Understanding Gallbladder Polyps: What You Need to Know
What should be noted about gallbladder polyps? Hello, doctor. Today during my health check-up, the ultrasound revealed that I have a 0.3 cm polyp. I am 21 years old, and I feel a bit scared and anxious. Although the doctor said it's nothing to worry about and that I should j...
Dr. Chen Shidian Reply:
Gallbladder polyps rarely change and are not related to diet; annual follow-up is sufficient.[Read More] Understanding Gallbladder Polyps: What You Need to Know
Understanding Gallbladder Polyps: Management and Dietary Considerations
Gallbladder polyp issues? Hello, doctor. I previously had an ultrasound, and the doctor said I have gallbladder polyps, but it's okay; I just need to have regular follow-ups. Will they resolve on their own, or should I pay attention to any dietary changes? If I need to have ...
Dr. Chen Shidian Reply:
Can be monitored once a year, mostly asymptomatic/rarely enlarges.[Read More] Understanding Gallbladder Polyps: Management and Dietary Considerations
Understanding Right Lower Abdominal Pain: Causes and Next Steps
Right lower abdominal pain? Hello Dr. Lin: About a year ago, I started feeling a slight, intermittent pain or a sensation of foreign body in the lower right abdomen (approximately 15 cm to the right of the navel). This year, I underwent gastroscopy, colonoscopy, and abdominal ult...
Dr. Lin Minghui Reply:
Hello, a 51-year-old male is experiencing intermittent pain in the right lower abdomen. He has undergone gastroscopy and abdominal ultrasound, which revealed polyps in the colon. The ultrasound also indicated moderate fatty liver and abnormal liver enzymes (GOT, GPT), suggesting ...[Read More] Understanding Right Lower Abdominal Pain: Causes and Next Steps
Understanding Blood After Bowel Movements: Hemorrhoids or Something More?
Bleeding after bowel movements? On June 23, after having a bowel movement, I noticed blood on the toilet paper while wiping, approximately the size of a five-dollar coin, but there was no pain. Prior to this date, I had also seen one or two spots of blood on the toilet paper afte...
Dr. Lin Minghui Reply:
Hello, a 28-year-old female is experiencing blood after bowel movements, with blood on toilet paper, and has loose stools. There is no pain in the anus, and her weight has not changed after bowel movements. Common causes of post-defecation bleeding include hemorrhoids, anal fissu...[Read More] Understanding Blood After Bowel Movements: Hemorrhoids or Something More?
Understanding Changes in Stool: What Does Thin Stool Mean?
Stool becomes thin? I am 19 years old and have been experiencing constipation for about 6 years, with bowel movements occurring every 3 to 7 days. The stools are mostly pellet-like, resembling sheep feces, but occasionally I have normal stools and sometimes diarrhea. Recently, I ...
Dr. Lin Minghui Reply:
Hello, a 19-year-old female has been experiencing chronic constipation for about six years. One day, she noticed blood in her stool without pain, and recently her stools have become thinner. Common causes include constipation, hemorrhoids, anal fissures, inflammation, and polyps,...[Read More] Understanding Changes in Stool: What Does Thin Stool Mean?
Post-Hemorrhoid Surgery: Managing Itching, Bleeding, and Hygiene Issues
Post-hemorrhoid surgery Hello, doctor. I underwent a mixed excision surgery for internal and external hemorrhoids last August, and it's been nearly a year since then. I have two questions I would like to ask: 1. After using the restroom, I feel that my anus itches or feels...
Dr. Lin Minghui Reply:
Hello, a 26-year-old male has undergone hemorrhoid surgery a year ago. There is residual stool, and it is recommended to increase the intake of fruits and vegetables for fiber, along with adequate hydration and physical activity to help form and pass stool more easily. The presen...[Read More] Post-Hemorrhoid Surgery: Managing Itching, Bleeding, and Hygiene Issues
Understanding Digestive Issues: Weight Loss and Bowel Changes Explained
Issues related to bowel movements and loud bowel sounds after meals? Hello Doctor, I underwent a colonoscopy at a colorectal clinic in early May, and the doctor later informed me that they would remove three hyperplastic polyps. Before the procedure, a digital rectal exam was per...
