Alternating Diarrhea and Constipation: Understanding Gastrointestinal Issues
Alternating diarrhea and constipation? Hello Doctor, I would like to ask a question. I was previously diagnosed with moderate fatty liver disease, and since then I have started exercising. However, since I began exercising, I have frequently experienced alternating constipation a...
Dr. Cai Jinji Reply:
Dear Mr. Anonymous: I am unsure how long you have been experiencing this situation. If you have changes in bowel habits accompanied by abdominal pain, it is advisable to seek medical attention for evaluation by a physician. Dr. Cai Jin-ji, Department of Hepatobiliary and Gastroen...[Read More] Alternating Diarrhea and Constipation: Understanding Gastrointestinal Issues
Understanding Bowel Symptoms: Mucus in Stool and Other Concerns
Bowel movement concerns? Hello doctor, last week I had a frequent urge to have a bowel movement for 2 to 3 days, but initially, I only passed gas and very little stool. After taking the antidiarrheal medication prescribed by the doctor, my bowel movements started to normalize, bu...
Dr. Chen Shidian Reply:
It appears to be normal mucus from the colon, further observation is recommended.[Read More] Understanding Bowel Symptoms: Mucus in Stool and Other Concerns
Understanding Blood in Stool: Causes and Solutions for Ongoing Issues
Blood in stool issue? I only experience diarrhea or have a large bowel movement (a whole piece) once, and then I have blood in my stool (blood streaks, mucous with blood). This issue has troubled me for over five years. During these five years, I have undergone multiple flexible ...
Dr. Chen Shidian Reply:
Continue to monitor and avoid constipation that may lead to bleeding.[Read More] Understanding Blood in Stool: Causes and Solutions for Ongoing Issues
Nighttime Nausea: Understanding Your Gastrointestinal Distress
Waking up in the middle of the night feeling nauseous? Hello Doctor: On Tuesday morning, I woke up earlier than usual and felt very nauseous. After about two hours, the symptoms slightly improved, but by evening, I suddenly felt nauseous again. On Wednesday, I woke up early again...
Dr. Chen Shidian Reply:
Possible gastroenteritis; seek medical attention for antiemetic medication and follow a light diet in small amounts for management.[Read More] Nighttime Nausea: Understanding Your Gastrointestinal Distress
Understanding Blood-Streaked Mucus in Stool: Insights from a Gastroenterologist
Follow-up Inquiry #197646 Dear Dr. Lin, Thank you very much for your response and explanation regarding my inquiry in "<a href='https://adoctor.tw/article/197646'>#197646</a>". I have greatly benefited from it. I would like to ask you further ques...
Dr. Lin Minghui Reply:
Q1: Hemorrhoids can cause bleeding and abnormal bowel movements—both diarrhea and constipation can lead to hemorrhoids and anal fissures. Hemorrhoids often bleed and may sometimes result in chronic anemia, so caution is advised. Q2: A single day of mucus-streaked stool with sli...[Read More] Understanding Blood-Streaked Mucus in Stool: Insights from a Gastroenterologist
Severe Lower Abdominal Pain: What to Do When X-rays Show No Issues?
Left lower abdominal pain, X-ray results are normal? Hello doctor, I started experiencing severe lower abdominal pain and stomach pain around 10 PM on Tuesday. I have diarrhea that is thick and black in color, with some blood, which could also be from a ruptured hemorrhoid. I...
Dr. Chen Shidian Reply:
It is difficult to make a simple assessment; local heat application may be helpful. If necessary, please return for a follow-up and discuss with your physician.[Read More] Severe Lower Abdominal Pain: What to Do When X-rays Show No Issues?
Understanding Bowel Changes: When to Seek Medical Advice for Digestive Issues
Bowel issues Hello, doctor. I would like to ask a question. My usual habit for bowel movements has been in the morning, typically once in the morning and then again later. However, this time I have experienced diarrhea. This situation has persisted for a while, but it has recentl...
