Understanding Diarrhea and Abdominal Pain: Insights from Gastroenterology
Bowel issues, abdominal pain? Hello, Dr. Lin. I had diarrhea on November 26, going three times. During the third time, I noticed blood in my stool (bright red blood). When I wiped with toilet paper, it was yellow with a bit of bright red blood, and later it turned pink. On Novemb...
Dr. Lin Minghui Reply:
Post-gastroenteritis, gastrointestinal function may not recover immediately. It is recommended to follow a light diet for 1 to 2 weeks and avoid irritating the gastrointestinal tract. If diverticula are found during a colonoscopy, it is important to monitor for the occurrence of ...[Read More] Understanding Diarrhea and Abdominal Pain: Insights from Gastroenterology
Understanding Fatty Liver and Kidney Stones: Dietary Insights and Management
Abdominal ultrasound Hello Doctor: Last year, due to abdominal pain, I was examined and found to have kidney stones and moderate fatty liver. Over the past year, my weight has been stable at 92 kg (height 166 cm), and I have been controlling my diet for about a year. I believe I ...
Dr. Lin Minghui Reply:
The patient has moderate obesity with a BMI of 33.3, and there are kidney stones present with minimal changes observed in the follow-up ultrasound. The abdominal ultrasound shows slight changes in non-fatty areas and multiple small right-sided kidney stones. It is recommended to ...[Read More] Understanding Fatty Liver and Kidney Stones: Dietary Insights and Management
Understanding Hyperplastic Polyps: Cancer Risk and Pathology Insights
Please consult the pathology report for colorectal polyps? DIAGNOSIS: Large intestine, ascending colon, biopsy removal - hyperplastic polyp. Description: The specimen submitted consists of one tissue fragment measuring 0.2 x 0.1 x 0.1 cm, fixed in formalin. Grossly, it appears br...
Dr. Cai Jinji Reply:
Hello Mr. Fatty: Typically, hyperplastic polyps are benign and do not lead to cancer. However, it is not advisable to rely solely on a single report to conclude that there are no issues. It is recommended that you discuss with your physician whether follow-up monitoring is necess...[Read More] Understanding Hyperplastic Polyps: Cancer Risk and Pathology Insights
Understanding Ultrasound Findings in Liver and Gallbladder Health
Ultrasound Interpretation 1. Liver: (1) INCREASED ECHOGENICITY (2) ONE FOCAL SPARING AREA (3.3X1.6CM) IN THE RIGHT LOBE (3) TWO CALCIFIED AREAS (2.5CM, 0.8CM) IN THE RIGHT LOBE 2. IHD: NO DILATATION 3. CBD: NO DILATATION 4. GB: SMALL POLYPS 5. PV system: NO ENLARGEMENT 6. Pancrea...
Dr. Chen Shidian Reply:
Small polyps are not abnormal, and their angle can influence their appearance. Localized areas without fat are a common ultrasound finding and are not considered abnormal.[Read More] Understanding Ultrasound Findings in Liver and Gallbladder Health
Understanding Dark Purple Diarrhea During Ovulation: When to Seek Help
Diarrhea during ovulation with dark color? Dr. Chen would like to inquire about experiencing diarrhea for three days after menstruation over the past six months. Recently, he consumed red beans, purple rice, spinach, and blueberries, which resulted in the diarrhea being a deep pu...
Dr. Chen Shidian Reply:
No need to worry, you can continue to observe.[Read More] Understanding Dark Purple Diarrhea During Ovulation: When to Seek Help
Understanding Newly Detected Liver Nodules: Causes and Next Steps
Hypoechoic liver nodule Hello, due to mild fatty liver and gallbladder polyps, I have been undergoing abdominal ultrasound follow-ups every six months at the clinic. There is no evidence of hepatitis B or C. During my last visit in October, the doctor noted two liver nodules (one...