Dr. Lin Minghui Reply:
Hello: The colonoscopy revealed polyps and benign tumors that require follow-up. You may consult a gastroenterologist or a colorectal specialist. Changes in stool patterns and weight loss are noted. It feels like the intestines are not absorbing nutrients, leading to weight loss....[Read More] Understanding Digestive Issues: Weight Loss and Bowel Changes Explained
Unusual Bowel Movements and Weight Loss: Seeking Gastroenterology Advice
Stool, postprandial borborygmi, weight loss inquiry? I would like to ask the doctor, I had a colonoscopy at the clinic in early May, where three benign polyps were removed. The doctor did not schedule a follow-up appointment, stating that my intestines are very healthy. However, ...
Dr. Yang Zhichao Reply:
Hello Mr. Joe, regarding your weight loss and bowel/gurgling issues, you may consult a gastroenterologist. The throat problem could also be related to gastroesophageal reflux, so seeing a gastroenterologist would be appropriate. However, if these issues cannot be resolved, I reco...[Read More] Unusual Bowel Movements and Weight Loss: Seeking Gastroenterology Advice
Understanding Blood in Stool: When to Seek Medical Attention
Blood in stool issue? Doctor, I apologize for bothering you, but I would like to ask a question. I have had poor sleep habits since childhood and often stay up late. Additionally, I have a tendency towards constipation. Everything was fine for the past few months, but recently I ...
Dr. Zhang Kebin Reply:
Hello Mr. Zhibo: You have reported recent occurrences of bloody stools, which may indicate gastrointestinal bleeding. Possible causes include colitis, polyps, tumors, or bleeding from hemorrhoids. It is recommended that you visit a hospital's colorectal surgery department fo...[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Understanding Abnormal Fecal Occult Blood Test Results: When to Seek Care
Fecal occult blood The fecal occult blood immunoassay (quantitative) result is *>400.0 ng/mL, which is classified as abnormal and may be related to gastrointestinal diseases. Please follow up with a gastroenterology clinic within one week; however, given the current severe pan...
Dr. Cai Jinji Reply:
Hello Andy: According to statistical reports, among adults aged 50-66 with positive fecal occult blood tests, 20 individuals will have 10 with polyps and 1 with colorectal cancer. Please evaluate your condition to determine if there is an urgent need for medical attention. Nantou...[Read More] Understanding Abnormal Fecal Occult Blood Test Results: When to Seek Care
Understanding Soft and Unformed Stool: Causes and Concerns
Loose stools can sometimes be unformed and occasionally watery? Hello, I have been experiencing soft stools almost every time I go to the bathroom recently. Occasionally, they are unformed and mushy, and while I don't have diarrhea very often, it does happen occasionally. Al...
Dr. Chen Shidian Reply:
It may simply be increased peristalsis; if necessary, medication can be administered and a stool occult blood test can be performed.[Read More] Understanding Soft and Unformed Stool: Causes and Concerns
Understanding Gallbladder Polyps: Risks and Monitoring Guidelines
Gallbladder polyp Hello, Doctor! I would like to ask about my father's gallbladder polyp. At the end of 2018, he underwent a comprehensive health check and was found to have a 1.2 cm gallbladder polyp. He has been monitored every three months for about two to three times, an...
Dr. Chen Shidian Reply:
There is still a chance of enlargement/worsening; please seek medical follow-up.[Read More] Understanding Gallbladder Polyps: Risks and Monitoring Guidelines
Understanding Fecal Occult Blood Tests: Detecting Polyps and IBS
What are the related issues regarding fecal occult blood testing? Thank you for the doctor's response. So, polyps smaller than 1 cm cannot be detected, but polyps larger than 1 cm are benign. Does this mean that polyps smaller than 1 cm are likely to progress to colorectal c...
