Understanding Rectal Bleeding: Insights on Tubular Adenoma and Symptoms
Blood in stool issue? Hello doctor, I noticed pink blood on the toilet paper after having a bowel movement one day, and I do not have hemorrhoids. On that day, I went to the bathroom three times, and there was blood on the stool's surface, but when I opened the stool, there ...
Dr. Lin Minghui Reply:
Possible causes of bloody stools include hemorrhoids, anal fissures, inflammation, polyps, tumors, and cancer. A colonoscopy revealed a 0.6 cm tubular adenoma in the rectum, which may be the cause of the bloody stools. If there are any other concerns, it is recommended to follow ...[Read More] Understanding Rectal Bleeding: Insights on Tubular Adenoma and Symptoms
Best Supplements for Fatty Liver and Gallbladder Polyps: What to Consider
For individuals with fatty liver and gallbladder polyps, liver health supplements that may be beneficial include milk thistle, artichoke extract, and omega-3 fatty acids. However, it is essential to consult with a healthcare professional before starting any new supplements to ens...
Dr. Chen Shidian Reply:
The primary strategies for managing fatty liver are weight loss and exercise, while liver-protective medications have limited efficacy (though they are not harmful). The components of artichoke extracts are all similar, showing no significant differences.[Read More] Best Supplements for Fatty Liver and Gallbladder Polyps: What to Consider
Does Diarrhea Have a Stronger Odor Than Normal Bowel Movements?
Does diarrhea smell worse than usual bowel movements? Hello doctor, I usually experience constipation, so my stool tends to have a stronger odor than average. However, I have been monitoring the color and shape of my stool, and it consistently has a similar smell. I don't of...
Dr. Chen Shidian Reply:
The odor is inevitable and unrelated to the polyps. Be sure to stay hydrated.[Read More] Does Diarrhea Have a Stronger Odor Than Normal Bowel Movements?
Should You Get a Colonoscopy After Rectal Bleeding and Hemorrhoids?
If you do not understand the report, should you undergo a colonoscopy? Due to the presence of blood in the stool, a rectoscopy and anal examination were performed. The doctor mentioned that there was no evidence of bleeding within the intestines, but noted an engorged internal he...
Dr. Chen Shidian Reply:
The content highlights the presence of mild internal hemorrhoids accompanied by bleeding.[Read More] Should You Get a Colonoscopy After Rectal Bleeding and Hemorrhoids?
Understanding Oral Papillomas: Causes, Detection, and Recurrence Rates
Oral papilloma Recently, I experienced stomach pain, loss of appetite, and a foreign body sensation in my mouth. Despite taking medication, there was no improvement. I subsequently underwent an upper gastrointestinal endoscopy, which revealed a Helicobacter pylori infection that ...
Dr. Cai Jinji Reply:
Hello Ms. Wu: 1. The reason for the first time not being the same as the second time may require you to consult your physician for further confirmation. 2. HPV polyps may indicate an HPV infection; it is recommended to consult an infectious disease specialist. Director Cai Jin-ji...[Read More] Understanding Oral Papillomas: Causes, Detection, and Recurrence Rates
Follow-Up Guidelines for Benign Colon Polyp Removal: Timing and Recommendations
Follow-up after colon polypectomy? Hello, doctor. I had a colonoscopy two years ago where two polyps were removed. If the removed colon polyps were benign and approximately 0.5 cm in size, how long should I wait for the next follow-up examination (2-3 years or 3-5 years)? Thank y...
Dr. Chen Shidian Reply:
In Taiwan, it can be done in a shorter time frame, while in the United States, it typically takes 3 to 5 years.[Read More] Follow-Up Guidelines for Benign Colon Polyp Removal: Timing and Recommendations
Understanding Fundic Gland Polyps: What You Need to Know After Your Endoscopy
Fundic gland polyp Hello Doctor: I underwent an upper gastrointestinal endoscopy last week and found a gastric polyp approximately 1 cm in size. This week, I received the report indicating it is a fundic gland polyp. The report states: MICROSCOPIC DESCRIPTION: The section shows a...
