Understanding Frequent Bowel Movements: Causes and Solutions
I have been wanting to have a bowel movement? Over the past month, I have been having bowel movements more than three times a day. Sometimes the stools are thin and short with some strands, and at times they are shapeless. Shortly after finishing, I still feel the urge to go to t...
Dr. Li Yongming Reply:
Hello, I will answer your inquiry in two parts. First, the gastroscopy has revealed the presence of Helicobacter pylori, so I recommend that you undergo a triple therapy regimen to eradicate the Helicobacter pylori. This bacterium has been shown to be highly associated with gastr...[Read More] Understanding Frequent Bowel Movements: Causes and Solutions
Differences Between ERCP and MRCP: What You Need to Know
What are the differences between ERCP and MRCP examinations? I have been experiencing pain in my right upper abdomen for 3 to 4 years. I have undergone abdominal ultrasound, CT scan, MRI, MRCP, gastroscopy, colonoscopy, small bowel endoscopy, capsule endoscopy, and endoscopic ult...
Dr. Yang Zhichao Reply:
Hello Mr./Ms. Peter, ERCP (Endoscopic Retrograde Cholangiopancreatography) is an invasive procedure. It involves inserting an endoscope, similar to a gastroscope, through the mouth into the duodenal ampulla. A thin catheter is then used to inject contrast dye into the openings ...[Read More] Differences Between ERCP and MRCP: What You Need to Know
When is ERCP Recommended for Abdominal Pain and Pancreatic Cysts?
What are the indications for using ERCP? I have been experiencing pain in my upper right abdomen for 3 to 4 years. I have undergone gastroscopy, colonoscopy, CT scans, MRI, and ultrasound, which only showed fatty liver. My bowel movements are normal, and blood tests indicate norm...
Dr. Chen Qifeng Reply:
Hello: ERCP is an invasive procedure with a small risk of causing pancreatitis. If there has been a history of pancreatitis leading to a pancreatic pseudocyst, it is generally not recommended to undergo ERCP, unless absolutely necessary or if the pseudocyst has been resolved. Wis...[Read More] When is ERCP Recommended for Abdominal Pain and Pancreatic Cysts?
Chronic Abdominal Pain: Seeking Answers for Persistent Right Upper Discomfort
Please, doctor, help me with my long-standing abdominal pain? Symptoms: I feel a dull pain in the upper right abdomen all day, whether sitting or standing, as if there is a heavy object pressing down. I can't tolerate it after sitting or standing for too long, and it doesn&#...
Dr. Chen Qifeng Reply:
Hello: 1. For asymptomatic pancreatic pseudocysts, it is recommended to have regular follow-ups to observe if they will resolve on their own. 2. Regarding the right upper quadrant pain, with only elevated ACP and VGT, and multiple tests yielding no definitive results, ERCP could ...[Read More] Chronic Abdominal Pain: Seeking Answers for Persistent Right Upper Discomfort
Essential Guide to Pain-Free Gastroscopy and Colonoscopy: Costs, Risks, and Duration
Gastroscopy, colonoscopy Could you please provide the related precautions for painless gastroscopy and colonoscopy at your hospital? 1. Fee standards 2. Risks 3. Duration
Dr. Chen Qifeng Reply:
Hello: 1. Our hospital does not offer painless gastroscopy. 2. For painless colonoscopy, the additional anesthesia fee is approximately 3000 NTD; please arrange this with the colorectal surgery department. 3. Patients with poor cardiac function are not recommended for painless ex...[Read More] Essential Guide to Pain-Free Gastroscopy and Colonoscopy: Costs, Risks, and Duration
Understanding Post-Endoscopy Symptoms: When to Seek Further Gastrointestinal Care
Gastroscopy I previously underwent an upper gastrointestinal endoscopy due to Helicobacter pylori, and the doctor indicated that there were no signs of gastric ulcers, but there was some gastritis. I was prescribed proton pump inhibitors, but after taking them for a month and the...
Dr. Chen Qifeng Reply:
Hello: Generally speaking, gastroscopy is a safe procedure with few complications. Symptoms such as nausea, vomiting, and abdominal bloating should not be related to the gastroscopy. As for whether these symptoms are associated with gallstones, further differential diagnosis shou...[Read More] Understanding Post-Endoscopy Symptoms: When to Seek Further Gastrointestinal Care
Follow-Up Care for Colon Polyps and Stomach Issues: What You Need to Know
Colonoscopy, gastroscopy Last year, during a self-paid health checkup at the hospital, I was found to have colon polyps (which were small and did not require removal, only follow-up monitoring was recommended), as well as a gastric ulcer and gastroesophageal reflux disease (GERD)...
