Understanding Diverticulitis: Diagnosis and Follow-Up Care
Diverticulitis pain Hello Dr. Tsai, Last month, I went to Chang Gung Memorial Hospital's emergency department due to right abdominal pain. After undergoing an abdominal X-ray, a CT scan, and blood and urine tests, I was diagnosed with diverticulitis. I was hospitalized and...
Dr. Cai Anshun Reply:
Hello: You can return to Chang Gung Memorial Hospital to consult with the attending physician regarding any abnormalities in other abdominal organs as seen on the CT scan. There is no need to perform an abdominal ultrasound, as the CT scan provides a clearer representation. Chang...[Read More] Understanding Diverticulitis: Diagnosis and Follow-Up Care
Understanding Right Lower Abdominal Pain: Appendicitis or Something Else?
Right lower abdominal pain? This morning, I woke up with a dull pain in my lower right abdomen, and it persisted into the evening. Any movement causes pain, but when I stay still, it feels almost normal, although I sense some gas and bloating inside. I have no appetite and haven&...
Dr. Cai Anshun Reply:
Hello: If you experience a fever or severe abdominal pain, it is advisable to visit the emergency department. After all, some right lower abdominal pain may be indicative of acute abdominal conditions, such as appendicitis, diverticulitis, or ovarian emergencies, among others. If...[Read More] Understanding Right Lower Abdominal Pain: Appendicitis or Something Else?
Understanding Right Side Abdominal Pain: When to Seek Medical Help
Right abdominal pain? Hello, doctor! Recently, a family member has been experiencing discomfort in the right side of the abdomen, with intermittent pain but no hard lumps... It's been over a day! I would like to ask whether we should go to the emergency room or which departm...
Dr. Cai Anshun Reply:
Hello: Right-sided abdominal pain has several differential diagnoses, but there are certain conditions that are considered emergencies, such as cholecystitis, perforated peptic ulcer, appendicitis, or diverticulitis, among others. If the situation is urgent, it is advisable to go...[Read More] Understanding Right Side Abdominal Pain: When to Seek Medical Help
Understanding Nausea and Right Lower Abdominal Pain: Possible Causes
Nausea and sharp pain in the lower right abdomen? About a month ago, I suddenly vomited in the middle of the night and went to the emergency room (the doctor noted some pain when pressing on my lower right abdomen). In the following days, I experienced bloating after eating and c...
Dr. Cai Anshun Reply:
Hello: Chronic issues in the lower right abdomen include: fecal impaction and diverticulosis. Acute issues include: diverticulitis, appendicitis, and ovarian diseases. If necessary, consult a gastroenterologist or obstetrician-gynecologist for an accurate diagnosis. Changhua Hosp...[Read More] Understanding Nausea and Right Lower Abdominal Pain: Possible Causes
Understanding Left Upper Abdominal Pain: Causes and When to Seek Help
Pain in the upper left abdomen, similar to a feeling of pressure or discomfort in the abdomen during exercise? Hello Doctor, I was hospitalized in January this year for treatment of diverticulitis (on the right side of my abdomen) and had my appendix removed at the same time. Sin...
Dr. Lin Minghui Reply:
Hello, after undergoing surgery for diverticulitis and appendicitis, you are experiencing frequent abdominal bloating and pain. The possible causes could be intestinal adhesions or diverticulitis. It is advisable to observe the quantity and color of your stool. Generally, colorec...[Read More] Understanding Left Upper Abdominal Pain: Causes and When to Seek Help
Understanding Discomfort During Bowel Movements: Causes and Concerns
Recently, I've been feeling a soreness when having a bowel movement? Hello, a couple of days ago I went on a trip and spent a long time sitting on a tour bus. I didn't have a bowel movement for two days. The day after I got home, I started to feel the urge to have a bow...
Dr. Lin Minghui Reply:
Hello, experiencing irregular bowel movements with a sour sensation may be related to recent dietary habits and possible intestinal inflammation. It is advisable to maintain moderate exercise, limit spicy foods, and increase fiber intake along with adequate hydration. If symptoms...[Read More] Understanding Discomfort During Bowel Movements: Causes and Concerns
Managing Diverticulitis in Elderly Patients: Risks and Recommendations
Diverticulitis My grandmother is 88 years old. Recently, she has been experiencing constipation, right abdominal pain, pain with negative pressure, fever, and night sweats... raising suspicion of diverticulitis. However, an X-ray revealed bowel obstruction in the sigmoid colon, s...
