Irritable bowel, Gastroenterology and Hepatology FAQ

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Unexpected Changes in Bowel Habits: What Does It Mean?

Bowel movements suddenly become very regular? I have had irritable bowel syndrome since I was 15, often alternating between diarrhea and constipation, sometimes going a week without a bowel movement. Two months ago, after recovering from viral gastroenteritis, my bowel movements ...


Dr. Cai Anshun Reply:
Hello: If the changes lead to a more normal state, there should be no need for excessive concern. It is important to maintain normalcy, which may require paying more attention to diet and lifestyle, ensuring adequate hydration, fiber intake, exercise, and appropriately managing s...

[Read More] Unexpected Changes in Bowel Habits: What Does It Mean?


Sudden Severe Abdominal Pain: Understanding Gastrointestinal Issues

Severe abdominal pain? Hello, doctor. This morning, while I was lying in bed, I suddenly experienced severe abdominal pain (I was lying on my side at the time), accompanied by loud bowel sounds and a slight urge to use the restroom. After using the restroom, I felt somewhat bette...


Dr. Chen Shidian Reply:
It is a strong peristaltic bowel movement response, which is classified as irritable bowel syndrome (IBS). It is recommended to adjust to a regular lifestyle, reduce the intake of greasy foods and dairy products, and manage emotional stress.

[Read More] Sudden Severe Abdominal Pain: Understanding Gastrointestinal Issues


Understanding Morning Bowel Issues: Anxiety and Digestive Health

Bowel movement issues? For the past two months, due to work, I sometimes have to wake up very early for morning shifts. After having breakfast, about half an hour to an hour later, I always feel the urge to have a bowel movement. Most of the time, it is soft stools or diarrhea, a...


Dr. Chen Shidian Reply:
Food can stimulate normal peristaltic reflexes, and when combined with stress and anxiety, it can lead to increased frequency of bowel movements or diarrhea.

[Read More] Understanding Morning Bowel Issues: Anxiety and Digestive Health


Understanding Bowel Issues: Is My Digestive Health Normal?

Bowel issues Hello, Doctor: I have a question. I was diagnosed with irritable bowel syndrome (IBS) at another hospital, and the symptoms have persisted for six months. I have been taking medication, which has improved my condition significantly. However, recently, my first bowel ...


Dr. Cai Anshun Reply:
Hello: It is normal for the first part of the stool to be formed while the latter part is unformed, as the water content has not been fully absorbed in the latter segment. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Bowel Issues: Is My Digestive Health Normal?


Understanding Bloating, Gas, and Bowel Issues: When to Seek Help

Abdominal bloating, flatulence, and bowel movement issues? Thank you, doctor, for taking the time to read and respond. Hello, I am a 23-year-old female student. During my high school years, I developed a habit of withholding urination and defecation due to fear of using the schoo...


Dr. Cai Jinji Reply:
Hello, Ms. Shrimp: If both parents are diagnosed with cancer in middle age, it is advisable to consult a colorectal specialist to determine if further examinations are necessary. Director Cai Jin-ji of the Gastroenterology and Hepatology Department at Nantou Hospital.

[Read More] Understanding Bloating, Gas, and Bowel Issues: When to Seek Help


Understanding IBS: Why Travel Relieves Diarrhea and Abdominal Pain

Recurrent abdominal pain, flatulence, and diarrhea? Hello, doctor. At the end of April, I experienced discomfort in my stomach, so I underwent an upper gastrointestinal endoscopy and a colonoscopy in May. The results showed that there were no issues with the colon, but there was ...


Dr. Cai Jinji Reply:
Hello Mr. Jack: It may be advisable to discuss with your physician whether to first evaluate the situation regarding the original gastroscopy, colonoscopy, and CT scan. Dr. Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.

[Read More] Understanding IBS: Why Travel Relieves Diarrhea and Abdominal Pain


Understanding Diarrhea and Hemorrhoids: Key Questions Answered

Questions about diarrhea and hemorrhoids? Hello Doctor, I have not experienced diarrhea from January to June of this year, and my bowel movements have been regular with well-formed stools. Occasionally, I had small pellet-like stools, but there was some blood in my stool intermit...


