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 the Accuracy of Gastrointestinal Tests: A Comprehensive Guide
Gastrointestinal examination Doctor, I have been troubled by long-term pain in my upper and lower abdomen. I have undergone stool tests, gastroscopy, colon X-rays, and liver and gallbladder ultrasound. I would like to ask about the accuracy rates of these tests: what is the accur...
Dr. Chen Qifeng Reply:
Hello: Generally speaking, the accuracy of these tests is around 90% or even above 95%. The accuracy of a barium enema is slightly lower, at about 80%, and if necessary, a colonoscopy should be performed. However, the likelihood of functional disorders is higher depending on age,...[Read More] Understanding the Accuracy of Gastrointestinal Tests: A Comprehensive Guide
Understanding Small Intestine Issues: Causes of Lower Abdominal Pain
Gastrointestinal issues Doctor, can the small intestine cause lower abdominal pain? Sometimes I experience long-term constipation and sometimes long-term diarrhea. I also have pain in my left back.
Dr. Chen Qifeng Reply:
Hello: 1. Pain in the small intestine is primarily located around the navel and in the lower abdomen. 2. If there is long-term constipation or diarrhea, issues related to the colon are more common, and it is recommended to undergo a colon X-ray examination. Best regards, Dr. Chi-...[Read More] Understanding Small Intestine Issues: Causes of Lower Abdominal Pain
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
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 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 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 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 Lower Abdominal Pain: Causes and Solutions
Abdominal issues? Hello, Doctor: Recently, I have been experiencing intermittent sharp pain in my lower left abdomen (just below the navel), and occasionally, I feel cramping pain (but I don't have the urge to have a bowel movement). The pain is particularly noticeable when ...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, there is a high possibility of gastrointestinal dysfunction. It is recommended to prioritize dietary adjustments, such as reducing oil and dairy intake, avoiding irritating foods, and steering clear of hard-to-digest meals. Try to maintain smooth bow...[Read More] Understanding Lower Abdominal Pain: Causes and Solutions
Understanding Post-Meal Diarrhea and Abdominal Pain: Causes and Solutions
Diarrhea after eating? Hello doctor, recently I have been experiencing diarrhea after lunch and dinner. After the diarrhea, I feel pain in my lower abdomen, but I don't have the urge to use the restroom. Please help me.
Dr. Chen Qifeng Reply:
Hello: Abdominal cramping and diarrhea are likely caused by gastroenteritis. It is recommended to follow a low-fat and low-dairy diet. If symptoms do not improve, please seek medical treatment. Wishing you good health. Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.[Read More] Understanding Post-Meal Diarrhea and Abdominal Pain: Causes and Solutions
Understanding Abdominal Pain: Causes, Treatments, and Relief Tips
I have a severe stomachache? I have been experiencing abdominal pain for three days. I have taken antacids and other medications, and I have seen a doctor. Sometimes the pain is so severe at night that it wakes me up. It feels like a stomach ulcer; the medication helps alleviate ...
Dr. Chen Qifeng Reply:
Hello: General abdominal pain can be categorized into upper or lower abdominal pain (with the navel as the dividing line). If the pain is in the upper abdomen, it is often related to gastric diseases, and an upper endoscopy may be necessary. Additionally, an abdominal ultrasound ...[Read More] Understanding Abdominal Pain: Causes, Treatments, and Relief Tips
Understanding Bloating and Rectal Bleeding: Common Gastrointestinal Concerns
Please ask your question, and I will do my best to provide an answer? Hello Doctor: I would like to ask about a recent issue I've been experiencing. I've been feeling bloated in my abdomen frequently, sometimes to the point of discomfort. Additionally, I also feel bloat...