Dr. Chen Shidian Reply:
The shadow of fatty liver may just be an artifact, and experienced gastroenterologists can often make this determination, but further follow-up is still necessary for confirmation.[Read More] Understanding Newly Detected Liver Nodules: Causes and Next Steps
Understanding Bowel Issues: When to Consider a Colonoscopy
Bowel issues Hello Doctor, I am currently 27 years old and have a habit of daily bowel movements. In the past, my stools were often thick and long, but now the frequency has decreased significantly; the last time I had a bowel movement was at the beginning of last month. This mon...
Dr. Lin Minghui Reply:
Abnormal bowel movements and normal fecal occult blood test results from last June—should a colonoscopy be performed? Abnormal bowel movements could be related to anxiety-induced irritable bowel syndrome, irregular diet, dietary changes, or gastroenteritis. It is recommended to a...[Read More] Understanding Bowel Issues: When to Consider a Colonoscopy
Understanding Polyps: Risks and Next Steps After a Colonoscopy
Colorectal polyp Hello Doctor: I found a 0.8 cm polyp during my health check at the health examination center, which also provided photos of the examination. Later, I took the health report to a large hospital and showed the colonoscopy report to the doctor. The doctor scheduled ...
Dr. Chen Shidian Reply:
We can only proceed with follow-up colonoscopy, as there are no other options available. (Why is the plan for polypectomy scheduled in two months? Has the health screening center already removed the polyps?)[Read More] Understanding Polyps: Risks and Next Steps After a Colonoscopy
Understanding Rectal Bleeding After Polyp Removal: Causes and Concerns
Rectal bleeding Hello doctor, I had a colonoscopy to remove polyps on November 2nd, and for the past few days, my stool has been bright red with blood, and the toilet bowl is filled with bright red blood. A few days ago, my bowel movements were in small pieces, and I had to strai...
Dr. Cai Jinji Reply:
Hello Ms. Chen Xiaoke: It could be caused by the wound, or it might be due to hard stools. I recommend that you consult the physician who originally examined you. Dr. Tseng Guang-hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Rectal Bleeding After Polyp Removal: Causes and Concerns
Understanding Changes in Bowel Habits and Fecal Occult Blood Testing
Changes in bowel habits and fecal occult blood testing? Hello, doctor. I have two personal experience questions to ask: 1. For colorectal cancer patients, common symptoms include changes in bowel habits, such as loose or soft stools and diarrhea. Will these symptoms persist, or...
Dr. Chen Shidian Reply:
Colorectal cancer can cause difficulty or obstruction in bowel movements. A negative fecal occult blood test almost never indicates the presence of moderate to advanced colorectal cancer (which causes bowel difficulties), but it cannot completely rule out the possibility of very ...[Read More] Understanding Changes in Bowel Habits and Fecal Occult Blood Testing
Small Bumps Around the Anus: Should You Be Concerned?
Is there a small lump at the anal opening? Hello Doctor: Recently, I have noticed 2-3 small lumps around my anus. I confirmed in the mirror that they are located right at the anal opening, but they are not painful or itchy, and there is no bleeding during bowel movements. I feel ...
Dr. Chen Shidian Reply:
Anal polyps, benign, can be monitored.[Read More] Small Bumps Around the Anus: Should You Be Concerned?
Understanding Gastric Polyps: Are Fundic Gland Polyps Serious?
Gastric polyp pathology slide Hello, Doctor: I had gastric polyps removed, and the pathology report indicates they are fundic gland polyps. I would like to ask if these types of polyps are serious. Thank you.
Dr. Chen Shidian Reply:
Completely benign, commonly harmless.[Read More] Understanding Gastric Polyps: Are Fundic Gland Polyps Serious?
Understanding Stomach Polyps: Are They Always Benign?
Gastric polypectomy Hello, doctor: During my health check-up, I had an endoscopy where a polyp was removed. The doctor mentioned it should be benign, but the report will take about a week to come out. I would like to know if it is really benign and if there is any possibility of ...
Dr. Chen Shidian Reply:
Gastric polyps are mostly benign, so there is no need to worry too much.[Read More] Understanding Stomach Polyps: Are They Always Benign?