Dr. Cai Jinji Reply:
Hello Ms. Chen: If there is no improvement, it is recommended to consult a gastroenterologist to see if further examination is needed. Director Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.

[Read More] Understanding Diarrhea and Hemorrhoids: Key Questions Answered


Understanding Bowel Movements and Gas: Is It Irritable Bowel Syndrome?

I have been experiencing intestinal peristalsis and issues with flatulence over the past few days? Hello, doctor. I previously asked some questions regarding gastroesophageal reflux, fresh blood on toilet paper after bowel movements, and abdominal tenderness upon palpation. Curre...


Dr. Chen Shidian Reply:
Fruits and vegetables/dietary fiber can promote peristalsis/bowel movements/gas expulsion, so please adjust the intake accordingly.

[Read More] Understanding Bowel Movements and Gas: Is It Irritable Bowel Syndrome?


Understanding IBS: Is Stress the Cause of Your Chronic Diarrhea?

Irritable Bowel Syndrome (IBS) Diagnosis Issues Hello Dr. Chen, I have been experiencing long-term constipation for six months, primarily characterized by diarrhea, mostly yellow in color. In May, due to gastrointestinal discomfort, I underwent a series of tests. The gastroscopy ...


Dr. Chen Shidian Reply:
If the abnormal intestinal motility is solely caused by diet or lifestyle, adjustments can be made. However, if symptoms persist after making these changes, it is advisable to seek medical attention for further management.

[Read More] Understanding IBS: Is Stress the Cause of Your Chronic Diarrhea?


Understanding Chronic Abdominal Discomfort: Constipation or IBS?

Chronic recurrent abdominal discomfort? Hello Doctor, I have been experiencing constipation issues (about every 3-4 days or longer for a bowel movement). A year or two ago, I suddenly noticed a slight dull pain around my lower abdomen near the navel. I still have bowel movements ...


Dr. Cai Anshun Reply:
Hello: Constipation can lead to fecal impaction or irritable bowel syndrome. Even if you have soft stools every 3-4 days, it is still recommended to develop a daily bowel movement habit and to ensure adequate hydration and intake of fruits and vegetables. Changhua Hospital cares ...

[Read More] Understanding Chronic Abdominal Discomfort: Constipation or IBS?


Understanding Changes in Bowel Habits and Abdominal Sounds: A Gastrointestinal Perspective

Changes in bowel habits, borborygmi, and the presence of two colors in the stool? Hello Doctor, I am 21 years old and have been experiencing frequent abdominal rumbling recently. My bowel habits have changed; yesterday I had two stools that were flattened at the ends, and today I...


Dr. Chen Shidian Reply:
It is just mild peristaltic digestive changes. First, adjust your diet by reducing oil intake and increasing fruits and vegetables, and minimize prolonged sitting. This should improve the condition.

[Read More] Understanding Changes in Bowel Habits and Abdominal Sounds: A Gastrointestinal Perspective


Chronic Abdominal Pain: Understanding Complications and Treatment Options

Abdominal pain persisting for over a year accompanied by multiple complications? Hello, doctor. Since February of last year, I have been experiencing abdominal pain every night, and sometimes I have to rush to the bathroom in the middle of the night. At that time, my bowel moveme...


Dr. Chen Shidian Reply:
If the weight is normal, irritable bowel syndrome (IBS) may be the most likely cause. In addition to using gastrointestinal medications for management, a stool occult blood test can be conducted. If necessary, a referral to a mental health specialist may help with anxiety control...

[Read More] Chronic Abdominal Pain: Understanding Complications and Treatment Options


Understanding Right Lower Abdominal Pain: Causes and Insights

Right lower abdominal pain? Hello Doctor, I have been experiencing frequent pain in my lower right abdomen recently, and I feel bloated even after eating a small amount. About a month ago, I sought medical attention for this issue, and at that time, I was diagnosed with a right o...


Dr. Cai Anshun Reply:
Hello, the X-ray report indicates that there is a significant amount of intestinal gas, with some parts of the intestines appearing distended and the presence of fecal impaction. Additionally, there are some calcifications noted in the pelvic cavity, which may be due to vascular ...

