Understanding Upper Abdominal Bloating: Causes and Symptoms
Upper abdominal bloating There is a bulge in the center just below the sternum (it should be the upper abdomen, right?). It feels bloated most of the time, and it becomes more pronounced after eating. The symptoms have been ongoing for about two weeks. When I press on it lightly,...
Dr. Chen Shidian Reply:
It may be due to bloating or gastrointestinal dysfunction. Please eat small, frequent meals, take a walk after eating, and avoid prolonged sitting. If symptoms persist, seek medical attention.[Read More] Understanding Upper Abdominal Bloating: Causes and Symptoms
Understanding Ampullary Polyps: Risks and Pathology Insights
Ampullary polyp The father underwent ERCP due to recurrent pancreatitis, during which a polyp was found and removed from the ampulla. The attending physician mentioned that it is uncertain whether it is an adenoma or something else, and advised waiting for the pathology report. I...
Dr. Chen Shidian Reply:
The risk level still needs to be confirmed based on the pathology report; please discuss this with the attending physician.[Read More] Understanding Ampullary Polyps: Risks and Pathology Insights
Understanding Diverticula: Risks, Management, and Colonoscopy Frequency
Issues related to colonoscopy? Hello Doctor, I had my first colonoscopy last week, and the results were normal with no polyps. However, I was found to have internal hemorrhoids and diverticula. This was my first time hearing about diverticula, so I asked the doctor who performed ...
Dr. Lin Minghui Reply:
Hello, the diverticula in the colon are benign conditions. Diverticula are pouch-like structures that form when the intestinal wall weakens and bulges outward for various reasons. During a colonoscopy, these appear as small indentations on the intestinal wall. The causes can be c...[Read More] Understanding Diverticula: Risks, Management, and Colonoscopy Frequency
Understanding Changes in Stool Size and Abdominal Pain: Possible Causes
The stool has become thinner, and there are occasional feelings of abdominal pain? I would like to ask about my situation. A doctor previously diagnosed me with an anal fissure, but after more than a year, I have recently been experiencing frequent abdominal pain, specifically in...
Dr. Chen Shidian Reply:
Further observation is recommended; if concerns persist, a fecal occult blood test can be performed.[Read More] Understanding Changes in Stool Size and Abdominal Pain: Possible Causes
Blood on Toilet Paper: Should You Worry About Your Colon Health?
Blood on toilet paper after wiping? Hello Doctor, I had my first colonoscopy in October last year, during which two 2 cm polyps were removed (tubular adenomas), one was benign and the other was highly differentiated atypical. In November of the same year, I had another colonoscop...
Dr. Lin Minghui Reply:
Hello: If you have polyps in the colon and a family history of colorectal cancer, it is important to follow up with colonoscopy screenings. The frequency of follow-up for polyps should be based on your physician's recommendations. It is also advisable to develop a habit of c...[Read More] Blood on Toilet Paper: Should You Worry About Your Colon Health?
Managing Fatty Liver and Gastrointestinal Issues: Your Questions Answered
Inquiry and consultation? Hello Doctor: I had a liver ultrasound today. I have been associated with the hepatobiliary and gastroenterology department since many years ago due to elevated liver enzymes. In my younger days, I often stayed up late and had a penchant for sweet foods ...
Dr. Lin Minghui Reply:
Hello, fatty liver refers to the accumulation of fat in liver cells, which may sometimes cause fluctuations in liver enzyme levels, but typically involves minimal liver fibrosis. Once it progresses to non-alcoholic steatohepatitis (NASH), the liver may exhibit inflammation or fib...[Read More] Managing Fatty Liver and Gastrointestinal Issues: Your Questions Answered
Unexplained Weight Loss Despite Normal Appetite: A Gastroenterology Concern
Weight Issues ~ Weight Continues to Decrease Despite Normal Diet Hello, Doctor. My current health status is as follows: On December 3, 2020, I underwent an upper gastrointestinal endoscopy. The attending physician explained that I have gastritis and mild ulcers, but my esophagus ...
