Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort Hello, Dr. Chang. About a month ago, I started feeling discomfort in my abdomen. I thought it might be the same gastrointestinal issues I had before, so I went to a general clinic for medication and injections, but after visiting two clinics, I still d...
Dr. Zhang Kebin Reply:
Hello! If you have not experienced relief from your discomfort after previous medical treatment or if new symptoms have emerged, please return for a follow-up evaluation. Thank you![Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Understanding Your Ultrasound Report: Insights on Fatty Liver Diagnosis
Examination report issues? Hello Doctor, I had an abdominal ultrasound last month, and the doctor mentioned that everything was normal at the time. However, after checking the National Health Insurance app, it indicated fatty liver. The report is as follows: Sonar Findings: - L...
Dr. Chen Shidian Reply:
For mild fatty liver, if overweight, implement a diet and weight loss plan.[Read More] Understanding Your Ultrasound Report: Insights on Fatty Liver Diagnosis
Understanding Stomach Pain and Bloating: Causes and Solutions
Stomach pain and bloating? Since the second day of the Lunar New Year, I have been experiencing daily stomach pain that hasn't improved. I have visited the emergency room twice and underwent an endoscopy. Initially, I thought the pain was due to a recurrence of a gastric ulc...
Dr. Chen Shidian Reply:
Please discuss the treatment direction again with the attending gastroenterologist.[Read More] Understanding Stomach Pain and Bloating: Causes and Solutions
Understanding Blood in Stool: Is It Hemorrhoids or Something More?
Blood in the stool? Hello Doctor: Recently, I have noticed bright red streaks of blood in my stool, and even the water in the toilet has turned red. However, there is no blood on the toilet paper when I wipe. I can see a red protrusion around the anal area, which is not usually p...
Dr. Chen Shidian Reply:
It could be hemorrhoids or anal fissures; it is advisable to seek medical evaluation and treatment.[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something More?
Changes in Stool Color and Consistency: What You Need to Know
Change in stool shape? Hello Doctor, due to my personal weight issues, I have been controlling my diet recently. I have been following this for three days: for breakfast, I have either an apple or a large tomato; for lunch, I have a bento box with white meat and vegetables; for d...
Dr. Yang Zhichao Reply:
Hello Mr. Rouke, due to your family history of colorectal cancer, it is recommended that you schedule a colonoscopy. If the examination shows no issues, you can feel reassured. After the examination, if everything is clear, you can ask your physician to prescribe medication to se...[Read More] Changes in Stool Color and Consistency: What You Need to Know
Understanding Hiccups and Acid Reflux: Gastrointestinal Insights
Hiccups with acidic liquid? I have been feeling unwell in various areas recently. For instance, the day before yesterday, I experienced palpitations, which I attributed to premenstrual syndrome since I had similar palpitations two to three times before my period. I decided to con...
Dr. Cai Anshun Reply:
Hello: Based on your description, it is possible that excessive stomach acid is causing discomfort. It is recommended to avoid tea (black tea/green tea/milk tea), coffee, spicy foods, fried foods, high-fat foods, high-protein foods, chocolate, and sweets. Being underweight or ove...[Read More] Understanding Hiccups and Acid Reflux: Gastrointestinal Insights
Understanding Gallstones and Gastrointestinal Issues: A Patient's Journey
Intestinal dryness or gallstones? Hello doctor, I have a question that I hope you can patiently listen to. Over the past six months, I have seen four or five gastroenterologists and undergone various tests including gastroscopy, ultrasound, colonoscopy, X-rays, fecal occult blood...
Dr. Cai Anshun Reply:
Hello: 1. If it is related to the pancreas, issues should be detectable in previous imaging studies such as a CT scan. 2. Symptoms caused by gallstones typically occur after eating a large or fatty meal, or as abdominal bloating and pain 2-3 hours post-meal. Irritable bowel syndr...[Read More] Understanding Gallstones and Gastrointestinal Issues: A Patient's Journey
Persistent Oily Stools: Do I Need Further Tests for Digestive Issues?