Dr. Lin Minghui Reply:
This report indicates gastric fundic gland polyps, with no intestinal metaplasia, no Helicobacter pylori, no cellular atypia, and no malignancy. You can rest assured. Please follow up as per medical advice. Wishing you good health![Read More] Understanding Fundic Gland Polyps: What You Need to Know After Your Endoscopy
Understanding Stomach Polyps: Are They Always Benign?
The issue of gastric polyps? Hello Doctor: Last week, I underwent an upper gastrointestinal endoscopy, and the doctor mentioned that I have a polyp approximately 1 cm in size, which is benign and has been removed. Can you confirm that it is indeed benign? Is there a possibility t...
Dr. Lin Minghui Reply:
Most gastric polyps are benign. If they are too large, or if there are complications such as ulceration, bleeding, or obstruction, appropriate management is required. The physician has provided the necessary treatment. It is advised not to worry too much. Follow-up in the outpati...[Read More] Understanding Stomach Polyps: Are They Always Benign?
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 Blood-Streaked Stool: Causes and Concerns
Blood streaks in stool? Hello, doctor. I experienced diarrhea for nearly two weeks from late February to early March. After a stool examination, everything was normal, and recently my bowel movements have not shown any abnormalities (occasionally I experience constipation). Yeste...
Dr. Yang Zhichao Reply:
Hello Ms. QQ, based on your description, the presence of blood in your stool still warrants consideration of colorectal diseases such as polyps, tumors, or inflammatory bowel disease. You may want to discuss this with a gastroenterologist to arrange for appropriate examinations. ...[Read More] Understanding Blood-Streaked Stool: Causes and Concerns
Understanding False Negative Results in Fecal Occult Blood Tests
Negative occult blood issue Recently, I had a fecal occult blood test that showed visible blood, but the results came back negative. 1. Could this be due to hemorrhoids or anal fissures, and how can it be negative if blood is visible? I have also been experiencing frequent left a...
Dr. Lin Minghui Reply:
(1) Regarding fecal occult blood sampling, the general purpose of the occult blood test is to detect blood that is not visible to the naked eye. The most common causes of visible blood after a bowel movement are hemorrhoids and anal fissures. If there is significant bleeding, it ...[Read More] Understanding False Negative Results in Fecal Occult Blood Tests
Understanding Negative Fecal Occult Blood Tests: Causes and Next Steps
Hemorrhage in stool with negative fecal occult blood test? Recently, I had a fecal occult blood test that showed visible blood, but the results came back negative. 1. Could this be due to hemorrhoids or anal fissures, and how can it be negative if there is visible blood? I have a...
Dr. Hu Guozheng Reply:
It is recommended to discuss further treatment or examinations with your attending physician. Thank you.[Read More] Understanding Negative Fecal Occult Blood Tests: Causes and Next Steps
Chronic Constipation Since Childhood: Seeking Effective Solutions
Severe constipation since childhood that cannot be improved? Hello Doctor, I have had a history of constipation since childhood, often going over 5 days without a bowel movement, which leads to severe abdominal pain and vomiting, requiring emergency care. I am 154 cm tall and wei...
Dr. Lin Minghui Reply:
Since your issue has been present since childhood and you have made significant efforts to try various methods with limited results, it is recommended that you visit a medical center to consult with a specialist in gastrointestinal neurology and motility, as well as functional ga...[Read More] Chronic Constipation Since Childhood: Seeking Effective Solutions
Understanding Left Lower Abdominal Discomfort and Gas Issues
Bloating, with dull pain and distension in the lower left abdomen? Hello, doctor. In recent years, I have occasionally experienced a dull pain in the lower left abdomen, near the pelvic area. This occurs regardless of whether I have eaten or not. I tend to experience bloating, so...
