Rectum, Gastroenterology and Hepatology FAQ - Page 8

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Understanding Blood in Stool: Causes and Concerns for Gastrointestinal Health

Bowel movement issues Hello doctor, I recently noticed that I have fresh red blood in my stool, and my bowel movements have been shaped like a thicker end with a thinner middle. After I finish, I feel a slight pain in the upper left part of my abdomen, but there is no significant...


Dr. Chen Shidian Reply:
Hello, Miss: Please visit the gastroenterology outpatient clinic for a rectal examination. You may also use stool softeners to reduce bleeding from hemorrhoids or anal fissures. Changhua Hospital cares about your health. Chen Shih-Tien

[Read More] Understanding Blood in Stool: Causes and Concerns for Gastrointestinal Health


Yellow Discharge from the Anus: Causes, Concerns, and Solutions

There is sometimes a yellow discharge from the anus that resembles fecal matter? There is sometimes a yellow discharge from the anus that resembles fecal matter, and when wiped with tissue, there is a small amount of residue that is also yellow and has a slightly fishy odor. This...


Dr. Chen Shidian Reply:
Hello, sir: It is likely that there is an increased secretion from the colon/rectum. If there is no other pain, it can be monitored further. Changhua Hospital cares about your health. Chen Shidian

[Read More] Yellow Discharge from the Anus: Causes, Concerns, and Solutions


Managing Rectal Inflammation After Colorectal Surgery: Dietary Tips and Advice

Could you please provide more details about the issue of rectal inflammation? Hello Doctor: I am a patient with ulcerative colitis. Recently, I underwent surgery to remove my entire colon, leaving a small section of rectum. Initially, my inflammatory markers in the rectum were go...


Dr. Cai Anshun Reply:
Hello: If you are concerned about the increase in oral corticosteroids, you may consult your physician about the possibility of adopting local treatments, such as Colasa Enema 40mg/ml (Mesalazine 5-Aminosalicylic Acid) or Cortema Enema 1.667mg/ml (hydrocortisone). Some literature...

[Read More] Managing Rectal Inflammation After Colorectal Surgery: Dietary Tips and Advice


Understanding Blood in Stool: Is It Menstrual or Gastrointestinal?

Rectal bleeding Hello, doctor! I noticed a small amount of bleeding from my genital area after my menstrual period ended, but my stool was red and had deep red streaks of blood. Could this be due to menstrual blood, or is it a gastrointestinal issue? I have a history of excessive...


Dr. Chen Qifeng Reply:
Hello, first it should be confirmed that menstrual blood has not contaminated the anal area. If there is blood in the stool, it indicates bleeding near the anus or rectum, which is unrelated to gastric bleeding. Dr. Chen Chi-Feng, Attending Physician, Gastroenterology Department,...

[Read More] Understanding Blood in Stool: Is It Menstrual or Gastrointestinal?


Understanding Changes in Stool Size: Health Concerns and Insights

Regarding the issue of stool diameter? Hello Doctor, I would like to ask you some questions regarding my gastrointestinal health. I used to be overweight (height 170 cm, weight about 82 kg), but I started a weight loss program this year, which includes jogging at least three time...


Dr. Cai Anshun Reply:
Hello: In the case of intentional weight loss, a decrease in weight does not have clinical significance. If there is a bowel movement urge, the stool will be expelled, and if there is no accumulation of feces in the rectum, the stool may be softer, thinner, and sometimes even pas...

[Read More] Understanding Changes in Stool Size: Health Concerns and Insights


Understanding Reduced Bowel Movements: When to Seek Medical Advice

Decreased bowel movement? Hello Doctor: Recently, I have been trying to establish a routine for bowel movements in the morning, but each time the amount is very small and the shape varies. Previously, I would only go to the bathroom when I felt the urge, and my stools were bulkie...


Dr. Cai Anshun Reply:
Hello: It is recommended to establish a regular time for bowel movements. The reason is that when the rectum accumulates a certain amount of stool, the pressure in the rectum increases, signaling the brain that it is time to defecate, leading to the sensation of urgency. However,...

[Read More] Understanding Reduced Bowel Movements: When to Seek Medical Advice


Understanding Rectal Bumps: Normal Tissue or Cause for Concern?

There is a small protrusion in the rectum? I apologize for the interruption. Recently, while showering, I felt a small bump when I was cleaning myself. Is this a normal tissue or a growth, or could it be indicative of another condition? Is there a possibility that it could be gen...


