Irritable bowel, Gastroenterology and Hepatology FAQ - Page 38

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Chronic Abdominal Pain: Seeking Solutions for Gastrointestinal Issues

Gastrointestinal issues Hello doctor, I have been experiencing intermittent pain in my upper and lower abdomen, including sharp, stabbing, and cramping sensations, along with a feeling of pressure and soreness in my lower back for over a year. The pain occurs two to three times a...


Dr. Cai Anshun Reply:
Hello: A diagnosis of irritable bowel syndrome (IBS) can only be made after ruling out other organ-related disorders through examinations. The treatment for IBS includes not only pain management and symptom control (such as diarrhea/constipation) but also, in more severe cases, t...

[Read More] Chronic Abdominal Pain: Seeking Solutions for Gastrointestinal Issues


Understanding Barium Enema: Can It Rule Out Serious Gastrointestinal Issues?

Barium enema imaging Hello doctor, I have been experiencing intermittent abdominal pain and discomfort for over a year. Despite taking medication, my abdominal pain has not improved. My primary physician diagnosed me with irritable bowel syndrome (IBS). Is it possible for IBS to ...


Dr. Cai Anshun Reply:
Hello: Regarding your question, as I mentioned the day before, a barium enema can detect colorectal polyps, ulcers, and tumors of a certain size or larger under the condition of complete bowel preparation. However, each examination has a certain degree of accuracy and sensitivity...

[Read More] Understanding Barium Enema: Can It Rule Out Serious Gastrointestinal Issues?


Understanding Chronic Abdominal Pain: When to Consider a Colonoscopy

Long-term distress? Doctor, I have been suffering from long-term pain in my upper and lower abdomen. The doctor prescribed medication for irritable bowel syndrome, but I still experience intermittent abdominal pain. I have undergone stool tests, gastroscopy, colon X-rays, and liv...


Dr. Cai Anshun Reply:
Hello, are you referring to a barium enema when you mention a colon X-ray? If it is indeed a barium enema, then under the condition of complete bowel preparation, polyps, ulcers, or tumors of a certain size in the colon can be detected. However, each examination has its own accur...

[Read More] Understanding Chronic Abdominal Pain: When to Consider a Colonoscopy


Understanding Abdominal Discomfort: Alternating Diarrhea and Constipation

Abdominal discomfort with alternating diarrhea and constipation? Hello, Doctor. I have had poor dietary habits and been overweight. Since February, I have suddenly experienced left abdominal pain (which seems to be cramping pain), and then gastrointestinal issues began. Initially...


Dr. Cai Anshun Reply:
Hello: According to your description, being overweight and having poor dietary habits, along with discomfort in the left abdomen, if it is in the upper left abdomen, may indicate gastric issues. The limited abdominal space, if occupied by intra-abdominal fat, can compress the nor...

[Read More] Understanding Abdominal Discomfort: Alternating Diarrhea and Constipation


Understanding the Connection Between Chronic Nasal Congestion and Abdominal Pain

Please provide the full content or context that you would like to have translated into Since I caught a cold last July, I have been experiencing persistent nasal congestion and runny nose with phlegm. Two months later, I started having lower abdominal pain, and both issues have n...


Dr. Chen Qifeng Reply:
Hello: There is no correlation between the two. The current department of consultation is correct. Best regards, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.

[Read More] Understanding the Connection Between Chronic Nasal Congestion and Abdominal Pain


Chronic Abdominal Pain: Understanding Symptoms and Next Steps

I've been troubled for a long time? I have been experiencing persistent pain in my lower abdomen, which includes cramping, dull pain, and sharp pain. Initially, the pain was localized in the lower abdomen, sometimes on the left side, sometimes on the right, and sometimes in ...


Dr. Chen Qifeng Reply:
Hello: 1. Disorders of the small intestine are quite rare. If various examinations have been conducted and the diagnosis is irritable bowel syndrome, the next step is to adjust the medication. 2. Abdominal ultrasound primarily examines organs such as the liver, gallbladder, pancr...

[Read More] Chronic Abdominal Pain: Understanding Symptoms and Next Steps


Understanding Narrow Stools and Constipation: Causes and Solutions

The stool is somewhat thin and there is mild constipation? Hello Doctor, my stools have been thin for several weeks now, and constipation has only started in the past few days. I have seen a doctor who mentioned that my gastrointestinal motility is faster and advised me to eat li...


Dr. Chen Shidian Reply:
Dear Mr. L, I understand your concerns. The symptoms you mentioned are still consistent with irritable bowel syndrome, and medication can help improve your condition, so there is no need to worry too much. I recommend ensuring you have enough fruits and vegetables in your diet....

