Understanding Blood in Stool: Insights on Anal Fistulas and Gastrointestinal Health
Blood in the stool for five consecutive days? I understand... ultimately, I still need to undergo a colonoscopy. However, I would like to ask the doctor if, based on their experience with patients, there have been cases where a patient developed an anal fistula and delayed treatm...
Dr. Cai Jinji Reply:
Hello Mr. Chen Bo-Yu: It is recommended to consult a colorectal surgeon regarding anal fistulas, as they would have a clearer understanding. Simply eating a salad may not comprehensively improve gut health. Director Tsai Jin-Chi, Department of Hepatobiliary and Gastroenterology, ...[Read More] Understanding Blood in Stool: Insights on Anal Fistulas and Gastrointestinal Health
Understanding Bowel Issues: When to See a Gastroenterologist?
Bowel issues Today, my bowel movements were well-formed, with some cracks. The first stool was slightly hard, normal土 yellow but on the darker side. The second stool felt like mild diarrhea, yet it was well-formed and a deeper shade of green. Is there any issue with this? Additio...
Dr. Cai Anshun Reply:
Hello: It is likely related to the color of the food. You can observe the subsequent bowel movements. If the color becomes increasingly dark, even black or dark red, it may indicate gastrointestinal bleeding. If the "green stool" persists for about 4-5 days before retur...[Read More] Understanding Bowel Issues: When to See a Gastroenterologist?
Understanding Green Stool: Causes and When to Seek Medical Advice
Noticing green stools? Hello Doctor, I have been taking antibiotics for a week due to Helicobacter pylori, and during that time my bowel movements were normal. However, yesterday morning my stool turned deep green and had a formed appearance. I noticed food remnants when wiping. ...
Dr. Luo Yining Reply:
There are several factors that can cause green stools, such as consuming excessive amounts of dark green vegetables, side effects from certain medications like iron supplements, intestinal infections, indigestion, or diarrhea that prevents bile from being properly broken down. Ga...[Read More] Understanding Green Stool: Causes and When to Seek Medical Advice
Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns
Recently, after examinations, I have been experiencing difficulty swallowing food and frequent burping? Hello, Doctor. I have been suffering from peptic ulcers and gastroesophageal reflux disease (GERD) for over 10 years, and I undergo treatment approximately every two to three y...
Dr. Cai Jinji Reply:
Hello Ms. Peggy: Generally, an endoscopy does not cause this. It is advisable to consult your physician regarding the circumstances during the examination. You may consider checking the pH levels in the esophagus and assessing for gastroesophageal reflux. Director Cai Jin-ji, Dep...[Read More] Managing Post-Endoscopy Symptoms: Bloating and Acid Reflux Concerns
Understanding Your Symptoms: IBS, GERD, or Pancreatic Cancer Concerns?
I would like to ask the doctor if I have irritable bowel syndrome combined with gastroesophageal reflux disease or pancreatic cancer? Hello, Doctor: I am regularly taking psychiatric medications (such as Prozac) primarily due to autonomic nervous system dysregulation with overact...
Dr. Cai Jinji Reply:
Hello Mr. Chang: For your left and right upper back pain, it is recommended to consult other specialties first. There are many potential causes for bloating, so it is advisable to ask your previous treating physician for guidance based on prior examinations and your condition. Di...[Read More] Understanding Your Symptoms: IBS, GERD, or Pancreatic Cancer Concerns?
Struggling with Constipation: When to Seek Help and Treatment Options
Bowel movements less than once a month? Hello Dr. Chen, My wife is experiencing dysautonomia, which has led to difficulty in bowel movements. She may not have a bowel movement for an entire month. Although she is taking medication, it seems like food is not passing through her s...
Dr. Chen Shidian Reply:
It is recommended to continue using laxatives as needed, and to increase the intake of fruits and vegetables, stay hydrated, and avoid prolonged sitting after meals by taking a walk.[Read More] Struggling with Constipation: When to Seek Help and Treatment Options
Changes in Stool Shape: When to Seek Gastrointestinal Evaluation
Change in stool shape? For the past six months, I have frequently been passing granular stools, although they are not always very hard. Sometimes, they are smooth and granular (about once in ten times, I have a tubular shape, but it is still granular with a small tubular part). I...