Dr. Chen Shidian Reply:
Polyps that are 1 cm in size are more likely to become malignant, but they can be easily detected through fecal occult blood screening. Polyps smaller than 1 cm (especially those less than 0.5 cm) are mostly benign and are less likely to yield a positive occult blood test, so the...[Read More] Understanding Fecal Occult Blood Tests: Detecting Polyps and IBS
Differentiating Between Colon Polyps and Irritable Bowel Syndrome
Distinguishing between colorectal polyps and irritable bowel syndrome (IBS)? How can I distinguish whether my current condition is colorectal polyps or irritable bowel syndrome (IBS)? My current symptoms include severe constipation (having a bowel movement every 3 to 4 days), thi...
Dr. Chen Shidian Reply:
Irritable bowel syndrome (IBS) should be considered. Polyps are a separate diagnosis and are not related to symptoms. Generally, fecal occult blood screening should begin at age 50 or older. Individuals with symptoms may consider seeking early evaluation and examination through h...[Read More] Differentiating Between Colon Polyps and Irritable Bowel Syndrome
Can Stool Tests Detect Polyps or Colon Cancer Risks?
Can fecal occult blood testing detect the presence of polyps? Today, I followed your advice and took a fecal occult blood test. When I asked the doctor some related questions, I was taken aback by his response. He said that the fecal occult blood test cannot determine whether the...
Dr. Chen Shidian Reply:
The immunochemical fecal occult blood test has high accuracy and should be used for initial screening. Domestic research reports indicate that 96.4% of patients with colorectal cancer tested positive using the immunochemical method.[Read More] Can Stool Tests Detect Polyps or Colon Cancer Risks?
Can Fecal Occult Blood Tests Detect Polyps in Colorectal Cancer?
Can fecal occult blood testing detect the presence of polyps? Hello doctor, I understand the accuracy of fecal occult blood testing for colorectal cancer. Can fecal occult blood testing detect colorectal cancer in the absence of polyps? Thank you for your response.
Dr. Chen Shidian Reply:
Only larger polyps (>1 cm) have greater predictive value. In addition, polyps <1 cm are mostly benign.[Read More] Can Fecal Occult Blood Tests Detect Polyps in Colorectal Cancer?
Understanding Bowel Issues: Can Stool Tests Detect Colon Polyps?
Bowel issues Hello Doctor, regarding the question I asked yesterday, the doctor's suggestion was to check for fecal occult blood. Can this fecal occult blood test also detect the presence of colorectal polyps? As a follow-up to yesterday's question, I would like to add ...
Dr. Chen Shidian Reply:
It is often a functional disorder or hyperactivity syndrome; a stool examination can be performed first to rule out intestinal lesions.[Read More] Understanding Bowel Issues: Can Stool Tests Detect Colon Polyps?
Understanding Bowel Issues: Narrow Stools and Constipation Concerns
Colorectal bowel issues Hello doctor, I have a question. Recently, over the past two weeks, I have noticed that my stools have become thinner. I also have a history of constipation. After researching online, I suspect that my constipation may have led to the development of colore...
Dr. Chen Shidian Reply:
Fecal occult blood testing can be performed, and it is advisable to increase the intake of fruits and vegetables. If necessary, medication can be used for further management.[Read More] Understanding Bowel Issues: Narrow Stools and Constipation Concerns
Understanding Constipation: When to Seek Help for Changes in Bowel Movements
I would like to inquire about issues related to bowel movements (constipation) and difficulties? Hello doctor, I have a constipation issue and often have no urge to defecate, going less than 3 to 4 times a week, and it is difficult to pass stool. I often have to exert a lot of ef...
Dr. Chen Shidian Reply:
You can first check for occult blood in the stool.[Read More] Understanding Constipation: When to Seek Help for Changes in Bowel Movements
Understanding Ampullary Polyps: Risks, Diagnosis, and Surgical Options
Ampullary polyp Hello, my father previously underwent ERCP due to recurrent pancreatitis of unknown origin. During the procedure, a polyp approximately 0.5 cm in size was found at the ampulla and was removed. A biopsy was performed, and the report indicated malignancy; however, t...
Dr. Cai Anshun Reply:
Hello: 1. Based on your description, if the next step is cancer (which is typically reported as adenocarcinoma in pathology reports), it should be high-grade dysplasia. 2. It is important to check whether there is any abnormal tissue growth in the ampulla, and whether the margins...[Read More] Understanding Ampullary Polyps: Risks, Diagnosis, and Surgical Options