[Read More] Understanding Narrow Stools and Constipation: Causes and Solutions


Chronic Abdominal Pain: Is Small Intestine Testing Necessary?

Frustrating! I have been experiencing long-term pain in my lower abdomen, which includes cramping, dull pain, and sharp pain. Sometimes, I also feel pain in my upper abdomen. The pain in my lower abdomen can occur on the left side, right side, or in the middle, and sometimes it r...


Dr. Chen Qifeng Reply:
Hello: Diseases of the small intestine are clinically rare. If examination is needed, small bowel imaging may be considered. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

[Read More] Chronic Abdominal Pain: Is Small Intestine Testing Necessary?


Chronic Abdominal Pain: Is It Irritable Bowel Syndrome?

Irritable Bowel Syndrome (IBS) Issues I have been experiencing persistent pain in my lower abdomen for a long time, including cramping, dull pain, and sharp pain. Sometimes, I also feel pain in my upper abdomen. The pain in my lower abdomen can occur on the left side, right side,...


Dr. Chen Qifeng Reply:
Hello: The abdominal pain in an unspecified location is most likely related to gastrointestinal issues. If examinations have already been conducted, functional disorders should be prioritized for consideration. You may consider seeking a second opinion from the gastroenterology d...

[Read More] Chronic Abdominal Pain: Is It Irritable Bowel Syndrome?


Understanding IBS: Can Lower Abdominal Pain Affect Pelvic Discomfort?

Irritable Bowel Syndrome (IBS) I went to see a gynecologist for lower abdominal pain and pelvic pain. I also mentioned to the doctor that I have irritable bowel syndrome (IBS). After examining me, the doctor found no gynecological issues and explained that gastrointestinal pain c...


Dr. Chen Qifeng Reply:
Hello: If a gynecologist has conducted an examination and found no gynecological diseases (such as abnormal discharge or vaginal bleeding), then gynecological conditions may be ruled out. However, patients with irritable bowel syndrome (IBS) may occasionally experience referred p...

[Read More] Understanding IBS: Can Lower Abdominal Pain Affect Pelvic Discomfort?


Understanding Left Lower Abdominal Discomfort and Increased Bowel Movements

In the past few days, I have experienced a feeling of fullness and bloating in the lower left abdomen, along with an increased frequency of bowel movements? Hello, doctor. Recently, I've been experiencing a noticeable feeling of discomfort in my lower left abdomen that I can...


Dr. Cai Anshun Reply:
Hello: According to the Rome III criteria for Irritable Bowel Syndrome (IBS), abdominal pain or discomfort must occur at least three days per month over the last three months. Additionally, there should be two or more of the following symptoms: (1) relief of symptoms after defeca...

[Read More] Understanding Left Lower Abdominal Discomfort and Increased Bowel Movements


Understanding Right Lower Abdomen Discomfort: Causes and Treatments

I have been experiencing a feeling of bloating in my lower right abdomen for at least two weeks, and sometimes it hurts when I exert myself? About two weeks ago, I started experiencing this condition located in the lower right area, just above the pubic mound, and about 6 cm abov...


Dr. Cai Anshun Reply:
Hello, sir: In the male anatomical structure at the location you described, there are the cecum, ascending colon, transverse colon, ileum (small intestine), ureters, bladder, blood vessels/muscles, etc. There are also many possible diseases that could arise. Regarding your questi...

[Read More] Understanding Right Lower Abdomen Discomfort: Causes and Treatments


Understanding Irritable Bowel Syndrome: Symptoms and Diagnosis

Is it irritable bowel syndrome (IBS)? Hello, doctor. Recently, I often feel that my bowel movements are incomplete. There is no blood in my stool, and I don't experience abdominal bloating, but sometimes my stomach makes gurgling noises. I have already visited a nearby gastr...


Dr. Yang Zhichao Reply:
Hello Mr./Ms. L, based on the symptoms you described, it is indeed possible that you are experiencing irritable bowel syndrome. However, a small portion of cases may involve inflammatory bowel disease. If adjustments to your medication and lifestyle (such as increasing exercise, ...

[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Diagnosis


Is It Normal to Still Experience Pain After IBS Medication?

Irritable Bowel Syndrome (IBS) issues..? I have been taking medication for irritable bowel syndrome for six months, but I still experience pain. Is this normal? I have had stool tests and an abdominal ultrasound, and the doctor said that I am very young and do not need a colonosc...