Floating stools with oil have been evaluated through various tests. I would like to ask if any further examinations are necessary? The patient has been experiencing long-term pain in the right upper abdomen and has had unformed stools. Recently, the stools have been floating and ...
Dr. Lin Minghui Reply:
Hello, a 38-year-old male presents with floating stools. His diet is not excessively greasy, and stool tests can be conducted to check for steatorrhea. Floating stools are associated with diet, medications, and gastrointestinal, liver, gallbladder, and pancreatic diseases. Both g...[Read More] Persistent Oily Stools: Do I Need Further Tests for Digestive Issues?
Understanding Stomach Ulcers and IBS: When to Seek Further Evaluation
Gastric ulcer issues? Hello Doctor: In early January of this year, I experienced abdominal pain and bloating, so I underwent a gastroscopy, which revealed that I had a gastric ulcer and gastritis. The colon only had benign polyps. I was prescribed a proton pump inhibitor (PPI) fo...
Dr. Lin Minghui Reply:
Hello, after improvement of the gastric ulcer, abdominal pain and bloating still occur daily, and there are occasional episodes of constipation and flatulence. For gastric ulcers and gastritis, it is important to pay attention to diet: avoid eating too quickly and refrain from co...[Read More] Understanding Stomach Ulcers and IBS: When to Seek Further Evaluation
Understanding Bowel Noises and Gastrointestinal Issues in AS Patients
Borborygmi and gastrointestinal issues? Hello, doctor. I am a patient with ankylosing spondylitis, and I have been experiencing bowel sounds for about 3 to 4 months. They usually occur more after meals or when lying down before sleep, with variable locations. I can also feel inte...
Dr. Chen Shidian Reply:
If weight loss persists, further examination is recommended, including capsule endoscopy or small bowel endoscopy.[Read More] Understanding Bowel Noises and Gastrointestinal Issues in AS Patients
Managing Bloating, Constipation, and Unformed Stool: A Guide for Health Professionals
Despite having a good diet, experiencing bloating, constipation, and unformed stools? Hello, Doctor. I am currently 25 years old and started my master's degree abroad last September. I am here to inquire about my health due to concerns about high medical costs. I am a nutrit...
Dr. Chen Shidian Reply:
Fecal occult blood testing can be performed; if the results are normal, dietary adjustments should be made based on the FODMAP food list, and weight should be monitored.[Read More] Managing Bloating, Constipation, and Unformed Stool: A Guide for Health Professionals
Understanding Changes in Stool: Is It a Sign of Rectal Cancer?
Fecal-related issues? Hello Doctor, I would like to inquire about the issue of stool narrowing caused by rectal cancer. I came across an article that mentioned that alternating between thick and thin stools could indicate the presence of a tumor in the intestines, which made me a...
Dr. Cai Anshun Reply:
Hello: Stool consistency is a nonspecific symptom of colorectal cancer and does not necessarily indicate a relationship with the disease. It is often more related to the types of food consumed or the amount of water intake. Changhua Hospital cares about your health. Dr. Tsai An-S...[Read More] Understanding Changes in Stool: Is It a Sign of Rectal Cancer?
Understanding Changes in Stool: Is It a Sign of Rectal Cancer?
Colon cancer concerns? Hello Doctor, I would like to inquire about the issue of stool narrowing caused by rectal cancer. I came across an article that mentioned that alternating between thick and thin stools could indicate the presence of a tumor in the intestines, which made me ...
Dr. Cai Anshun Reply:
Hello: Stool consistency is a nonspecific symptom of colorectal cancer and is not necessarily related to the disease. It is often more associated with the types of food consumed or the amount of fluid intake. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Changes in Stool: Is It a Sign of Rectal Cancer?
Understanding Gastrointestinal Issues: Insights on Bowel Health and Diet
Gastrointestinal issues Hello, doctor. Due to the lockdown caused by the pandemic, since October, I have been experiencing bowel movements 2-3 times a week. The first one is usually normal (Bristol Stool Type 4), while the second one is diarrhea (Bristol Stool Types 5-6). This oc...
