Understanding Persistent Right Lower Abdominal Bloating: Causes and Concerns
Prolonged bloating in the lower right abdomen? Hello Doctor, I apologize for interrupting you during your busy schedule! Around May and June of this year, I suddenly noticed that lightly tapping my right lower abdomen (the area next to the navel down to the lower abdomen) produc...
Dr. Cai Anshun Reply:
Hello: 1. The left and right colon are not completely symmetrical, so they will not be exactly the same on both sides. 2. If menstrual symptoms are more severe, it may be necessary to consider gynecological issues such as endometriomas. Additionally, it could simply be irritable ...[Read More] Understanding Persistent Right Lower Abdominal Bloating: Causes and Concerns
Understanding Blood in Stool: Causes and Concerns After Gastrointestinal Issues
I have an unusual feeling in my abdomen, and there is blood in my stool? Hello Doctor: I just had a colonoscopy and gastroscopy in July of this year. The colonoscopy results were normal, except for the presence of hemorrhoids. However, the gastroscopy revealed a gastric ulcer and...
Dr. Lin Minghui Reply:
Loose stools and diarrhea with blood in the stool may indicate gastroenteritis, irritable bowel syndrome, or bleeding hemorrhoids. Increased stress from work can lead to higher gastric acid secretion, and poor dietary habits may contribute to acid-related conditions such as gastr...[Read More] Understanding Blood in Stool: Causes and Concerns After Gastrointestinal Issues
Post-Polypectomy Diet: What to Eat After Gastroscopy in Taiwan
Dietary Recommendations After Gastric Polyp Removal During Endoscopy Hello Doctor: I had a gastroscopy during my health check-up and polyps were removed. I would like to know what dietary precautions I need to take after the procedure. When can I resume a normal diet? Thank you!
Dr. Yang Zhichao Reply:
Regular meals can be consumed normally.[Read More] Post-Polypectomy Diet: What to Eat After Gastroscopy in Taiwan
Post-Polypectomy Diet: Guidelines for Recovery After Gastroscopy
Dietary Recommendations After Gastric Polyp Removal During Endoscopy Dear Doctor: I had a health check-up today and a polyp was found and removed on the spot. What dietary guidelines should I follow? When can I resume a normal diet? Thank you.
Dr. Lin Minghui Reply:
Hello; it is recommended to follow a mild and light diet (avoid overly sweet, oily, or spicy foods) to prevent irritation to the wound for about a week. Wishing you good health![Read More] Post-Polypectomy Diet: Guidelines for Recovery After Gastroscopy
Chronic Abdominal Pain After Bowel Movements: Seeking Answers
Large intestine meridian After each bowel movement (muscle contraction), there is severe abdominal pain, bloating, and subsequently the appearance of secretions. Various examinations including colonoscopy, gastroscopy, ultrasound, and CT scans have been performed, all showing no ...
Dr. Cai Anshun Reply:
Hello: If the examination shows no issues, it may be related to intestinal function. Pay attention to whether your stool pattern is normal. If the stool pattern is abnormal, you can visit a gastroenterology clinic to discuss it in detail with a physician and request medication ad...[Read More] Chronic Abdominal Pain After Bowel Movements: Seeking Answers
Understanding Digestive Biopsy Results After Colonoscopy and Endoscopy
After the colonoscopy and gastroscopy, the report indicated gastrointestinal biopsy examination? After undergoing a colonoscopy and gastroscopy, no doctor came to explain the results to me; only the nurse mentioned to wait for the follow-up appointment to review the report. I fin...
Dr. Chen Shidian Reply:
Please return for a follow-up on the scheduled date (general pathology reports take 7 days). Any concerning findings will typically be mentioned in advance. It should only be a routine biopsy.[Read More] Understanding Digestive Biopsy Results After Colonoscopy and Endoscopy
Understanding Barrett's Esophagus: Treatment Options and Expert Guidance
Please advise on the active treatment options for Barrett's esophagus? Dear Dr. Chen, I am a 41-year-old male, 174 cm tall and weighing 90 kg. My past medical history includes peptic ulcer disease and irritable bowel syndrome. Currently, I have moderate fatty liver disease,...
Dr. Chen Shidian Reply:
It is recommended to start medication and follow up with an endoscopy in one year, and then consider endoscopic treatment if necessary. In Taiwan, this is not commonly practiced; patients must go to a medical center for a complete preoperative evaluation, and decisions will be ma...[Read More] Understanding Barrett's Esophagus: Treatment Options and Expert Guidance
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
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 Your Gastroscopy Report: Insights on Type IIa Lesions
Gastrointestinal Endoscopy Report Recently, I underwent a painless gastroscopy and saw the report in English on the app. I noticed a type IIa classification, which made me very anxious. I would like to ask the doctor to take a look at what this means. Thank you. Epigastralgia ...
Dr. Yang Zhichao Reply:
For medical explanations regarding issues, please visit the outpatient clinic for clarification.[Read More] Understanding Your Gastroscopy Report: Insights on Type IIa Lesions
Understanding CA199 Levels: What Rising Numbers Mean for Your Health
CA19-9 Issues Hello, doctor. Two years ago, my CA 19-9 level was 5. This year, from February to May, the levels increased from 15 to 17, 18, and then 23. All other markers are normal, abdominal ultrasound is fine, and the gastroscopy showed superficial gastritis. Does this increa...
