Rectum, Gastroenterology and Hepatology FAQ - Page 9

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Understanding Gastrointestinal Discomfort: What to Do If Tests Are Positive

Gastrointestinal discomfort? Hello, doctor. Thank you for your patience in answering my questions. After that, the outpatient physician arranged for a stool test. If it unfortunately comes back positive, what diseases could I potentially have? What are the next steps in managemen...


Dr. Chen Qifeng Reply:
Hello: Positive fecal occult blood can occur in conditions such as hemorrhoids, colitis, diverticulosis, colorectal polyps, and colorectal cancer. Based on age, hemorrhoids are the most likely cause, particularly internal hemorrhoids, which may be painless and itch-free, presenti...

[Read More] Understanding Gastrointestinal Discomfort: What to Do If Tests Are Positive


Understanding Gastrointestinal Issues: When to Consider a Colonoscopy

Intestinal issues? In the past week, I've been experiencing a feeling of urgency and heaviness in my rectum, but it's not too severe. Sometimes I feel slightly dizzy and have a decreased appetite. My stools are neither bloody nor excessively thick or thin. I would like ...


Dr. Chen Qifeng Reply:
Hello: It is recommended to follow a light diet, low in oil and dairy. If there is no improvement, please visit a gastroenterologist for further evaluation. Wishing you peace and good health. Sincerely, Dr. Chen Qi-Feng, Gastroenterology Department, Taoyuan General Hospital, Mini...

[Read More] Understanding Gastrointestinal Issues: When to Consider a Colonoscopy


Understanding Constipation: Causes, Symptoms, and Solutions

Constipation Hello, doctor. My symptoms include difficulty with bowel movements; I often feel the urge to go to the bathroom, but the amount is small (usually just a small segment each time). Additionally, my stools are not very smooth and have become thinner than before. I also ...


Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, it appears to be a dysfunction of the rectum and colon. It is advisable to consume more fruits and vegetables, reduce intake of greasy and dairy products, and avoid irritating foods. Wishing you peace and good health. Sincerely, Dr. Chen Chih-Feng, G...

[Read More] Understanding Constipation: Causes, Symptoms, and Solutions


Understanding Left Lower Abdominal Pain Before Bowel Movements

Could you please provide more details about the left lower abdominal pain before bowel movements? Hello Doctor: I often experience dull pain in my lower left abdomen before bowel movements, and occasionally I have cramping pain. Most of the time, it improves after I have a bowel ...


Dr. Cai Anshun Reply:
Hello: The left lower abdomen corresponds to the sigmoid colon, which is also the area where stool is stored before being expelled. Below that is the rectum, where the sensation of urgency to defecate occurs. When stool reaches the rectum, it increases the pressure in the rectum,...

[Read More] Understanding Left Lower Abdominal Pain Before Bowel Movements


Frequent Urgency After Meals: Understanding Gastrointestinal Issues

Having to use the restroom immediately after eating? This phenomenon has been occurring for three years, but previously it would happen once every few months. In the past six months, it has been happening daily, specifically after meals (within 10 to 20 minutes), resulting in loo...


Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, it may be irritable bowel syndrome (IBS), but a diagnosis from a gastroenterologist is still necessary. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

[Read More] Frequent Urgency After Meals: Understanding Gastrointestinal Issues


Understanding Anal Pain: Causes and When to Seek Medical Help

Anal pain or discomfort? Hello, I occasionally experience pain and a tight sensation in my anus. What could be the cause of this? Which specialist should I consult? Thank you.


Dr. Chen Shidian Reply:
Hello, Mr. Xiao Zhan: There may be an issue with the rectum or it could simply be a functional abnormality. You can schedule an appointment with the gastroenterology or colorectal surgery department to undergo a rectoscopy or sigmoidoscopy. Changhua Hospital cares about your heal...

[Read More] Understanding Anal Pain: Causes and When to Seek Medical Help


Understanding Irritable Bowel Syndrome: Symptoms and Solutions

Long-standing gastrointestinal issues? Hello, doctor. I would like to describe my symptoms in detail, which is why I chose to seek help here. I feel that doctors in general hospitals often do not listen to patients' detailed accounts of their conditions (thinking it takes to...


Dr. Cai Jinji Reply:
Hello: It may be necessary to review your examination reports, family history, diet, etc., for further assessment in order to understand your condition. You might need to consult a gastroenterologist for treatment. Wishing you good health.