Dr. Zhang Kebin Reply:
Hello Mr. Hsiao: You reported that your bowel habits and frequency have been unstable recently, and you are concerned about the risk of cancer? The risk of colorectal cancer is usually associated with age, a diet high in red meat, smoking, a family history of polyps, and a family...[Read More] Understanding Gastrointestinal Issues: Insights on Bowel Health and Diet
Understanding Pencil-Shaped Stool: Should You Worry About Rectal Cancer?
Bowel issues Hello doctor, I saw online that finding stool shaped like a pencil could indicate colorectal cancer, and I'm a bit worried. Recently, I've noticed that my stools have been thick at the beginning and tapering to a point about 1 cm at the end, resembling a pe...
Dr. Cai Anshun Reply:
Hello: Changes in stool patterns are generally considered one of the non-specific symptoms of colorectal cancer. Non-specific, by definition, means that it is not necessarily indicative of cancer. If a recent stool occult blood test came back normal, there is no need to worry exc...[Read More] Understanding Pencil-Shaped Stool: Should You Worry About Rectal Cancer?
Chronic Constipation and Digestive Issues: Seeking Solutions and Answers
Severe constipation with the use of stool softeners has not improved? Hello Doctor, due to being unemployed recently, I have been using the computer at home every day, which has resulted in low physical activity and a lack of exercise habits. I have been overweight. Around Octobe...
Dr. Chen Shidian Reply:
It is recommended to first use medication, improve dietary fiber intake, and take a walk after meals. Keep a record of bowel movements, return for follow-up appointments as scheduled, and if necessary, perform a fecal occult blood test.[Read More] Chronic Constipation and Digestive Issues: Seeking Solutions and Answers
Struggling to Sleep: Understanding Gastroesophageal Issues and Remedies
Recently, I've been feeling uncomfortable when lying down, making it difficult to fall asleep? Hello, doctor. About five months ago, I underwent an upper gastrointestinal endoscopy, and the doctor mentioned that I had a slightly loose gastroesophageal junction, gastroesophag...
Dr. Chen Shidian Reply:
It is recommended to discuss adjustments with the gastroenterologist.[Read More] Struggling to Sleep: Understanding Gastroesophageal Issues and Remedies
Struggling with Constipation After Probiotics: What Could Be Wrong?
Experiencing the urge to defecate but being unable to do so is known as constipation? Hello, since I started taking probiotics, my bowel movements have become irregular. I feel the urge to go several times a day, but I can't seem to pass anything; it feels like I'm bloc...
Dr. Chen Shidian Reply:
Probiotics can be temporarily suspended for observation.[Read More] Struggling with Constipation After Probiotics: What Could Be Wrong?
Understanding Gastroesophageal Reflux: Symptoms and When to Seek Help
Gastroesophageal reflux disease (GERD) Hello Doctor: Three years ago, I experienced gastroesophageal reflux and throat discomfort due to binge eating in a short period. After undergoing an endoscopy, it was found that my esophagus had erosions, while my stomach was in good condit...
Dr. Cai Anshun Reply:
Hello: It is recommended to consult a gastroenterologist, who can determine whether to arrange for an endoscopy. This will help clearly identify the issue. Additionally, please be aware of any potential weight issues that may contribute to sleep apnea. Furthermore, try to avoid e...[Read More] Understanding Gastroesophageal Reflux: Symptoms and When to Seek Help
Understanding Upper Abdominal Pain: Is It Related to Pancreatic Issues?
What is upper abdominal pain? Hello doctor, I am 170 cm tall and weigh 62 kg. I do not smoke or drink alcohol. I would like to ask about my ongoing issues with gastric ulcers and duodenal ulcers. I do not have Helicobacter pylori, but I have been treating my ulcers for a long tim...
Dr. Cai Jinji Reply:
Hello Mr. Hong: I would like to know how long it has been since you started losing weight. I recommend discussing your situation with your physician to hear their advice and how to proceed. Director Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.[Read More] Understanding Upper Abdominal Pain: Is It Related to Pancreatic Issues?