Dr. Chen Shidian Reply:
Currently, the health insurance can only provide follow-up. If you are still concerned, you may consider paying out of pocket for an abdominal CT scan or MRI.[Read More] Understanding CA199 Levels: What Rising Numbers Mean for Your Health
Understanding Gastric Issues: When to Consider an Endoscopy
Issues related to gastroscopy? Hello doctor, I had a not-so-clean lunch box two Thursdays ago, which resulted in a loss of appetite and abdominal pain. I went to the hospital and received medication for gastritis for a week, and I have seen improvement. However, I still experienc...
Dr. Chen Shidian Reply:
There is no need for another gastroscopy; simply following medication and dietary adjustments, along with local heat application, is sufficient. This is not related to cancer, so there is no need to worry.[Read More] Understanding Gastric Issues: When to Consider an Endoscopy
Acute Upper Abdominal Pain from Cold Medicine: Causes and Solutions
Acute upper abdominal cramping caused by cold medication? Hello Dr. Chen, last week I neglected to space out my cold medication between dinner and bedtime by 4-6 hours. I was feeling very unwell, so I only waited an hour before taking the bedtime medication and went to sleep. As ...
Dr. Chen Shidian Reply:
The need for an urgent gastroscopy depends on the visible medication response; it is not always necessary. However, if black or tarry stools are observed, indicating gastrointestinal bleeding, then an emergency visit is required.[Read More] Acute Upper Abdominal Pain from Cold Medicine: Causes and Solutions
Long-Term Use of Medications: Impact on Gastrointestinal Health and Function
Taking Nizatidine and Omeprazole for more than 5 years, could it affect gastrointestinal function? Recently, due to the discontinuation of Laxative, taking fiber supplements has caused severe bloating and pain. Two years ago, a colonoscopy revealed black bowel syndrome, and the d...
Dr. Chen Shidian Reply:
Anemia is not related to gastrointestinal medications, but it is recommended to investigate the underlying cause (hematology). Stomach medications can be reduced in intensity (lower dosage or switch medications) or taken only when necessary. Laxatives are often needed due to indi...[Read More] Long-Term Use of Medications: Impact on Gastrointestinal Health and Function
Understanding Fundic Gland Polyps: What You Need to Know After a Gastroscopy
Gastric fundic gland polyps? Hello, Doctor. I had an upper gastrointestinal endoscopy at a large hospital and discovered polyps. Two weeks later, during a follow-up appointment, the doctor said the biopsy results indicated fundic gland polyps in the stomach and that there was no ...
Dr. Hu Guozheng Reply:
Hello, please trust your examination and your attending physician. If you have concerns about family history, it is advisable to schedule a follow-up appointment for the doctor to evaluate. Thank you.[Read More] Understanding Fundic Gland Polyps: What You Need to Know After a Gastroscopy
Understanding Upper Abdominal Discomfort: Causes and Solutions
Upper abdominal discomfort or pain? Hello Doctor, I have been experiencing a dull pain in my upper abdomen for almost eight months now, located around the epigastric area. Currently, the symptoms persist as dull pain, and I have issues with bowel movements, sometimes having diffi...
Dr. Chen Shidian Reply:
If weight, cancer markers, and lipase blood tests are normal, there is generally no need for further imaging studies. However, if there are still concerns, you may opt for out-of-pocket testing.[Read More] Understanding Upper Abdominal Discomfort: Causes and Solutions
Understanding Bowel Issues: Symptoms and Concerns for Your Health
Bowel issues Hello doctor, today I experienced cramping pain in my abdomen (there's a gurgling sound in the lower left side of my intestines) and diarrhea. Initially, my stool was normal and formed, but I’m not sure if it’s because I ate too much. Later, it turned into water...
Dr. Chen Shidian Reply:
Irritable bowel syndrome (IBS) is related not only to diet and lifestyle but also to anxiety. Proper management and adjustments can help alleviate symptoms.[Read More] Understanding Bowel Issues: Symptoms and Concerns for Your Health
Understanding Right Abdominal Tightness: Causes and Solutions
Tightness in the right abdomen? Hello Doctor: Since June of last year, I have been experiencing frequent tightness in my right abdomen. I have undergone abdominal ultrasound, abdominal X-ray, and gastroscopy, all of which appeared normal. Currently, the symptoms persist, sometime...
Dr. Chen Shidian Reply:
A colonoscopy and (out-of-pocket) computed tomography can be performed for examination. If no abnormalities are found, local heat application and stretching exercises may be recommended.[Read More] Understanding Right Abdominal Tightness: Causes and Solutions
Chronic Lower Abdominal Pain with Normal Bowel Movements: What to Know
Normal bowel movements, but experiencing chronic lower abdominal pain? Hello, Doctor. I started experiencing lower abdominal pain (cramping) in January 2022, and I cannot determine if it is in the left lower or right lower quadrant (lower middle). Generally, my bowel movements ar...
Dr. Lin Minghui Reply:
Normal bowel movements but persistent lower abdominal pain. After defecation, the pain shifts from the lower abdomen to the upper abdomen. There is no pain at night, but pain occurs in the morning upon waking. Abdominal ultrasound and colonoscopy show no issues. Treatment for irr...[Read More] Chronic Lower Abdominal Pain with Normal Bowel Movements: What to Know
Understanding Digestive Issues: Black Stool and Abdominal Discomfort
Digestive and bowel issues? I have noticed that my stool has been dark brown, almost black, over the past few days. On Monday, it was very thick and hard, and the next day it became more pellet-like with a lighter color. Today, I also had pellet-like stools but simultaneously pas...
Dr. Chen Shidian Reply:
As long as the weight is normal, continue to monitor the diet and observe.[Read More] Understanding Digestive Issues: Black Stool and Abdominal Discomfort