Dr. Chen Shidian Reply:
Please discuss with the attending physician regarding the current data (hemangioma of the liver should only be monitored) and the management/consultation for weight loss.[Read More] Unexplained Weight Loss Despite Normal Appetite: A Gastroenterology Concern
Understanding Diverticulitis: Symptoms, Concerns, and Diagnosis
Questions related to diverticulitis? Hello Doctor, I discovered in my company's health check report in January 2019 that I had a positive fecal occult blood test with a level of 200. However, I did not undergo a colonoscopy and later went abroad. Prior to this, I had never e...
Dr. Cai Anshun Reply:
Hello: 1. If the pain subsides after a bowel movement or lasts only for a brief moment, there is usually no need for excessive concern; typically, if there is a problem, the pain would persist. 2. Bloating or fecal impaction can also present similar symptoms. 3. The presence of r...[Read More] Understanding Diverticulitis: Symptoms, Concerns, and Diagnosis
Understanding Polyps: Are They Likely Benign or Malignant?
Colorectal cancer Hello Doctor, I had a fecal occult blood test a month ago, and the result was negative. Yesterday, I underwent a colonoscopy, and the doctor found a polyp measuring nearly 0.5 cm, which was removed. However, I was told to return in a week to discuss the results....
Dr. Cai Anshun Reply:
Hello: Most small polyps are benign and do not require concern. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Polyps: Are They Likely Benign or Malignant?
Understanding Your Colonoscopy Results: What Do Polyps Mean for Your Health?
25004C Fourth Level Surgical Pathology Dear Doctor: It has been three years since my last colonoscopy, and during the recent procedure, the doctor found polyps and removed them, advising me to return for another check in three years. I reviewed the examination report in my healt...
Dr. Yang Zhichao Reply:
Hello Mr. Mamoru, 1. The pathology report indicates that your polyp is a benign hyperplastic polyp. 2. Not all polyps will necessarily develop into cancer; you can undergo regular monitoring. As for the frequency of follow-ups, you can establish a reasonable schedule with your...[Read More] Understanding Your Colonoscopy Results: What Do Polyps Mean for Your Health?
Understanding Bowel Issues: Causes of Irregular Stool Shape and Consistency
Bowel movement issues Hello, doctor. I have some concerns about my bowel movements. Sometimes my stools are very loose, to the point where I can see vegetable remnants. It's quite exaggerated; for example, after eating dumplings around noon, I can see vegetable pieces in my ...
Dr. Lin Minghui Reply:
Hello: If your weight has not changed and you are exercising, it is possible that you have a fast metabolism. The shape of your stool is related to the food you consume. A diet high in fiber typically results in well-formed stools, while a diet high in fatty foods may lead to loo...[Read More] Understanding Bowel Issues: Causes of Irregular Stool Shape and Consistency
Colonoscopy Frequency: When to Get Tested Again?
Colonoscopy expiration date Hello, doctor. Due to long-term constipation and recently experiencing occasional red blood in my stool (attached to the stool), along with a family history of colorectal cancer, I am reconsidering whether I need to undergo another colonoscopy. I had a...
Dr. Yang Zhichao Reply:
Hello Ms. Lu, based on your condition, I recommend scheduling another colonoscopy. There is no expiration for colonoscopy; it can be performed as needed based on symptoms or medical necessity. Thank you for your inquiry.[Read More] Colonoscopy Frequency: When to Get Tested Again?
Understanding Severe Constipation: Symptoms and When to Seek Help
Constipation, with bowel movements resembling lumps of intestinal mucosa? Hello doctor, I have had severe constipation since elementary school, and I often experience bloating, stomach pain, and vomiting that require emergency care. In recent years, my condition has improved sign...
Dr. Chen Shidian Reply:
If concerned, you can first undergo a rectal examination (approximately 20 cm) or a sigmoidoscopy (approximately 60 cm), and use stool softeners or laxatives for adjustment/treatment.[Read More] Understanding Severe Constipation: Symptoms and When to Seek Help
Understanding Right Lower Abdominal Pain: Causes and Concerns
Right lower abdominal pain? Hello, I started experiencing hard stools with bright red blood on the toilet paper since the beginning of June. After seeing a doctor, I was prescribed medication for hemorrhoids, and it resolved within a week. My bowel movements returned to normal, b...
