Understanding Chronic Lower Abdominal Discomfort: Possible Causes and Solutions
Persistent discomfort below the navel? Hello Doctor: I have gastroesophageal reflux disease and have been under treatment with medication for over a year, primarily using traditional Chinese medicine. My TCM physician mentioned that I have signs of gastritis, as I experience shar...
Dr. Chen Shidian Reply:
If the fecal occult blood test is normal, it is still possible to have irritable bowel syndrome (IBS). Medical consultation and adjustments to lifestyle and dietary habits may be necessary.[Read More] Understanding Chronic Lower Abdominal Discomfort: Possible Causes and Solutions
Understanding Abdominal Pain After Spicy Food: Possible IBS Connection
Abdominal issues? Yesterday, I had a bowl of duck soup with a lot of chili powder, and right after eating, I suddenly felt abdominal pain and had the urge to have a bowel movement. However, after a while, the pain went away. What could be the reason for this? I have a history of ...
Dr. Chen Shidian Reply:
There may be a temporary abnormality in digestive peristalsis. It is advisable to maintain a regular and moderate diet, eat at a steady pace, and limit spicy foods.[Read More] Understanding Abdominal Pain After Spicy Food: Possible IBS Connection
Alternating Diarrhea and Constipation: Understanding Gastrointestinal Issues
Alternating diarrhea and constipation? Hello Doctor, I would like to ask a question. I was previously diagnosed with moderate fatty liver disease, and since then I have started exercising. However, since I began exercising, I have frequently experienced alternating constipation a...
Dr. Cai Jinji Reply:
Dear Mr. Anonymous: I am unsure how long you have been experiencing this situation. If you have changes in bowel habits accompanied by abdominal pain, it is advisable to seek medical attention for evaluation by a physician. Dr. Cai Jin-ji, Department of Hepatobiliary and Gastroen...[Read More] Alternating Diarrhea and Constipation: Understanding Gastrointestinal Issues
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
Is It Safe to Use 20mg Bowel Medication? Concerns About Cancer Risks
Does 20 mg of Polysaccharide Peptide (保幽樂錠) cause cancer? Hello, doctor. I have a habit of researching the medications prescribed to me online. I came across news stating that "Bismuth Subsalicylate 20 mg" may be carcinogenic. However, this medication was prescribed to ...
Dr. Chen Shidian Reply:
There is no specific cancer risk. If there are no symptoms of gastroesophageal reflux disease, you may discuss with your physician the possibility of taking the medication only as needed.[Read More] Is It Safe to Use 20mg Bowel Medication? Concerns About Cancer Risks
Is It IBS or Hemorrhoids? Understanding Your Digestive Concerns
Is this irritable bowel syndrome? Hello, doctor. I have a hemorrhoid issue. Over two years ago, I had a severe hemorrhoid episode where I experienced bleeding during bowel movements, along with symptoms similar to irritable bowel syndrome, which made me go to the bathroom multipl...
Dr. Yang Zhichao Reply:
After reviewing, I hope to schedule an appointment for an examination at the outpatient clinic.[Read More] Is It IBS or Hemorrhoids? Understanding Your Digestive Concerns
Managing Irritable Bowel Syndrome After Surgery: When to Seek Further Evaluation
Irritable Bowel Syndrome (IBS) Hello Doctor, I underwent a fistula surgery in January, and since then, my irritable bowel syndrome has worsened significantly (having bowel movements 4 to 6 times a day). Starting in April, I began taking medications such as Loperamide, enzymes, an...
Dr. Chen Shidian Reply:
It is recommended to continue treatment observation and discuss with the surgical physician.[Read More] Managing Irritable Bowel Syndrome After Surgery: When to Seek Further Evaluation
Understanding Black Stool: Causes and Concerns for Digestive Health
Black stool issue Hello Doctor: Recently, I have been experiencing loose stools that appear black from a distance, but up close, they seem more like a very dark brown. There doesn't seem to be any bloody smell (though I can't really identify what blood smells like). Thi...
Dr. Hu Guozheng Reply:
Hello, it is recommended to seek medical evaluation. Thank you.[Read More] Understanding Black Stool: Causes and Concerns for Digestive Health
Understanding Blood in Stool: Symptoms and Potential Causes
Rectal bleeding I. Changes in bowel habits for about 5 years 1. Stools have become thin, approximately the size of a showerhead hose. 2. I feel the urge to defecate after meals. 3. I have bowel movements twice in the morning to feel completely empty; the second one is loose...
Dr. Yang Zhichao Reply:
You can seek medical attention for an examination.[Read More] Understanding Blood in Stool: Symptoms and Potential Causes
Understanding Gastrointestinal Issues: Could It Be Chronic Gastritis?
Gastrointestinal issues I have noticed an increase in the frequency of diarrhea over the past two months, although sometimes my bowel movements are normal. I don't experience much abdominal pain, but I often feel dizzy accompanied by a low-grade fever, bloating, decreased ap...
Dr. Chen Shidian Reply:
It could be irritable bowel syndrome, but it is advisable to first conduct a stool occult blood test or blood tests to rule out other possibilities.[Read More] Understanding Gastrointestinal Issues: Could It Be Chronic Gastritis?