Post-Polypectomy Diet: What to Eat After Gastroscopy in Taiwan
Dietary Recommendations After Gastric Polyp Removal During Endoscopy Hello Doctor: I had a gastroscopy during my health check-up and polyps were removed. I would like to know what dietary precautions I need to take after the procedure. When can I resume a normal diet? Thank you!
Dr. Yang Zhichao Reply:
Regular meals can be consumed normally.[Read More] Post-Polypectomy Diet: What to Eat After Gastroscopy in Taiwan
Understanding Digestive Biopsy Results After Colonoscopy and Endoscopy
After the colonoscopy and gastroscopy, the report indicated gastrointestinal biopsy examination? After undergoing a colonoscopy and gastroscopy, no doctor came to explain the results to me; only the nurse mentioned to wait for the follow-up appointment to review the report. I fin...
Dr. Chen Shidian Reply:
Please return for a follow-up on the scheduled date (general pathology reports take 7 days). Any concerning findings will typically be mentioned in advance. It should only be a routine biopsy.[Read More] Understanding Digestive Biopsy Results After Colonoscopy and Endoscopy
Blood in Stool: Should You Worry and When to Get a Colonoscopy?
Blood in the stool? Today, I noticed a small blood spot about 0.2 centimeters in size in my stool, and there were also blood streaks about the size of a grain of sand in the intestinal fluid. I would like to know what this condition might indicate. Do I need to undergo another co...
Dr. Hu Guozheng Reply:
Colonoscopy is generally recommended every 3 to 5 years. You can consult your physician regarding the frequency of follow-up examinations. It is advisable to monitor if straining during bowel movements causes harder stools to scrape against the anal canal, which may lead to minor...[Read More] Blood in Stool: Should You Worry and When to Get a Colonoscopy?
Understanding Gastrointestinal Issues: Constipation and Abdominal Pain
Bowel issues, fecal problems, gastrointestinal issues? Hello doctor, recently I've been feeling something unusual with my gastrointestinal system. I've been having difficulty with bowel movements; I can barely pass gas or release a small amount of mucus, and sometimes I...
Dr. Lin Minghui Reply:
Symptoms resembling constipation. It is recommended to adjust your diet, change your lifestyle, relax your mind, and engage in moderate exercise. In terms of diet, it is advisable to increase the intake of fruits and vegetables to boost fiber and fluid consumption. Regarding life...[Read More] Understanding Gastrointestinal Issues: Constipation and Abdominal Pain
Understanding Blood in Stool: Causes and Solutions for Ongoing Issues
Blood in stool issue? I only experience diarrhea or have a large bowel movement (a whole piece) once, and then I have blood in my stool (blood streaks, mucous with blood). This issue has troubled me for over five years. During these five years, I have undergone multiple flexible ...
Dr. Chen Shidian Reply:
Continue to monitor and avoid constipation that may lead to bleeding.[Read More] Understanding Blood in Stool: Causes and Solutions for Ongoing Issues
Bright Red Blood in Stool: Should You Worry About Your Symptoms?
Blood in the stool? Hello Doctor: I had a colonoscopy last year which showed no polyps but I have hemorrhoids. Yesterday, while sitting, I felt some numbness and discomfort in my buttocks, and I’m not sure if it’s because I sat too long. I keep feeling like there’s something ther...
Dr. Yang Zhichao Reply:
You can go to the hospital for a detailed examination.[Read More] Bright Red Blood in Stool: Should You Worry About Your Symptoms?
Understanding Elevated Total and Direct Bilirubin Levels: Causes and Concerns
Elevated total bilirubin and direct bilirubin levels? Hello, doctor. In 2021, I had a health check-up, and at that time, my total bilirubin and direct bilirubin levels were elevated. Three months later, I had another blood test, and those levels were normal. This year, during my ...
Dr. Chen Shidian Reply:
There is no correlation and it does not affect health. If there is no hepatitis B, the principle is to follow the general health check-up guidelines (for those over 40 years old, once every two years).[Read More] Understanding Elevated Total and Direct Bilirubin Levels: Causes and Concerns