Understanding Digestive Issues: Is It Gastrointestinal or Hemorrhoids?
Gastrointestinal issues or internal hemorrhoids? Over the past year, I have undergone gastroscopy, colonoscopy, and fecal occult blood tests. The gastroscopy showed no issues. During the colonoscopy, the doctor was unable to get a clear view due to insufficient bowel preparation,...
Dr. Chen Shidian Reply:
Hello, sir: Based on what you've described, there seems to be slight bleeding near the rectum/anus. You may observe it for now, but if the bleeding continues, please return to the clinic for an examination. Additionally, you have irritable bowel syndrome, so it is advisable ...[Read More] Understanding Digestive Issues: Is It Gastrointestinal or Hemorrhoids?
Understanding Gut Issues: Should You Get a Colonoscopy for IBS Symptoms?
Gastrointestinal issues I'm sorry to hear that you're experiencing these symptoms. It sounds like you may be dealing with some gastrointestinal issues, such as irritable bowel syndrome (IBS). The presence of mucus in your stool and the varying consistency of your bowel ...
Dr. Cai Anshun Reply:
Hello: Based on your description, it is possible that you are experiencing abnormal intestinal motility, which may be caused by psychological stress and should be carefully analyzed. As for whether it is irritable bowel syndrome (IBS), a key characteristic of IBS is its periodic ...[Read More] Understanding Gut Issues: Should You Get a Colonoscopy for IBS Symptoms?
Understanding Constipation and Digestive Issues: Insights from Gastroenterology
Constipation and digestive issues? Hello Dr. Tsai, I have been experiencing difficulty with bowel movements for the past two weeks. I have been using over-the-counter products such as digestive teas, coffee with milk, glycerin suppositories, and black coffee every 3 to 4 days to...
Dr. Cai Anshun Reply:
Hello: Caffeinated beverages can sometimes have a diuretic effect, leading to dehydration if adequate fluids are not replenished, which can result in excessively dry stools and constipation as a counterproductive effect. Additionally, caffeine can indeed stimulate excessive gastr...[Read More] Understanding Constipation and Digestive Issues: Insights from Gastroenterology
Understanding Digestive Health: Timing of Bowel Movements and Food Residue
Bowel movement issues Hello, Doctor: I would like to ask you about the typical time it takes to excrete food after eating. Yesterday at noon, I had some shredded carrots, and tonight (during my second bowel movement of the day), I noticed what appeared to be remnants of carrots i...
Dr. Lin Minghui Reply:
Hello, carrots are not easily digestible and often appear as residue in the stool. There is no specific time frame for bowel movements after consumption. Irritable bowel syndrome is not related. This is a response from Dr. Lin Ming-Hui, attending physician of the Gastroenterology...[Read More] Understanding Digestive Health: Timing of Bowel Movements and Food Residue
Understanding Nighttime Abdominal Bloating and Gastrointestinal Discomfort
Gastrointestinal discomfort with a sensation of bloating in the lower abdomen at night? Hello, Doctor. Since I was young, I have had the habit of wanting to use the restroom after eating, approximately 2-3 times a day: once in the morning and 1-2 times in the afternoon or evening...
Dr. Chen Qifeng Reply:
Hello, based on the medical history and symptoms, the likelihood of irritable bowel syndrome with constipation is the highest. Of course, occasional rectal bleeding may be due to hemorrhoids. It is recommended to reduce oil, dairy, and irritating foods, and to increase water inta...[Read More] Understanding Nighttime Abdominal Bloating and Gastrointestinal Discomfort
Understanding Colonic Health: Concerns About Symptoms and Diagnosis
Gastrointestinal issues Hello, doctor. May I ask where the sigmoid colon is located? About three centimeters to the left of my belly button, when I press down with my fingernail, I feel a hard lump (it's been there for about two years). I am quite thin, 178 cm and 52.6 kg, a...
Dr. Chen Qifeng Reply:
Hello, it is recommended to consult a gastroenterologist or a colorectal surgeon. If it were cancer, it would not take this long without other symptoms. Sincerely, Dr. Chen Chi-Feng, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health...[Read More] Understanding Colonic Health: Concerns About Symptoms and Diagnosis
Chronic Diarrhea and Abdominal Pain: Causes and Solutions Explained
Persistent diarrhea? Hello, doctor... I have been suffering from chronic diarrhea and abdominal pain for a long time. In early February 2015, I underwent a comprehensive health check-up, which included stool tests, endoscopy, abdominal ultrasound, and blood tests. They informed m...
