button for two days, along with bloating and tenderness in your abdomen, while your bowel and urinary functions are normal. Based on your symptoms, diverticulitis, pelvic inflammatory disease, appendicitis, and...

[Read More] Understanding Right Abdominal Pain Near the Navel: Causes and Insights


Understanding Diverticulitis: Symptoms, Treatment, and When to Seek Help

Diverticulitis Hello Doctor, I am 20 years old. Recently, I visited a doctor due to mild pain in my lower left abdomen and diarrhea. I underwent an abdominal ultrasound and blood tests. The doctor informed me that I have a diverticulum in my intestine, which is inflamed, but the ...


Dr. Cai Anshun Reply:
Hello: Indeed, diverticulitis has a higher incidence in older individuals, but it is not impossible for it to occur in someone in their 20s. As for the diagnostic method, a CT scan is more accurate. It is recommended to undergo a colonoscopy after the diverticulitis has healed. C...

[Read More] Understanding Diverticulitis: Symptoms, Treatment, and When to Seek Help


Severe Diarrhea: When to Seek Further Medical Attention?

Diarrhea occurring nearly 20 times? Hello doctor, I have been experiencing severe diarrhea for the past few days and visited a nearby clinic. The doctor suspected norovirus and prescribed medication. After taking the medication and resting at home, I found that I immediately need...


Dr. Chen Shidian Reply:
You may return for a follow-up appointment or be referred to a hospital for examination earlier. Maintain hydration and practice frequent handwashing.

[Read More] Severe Diarrhea: When to Seek Further Medical Attention?


Understanding Diverticulitis: Dietary Tips and Concerns for Young Adults

Diverticulitis issues Hello doctor, I am 20 years old. Recently, I visited a doctor due to mild pain in my lower left abdomen and diarrhea. I underwent an abdominal ultrasound and blood tests. The doctor informed me that I have a diverticulum in my intestine, which is inflamed, a...


Dr. Yang Zhichao Reply:
Hello Ms. Jane, for diverticulitis, it is recommended to consume more fruits and vegetables and to stay well-hydrated. Regarding the colonoscopy issue, I suggest discussing it with your physician, as your age raises some concerns about attributing your symptoms solely to divertic...

[Read More] Understanding Diverticulitis: Dietary Tips and Concerns for Young Adults


Concerns About Belly Button Bumps and Loose Stools: What to Know

There are small bumps in the navel and loose stools resembling diarrhea? Hello, doctor. I apologize for the disturbance. Last week, after cleaning my navel (which I really dislike doing, so I rarely clean it), I noticed two small dark skin-colored bumps at the lower edge of my na...


Dr. Chen Shidian Reply:
It is likely just irritable bowel syndrome, which is unrelated to the navel. If you are concerned, you can check for occult blood in the stool.

[Read More] Concerns About Belly Button Bumps and Loose Stools: What to Know


Understanding Abdominal Noises and Bloating: Causes and Concerns

Borborygmi and bloating? During middle school, I was diagnosed with irritable bowel syndrome due to family stress, but the symptoms disappeared in college. Two years ago, around eleven at night, I started experiencing intermittent abdominal rumbling. Previously, I also had episod...


Dr. Chen Shidian Reply:
Anal fissures are not significantly related to emotions. If you frequently experience bloody stools, you should return for a follow-up examination.

[Read More] Understanding Abdominal Noises and Bloating: Causes and Concerns


Post-Meal Lower Abdominal Pain: Causes and When to Seek Help

Lower abdominal pain after eating? Hello Doctor: Last week, I experienced a feeling of heaviness and pain in the upper abdomen (just above the navel) after eating, along with bloating and a sensation of heat in the stomach after meals. When fasting, I did not have any particular ...


Dr. Chen Shidian Reply:
It may be gastrointestinal dysfunction or a side effect of medication. Further examinations such as ultrasound or stool occult blood tests can be conducted to rule out other possibilities.

[Read More] Post-Meal Lower Abdominal Pain: Causes and When to Seek Help


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