Dr. Lin Minghui Reply:
The left side of the colon is generally narrower than the right side, which may lead to difficulties in bowel movements, abnormal intestinal peristalsis, or intestinal obstruction that could be more pronounced on the left side. Possible causes include intestinal inflammation, div...[Read More] Understanding Left Lower Abdominal Discomfort and Gas Issues
Understanding Constipation and Upper Right Abdominal Pain: Causes and Tests
Constipation, right upper quadrant pain? About a year ago, I noticed a change in my bowel habits, experiencing constipation and bloating that made it uncomfortable to sleep. Even eating and drinking became difficult, accompanied by nausea. My stools have been pellet-like, segment...
Dr. Chen Shidian Reply:
It is still recommended to perform gastroscopy/colonoscopy to rule out ulcers or polyps.[Read More] Understanding Constipation and Upper Right Abdominal Pain: Causes and Tests
Understanding Gallbladder Polyps and Liver Cysts: Symptoms and Concerns
Gallbladder polyp measuring 0.4 cm, multiple hepatic cysts with the largest measuring 5 cm? I have been feeling unusually fatigued and uncomfortable during sleep for over six months, and I sometimes wake up due to this discomfort. Additionally, I have experienced bowel movements ...
Dr. Lin Minghui Reply:
It is recommended to conduct blood tests to assess liver and gallbladder function in cases of white stool. Differential diagnoses include hepatitis, anemia, and obstructive jaundice. Gallbladder polyps should be monitored for size and morphology. As for multiple intrahepatic cyst...[Read More] Understanding Gallbladder Polyps and Liver Cysts: Symptoms and Concerns
Understanding Fecal Occult Blood Testing: Surface vs. Deep Sample Collection
Fecal occult blood issue? Hello, Deputy Director. I would like to inquire about fecal occult blood testing. If the stool sample is collected by digging into the stool, will the results differ from those obtained by taking a sample from the surface? I have read online that it is r...
Dr. Chen Shidian Reply:
It should not be necessary.[Read More] Understanding Fecal Occult Blood Testing: Surface vs. Deep Sample Collection
Understanding Your Gastrointestinal Symptoms: Cancer or IBS?
Is it cancer or irritable bowel syndrome? Hello, doctor. At the end of May last year, I experienced frequent bloating and constipation due to excessive milk consumption. I recently completed a gastrointestinal endoscopy and endoscopic ultrasound of the pancreas, during which six ...
Dr. Cai Anshun Reply:
Hello: 1. The theoretical probability is very low, unless the bowel preparation is inadequate, which may affect the interpretation of the results. 2. If there are six polyps and all are hyperplastic polyps, the recommendation in foreign countries is to follow up in 3-5 years. How...[Read More] Understanding Your Gastrointestinal Symptoms: Cancer or IBS?
Understanding Abdominal Issues: Insights on Gastrointestinal Discomfort
Abdominal issues? Hello, Doctor. Since the onset of winter, I have been experiencing abdominal issues, including various types of pain in different areas. Here are the details: 1. Recently, I have been feeling significant spasms in my upper abdomen during the night, around the ...
Dr. Cai Jinji Reply:
Dear Mr. Anonymous: 1. If this condition has persisted for some time, it is advisable to seek medical attention and consult a physician about arranging further examinations. 2. Regarding the second point, it is still necessary to see a doctor to inquire about the results of th...[Read More] Understanding Abdominal Issues: Insights on Gastrointestinal Discomfort
Understanding Mucus in Stool: When to Worry About Blood and Symptoms
Mucus in stool Hello Doctor, this morning after having a bowel movement, while squatting to tidy up, I suddenly felt a warm sensation. When I went to the bathroom, I noticed yellow mucus with blood streaks, and my stool also had slight traces of blood. However, there were no obvi...
Dr. Lin Minghui Reply:
There is yellow mucus with blood present, but there are no obvious blood stains upon wiping, which does not seem to indicate an external hemorrhoid issue. There are symptoms suggestive of colitis. A stool test can be conducted to check for abnormalities. If this occurs frequently...[Read More] Understanding Mucus in Stool: When to Worry About Blood and Symptoms