Dr. Chen Qifeng Reply:
Hello, the diagnosis should be irritable bowel syndrome (IBS). It is recommended to follow a low-fat, low-dairy, and non-irritating gentle diet, manage stress and anxiety, and seek medical treatment with medication if necessary. Sincerely, Dr. Chi-Feng Chen, Attending Physician, ...[Read More] Chronic Diarrhea and Abdominal Pain: Causes and Solutions Explained
Clarifying Concerns About Rectal Mass and Gastrointestinal Health
Please ask again? Hello Dr. Chen, I am the patient who posted three images of anal masses. I apologize for reaching out again, as I am a bit confused about your previous response. You mentioned, "That is not a tumor, and it is necessary to perform a rectoscopy. To diagnose...
Dr. Chen Qifeng Reply:
Hello, a rectoscopy can be used to observe the condition of internal and external hemorrhoids. For diagnosing irritable bowel syndrome, a colonoscopy or a barium enema can be performed. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan Gen...[Read More] Clarifying Concerns About Rectal Mass and Gastrointestinal Health
Understanding Colonoscopy: When to Consider This Essential Procedure
Regarding colonoscopy? Hello, Doctor. About 4 to 5 years ago, I experienced persistent discomfort in my abdomen and consulted a physician. The doctor, considering my age, only arranged for a sigmoidoscopy and did not perform a colonoscopy. The diagnosis was irritable bowel syndro...
Dr. Yang Zhichao Reply:
Dear Anonymous, your condition may indeed be Irritable Bowel Syndrome (IBS), but being young does not mean you should not be concerned about tumors. A comprehensive evaluation is necessary. If you are worried, the first step can be to arrange for a stool test. If any issues arise...[Read More] Understanding Colonoscopy: When to Consider This Essential Procedure
Understanding Rectal Issues: Expert Insights on Hemorrhoids and Tumors
Please consult a physician? Hello Dr. Chen: I am the one who previously posted photos concerning a lump near my anus. Thank you for taking the time to answer my questions. I have another question to ask you, Dr. Chen. I had a colonoscopy five years ago, and no polyps were found; ...
Dr. Chen Qifeng Reply:
Hello, that is not a tumor, and it is necessary to perform a colonoscopy. To diagnose irritable bowel syndrome, it is essential to rule out any issues throughout the entire colon. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan General H...[Read More] Understanding Rectal Issues: Expert Insights on Hemorrhoids and Tumors
Understanding Left Lower Abdominal Bloating: Causes and Concerns
Left lower abdominal bloating? Hello Doctor: Recently, I've been experiencing bloating in my lower left abdomen after eating. I have regular bowel movements every morning, and the stool color is normal. However, sometimes I feel the urge to have a bowel movement due to the b...
Dr. Chen Qifeng Reply:
Hello, based on the symptoms, it appears to be a case of gastrointestinal dysfunction. You can start by adjusting your diet: increase water intake and consume more fruits and vegetables while reducing fried and spicy foods. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Gastr...[Read More] Understanding Left Lower Abdominal Bloating: Causes and Concerns
Understanding Bowel Habits: Is Your Digestive Health Normal?
Bowel-related issues Hello, Doctor. I generally have bowel movements at least three times a day: after waking up, after lunch, and after dinner. I rarely experience constipation, and my stools are usually well-formed and tubular. Occasionally, I have diarrhea. After waking up at ...
Dr. Yang Zhichao Reply:
1. Irritable bowel syndrome (IBS) requires the exclusion of other possible diseases for diagnosis, so please consult with a physician for an evaluation to confirm whether it is IBS. 2. If increased bowel movements are not due to a disease and you feel the urge to defecate, you s...[Read More] Understanding Bowel Habits: Is Your Digestive Health Normal?
Overcoming Fear of Cancer: Understanding Gut Health and Anxiety
I'm really scared that I might have cancer? After watching symptoms of colorectal cancer when I was young, I became worried every day about whether I would get cancer, which led to frequent diarrhea or alternating between normal and diarrhea. Recently, I was in a car acciden...
Dr. Chen Qifeng Reply:
Hello, psychological factors can influence physiological conditions, leading to clinical symptoms known as psychosomatic disorders. The most common psychosomatic disorder is gastrointestinal dysfunction or irritable bowel syndrome (IBS). It is recommended to consult a gastroenter...[Read More] Overcoming Fear of Cancer: Understanding Gut Health and Anxiety
Chronic Diarrhea for Four Months: Gastrointestinal Concerns Explained
Having experienced abdominal pain for four months? Hello Dr. Chen, I have a few questions I would like to ask you! 1. I have irritable bowel syndrome (IBS). 2. My mother had colon cancer while she was pregnant with me and has since passed away. 3. I have been experiencing dia...