[Read More] Understanding Right Lower Abdominal Pain: Causes and Insights


Morning Bloating and Discomfort: Tips for IBS Relief

I often feel discomfort in my stomach upon waking up in the morning? Hello, I am a patient with irritable bowel syndrome (IBS). Every morning when I wake up, I experience discomfort in my abdomen. Upon waking (still lying in bed), I often have bloating (belching) and flatulence. ...


Dr. Cai Anshun Reply:
Hello: Sometimes excessive gas and urgent bowel movements are not necessarily caused by excessive intestinal gas; it may also be due to rapid peristalsis. It is advisable to consult a clinical physician for appropriate treatment. Additionally, in terms of diet, it is recommended ...

[Read More] Morning Bloating and Discomfort: Tips for IBS Relief


Morning Abdominal Discomfort: Understanding Causes and Solutions

Morning abdominal "pain" issue? Hello doctor, I have been experiencing abdominal discomfort for a long time (about 3-4 years). Often, when I wake up in the morning, I feel pain around the area approximately three fingerbreadths to the left of my navel. This pain is not ...


Dr. Chen Shidian Reply:
There should be no major issues with the gastrointestinal tract, and it can be monitored further. The likelihood of neuropathic pain is also low.

[Read More] Morning Abdominal Discomfort: Understanding Causes and Solutions


Understanding Chronic Morning Abdominal Pain: Possible Causes and Solutions

Long-term abdominal pain upon waking up in the morning? Hello Doctor, I have been experiencing abdominal discomfort for a long time (about 3-4 years). I often feel pain in the area about three fingerbreadths to the left of my navel when I wake up in the morning. This pain is not ...


Dr. Cai Anshun Reply:
Hello: It is advisable to first undergo an upper gastrointestinal endoscopy to rule out any gastric issues. Additionally, please avoid tea (black tea/green tea/milk tea), coffee, chocolate, sweets, spicy foods, fried foods, high-fat, and high-protein foods. Changhua Hospital care...

[Read More] Understanding Chronic Morning Abdominal Pain: Possible Causes and Solutions


Long-Term Use of Mebever and Catilon: Risks and Side Effects Explained

Long-term use of Mebeverine and Catilon? Hello, doctor. I have been suffering from irritable bowel syndrome for a long time, so I have been taking related medications, with the most common ones being Mebeverine and Catilon. I would like to know if long-term use (continuously for ...


Dr. Yang Zhichao Reply:
Hello Mr. Anonymous, regarding the medication you mentioned taking long-term, there are currently no specific side effects. However, irritable bowel syndrome (IBS) cannot be cured. If your symptoms improve, you may consider discontinuing the medication or reducing the dosage. You...

[Read More] Long-Term Use of Mebever and Catilon: Risks and Side Effects Explained


Understanding Recurrent Bloating and Abdominal Pain: When to Seek Further Tests

Frequent bloating and abdominal pain? Hello Doctor, I have seen many doctors this month. In the first and second weeks, I visited for bloating, and in the third week, I consulted for gastroesophageal reflux disease. After taking medication, I felt better in two days, but then I e...


Dr. Luo Yining Reply:
The main cause of abdominal bloating is excessive air, which can generally be divided into two categories: excessive gas production or poor gas expulsion. Excessive gas production can be due to consuming too many gas-producing foods or swallowing too much air, such as when talkin...

[Read More] Understanding Recurrent Bloating and Abdominal Pain: When to Seek Further Tests


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?


Understanding Irregular Bowel Movements: IBS or Something More Serious?

Sometimes bowel movements are normal, while other times there is diarrhea? Hello doctor, I am 20 years old, 186 cm tall, and weigh about 80 kg. My weight has not decreased; in fact, it has increased. I would like to ask about my recent bowel movements, which are sometimes ribbon-...


Dr. Chen Shidian Reply:
It is not colorectal cancer; it is just a variation in digestive motility. A normal diet of fruits and vegetables is recommended, and further observation is advised.

[Read More] Understanding Irregular Bowel Movements: IBS or Something More Serious?


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