Dr. Chen Shidian Reply:
Hello, Miss: The case's condition needs to be discussed with your attending physician to understand the risks and feasibility of the medical plan. Treatment should be conducted cautiously, monitoring the responses to see if they meet expectations, and then adjust the plan ac...[Read More] Managing Diverticulitis in Elderly Patients: Risks and Recommendations
Understanding Positive Fecal Occult Blood Test Results: What You Need to Know
The fecal occult blood test result is positive? My father had a positive fecal occult blood test two years ago but has been reluctant to undergo a colonoscopy. At that time, the doctor mentioned that he had mild gastritis from an upper endoscopy, and that he also has diverticulit...
Dr. Chen Qifeng Reply:
Hello: Individuals over the age of 50 can receive free fecal occult blood screening for colorectal cancer every two years from the National Health Administration. If the test result is positive, statistics indicate that approximately 1 in 2 individuals who undergo further colonos...[Read More] Understanding Positive Fecal Occult Blood Test Results: What You Need to Know
Understanding Diverticulosis: Is It Common for Everyone?
Diverticulum of the colon Are diverticula present in everyone, or not? Thank you.
Dr. Chen Qifeng Reply:
Hello: Diverticular disease of the colon is not present in everyone; it can be either solitary or multiple. The most common complications are diverticulitis or bleeding. Diverticulitis presents with abdominal pain and fever, while diverticular bleeding may result in hematochezia....[Read More] Understanding Diverticulosis: Is It Common for Everyone?
Understanding Mild Diverticulosis: Managing Abdominal Pain and Diarrhea
Abdominal pain with mild diverticulosis? In August of this year, I was diagnosed with mild diverticulosis at China Medical University, and both gastroscopy and colonoscopy showed no cancer cells. The doctor indicated that there was no need for concern, and that I could stop follo...
Dr. Chen Qifeng Reply:
Hello: The clinical symptoms of diverticulosis include three main aspects: 1. Inflammation, leading to diverticulitis, which may be accompanied by abdominal pain and fever. 2. Bleeding. 3. Impact on gastrointestinal function, resulting in diarrhea or constipation. However, it rar...[Read More] Understanding Mild Diverticulosis: Managing Abdominal Pain and Diarrhea
Understanding Right Upper Abdominal Pain: Causes and When to Seek Help
Right upper quadrant pain? Hello, I have a sudden pain located about one palm's width above my navel, slightly to the right side, just below my right rib cage. It hurts more when I press on it, and it also hurts when I stand, walk, or take a deep breath. Sitting in a chair o...
Dr. Cai Anshun Reply:
Hello: The common causes of abdominal pain in the area you mentioned are as follows: 1. Acute cholecystitis (both stone-related and non-stone-related): often accompanied by fever and chills. 2. Peptic ulcer disease (duodenal ulcer, gastric ulcer). 3. Liver abscess: often accompan...[Read More] Understanding Right Upper Abdominal Pain: Causes and When to Seek Help
Understanding Changes in Bowel Habits: Insights on IBS and Other Causes
Changes in bowel habits Hello, doctor. Two months ago, after a sudden urge to use the restroom, I noticed bright red blood coming from my anus a few hours later, similar to menstrual flow. Since then, I have not seen any blood (it was painless). I have previously tended to be con...
Dr. Lin Minghui Reply:
Hello: 1. Irritable bowel syndrome (IBS) has many forms; some are primarily characterized by constipation, others by diarrhea, and some alternate between constipation and diarrhea. Severe diarrhea-predominant IBS may result in frequent bowel movements, sometimes worsening after...[Read More] Understanding Changes in Bowel Habits: Insights on IBS and Other Causes
Understanding Gastrointestinal Issues: When to Seek Medical Attention
I'm really worried about my gastrointestinal condition..? I have had a history of constipation for quite some time, probably for a few years now. A few years ago, I started experiencing pain and bleeding from the anus during bowel movements due to the stool being too hard. S...
Dr. Chen Qifeng Reply:
Hello, it is recommended to have a colon examination by a gastroenterologist. If the structure is normal, it may be due to gastrointestinal dysfunction and hemorrhoids; if it is merely a functional issue, adjusting dietary and bowel habits is the best approach. As for passing bla...[Read More] Understanding Gastrointestinal Issues: When to Seek Medical Attention
Understanding Left Lower Abdominal Discomfort: Possible Causes and Solutions
Localized dull pain in the lower left abdomen? Hello Doctor, I am currently abroad and have found it difficult to see a doctor. This week, I have been experiencing a dull pain in my left lower abdomen, approximately ten centimeters to the left of my navel and three centimeters do...