Dr. Chen Shidian Reply:
Can resume normal diet for observation.[Read More] Understanding Bowel Changes: When to Seek Medical Advice for Digestive Issues
Understanding Appetite Loss and Related Issues in Elderly Patients
Loss of appetite related issues? Hello Doctor, thank you for taking the time to read and respond. My father is 72 years old and has recently experienced severe phlegm production. We are unsure if this is due to quitting smoking (he went from smoking two packs a day to not smoking...
Dr. Chen Shidian Reply:
You can consult a gastroenterologist for examination, medication management, and nutritionist advice. For the lungs, you may consider self-paying for a lung CT scan.[Read More] Understanding Appetite Loss and Related Issues in Elderly Patients
Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Anal fissure issues? Before the long holiday, I experienced nausea and bloating due to the side effects of antidepressant medication, which made it difficult to eat. I took over-the-counter medication, but it didn't help, and I ended up visiting the emergency room. After ret...
Dr. Chen Shidian Reply:
It may be bleeding from internal hemorrhoids; you can stop taking Moshuwei, and if necessary, use an anal ointment.[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Understanding Watery Diarrhea: Causes and Dietary Tips for Relief
Diarrhea with watery stools? Hello Doctor, in July 2022, I underwent a colonoscopy and gastroscopy, which showed no issues, only that I have irritable bowel syndrome (IBS). The week before last, I experienced constipation, and my stool was too hard, which caused an injury to my a...
Dr. Chen Shidian Reply:
Just adjust your diet (regular timing and portion control, low oil and low dairy) in conjunction with medication.[Read More] Understanding Watery Diarrhea: Causes and Dietary Tips for Relief
Severe Left Upper Abdominal Pain: Possible Causes and Insights
Left upper abdominal pain Hello, doctor! I have been experiencing severe pain in the left upper abdomen, around the rib area, possibly between the third and fourth ribs. The pain is located at the midpoint between the ribs on both sides, approximately 4 to 5 centimeters to the le...
Dr. Chen Shidian Reply:
A chest X-ray can be performed to rule out any specific issues. Other possibilities may include nerve or fascial inflammation, which can be treated with local heat application and analgesics. For bowel movements, it is advisable to reduce oil and dairy intake, and if necessary, m...[Read More] Severe Left Upper Abdominal Pain: Possible Causes and Insights
Is It Safe to Use 20mg Bowel Medication? Concerns About Cancer Risks
Does 20 mg of Polysaccharide Peptide (保幽樂錠) cause cancer? Hello, doctor. I have a habit of researching the medications prescribed to me online. I came across news stating that "Bismuth Subsalicylate 20 mg" may be carcinogenic. However, this medication was prescribed to ...
Dr. Chen Shidian Reply:
There is no specific cancer risk. If there are no symptoms of gastroesophageal reflux disease, you may discuss with your physician the possibility of taking the medication only as needed.[Read More] Is It Safe to Use 20mg Bowel Medication? Concerns About Cancer Risks
Managing Ulcerative Colitis During COVID-19: Treatment Options and Concerns
Ulcerative Colitis Hello doctor, I was diagnosed with ulcerative colitis last May, which was mild to moderate and treated with steroids (2 tablets a day) and anti-inflammatory medication (2 tablets a day). In May of this year, a colonoscopy showed that the intestinal mucosa had h...
Dr. Chen Shidian Reply:
There may be interactions or unrelated factors; once the virus tests negative, a follow-up appointment with the physician can be scheduled to discuss further examinations. Continue medication as prescribed.[Read More] Managing Ulcerative Colitis During COVID-19: Treatment Options and Concerns
Understanding Fecal Occult Blood Tests and Gastrointestinal Health Concerns
Body issues such as fecal occult blood problems, etc? Hello, doctor. In April, I underwent a quantitative immunochemical fecal occult blood test conducted by the National Health Administration. I have a fear of having colorectal cancer, so I thought it would be wise to start with...