Managing Chronic Gastrointestinal Issues: Symptoms and Solutions
Gastrointestinal issues I have been experiencing long-term gastrointestinal issues, sometimes feeling nauseous after eating and vomiting. My appetite has not been very good. Recently, about half an hour after dinner, I have been having diarrhea (with pain similar to that of food ...
Dr. Chen Shidian Reply:
For irritable bowel syndrome, dietary and medication adjustments can be made. If concerned, you may consider testing for fecal occult blood.[Read More] Managing Chronic Gastrointestinal Issues: Symptoms and Solutions
Understanding Gastroesophageal Reflux and Abdominal Pain: A Patient's Journey
Gastroesophageal reflux disease (GERD) and gastric cramps? Hello Doctor, I currently have gastroesophageal reflux disease (GERD), which causes chest burning and tightness, along with stomach heat and bloating. I had an endoscopy last July, and the doctor said my esophagus had abr...
Dr. Chen Shidian Reply:
Abnormal peristalsis/irritable bowel syndrome can be managed with medication and dietary adjustments.[Read More] Understanding Gastroesophageal Reflux and Abdominal Pain: A Patient's Journey
Morning Bloating and Gas: Solutions for IBS Sufferers
Waking up with bloating and flatulence? Hello, doctor. I have irritable bowel syndrome (IBS), and every morning when I wake up and still lie in bed, I start to experience bloating accompanied by flatulence. In more severe cases, I have to rush to the bathroom, which has caused si...
Dr. Chen Shidian Reply:
Seek medical attention and prepare medication, using it to control symptoms if necessary.[Read More] Morning Bloating and Gas: Solutions for IBS Sufferers
Understanding Gastrointestinal Issues: When to Seek Medical Attention
Gastrointestinal issues Hello, doctor. For the past few months, my stools have often been loose and even unformed. I frequently feel the urge to have a bowel movement in the mornings during the week, but strangely, I don't feel the same urgency on weekends. I've also be...
Dr. Chen Shidian Reply:
It is likely a case of general intestinal discomfort. Relax and avoid foods that may cause discomfort or are prone to gas production. You may continue to monitor the situation.[Read More] Understanding Gastrointestinal Issues: When to Seek Medical Attention
Morning Stomach Pain and Diarrhea: Is It Irritable Bowel Syndrome?
Experiencing abdominal pain and diarrhea after waking up? Hello Doctor, I have been experiencing this issue since around middle school. Sometimes, after I wake up in the morning and have breakfast, I will have stomach pain and the urge to use the bathroom within about 1-2 hours. ...
Dr. Cai Anshun Reply:
Hello: After meals, especially after breakfast, the urge to have a bowel movement should not be considered irritable bowel syndrome; rather, it is likely a manifestation of the gastrocolic reflex. If it is not too bothersome, you can take the opportunity to have a complete bowel ...[Read More] Morning Stomach Pain and Diarrhea: Is It Irritable Bowel Syndrome?
Understanding Bowel Issues: Symptoms, Concerns, and Insights on IBS
Intestinal issues? Hello Doctor, recently I have been experiencing a sensation of incomplete bowel movements. Sometimes, I have to exert myself to pass out thin stools, but there is no blood. Today, my stool was normal, well-formed, and brown, but there was some water with it. I ...
Dr. Cai Anshun Reply:
Hello: It is normal for the colon to contain some moisture or mucus, so there is no need to worry too much. If a colonoscopy is necessary, it can be performed under sedation to alleviate discomfort and pain. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Bowel Issues: Symptoms, Concerns, and Insights on IBS
Understanding External Hemorrhoids: Symptoms and Concerns
Concern about hemorrhoids? Hello doctor, I have noticed three raised folds around my anus. They are not itchy or painful, and there is no bleeding when I use the restroom. However, I frequently experience diarrhea due to irritable bowel syndrome. I would like to know if this coul...
Dr. Chen Shidian Reply:
It may be normal skin connective tissue; regular attention to cleanliness and dryness is sufficient.[Read More] Understanding External Hemorrhoids: Symptoms and Concerns
Understanding Week-Long Diarrhea: Causes and Solutions
Diarrhea for one week? Hello Doctor, due to my work schedule, I've only been eating one meal a day this week, which is dinner, and I've mostly been having bento boxes from 7-11. About 1 to 2 hours after eating, I feel the urge to have a bowel movement. In the first two ...
Dr. Chen Shidian Reply:
First, test for fecal occult blood; if normal, maintain a regular diet with controlled portions, low fat, and low dairy. Medications may be necessary to manage symptoms of irritable bowel syndrome.[Read More] Understanding Week-Long Diarrhea: 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
Increased Bowel Movements After Fistula Surgery: Is It IBS?
Increased frequency of bowel movements after fistula surgery? Hello doctor, since I had my fistula surgery in January, I have been having bowel movements 3 to 4 times a day, and sometimes up to 6 times. I don’t experience any abdominal pain, but I do feel the urge to go. My stool...
Dr. Chen Shidian Reply:
It is likely irritable bowel syndrome. You may return to the original surgeon's outpatient clinic or visit a family medicine or gastroenterology clinic.[Read More] Increased Bowel Movements After Fistula Surgery: Is It IBS?