[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Solutions


Is Abdominal Discomfort After Appendectomy a Sign of Adhesions?

Could this symptom be intestinal adhesions? Hello, doctors on the forum: In mid-September of this year, I went to the emergency room due to acute appendicitis. After examination, the doctor informed me that it was appendicitis (blood tests/CT scans, etc.) and that I could either ...


Dr. Cai Anshun Reply:
Hello: Undergoing surgical treatment for acute appendicitis is the correct decision. If there is a delay and it becomes severe enough for the appendix to rupture and cause peritonitis, the surgery may be more extensive, and the recovery period will be longer. Having surgery in mi...

[Read More] Is Abdominal Discomfort After Appendectomy a Sign of Adhesions?


Understanding High Water Content in Stool: Is It Irritable Bowel Syndrome?

Difficulty in bowel movements, with high water content in the stool and gas? Doctor, I have had gastrointestinal issues since childhood. When my diet is poor, I tend to experience bloating, and when it gets worse, excessive stomach acid leads to gastric ulcers. In the past, altho...


Dr. Cai Anshun Reply:
Hello: Irritable bowel syndrome (IBS) must meet the following criteria: In the past 6 months, there should be at least 12 weeks or more of abdominal discomfort, with recurrent symptoms including: abdominal pain or bloating that improves after a bowel movement; changes in bowel fr...

[Read More] Understanding High Water Content in Stool: Is It Irritable Bowel Syndrome?


Understanding Gastrointestinal Distress and Breathing Issues: A Patient's Journey

Abdominal bloating and difficulty breathing? Hello, doctor: I have read many articles, but it seems that no one has the same experience as I do. Recently, I have seen many doctors, but my symptoms have not improved. I have been working night shifts for over two years, and one day...


Dr. Lin Minghui Reply:
1. The typical symptoms of gastroesophageal reflux disease (GERD) include heartburn and acid regurgitation. Atypical symptoms may include chest pain, a sensation of a lump in the throat, and asthma. 2. It is recommended to relax and not be overly anxious, while paying attention t...

[Read More] Understanding Gastrointestinal Distress and Breathing Issues: A Patient's Journey


Concerns About Rectal Mass After Hemorrhoid Surgery: What to Know

Rectal mass issues? Hello, Doctor. My mother is 45 years old. Recently, she has been experiencing discomfort due to internal and external hemorrhoids, so after discussing with her doctor, she decided to undergo surgery to have the hemorrhoids removed. She just had the surgery fiv...


Dr. Cai Anshun Reply:
Hello, The next examinations I would recommend are a sigmoidoscopy or a colonoscopy to confirm the diagnosis. Both procedures can indeed affect the healing of the surgical wounds from your recent operation, so I suggest waiting until the wounds have healed a bit more before pro...

[Read More] Concerns About Rectal Mass After Hemorrhoid Surgery: What to Know


Should You Get Another Endoscopy for Stomach Issues?

Should a gastroscopy be performed for diagnosis? Hello Doctor: Last August, I underwent an upper gastrointestinal endoscopy, which diagnosed me with grade B gastroesophageal reflux disease. Since then, I have experienced gastric discomfort, but it has stabilized after April of th...


Dr. Cai Anshun Reply:
Hello: (1) If you are asymptomatic, there is no need for another gastroscopy. It is important to maintain good daily habits and dietary practices, and to follow up if symptoms occur. (2) Typically, feces in the rectum will be expelled first; this area tends to retain water longer...

[Read More] Should You Get Another Endoscopy for Stomach Issues?


Understanding Hemorrhoidal Bleeding: Causes and Concerns Explained

Regarding hemorrhoidal bleeding? Hello doctor, I would like to ask if bleeding from hemorrhoids can possibly be blood attached to the surface of the stool? I think I have hemorrhoids; I have noticed a little blood when wiping, and sometimes I experience sharp pain in the anal are...


Dr. Chen Qifeng Reply:
Hello: Based on the bleeding condition, there is a high possibility of hemorrhoidal bleeding. If the symptoms persist, please consult a colorectal surgeon. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

[Read More] Understanding Hemorrhoidal Bleeding: Causes and Concerns Explained


Understanding Abnormal Bowel Movements: Causes and Solutions

Abnormal bowel movements? In the past month, I have occasionally noticed blood in my stool, and I have been experiencing bloating and a decreased appetite. A few days ago, I visited a doctor who mentioned that I have a slight anal fissure. The doctor prescribed me "Hiyu Zhi&...