Dr. Lin Minghui Reply:
Hello, there is a protrusion in the rectum, which could possibly be hemorrhoids or skin conditions such as eczema or an infection. For potential eczema or infection, you may consult a colorectal surgeon for an examination. This is a response from Dr. Lin Ming-Hui, attending physi...

[Read More] Understanding Rectal Bumps: Normal Tissue or Cause for Concern?


Understanding Digestive Issues: Is It Gastrointestinal or Hemorrhoids?

Gastrointestinal issues or internal hemorrhoids? Over the past year, I have undergone gastroscopy, colonoscopy, and fecal occult blood tests. The gastroscopy showed no issues. During the colonoscopy, the doctor was unable to get a clear view due to insufficient bowel preparation,...


Dr. Chen Shidian Reply:
Hello, sir: Based on what you've described, there seems to be slight bleeding near the rectum/anus. You may observe it for now, but if the bleeding continues, please return to the clinic for an examination. Additionally, you have irritable bowel syndrome, so it is advisable ...

[Read More] Understanding Digestive Issues: Is It Gastrointestinal or Hemorrhoids?


Understanding Abnormal Health Check Results: Should You Get a Colonoscopy?

Abnormal health check values Hello Dr. Chen, I recently completed a health check-up, and the results showed an abnormal OBEIA value of 19.3 (I took stomach medication a day or two before the test due to gastrointestinal discomfort). The reference value is <12 ng/ml. I checked,...


Dr. Chen Qifeng Reply:
Hello, a positive fecal occult blood test indicates the presence of bleeding somewhere along the colon to the rectum and anus, which may include bleeding from hemorrhoids. After evaluation by a physician, a decision is made to proceed with further examination. A colonoscopy is ce...

[Read More] Understanding Abnormal Health Check Results: Should You Get a Colonoscopy?


Understanding Pain Below the Belly Button: Causes and Solutions

Pain directly below the navel? Hello doctor, I have been experiencing a dull pain just below my navel, similar to the discomfort associated with diarrhea. It also hurts when I apply pressure to that area. Recently, my stools have been a bit loose. I'm not sure what's go...


Dr. Cai Anshun Reply:
Hello: You should be male, right? If so, the area just below the navel is approximately where the terminal ileum, bladder, and rectum/sigmoid colon are located. First, check for symptoms such as frequent urination or pain during urination; if present, it may indicate a urinary tr...

[Read More] Understanding Pain Below the Belly Button: Causes and Solutions


Understanding Bowel Issues During Pregnancy: A Guide for Expecting Mothers

Bowel and gastrointestinal issues Hello, I am currently 7 weeks pregnant and have an external hemorrhoid that I cannot push back in. A few months ago, I occasionally noticed white mucus on the surface of my stool. I have bowel movements 1-2 times a week, usually producing paste-l...


Dr. Cai Anshun Reply:
Hello: During pregnancy, the uterus enlarges as the fetus grows, which can compress the organs in the abdominal cavity, particularly affecting hollow organs such as the stomach or intestines. This is likely not an issue with the intestines. Additionally, when the rectum is compre...

[Read More] Understanding Bowel Issues During Pregnancy: A Guide for Expecting Mothers


Clarifying Concerns About Rectal Mass and Gastrointestinal Health

Please ask again? Hello Dr. Chen, I am the patient who posted three images of anal masses. I apologize for reaching out again, as I am a bit confused about your previous response. You mentioned, "That is not a tumor, and it is necessary to perform a rectoscopy. To diagnose...


Dr. Chen Qifeng Reply:
Hello, a rectoscopy can be used to observe the condition of internal and external hemorrhoids. For diagnosing irritable bowel syndrome, a colonoscopy or a barium enema can be performed. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan Gen...

[Read More] Clarifying Concerns About Rectal Mass and Gastrointestinal Health


Understanding Colonoscopy: When to Consider This Essential Procedure

Regarding colonoscopy? Hello, Doctor. About 4 to 5 years ago, I experienced persistent discomfort in my abdomen and consulted a physician. The doctor, considering my age, only arranged for a sigmoidoscopy and did not perform a colonoscopy. The diagnosis was irritable bowel syndro...


Dr. Yang Zhichao Reply:
Dear Anonymous, your condition may indeed be Irritable Bowel Syndrome (IBS), but being young does not mean you should not be concerned about tumors. A comprehensive evaluation is necessary. If you are worried, the first step can be to arrange for a stool test. If any issues arise...

[Read More] Understanding Colonoscopy: When to Consider This Essential Procedure


Red Discharge After Bowel Movements: Is It Related to My Surgery?