Dr. Yang Zhichao Reply:
Hello, Ms. Mao. Based on your description, you can start with a routine stool examination. If any abnormalities are found, we can arrange for further relevant tests. Thank you for your inquiry.[Read More] Changes in Stool Shape: When to Seek Gastrointestinal Evaluation
Understanding Megacolon: New Treatments for Chronic Constipation
Megacolon Hello Doctor, I have suffered from constipation since childhood. It is common for me to go several days without a bowel movement, but my diet has always been quite normal and I do not have any food aversions. However, as I have aged, my constipation has become increasin...
Dr. Lin Minghui Reply:
Since your issue has been present since childhood, it may have worsened with age due to decreased gastrointestinal motility and smooth muscle function. Pelvic muscle coordination can also affect bowel movements. Stress, anxiety, and depression can impact the nerves that facilitat...[Read More] Understanding Megacolon: New Treatments for Chronic Constipation
Understanding Dumping Syndrome After Gastrointestinal Bypass Surgery
Gastric bypass surgery Hello, after a gastrointestinal bypass surgery, experiencing symptoms such as abdominal rumbling, nausea, and the urge to vomit after eating may indicate dumping syndrome. Is this considered a normal postoperative condition?
Dr. Lin Minghui Reply:
Long-term risks and complications of gastric bypass surgery include dumping syndrome, which refers to the rapid passage of food (especially sweet or high-fat foods) from the stomach into the small intestine before it is fully digested. This occurs due to an imbalance in osmotic p...[Read More] Understanding Dumping Syndrome After Gastrointestinal Bypass Surgery
Understanding Abdominal Pain and Diarrhea: What You Need to Know
Abdominal pain with diarrhea? Hello, Dr. Chen. I am 16 years old and have been experiencing frequent abdominal pain and bowel sounds since last week. When I go to the bathroom, my stools are mostly watery, sometimes containing undigested food, and occasionally they are sticky gas...
Dr. Chen Shidian Reply:
It is likely just abnormal gastrointestinal motility. Increase the intake of fruits and vegetables, eat slowly, and continue to monitor the situation.[Read More] Understanding Abdominal Pain and Diarrhea: What You Need to Know
Understanding Suspicious Curvilinear Bacilli in Gastric Pathology Reports
I saw this sentence in my pathology report and I don't quite understand it; I would like to consult a doctor? A few suspicious curvilinear bacilli are found in the superficial gastric pits by H&E staining. Giemsa stain shows no definite evidence of Helicobacter pylori. T...
Dr. Lin Minghui Reply:
Helicobacter pylori is a type of bacterium associated with various gastrointestinal diseases, including gastritis, gastric ulcers, gastric cancer, and gastric lymphoma. The clinical significance of other spiral-shaped bacteria is not well understood. Detection methods include his...[Read More] Understanding Suspicious Curvilinear Bacilli in Gastric Pathology Reports
Understanding False Negative Results in Fecal Occult Blood Tests
Negative occult blood issue Recently, I had a fecal occult blood test that showed visible blood, but the results came back negative. 1. Could this be due to hemorrhoids or anal fissures, and how can it be negative if blood is visible? I have also been experiencing frequent left a...
Dr. Lin Minghui Reply:
(1) Regarding fecal occult blood sampling, the general purpose of the occult blood test is to detect blood that is not visible to the naked eye. The most common causes of visible blood after a bowel movement are hemorrhoids and anal fissures. If there is significant bleeding, it ...[Read More] Understanding False Negative Results in Fecal Occult Blood Tests
Understanding Gastrointestinal Gas: Is Abdominal Pressure Normal?
Gastrointestinal issues, flatulence problems? Hello doctor, when I press on my abdomen, I hear a sound similar to bubbles, and after pressing for a while, I end up passing gas. Is this normal? Is it beneficial or harmful?
Dr. Lin Minghui Reply:
The gastrointestinal tract naturally contains gas, which can be increased by swallowing air, as well as the fermentation of food and gut bacteria. If there is more gas than usual, it is important to pay attention to dietary habits (avoid eating too quickly) and food choices (limi...[Read More] Understanding Gastrointestinal Gas: Is Abdominal Pressure Normal?
Can Stomach Issues from Food Poisoning Affect Liver and Kidney Health?