Dr. Chen Qifeng Reply:
Hello: Regarding your questions, here are the responses: 1. Significant abdominal bloating requires a visit to a gastroenterologist for X-ray and other examinations. 2. Blood when wiping can generally indicate hemorrhoids or anal fissures. Wishing you good health. Sincerely, Dr. ...[Read More] Understanding Bloating and Rectal Bleeding: Common Gastrointestinal Concerns
Understanding Lower Abdominal Pain: Causes and Concerns
Lower abdominal pain? Hello doctor, for the past two to three weeks, I have been experiencing occasional cramping and slight sharp pain in my lower abdomen. Sometimes, my stool feels like it has mucus on it, and at times it appears irregular in shape. When I bend over, I feel pre...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, it may be enteritis. It is recommended to avoid oily foods, dairy products, and irritating foods, and to follow a bland diet. If there is no improvement, a visit to a gastroenterologist is necessary. Wishing you good health. Sincerely, Dr. Chi-Feng C...[Read More] Understanding Lower Abdominal Pain: Causes and Concerns
Understanding Occasional Lower Abdominal Discomfort: Causes and Insights
Occasional dull and bloating pain in the lower abdomen? Hello Doctor: I have been experiencing occasional dull pain in my lower right abdomen for the past three years, usually after being busy for a while. Taking a short break would alleviate the discomfort, and it hasn't be...
Dr. Chen Shidian Reply:
Hello Ms. Lin, first we will check your stool, urine, and perform a local physical examination to identify any abnormalities (including a gynecological examination). Additionally, we can arrange for a colonoscopy to rule out the possibility of any lesions. Changhua Hospital is co...[Read More] Understanding Occasional Lower Abdominal Discomfort: Causes and Insights
Can a CT Scan Replace an Endoscopy for Abdominal Issues?
Is a CT scan of the lower abdomen as effective as an upper gastrointestinal endoscopy? Hello, I am a 41-year-old male. Two years ago, I underwent an upper endoscopy due to gastroesophageal reflux disease. On January 18, 2012, I visited my primary care physician for lower abdomina...
Dr. Chen Qifeng Reply:
Hello: 1. A general abdominal CT scan typically includes both the upper and lower abdomen. 2. A CT scan may sometimes be insufficient for evaluating the gastrointestinal tract, and an endoscopy may be necessary when indicated. 3. Gastrointestinal discomfort or pain does not alway...[Read More] Can a CT Scan Replace an Endoscopy for Abdominal Issues?
Understanding Persistent Pain Below the Navel: Causes and Next Steps
Persistent cramping pain below the navel? Hello doctor, I have been experiencing intermittent sharp pain near my lower abdomen, just below the navel, for the past two weeks. Occasionally, I feel a slight cramping sensation, but it's not frequent. Sometimes my abdomen feels b...
Dr. Chen Shidian Reply:
Hello Mr. A-Ming, as you mentioned, this appears to be a functional issue. Please be patient and continue to follow up at the gastroenterology and urology outpatient clinics for a period of time. Other potential issues have been ruled out. Best regards, Dr. Chen Shidian, Changhua...[Read More] Understanding Persistent Pain Below the Navel: Causes and Next Steps
Understanding Digestive Issues: Insights on Gallbladder and Gastrointestinal Health
Follow-up questions regarding gastrointestinal issues? Hello doctor, a few days ago I raised a question with you, and I would like to ask again. Recently, whenever I eat oily foods or certain meats, I experience symptoms similar to indigestion, with food remnants in my stool. My ...
Dr. Yang Zhichao Reply:
Dear Mr./Ms. L, Based on your description, it does seem more like irritable bowel syndrome (IBS), although upper abdominal pain can also be a symptom of IBS, it is less common. However, if there is no improvement with medication, I would recommend arranging for a stool test and ...[Read More] Understanding Digestive Issues: Insights on Gallbladder and Gastrointestinal Health
Understanding Left Lower Abdominal Bloating: Causes and Concerns
Bulging in the lower left abdomen? Hello Doctor, I would like to inquire about a concern I have. There is a slight bulge in my lower abdomen, just below my belly button, but it does not hurt when I press on it. The left side of my abdomen feels swollen, while the right side appea...
Dr. Chen Qifeng Reply:
Hello: Scoliosis can cause internal abdominal pressure. If you are concerned, you may undergo a colon X-ray. Best wishes, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.[Read More] Understanding Left Lower Abdominal Bloating: Causes and Concerns