IBS, Gastroenterology and Hepatology FAQ - Page 8

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Understanding Right Lower Abdominal Pain: Is It IBS or Something More Serious?

Abdominal inquiry? Hello, doctor. I would like to ask you about my recent symptoms. I've been experiencing bloating and gurgling sounds concentrated in my lower right abdomen. I can distinctly feel the movement of food through the lower right abdomen when I eat, and it often...


Dr. Chen Shidian Reply:
Since the pain is not localized to a specific area, further examination may be necessary.

[Read More] Understanding Right Lower Abdominal Pain: Is It IBS or Something More Serious?


Understanding Recent Blood and Mucus in Stool: A Gastroenterology Perspective

Recent issues with blood in stool and mucus? Hello Dr. Chen, I asked a related question on August 12. Since I have cerebral palsy and use a wheelchair, I am unable to exercise regularly. Last time, I mentioned that my bowel habits changed starting at the age of 13, and I often ex...


Dr. Chen Shidian Reply:
A fecal occult blood test can be performed on normal-looking stools (which rules out bleeding from internal hemorrhoids). If there are still concerns, please discuss with your outpatient physician whether further examination is necessary.

[Read More] Understanding Recent Blood and Mucus in Stool: A Gastroenterology Perspective


Understanding Intermittent Left Lower Abdominal Pain: Is It IBS?

Occasional left lower abdominal pain that sometimes bulges and then subsides? Hello Dr. Lin, I have been troubled by this issue for over five years. I experience intermittent sharp pain in my lower left abdomen, sometimes intense enough to make me roll on the bed. The frequency i...


Dr. Lin Minghui Reply:
Hello, a 29-year-old female presents with intermittent left lower abdominal pain that occasionally becomes distended and then subsides. The pain is severe during episodes and is relieved after bowel movements. Possible causes for the left lower abdominal pain include gastrointest...

[Read More] Understanding Intermittent Left Lower Abdominal Pain: Is It IBS?


Understanding Digestive Issues: Symptoms, Causes, and Solutions

I've been feeling strange in my abdomen lately? About a month ago, I started to notice that my appetite was smaller than before; often, I couldn't eat as much as I used to without feeling overly full and a bit nauseous. Additionally, I would feel full for a long time af...


Dr. Cai Anshun Reply:
Hello: 1. Whether or not you have eaten, you may feel bubbling sounds in your stomach and intestines, along with occasional sensations of peristalsis. This likely indicates a combination of increased intestinal motility and bloating. 2. Your appetite has not returned to what ...

[Read More] Understanding Digestive Issues: Symptoms, Causes, and Solutions


Understanding Tongue Pain: Possible Links to Gastrointestinal Issues

Tongue pain and oral pain? I have been experiencing tongue pain for three years, with symptoms that come and go. I have been examined at a teaching hospital, but they couldn't determine the cause since there are no visible lesions. Recently, I have noticed small indentations...


Dr. Cai Anshun Reply:
Hello: I'm not sure if your diet is balanced. If it is not, you should strive to include dairy, eggs, fish, meat, beans, vegetables, and fruits in your diet. If that is not possible, you can consider taking a multivitamin supplement. Additionally, if there is no improvement,...

[Read More] Understanding Tongue Pain: Possible Links to Gastrointestinal Issues


Understanding Diarrhea and IBS: Symptoms and Insights

Diarrhea Irritable Bowel Syndrome (IBS) Hello Doctor, I usually have bowel movements in the morning. Sometimes they are normal, and other times it's just a little bit of watery stool, but the color is always a normal brown. I don't experience any abdominal pain, althoug...


Dr. Zhang Kebin Reply:
Dear Mr. Xiao Di, You inquired about experiencing normal bowel movements at times, while at other times having only small amounts of watery stools, all of which are brown in color and without abdominal pain. Occasionally, you feel bloated after meals, and recently, you have been...

[Read More] Understanding Diarrhea and IBS: Symptoms and Insights


Managing Post-Gastroenteritis Symptoms: Tips for Gut Health

Post-acute gastroenteritis complications? About one or two years ago, I had an episode of gastroenteritis that required a few days of hospitalization. However, I now have a lingering issue where I experience stomach pain whenever I eat spicy or somewhat stale food. Previously, I ...


Dr. Chen Shidian Reply:
You may have irritable bowel syndrome (IBS), so it is advisable to follow a gentle diet, reducing spicy foods, oily foods, and dairy. Medication may be necessary for control.