Dr. Chen Qifeng Reply:
Hello: If the colonoscopy report confirms the presence of polyps, you can schedule an appointment with the Gastroenterology or Colorectal Surgery department under the National Health Insurance. A follow-up colonoscopy is recommended. Wishing you good health. Sincerely, Dr. Chi-Fe...[Read More] Follow-Up Care for Colon Polyps and Stomach Issues: What You Need to Know
Understanding Occasional Lower Abdominal Discomfort: Causes and Insights
Occasional dull and bloating pain in the lower abdomen? Hello Doctor: I have been experiencing occasional dull pain in my lower right abdomen for the past three years, usually after being busy for a while. Taking a short break would alleviate the discomfort, and it hasn't be...
Dr. Chen Shidian Reply:
Hello Ms. Lin, first we will check your stool, urine, and perform a local physical examination to identify any abnormalities (including a gynecological examination). Additionally, we can arrange for a colonoscopy to rule out the possibility of any lesions. Changhua Hospital is co...[Read More] Understanding Occasional Lower Abdominal Discomfort: Causes and Insights
Understanding Bloating and Indigestion: When to Seek Gastroenterology Help
Stomach bloating? If a patient experiences abdominal bloating, difficulty digesting food, and a hard abdomen that returns to normal after the bloating subsides, along with constipation, belching that is not associated with pain, and nausea with vomiting that consists mainly of wa...
Dr. Chen Shidian Reply:
Hello, Miss: You may have issues with gastrointestinal motility. You can undergo a painless gastroscopy at the gastroenterology department or start taking digestive medications and adjust to smaller, more frequent meals. Changhua Hospital cares about your health. Dr. Chen Shidian...[Read More] Understanding Bloating and Indigestion: When to Seek Gastroenterology Help
Why Is My Belly Still Big Despite Dieting and Exercise?
Having a bloated abdomen that resembles that of a pregnant woman, and not being able to reduce the size despite eating less? My belly is as big as a pregnant woman's, and even with reduced food intake, it doesn't get smaller. I've undergone both colonoscopy and gas...
Dr. Chen Qifeng Reply:
Hello: The causes of "abdominal distension" are twofold: 1. Ascites, which can be evaluated through abdominal ultrasound. 2. Gastrointestinal gas, often related to functional disorders, which may require consultation with a gastroenterologist for medication. Wishing you...[Read More] Why Is My Belly Still Big Despite Dieting and Exercise?
Understanding Blood in Stool: Causes and Remedies for Gastrointestinal Issues
Rectal bleeding Hello, doctor... I haven't had a bowel movement in a while, but I have been having a bowel movement once a day. However, in the past few days, I've noticed bright red blood dripping after I defecate. It's dripping, not spraying, and there is blood i...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, the likelihood of hemorrhoids is the highest. Please consult a colorectal surgeon. Additionally, the cause of borborygmi is often due to rapid gastrointestinal motility and is likely unrelated to the gastroscopy. It is recommended to have a low-fat, ...[Read More] Understanding Blood in Stool: Causes and Remedies for Gastrointestinal Issues
Managing Irritable Bowel Syndrome: Persistent Pain and Discomfort Solutions
Irritable Bowel Syndrome (IBS) concerns? I have been dealing with irritable bowel syndrome (IBS) for almost six months now, and I still frequently experience intermittent pain and bloating in the lower abdomen, along with occasional discomfort in my lower back. When sitting, I fe...
Dr. Yang Zhichao Reply:
Hello Mr./Ms. Yu: Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder. Its causes are often related to stress, emotions, and lifestyle habits. While it does not pose a threat to life, it can significantly disrupt daily living. If you have no family history of...[Read More] Managing Irritable Bowel Syndrome: Persistent Pain and Discomfort Solutions
Understanding Stomach Cancer Symptoms: Key Signs and Diagnostic Options
Symptoms of stomach cancer? Hello: My mother has been experiencing stomach pain frequently at night, but not during the day. I would like to ask: 1. Is it possible for stomach pain caused by gastric cancer to occur intermittently? 2. What additional symptoms, when combined with s...