Dr. Lin Minghui Reply:
Hello, left lower abdominal pain can have differential diagnoses including constipation, colorectal issues (such as colitis, diverticulitis, or tumors), urinary tract problems, and gynecological issues (such as ovarian conditions, pelvic inflammatory disease, or pregnancy). It is...[Read More] Understanding Left Lower Abdominal Discomfort: Possible Causes and Solutions
Possible Causes of Blood in Stool and Abdominal Discomfort
Inquiry Your friend is experiencing blood in their stool (black or red) along with abdominal discomfort. This could be indicative of several potential issues, including: 1. **Gastrointestinal bleeding**: This could stem from conditions such as hemorrhoids, diverticulosis, or gas...
Dr. You Ligang Reply:
Hello, the presence of blood in the stool is often caused by hemorrhoids; however, if the blood is dark red, it may indicate that the bleeding source is located above the sigmoid colon. Additionally, if there is abdominal discomfort, it could suggest diverticulitis, ischemic coli...[Read More] Possible Causes of Blood in Stool and Abdominal Discomfort
Understanding Chronic Constipation: Causes and Solutions
Constipation Long-term constipation has been troubling me... Whenever I have difficulty with bowel movements, I always feel like I can't urinate properly. Even though I drink a lot of water and feel the urge to urinate, I just can't seem to do it. It feels as if somethi...
Dr. You Ligang Reply:
Hello, your difficulty in urination is caused by constipation, so it is important to first improve your bowel movements. Constipation can be classified into two types: "functional constipation," which is chronic and habitual, and "organic constipation," which ...[Read More] Understanding Chronic Constipation: Causes and Solutions
Understanding IBS Symptoms: Is It a Recurrence or Something Else?
Irritable Bowel Syndrome (IBS) Hello Dr. Lin, I previously had issues with irritable bowel syndrome. A little over a week ago, after dinner, I experienced mild pain in my lower left abdomen. Initially, my bowel movements were normal, but later they became mixed with watery stools...
Dr. Lin Minghui Reply:
Hello, patients with irritable bowel syndrome (IBS) often experience symptoms including intermittent abdominal pain, diarrhea after meals, and abdominal discomfort. Some may have increased bowel movements, with stools that can be either solid or watery, or may contain mucus. Ther...[Read More] Understanding IBS Symptoms: Is It a Recurrence or Something Else?
Understanding Appendicitis: Symptoms and When to Seek Help
About appendicitis? Doctor, I experience pain when I press on my lower right abdomen, but it doesn't hurt when I release the pressure, and I don't have any other discomfort. Could this be appendicitis? Which type of clinic should I go to for an examination?
Dr. Lin Minghui Reply:
Hello, Aliao. 1. In addition to abdominal pain, acute appendicitis typically presents with symptoms such as fever, vomiting, and loss of appetite. The abdominal pain may initially be located in the upper abdomen and then gradually shift to the right lower quadrant. 2. There a...[Read More] Understanding Appendicitis: Symptoms and When to Seek Help
Understanding Constipation: Causes and Solutions for Digestive Health
Constipation I often do not have the urge to have a bowel movement, but I frequently pass gas. Sometimes, I go several days without a bowel movement. Is there something wrong with my body?
Dr. Lin Minghui Reply:
Possible causes of irregular bowel movements: 1. Dietary factors: abnormal intake of fluids and fiber. 2. Functional gastrointestinal disorders, irritable bowel syndrome. 3. Structural issues in the pelvic region of the colon: hemorrhoids, pelvic floor dysfunction, rectal prolaps...[Read More] Understanding Constipation: Causes and Solutions for Digestive Health
Understanding Diverticulitis: Symptoms, Treatment, and Prevention Tips
Diverticulitis Hello Dr. Lin, I previously had diverticulitis and received treatment at the hospital. Since then, I haven't experienced any pain, so I haven't returned for follow-up visits. However, recently I've started to feel pain in my lower right abdomen aga...
Dr. Lin Minghui Reply:
Reply: Hello, 1. Pain in the lower right abdomen has many differential diagnoses, including diverticulitis, inflammatory bowel disease, appendicitis, urinary stones, and muscle strain, among others. 2. If diverticula are present, it is important to be aware of complications s...[Read More] Understanding Diverticulitis: Symptoms, Treatment, and Prevention Tips