Dr. Chen Qifeng Reply:
Hello: The use of suppositories may cause a certain degree of irritation at the anal opening, which could lead to less natural contractions and straining of the rectum and anus. Best regards, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

[Read More] Understanding Abnormal Bowel Movements: Causes and Solutions


Struggling with Hard Stools: Causes and Solutions for Digestive Issues

It is difficult to have a bowel movement? Recently, I've been having difficulty with bowel movements; my stools are hard and pellet-like (though not as small as goat droppings and not in a log shape). I experience bleeding when wiping, and there's pain during bowel move...


Dr. Chen Qifeng Reply:
Hello: Anal pain accompanied by bloody stools is more likely related to issues in the anus or rectum, with the highest possibility of a tumor. It is advisable to visit a colorectal surgeon for further diagnosis. Melena often indicates upper gastrointestinal bleeding, but the colo...

[Read More] Struggling with Hard Stools: Causes and Solutions for Digestive Issues


Blood on Toilet Paper: Understanding Gastrointestinal Symptoms and Risks

After having a bowel movement, I noticed a small amount of bright red blood on the toilet paper? 1. After having a bowel movement, I noticed some bright red blood on the toilet paper, and occasionally I experience a slight stinging sensation. 2. The first part of my stool consis...


Dr. Chen Qifeng Reply:
Hello: 1. Rectal bleeding is most commonly caused by hemorrhoids, but if the bleeding is significant or occurs frequently, it is necessary to consult a colorectal surgeon. 2. If the stool becomes thin, it may indicate a tumor near the rectum; however, once a tumor causes an obstr...

[Read More] Blood on Toilet Paper: Understanding Gastrointestinal Symptoms and Risks


Why You Might Need to Rush to the Bathroom After Meals: Causes and Solutions

Having to rush to the bathroom to have diarrhea 20-30 minutes after eating? This phenomenon has been occurring for two years, but previously it would happen once every few months. In the past six months, it has been happening daily, specifically after meals (within 10 to 20 minut...


Dr. Chen Qifeng Reply:
Hello: You can arrange for a colon X-ray or colonoscopy follow-up examination at the gastroenterology department. Best regards, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.

[Read More] Why You Might Need to Rush to the Bathroom After Meals: Causes and Solutions


Understanding Bloating and Digestive Issues: Symptoms and Solutions

Bloating of the intestines? I have been experiencing diarrhea lately and I'm unsure how to address the presence of blood in my stool. I often feel bloated in my colon, with sharp pain in the lower left abdomen, although my morning bowel movements are normal. An ultrasound ca...


Dr. Cai Anshun Reply:
Hello: Based on your description, symptoms such as diarrhea, bloody stools, left lower abdominal bloating, and even the presence of worms could indicate a parasitic infection. It is advisable to seek medical attention and undergo a stool examination for ova and parasites. The per...

[Read More] Understanding Bloating and Digestive Issues: Symptoms and Solutions


Understanding Right Lower Abdominal Pain: Causes and Concerns

Right lower abdominal pain? Dear Doctor, I may have written a bit too much, but I hope you can patiently read through my previous symptoms. About two to three weeks ago, I started experiencing diarrhea (three to four times a day), often feeling a dull ache and bloating in my low...


Dr. Chen Qifeng Reply:
Hello: Right lower abdominal pain is often associated with colonic disorders. It is recommended to undergo a colon examination. Best regards, Dr. Chen Qifeng, Taoyuan General Hospital, Department of Health.

[Read More] Understanding Right Lower Abdominal Pain: Causes and Concerns


Understanding Rectal Ulcers: Symptoms, Treatment, and Concerns

Rectal ulcer Hello Doctor: Two months ago, my mother underwent major surgery, and I have been extremely anxious since then. I have experienced daily loose stools (unformed, no blood) for the past two months, and about three weeks ago, I began to have persistent left abdominal pai...


Dr. Lin Minghui Reply:
Hello: Rectal ulcers may improve or spread, possibly related to the original cause. Potential causes include simple ulcers, radiation therapy, and analgesics, as well as colitis, including infectious and ischemic types. It is recommended to monitor rectal ulcers. If there is stil...

[Read More] Understanding Rectal Ulcers: Symptoms, Treatment, and Concerns


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