Dr. Chen Qifeng Reply:
Hello, if there is a family history of colorectal cancer and you have been experiencing diarrhea for four months, it is essential to undergo a colonoscopy. Only if the results are normal can a diagnosis of irritable bowel syndrome (IBS) be made. Sincerely, Dr. Chi-Feng Chen, Atte...[Read More] Chronic Diarrhea for Four Months: Gastrointestinal Concerns Explained
Understanding Bowel Issues: Why Breakfast Triggers Foamy Diarrhea
My digestive system feels off..? I wake up and have a normal bowel movement the first time I go to the bathroom. After eating breakfast, I experience yellow, foamy diarrhea. The next bowel movement is normal again. Why does the second bowel movement always have foam? Could this b...
Dr. Cai Jinji Reply:
It is advisable to pay attention to your diet first. If the situation persists, it is recommended to visit a hospital for further examination.[Read More] Understanding Bowel Issues: Why Breakfast Triggers Foamy Diarrhea
Understanding Bowel Issues: Is It IBS or Just a Sensitive Digestive System?
Bowel movement issues Hello Doctor: I have a constitution that is prone to weak gastrointestinal absorption, which makes me frequently need to use the restroom after eating or drinking. Additionally, I have a sensitive constitution, and I often have a bowel movement first thing i...
Dr. Chen Qifeng Reply:
Hello, based on the symptoms, there is a high likelihood of irritable bowel syndrome (IBS). However, a definitive diagnosis of IBS requires the exclusion of structural abnormalities. If diagnosed with IBS, it is recommended to reduce oil and dairy intake and to avoid emotional st...[Read More] Understanding Bowel Issues: Is It IBS or Just a Sensitive Digestive System?
Understanding Right Lower Abdominal Pain: Causes and Next Steps
Right lower abdominal pain? Hello Doctor, since December of last year, I have been experiencing persistent abdominal pain following an episode of gastroenteritis. Currently, the pain is primarily located in the lower right abdomen, characterized by sharp, bloating, and cramping s...
Dr. Chen Qifeng Reply:
Hello, aside from the pain radiating to the thigh, the other symptoms are a result of gastroenteritis causing irritable bowel syndrome. It is recommended to follow a low-fat, low-meat, low-dairy, and low-irritant diet. If necessary, digestive enzymes and even antidiarrheal medica...[Read More] Understanding Right Lower Abdominal Pain: Causes and Next Steps
Understanding Abnormal Bowel Habits: When to Seek Further Evaluation
Abnormal bowel movements? Hello Dr. Chen, I have had persistent issues with bowel movements since childhood, often experiencing constipation, but without any other symptoms. Last October, I sought medical attention due to blood in my stool, and the doctor diagnosed me with intern...
Dr. Chen Qifeng Reply:
Hello, strictly speaking, this can be referred to as constipation-predominant irritable bowel syndrome, commonly known as habitual constipation. As for occasional diarrhea, it is not a major concern. The current presence of blood in the stool is likely caused by internal hemorrho...[Read More] Understanding Abnormal Bowel Habits: When to Seek Further Evaluation
Managing Gastroesophageal Reflux and Irritable Bowel Syndrome Symptoms
Gastroesophageal reflux disease (GERD) combined with irritable bowel syndrome (IBS)? Hello doctor, I have been experiencing diarrhea at times and sometimes only having a bowel movement every two days (usually I go 1-2 times a day). I feel bloated after eating, my appetite has dec...
Dr. Yang Zhichao Reply:
Dear Mr./Ms. K空, The symptoms you described are indeed indicative of irritable bowel syndrome (IBS) and gastroesophageal reflux disease (GERD). However, if the fecal occult blood test shows a positive result, it is still recommended to arrange for a colonoscopy, as ulcerative co...[Read More] Managing Gastroesophageal Reflux and Irritable Bowel Syndrome Symptoms
Understanding White Coating on Stool: Causes and Concerns
Stool with white attachments, stool color with spots, and occasional loose stools? This morning, I noticed white substances attached to my stool. I had seen similar substances a few days ago, but they were only visible when I wiped, not attached to the stool itself. Over the past...
Dr. Chen Shidian Reply:
Hello, Miss: Based on your description, the preliminary diagnosis is Irritable Bowel Syndrome (IBS), which may involve abnormal digestive motility. The white substance could be intestinal mucus. It is advisable to pay more attention to your diet and daily routine. You may conside...[Read More] Understanding White Coating on Stool: Causes and Concerns