[Read More] Managing Post-Gastroenteritis Symptoms: Tips for Gut Health


Understanding Painless Rectal Bleeding: Causes and Concerns

Rectal bleeding without pain? Hello Dr. Tsai, the recent pandemic has been severe, and everyone has worked hard. Here are my specific circumstances: I do not experience any unusual sensations during bowel movements, but I have noticed fresh blood when wiping with tissue. My stool...


Dr. Cai Anshun Reply:
Hello: If there is fresh blood in the stool, it is often caused by hemorrhoids or anal fissures. If there is also pain in the lower left abdomen after bowel movements, it may indicate the presence of retained stool or gas. It is recommended to increase the intake of fruits and ve...

[Read More] Understanding Painless Rectal Bleeding: Causes and Concerns


Managing GERD and Esophagitis: Duration of PPI Use and Symptoms Explained

How long does it take for gastroesophageal reflux disease (GERD) to improve when taking proton pump inhibitors (PPIs)? What should I do if I experience a bitter taste and acid reflux after stopping PPIs? Hello: In February of this year, I underwent an upper gastrointestinal endos...


Dr. Cai Anshun Reply:
Hello: Gastroesophageal reflux disease (GERD) is classified into four grades (A, B, C, D) based on the extent of esophageal mucosal injury due to gastric acid, according to the Los Angeles Classification. Under the National Health Insurance regulations, grades A and B allow for p...

[Read More] Managing GERD and Esophagitis: Duration of PPI Use and Symptoms Explained


Understanding Stomach Pain, Bloating, and Rib Pain: When to Seek Help

Stomach pain, bloating, and pain under the rib cage? Hello Doctor, I have been experiencing stomach discomfort and a lack of appetite for the past two weeks. Throughout the day, even if I haven't eaten much, I feel bloated. My weight has decreased by 3 kilograms over these t...


Dr. Chen Shidian Reply:
You can go to the hospital for an examination.

[Read More] Understanding Stomach Pain, Bloating, and Rib Pain: When to Seek Help


Understanding Bloating and Diarrhea: Possible Causes and Solutions

Flatulence issues? Hello doctor, I would like to ask about a situation where I experience diarrhea shortly after eating, and whether I eat or not, I tend to pass gas frequently. Sometimes, I feel a little liquid coming out with the gas—it's rare, and sometimes it is colorles...


Dr. Cai Anshun Reply:
Hello: You can consult a gastroenterologist for a stool examination, which can help determine the issue. Additionally, pay attention to a light diet, increase your intake of fruits and vegetables, and ensure adequate hydration. Having smoother bowel movements can reduce the chanc...

[Read More] Understanding Bloating and Diarrhea: Possible Causes and Solutions


How Long Does It Take for IBS Medications to Start Working?

How long does it take for the medication for irritable bowel syndrome (IBS) to take effect? Hello Doctor, I have been affected by irritable bowel syndrome (IBS) for a long time. Initially, I managed it through dietary control, which helped reduce the frequency of episodes (I rare...


Dr. Chen Shidian Reply:
Adjust medication/dietary changes (before meals) and make further adjustments based on the response during the follow-up visit.

[Read More] How Long Does It Take for IBS Medications to Start Working?


Understanding Abdominal Pain: Is IBS the Culprit Behind Your Discomfort?

Abdominal pain Hello, doctor. I would like to ask if irritable bowel syndrome (IBS) can cause a sharp pain in the abdomen while moving. I experience a sharp and pulling sensation in the right side of my abdomen whenever I stretch my body or apply pressure to my stomach. My usual ...


Dr. Chen Shidian Reply:
If others can also feel your lump, you should seek medical attention. If it is only a sensation, you can continue to monitor it, but if you are still concerned, it is advisable to consult a doctor.

[Read More] Understanding Abdominal Pain: Is IBS the Culprit Behind Your Discomfort?


Persistent Right Upper Abdomen Discomfort: Causes and Next Steps

When sitting down, there is a sensation of a foreign object in the right upper abdomen, occasionally accompanied by pain? Hello Doctor, since 2013, I have been experiencing a sensation of a foreign object in my body near the right upper abdomen close to the ribs when sitting down...