Dr. Chen Qifeng Reply:
Hello: 1. It is not possible to definitively distinguish between benign and malignant gastric lesions based solely on symptoms. 2. Nighttime stomach pain is more likely associated with peptic ulcers. 3. Gastroscopy is the best diagnostic tool for stomach pain, whether it is due t...[Read More] Understanding Stomach Cancer Symptoms: Key Signs and Diagnostic Options
Is Gastroscopy Safe? Key Considerations and Risks Explained
Gastrointestinal endoscopy Hello, Dr. Chen. Is there any risk associated with undergoing an upper gastrointestinal endoscopy, and what precautions should be taken?
Dr. Chen Qifeng Reply:
Hello: Gastroscopy is an invasive examination, and naturally, it carries certain risks, but overall, the danger is relatively low. However, if there are indications, the examination should still be performed. Generally, it is essential to fast completely for 8 hours prior to the ...[Read More] Is Gastroscopy Safe? Key Considerations and Risks Explained
Understanding Blood in Stool: Causes and When to Seek Medical Help
Two days ago, there was blood in the stool. This is the first occurrence of blood in the stool? Hello, doctor. I am a college student. Two days ago, my stool was very thick and hard. When it came out, one piece was a bit deep brown and the other piece was a lighter brown. When I ...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, it is likely an anal fissure or hemorrhoidal bleeding, unrelated to gastrointestinal reflux. It is recommended to consume more fruits and vegetables and ensure adequate hydration to facilitate smooth bowel movements, avoiding hard stools. If bleeding...[Read More] Understanding Blood in Stool: Causes and When to Seek Medical Help
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
Is Gastroscopy Safe During Pregnancy? Understanding Risks and Alternatives
Gastroscopy Hello, Doctor. I am currently two months pregnant, but I have been experiencing stomach discomfort. I visited a gastroenterology clinic, and initially, the doctor suggested an endoscopy. However, upon learning that I am two months pregnant, he advised against it, stat...
Dr. Chen Qifeng Reply:
Hello: There are no absolute contraindications for undergoing an upper gastrointestinal endoscopy during pregnancy. However, in the early stages of pregnancy, the fetus is more vulnerable, so an endoscopy would typically only be performed if the condition is more severe (such as ...[Read More] Is Gastroscopy Safe During Pregnancy? Understanding Risks and Alternatives
Persistent Left Rib Pain: Is It Gastric or Kidney Issues?
There is often a dull pain along the left rib margin, sometimes extending to the back on the left side? Hello Doctor, I often experience a dull pain along the edge of my left rib, which sometimes radiates to the back on the left side. This pain is particularly noticeable at night...
Dr. Chen Shidian Reply:
Dear Mr./Ms. RL: Based on your description, we recommend that you schedule a gastroscopy and abdominal ultrasound examination at the gastroenterology department to determine the cause. Thank you for your inquiry! Changhua Hospital cares about your health![Read More] Persistent Left Rib Pain: Is It Gastric or Kidney Issues?
Why Does My Throat Taste Bitter at Night? Understanding Nighttime Symptoms
Waking up in the middle of the night with a sore throat? Hello Doctor: I have a gastric ulcer and underwent gastroscopy in January and May (with Helicobacter pylori infection). In January, I had to take antibiotics for a week (a total of ten pills per day) to treat the ulcer. Dur...
Dr. Chen Qifeng Reply:
Hello: In terms of gastroenterology, it is recommended to check liver function and assess for the recurrence of ulcers or the condition of gastroesophageal reflux. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Why Does My Throat Taste Bitter at Night? Understanding Nighttime Symptoms
Understanding Bloating: Key Questions About Gastrointestinal Health
Bloating issues? Hello Doctor: I have been experiencing frequent bloating in my stomach for the past month. Last week, I underwent an ultrasound and gastroscopy at a certain hospital. The doctor mentioned that there is a small protrusion in my stomach, but tests showed no cancer ...
Dr. Lin Minghui Reply:
Hello: 1. Intestinal metaplasia is associated with chronic inflammation and gastric mucosal atrophy, and it is related to a specific type of gastric cancer. Some cases are associated with Helicobacter pylori, but eradication does not always lead to resolution, indicating changes ...[Read More] Understanding Bloating: Key Questions About Gastrointestinal Health