Dr. Lin Minghui Reply:
Hello: You are experiencing pain in the lower right abdomen and blood in your stool, with no pain when at rest but experiencing referred pain. Possible causes include constipation (it is recommended to increase water intake and consume more fruits and vegetables), enteritis, or g...[Read More] Understanding Right Lower Abdominal Pain: Causes and Concerns
Understanding Fecal Occult Blood and Ferritin Testing in Gastrointestinal Health
Fecal occult blood test and ferritin level assessment? Hello Doctor, I underwent fecal occult blood testing and transferrin testing at the hospital. After researching online, I have some confusion and would like to ask: 1. Is the fecal occult blood immunoassay generally used to...
Dr. Chen Shidian Reply:
I have not used fecal ferritin and cannot provide any recommendations.[Read More] Understanding Fecal Occult Blood and Ferritin Testing in Gastrointestinal Health
Blood After Bowel Movements: Causes and Concerns Explained
Bleeding during bowel movements? In the past couple of days, I have noticed blood stains, approximately bright red to pink in color, on toilet paper after bowel movements. The area is not large, about the size of a small coin, slightly larger than a grain of rice. I also experien...
Dr. Lin Minghui Reply:
Hello: A 25-year-old female has noticed small blood stains on toilet paper after bowel movements, and she has been experiencing more frequent bowel movements over the past two days. Common causes of rectal bleeding include anal fissures, hemorrhoids, inflammatory bowel disease, p...[Read More] Blood After Bowel Movements: Causes and Concerns Explained
Are Gallbladder Polyps Dangerous? What You Need to Know
Are gallbladder polyps dangerous? Are gallbladder polyps dangerous? Hello, during an employee health check, an abdominal ultrasound revealed a gallbladder polyp measuring 1.2 cm. The medical staff advised that monitoring is sufficient. Should I go to another hospital for further ...
Dr. Lin Minghui Reply:
Hello: A 43-year-old female, gallbladder polyps are mostly benign and asymptomatic. However, if they become too large, there is a concern for potential malignant transformation, as the prognosis for gallbladder cancer is poor. Therefore, it is recommended to monitor the size, sha...[Read More] Are Gallbladder Polyps Dangerous? What You Need to Know
Understanding Bloating and Hunger: Gastrointestinal Issues Explained
Feeling bloated but still hungry? Hello Dr. Lin, I underwent a gastrointestinal endoscopy at the end of last year, and since then, I have frequently experienced diarrhea and bloating, along with increased acid reflux and sour belching. During the procedure, the doctor removed a p...
Dr. Lin Minghui Reply:
Hello, A 36-year-old female presents with frequent diarrhea and gastroesophageal reflux, with a history of peptic ulcer disease and gastric polyps. Recently, she has been experiencing increased diarrhea, frequent hunger sensations, postprandial bloating, abdominal rumbling, and...[Read More] Understanding Bloating and Hunger: Gastrointestinal Issues Explained
Understanding Anal Polyps and Hemorrhoids: Causes and Concerns
Anal polyps, hemorrhoids Recently, I have noticed occasional swelling around the anal area, with the swollen part turning a light pink color, but it subsides by morning. When I went to the hospital for a check-up, the doctor found a small polyp and mentioned that I have issues wi...
Dr. Chen Shidian Reply:
Internal hemorrhoids are vascular tissues in the anal area that can become swollen when engorged. They may sometimes bleed due to friction from constipation and can also cause anal itching. Treatment may include topical ointments and increased physical activity. Additionally, ana...[Read More] Understanding Anal Polyps and Hemorrhoids: Causes and Concerns
Understanding Bowel Issues: Causes and Solutions for Soft Stools
Bowel issues Hello, doctor. A few years ago, due to stress and an irregular lifestyle, I started experiencing frequent unformed stools, sometimes feeling incomplete after bowel movements, going 3 to 4 times a day. After turning 45, I began to pay more attention to my health. Due ...
Dr. Cai Jinji Reply:
Dear Mr. Jack: It is recommended that you return to the Department of Colorectal Surgery for follow-up to determine if further examinations are necessary. Nantou Hospital cares about you. Dr. Tsai Jin-chi, Director of the Department of Hepatobiliary and Gastroenterology, Nantou H...[Read More] Understanding Bowel Issues: Causes and Solutions for Soft Stools