Dr. Cai Anshun Reply:
Hello: Fecal occult blood testing is not 100% accurate; it is merely a screening tool. For further confirmation, a colonoscopy may be necessary. If colorectal cancer is suspected, a colonoscopy (which examines the entire colon) is the most accurate method. You can consult a gastr...[Read More] Understanding Fecal Occult Blood Tests and Gastrointestinal Health Concerns
Understanding Green Stool: Causes and When to Seek Medical Advice
Green stool Hello Doctor: Since March 30th, almost every time I have a bowel movement, my stool has been green. Most of the time, the shape is normal, but occasionally it is unformed. I did some research online and found that it could be due to consuming dark-colored foods, but m...
Dr. Lin Minghui Reply:
In addition to dark-colored vegetables, foods rich in iron, medications, and certain fruits can cause stool to appear darker. Stool color may also be darker during gastroenteritis or gastrointestinal bleeding. Stool color is related to diet; consuming more papaya, bananas, sweet ...[Read More] Understanding Green Stool: Causes and When to Seek Medical Advice
Is It Normal to Experience Unusual Bowel Movements with Yiquai Tablets?
Erosion Tablet Issues Hello Doctor: I have a problem with a duodenal ulcer, and the doctor prescribed me Emetrol. However, after taking it, I have had to go to the bathroom several times, but it’s not diarrhea; it’s just a small amount of stool that has a slightly greenish color....
Dr. Lin Minghui Reply:
The medication is a proton pump inhibitor, used for the treatment of gastric ulcers, duodenal ulcers, gastroesophageal reflux disease, and in combination with antibiotics for the treatment of Helicobacter pylori-related peptic ulcers. Side effects may include diarrhea, characteri...[Read More] Is It Normal to Experience Unusual Bowel Movements with Yiquai Tablets?
Managing GERD and Duodenal Ulcers: Symptoms, Medications, and Dietary Tips
Gastroesophageal reflux disease (GERD), duodenal ulcer? I initially had some discomfort in my abdomen, so I underwent an endoscopy. The doctor diagnosed me with mild gastroesophageal reflux disease (GERD) and a duodenal ulcer, with no issues related to Helicobacter pylori. The do...
Dr. Chen Shidian Reply:
You can take the medication first and then decide whether to return for a follow-up based on your response before increasing the dosage. Additionally, if you don't have medication, it's advisable to return for a prescription. Be mindful to avoid foods that are hard on t...[Read More] Managing GERD and Duodenal Ulcers: Symptoms, Medications, and Dietary Tips
Understanding Diarrhea and Stool Color Changes After Gastroenteritis
Bowel-related issues? Hello, doctor. I would like to ask about my condition. The night before last, I had severe diarrhea, which was mostly watery, and I also experienced vomiting. In the morning, I went to a clinic and the doctor diagnosed me with gastroenteritis. They prescribe...
Dr. Lin Minghui Reply:
After treatment for diarrhea and gastroenteritis, the stool has improved to a solid form, but it appears gray with white specks. This could be related to medication, gastroenteritis, or diseases of the liver, gallbladder, or pancreas. During gastroenteritis, it is important to fo...[Read More] Understanding Diarrhea and Stool Color Changes After Gastroenteritis
Understanding Digestive Issues: Irregular Bowel Movements and Blood in Stool
Bowel issues, gastrointestinal problems? Hello Doctor: I would like to ask about my recent bowel movements. They have not been in the shape of normal stools; instead, I have been experiencing more diarrhea. My dietary habits have not changed much, except that I occasionally skip ...
Dr. Hu Guozheng Reply:
Hello, it is recommended to consult a colorectal surgeon. Thank you.[Read More] Understanding Digestive Issues: Irregular Bowel Movements and Blood in Stool
Severe Left Lower Abdominal Pain: Causes and Solutions Explained
Severe pain in the lower left abdomen? Dear Deputy Director, I would like to ask you about my condition. I often experience acute abdominal diarrhea in my lower left abdomen after eating a full meal. At times, the pain is so severe that I suddenly find it difficult to breathe, a...
Dr. Chen Shidian Reply:
It is recommended to first perform a fecal occult blood test to rule out serious intestinal lesions. Additionally, an antispasmodic can be taken before meals. Local heat application can be used to alleviate symptoms during episodes of pain.[Read More] Severe Left Lower Abdominal Pain: Causes and Solutions Explained