Dr. Chen Qifeng Reply:
Hello: 1. A colonoscopy is not only used to rule out colorectal cancer but may also identify other conditions. 2. A barium enema can also be considered. 3. Irritable bowel syndrome often requires adjustments in medication and dietary lifestyle changes. Best wishes, Dr. Chi-Feng C...

[Read More] Is It Normal to Still Experience Pain After IBS Medication?


Understanding IBS: When to Consider Further Testing and Diagnosis

Irritable Bowel Syndrome Issues 2 Hello, doctor. I have a few questions for you. You mentioned that I should undergo a colon X-ray or colonoscopy, but during my monthly follow-ups, you haven't suggested those tests. You also said that since I am young, have a good appetite, ...


Dr. Chen Qifeng Reply:
Hello: The physician's point is also valid. However, in order to diagnose irritable bowel syndrome (IBS), it is necessary to not only rely on the patient's medical history and the physician's professional judgment but also to conduct further examinations to rule ou...

[Read More] Understanding IBS: When to Consider Further Testing and Diagnosis


Understanding Abdominal Discomfort: Gas, Pain, and Possible IBS

I have discomfort in my abdomen with persistent bloating and abdominal pain? I have been experiencing constipation for almost a month after undergoing a colonoscopy. Before the procedure, my bowel movements were normal, but I had long-term abdominal discomfort and bloating. Last ...


Dr. Chen Qifeng Reply:
Hello: After a colonoscopy, there may be temporary colonic dysfunction, such as poor motility or bloating. Please avoid fried and irritating foods in the coming days, reduce oil and dairy intake, and increase your consumption of fruits and vegetables. If symptoms do not improve, ...

[Read More] Understanding Abdominal Discomfort: Gas, Pain, and Possible IBS


Understanding Irritable Bowel Syndrome: Persistent Pain and Management Tips

Irritable Bowel Syndrome (IBS) Issues Hello doctor~~ Last July, I visited a doctor due to pain in my lower abdomen on both sides. The doctor ordered a stool test, which came back normal. They diagnosed me with irritable bowel syndrome (IBS), but I have been dealing with IBS sympt...


Dr. Chen Qifeng Reply:
Hello: If a colonoscopy (colonoscopy or barium enema) has been performed and colorectal lesions have been ruled out, then it can be confirmed that the issue is related to functional disorders. Best regards, Dr. Chi-Feng Chen, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Understanding Irritable Bowel Syndrome: Persistent Pain and Management Tips


Understanding Colonoscopy Concerns: Symptoms, Anxiety, and Digestive Health

Colonoscopy-related issues? Hello, doctor. I am scheduled for a colonoscopy on Tuesday, but I do not have any symptoms. Recently, I had been experiencing diarrhea, and the doctor suggested that I consider a colonoscopy. I was hesitant at first, but I decided to go ahead with it, ...


Dr. Li Yongming Reply:
Hello. The early symptoms of colorectal cancer are quite subtle and generally include: 1. Blood in the stool or black stools 2. Changes in bowel habits without obvious reasons (such as persistent constipation or diarrhea) 3. Weight loss 4. Abdominal cramping or colonic pain 5. A ...

[Read More] Understanding Colonoscopy Concerns: Symptoms, Anxiety, and Digestive Health


Should You Get a Colonoscopy? Understanding Your Digestive Health

Should a colonoscopy be performed? Hello, doctor. I previously mentioned that I had an issue with mucus in my stool, which has improved significantly. Recently, I've noticed that my stools have been well-formed, about the size of a 5 to 50 NT dollar coin, and over 15 centime...


Dr. Yang Zhichao Reply:
Dear Mr./Ms. L, I recommend that you schedule a colonoscopy, as it will provide you with peace of mind if everything is normal. Furthermore, if there are no issues, it may indicate that you are experiencing irritable bowel syndrome. Therefore, I strongly suggest completing the ...

[Read More] Should You Get a Colonoscopy? Understanding Your Digestive Health


Understanding Stool Shape Changes: Is It Normal and What It Means?

Stool shape I have recently noticed that my stool is thick at the beginning but becomes thinner towards the end. Is this normal? Occasionally, I experience bloating. When I saw a doctor last December, they diagnosed me with irritable bowel syndrome (IBS), but I don't often h...


Dr. Chen Qifeng Reply:
Hello: Generally speaking, bowel movements in this condition are considered functional issues. It is recommended to prioritize dietary adjustments, such as reducing oil and dairy intake, and increasing the consumption of fruits and vegetables, along with a mild diet. If there is ...

[Read More] Understanding Stool Shape Changes: Is It Normal and What It Means?


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