Liver and kidney issues? Hello, doctor. Can eating spoiled food or having gastroenteritis lead to liver or kidney damage, or cause the function of originally healthy liver and kidneys (with normal blood test results) to deteriorate? I accidentally ate an entire expired sweet past...
Dr. Chen Shidian Reply:
Generally, gastroenteritis should not extend to the liver or kidneys, so there is no need for concern.[Read More] Can Stomach Issues from Food Poisoning Affect Liver and Kidney Health?
Understanding Gastrointestinal Issues: Could Dry Ice Ingestion Cause Long-Term Effects?
Gastrointestinal issues Hello Doctor: I accidentally swallowed a small piece of dry ice in the past, but I didn't feel any immediate effects, so I didn't seek medical attention. It's been over ten years now, but I occasionally experience bloating in my stomach. Cou...
Dr. Chen Shidian Reply:
No, if dry ice causes frostbite, it is an acute short-term injury.[Read More] Understanding Gastrointestinal Issues: Could Dry Ice Ingestion Cause Long-Term Effects?
Understanding Your Gastrointestinal Biopsy Results: Chronic Gastritis and Carcinoid Tumor Explained
Gastrointestinal biopsy and colonoscopy? GASTROSCOPY REPORT PATHOLOGICAL DIAGNOSIS: Stomach, antrum; biopsy: Chronic gastritis without Helicobacter infection. GROSS FINDING: The specimen is a piece of tissue, measuring 0.2 x 0.2 x 0.1 cm in size. It is tan. All are embedded i...
Dr. Chen Shidian Reply:
Gastric biopsy: within normal limits. Colon biopsy: Carcinoid tumor (a slightly malignant benign tumor) → follow-up appointment to discuss with the attending physician.[Read More] Understanding Your Gastrointestinal Biopsy Results: Chronic Gastritis and Carcinoid Tumor Explained
Understanding Abdominal Masses: Insights for Liver and Gastrointestinal Health
Abdominal mass Hello Doctor, I have a lump in my abdomen that is not very noticeable most of the time, but upon closer inspection, there is a visible protrusion in the skin. When I tighten my abdomen, the bulge becomes more pronounced. It has been present for about two years, loc...
Dr. Hu Guozheng Reply:
It is recommended to have the physician evaluate during the next follow-up appointment. Thank you.[Read More] Understanding Abdominal Masses: Insights for Liver and Gastrointestinal Health
Understanding Weight Loss After Diarrhea: Insights from Gastroenterology
Weight loss following diarrhea? Hello doctor, I am the inquirer from #206140. I am providing this week's weight observations to see if my mother's weight changes are normal: - 3/2: Fasting 47.8 kg, 1 hour after dinner 49.43 kg - 3/3: Fasting 48.3 kg, 1 hour after dinn...
Dr. Chen Shidian Reply:
If the weight difference is within 2-3 kilograms, it can be monitored. If gastrointestinal issues are ruled out, it is recommended to consult with a metabolic and oncology specialist for further evaluation.[Read More] Understanding Weight Loss After Diarrhea: Insights from Gastroenterology
Understanding Abdominal Pain and Gas: Causes and Solutions
Abdominal pain with gas? There is a lot of gas in the abdomen, and there is pain in the lower right area of the chest. Additionally, sitting is uncomfortable (it feels like clenching a fist, and I need to stretch it out immediately to feel more relaxed). This condition has been o...
Dr. Lin Minghui Reply:
It is recommended to undergo examinations (X-ray, abdominal ultrasound, and gastrointestinal endoscopy) to check for any organic issues. Wishing you good health![Read More] Understanding Abdominal Pain and Gas: Causes and Solutions
Chronic Constipation Since Childhood: Seeking Effective Solutions
Severe constipation since childhood that cannot be improved? Hello Doctor, I have had a history of constipation since childhood, often going over 5 days without a bowel movement, which leads to severe abdominal pain and vomiting, requiring emergency care. I am 154 cm tall and wei...
Dr. Lin Minghui Reply:
Since your issue has been present since childhood and you have made significant efforts to try various methods with limited results, it is recommended that you visit a medical center to consult with a specialist in gastrointestinal neurology and motility, as well as functional ga...[Read More] Chronic Constipation Since Childhood: Seeking Effective Solutions