After bowel movement, I noticed some redness while wiping! After bowel movements, I noticed some redness while wiping! Due to a workplace accident, I previously underwent surgery on my intestines, with approximately 38% of my small intestine and 10% of my large intestine removed....


Dr. Cai Jinji Reply:
It is recommended to first conduct an evaluation of the colon, rectum, and anus to determine if there are any anal issues or complications related to previous surgery, before ruling out other potential problems.

[Read More] Red Discharge After Bowel Movements: Is It Related to My Surgery?


Blood on Toilet Paper After Bowel Movement: Causes and Concerns

Blood on toilet paper after a bowel movement? Hello Doctor: I previously had a cold and took medication, which caused diarrhea. After experiencing diarrhea once, I stopped taking that medication. Later, I had pain in my lower pelvis and went to see a nephrologist. After an X-ray,...


Dr. Chen Qifeng Reply:
Hello, the possibility of hemorrhoids is highest in cases of rectal bleeding accompanied by constipation, especially when there is no pain in the anus. It is advisable to increase the intake of fruits and vegetables while reducing fried and irritating foods. If the constipation i...

[Read More] Blood on Toilet Paper After Bowel Movement: Causes and Concerns


Understanding Your Digestive Issues: Is It Irritable Bowel Syndrome?

About diarrhea? Hello Doctor, I have a problem where I always need to use the restroom when I get nervous. At the end of 2013, I had an incident where I really needed to have a bowel movement but held it in while at work. When I finally went, I had to strain a lot, and I notice...


Dr. Lin Minghui Reply:
Hello, 1. Experiencing frequent diarrhea after eating, with normal findings on a colonoscopy, may indicate irritable bowel syndrome (IBS). For IBS, it is important to pay attention to your diet by avoiding greasy foods and irritants such as caffeinated beverages and chocolate. ...

[Read More] Understanding Your Digestive Issues: Is It Irritable Bowel Syndrome?


Understanding Abnormal Bowel Movements: When to Seek Further Testing

Abnormal bowel movements? In May 2009, a colonoscopy was performed and the results were normal. In October 2012, a polyp was found in the sigmoid colon. In the same month, due to occasional blood-tinged mucus in the stool, another colonoscopy was performed, and the results were n...


Dr. Chen Qifeng Reply:
Hello, regarding the polyps, it is recommended to just monitor them. Since you are 45 years old, you can start receiving fecal tests for colorectal cancer every two years starting at age 50. The diarrhea with mucus is likely a digestive function issue; it is advisable to reduce o...

[Read More] Understanding Abnormal Bowel Movements: When to Seek Further Testing


Painless Colonoscopy for Polyp Removal: What You Need to Know

Polypectomy Hello! I would like to inquire if your hospital offers painless colonoscopy procedures. Here’s the situation: I underwent a colonoscopy abroad this year, where a benign polyp measuring nearly 2 cm was found. At that time, it was not removed immediately. Now, with my c...


Dr. Chen Qifeng Reply:
Hello: If you have rectal polyps that need to be removed, it is recommended to undergo a full colonoscopy to check for the presence of polyps in other parts of the colon besides the rectum. Whether to undergo a painless colonoscopy will be assessed by the physician. Wishing you s...

[Read More] Painless Colonoscopy for Polyp Removal: What You Need to Know


Concerns About Colonoscopy Findings: What You Need to Know

Colonoscopy issues? Hello, My wife (25 years old) has been experiencing symptoms such as constipation, abdominal pain, and blood in her stool for the past year. Her stools are usually thin and soft, and she often alternates between constipation and diarrhea. Despite increasing ...


Dr. Chen Shidian Reply:
Hello, Sir: 1. You should trust your physician's judgment, but there are indeed exceptions in the world. 2. If you have no symptoms, there is no need for medication treatment. 3. Hemorrhoids are vascular tissues at the anal opening, and everyone has them to some extent; if t...

[Read More] Concerns About Colonoscopy Findings: What You Need to Know


Understanding Dark Red Streaks in Stool: Should You Worry?

The stool appears to have blood in it? Hello doctor, I recently observed that there are several dark red spots in my stool, and when I touch them with toilet paper, they break apart... They look somewhat like blood clots attached to the stool. They are thin and somewhat red. Coul...


Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, the bleeding points are located near the anus or rectum, and hemorrhoids are certainly the most likely cause. If the bleeding persists, please seek medical attention from a colorectal surgeon. Wishing you safety and health. Dr. Chen Qifeng, Gastroent...

[Read More] Understanding Dark Red Streaks in Stool: Should You Worry?


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