Dr. Lin Minghui Reply:
Hello: To manage fatty liver, it is recommended to reduce the intake of greasy foods and sweets, and to avoid alcohol. Do not eat until overly full, as this can hinder digestion. It may be advisable to check for any issues with the bile ducts or pancreas. Wishing you peace, healt...

[Read More] Persistent Right Upper Abdomen Discomfort: Causes and Next Steps


Understanding Digestive Issues: When to Seek Further Testing

Bowel issues Hello Doctor: Since childhood, I have had gastrointestinal issues, frequently experiencing diarrhea and bloating. Two years ago, I underwent a fecal occult blood test, which was negative, and I was diagnosed with internal hemorrhoids. In the second half of last year,...


Dr. Yang Zhichao Reply:
Hello Ms. C, based on your description, irritable bowel syndrome (IBS) is a more likely diagnosis. However, if you continue to experience rectal bleeding, I recommend scheduling a colonoscopy to rule out some rare inflammatory bowel diseases or tumors. Thank you for your inquiry.

[Read More] Understanding Digestive Issues: When to Seek Further Testing


Understanding Fecal Occult Blood Tests: Detecting Polyps and IBS

What are the related issues regarding fecal occult blood testing? Thank you for the doctor's response. So, polyps smaller than 1 cm cannot be detected, but polyps larger than 1 cm are benign. Does this mean that polyps smaller than 1 cm are likely to progress to colorectal c...


Dr. Chen Shidian Reply:
Polyps that are 1 cm in size are more likely to become malignant, but they can be easily detected through fecal occult blood screening. Polyps smaller than 1 cm (especially those less than 0.5 cm) are mostly benign and are less likely to yield a positive occult blood test, so the...

[Read More] Understanding Fecal Occult Blood Tests: Detecting Polyps and IBS


Differentiating Between Colon Polyps and Irritable Bowel Syndrome

Distinguishing between colorectal polyps and irritable bowel syndrome (IBS)? How can I distinguish whether my current condition is colorectal polyps or irritable bowel syndrome (IBS)? My current symptoms include severe constipation (having a bowel movement every 3 to 4 days), thi...


Dr. Chen Shidian Reply:
Irritable bowel syndrome (IBS) should be considered. Polyps are a separate diagnosis and are not related to symptoms. Generally, fecal occult blood screening should begin at age 50 or older. Individuals with symptoms may consider seeking early evaluation and examination through h...

[Read More] Differentiating Between Colon Polyps and Irritable Bowel Syndrome


Is It IBS or a More Serious Gastrointestinal Issue?

Is it irritable bowel syndrome or a more serious gastrointestinal issue? Hello Dr. Tsai, I have always had digestive issues and often experience bloating. Recently, in the past month, I have had about three episodes of cramping pain in my lower left abdomen. Yesterday afternoon,...


Dr. Cai Anshun Reply:
Hello: This symptom seems more like constipation. I can prescribe some stool softeners and probiotics for you. I also recommend increasing your fluid intake and consuming more fruits and vegetables to see if your symptoms improve. Regarding the presence of blood streaks, please m...

[Read More] Is It IBS or a More Serious Gastrointestinal Issue?


Understanding the Connection Between Mental Health and IBS Symptoms

Please consult a physician for your questions? Hello, I have a mental illness and have been receiving treatment in psychiatry for over twenty years. I can't remember when it started, but whenever I feel anxious or stressed, I experience diarrhea associated with irritable bow...


Dr. Yang Zhichao Reply:
Hello Mr. Jin Pi, indeed, there is a significant correlation between anxiety and irritable bowel syndrome (IBS). Coffee and tea can also increase the frequency of bowel movements. However, there is not a strong correlation between scoliosis and IBS. I recommend that you consult a...

[Read More] Understanding the Connection Between Mental Health and IBS Symptoms


Understanding Gastrointestinal Issues: IBS or Colon Cancer?

Gastrointestinal issues (Irritable Bowel Syndrome or Colorectal Cancer?) A few months ago, I noticed blood in my stool each time I had a bowel movement, and my stools were somewhat hard. Occasionally, I found blood on the surface. The shape of the stool varied, sometimes being qu...


Dr. Yang Zhichao Reply:
Hello Ms. Liu, based on your age and description, it seems more like you may be experiencing impaired gastrointestinal motility or irritable bowel syndrome. However, since there is blood in your stool, I recommend that you see a gastroenterologist for evaluation. They may suggest...

[Read More] Understanding Gastrointestinal Issues: IBS or Colon Cancer?


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