Weight, Gastroenterology and Hepatology FAQ - Page 42

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Understanding Post-Defecation Bleeding: Causes and Concerns

Rectal bleeding Hello doctor, I experienced rectal bleeding for about five hours in mid-June, which was bright red and painless. (On that day, I had diarrhea, which was somewhat hard at first and then soft; there was no blood in the stool itself.) In August, I underwent a fecal i...


Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, it appears to be bleeding near the anus, possibly from hemorrhoids or anal fissures. You should consult a colorectal surgeon. Generally, post-defecation bleeding refers to bleeding that occurs immediately after a bowel movement. Wishing you good heal...

[Read More] Understanding Post-Defecation Bleeding: Causes and Concerns


Understanding Anal Residue and Discomfort After Bowel Movements

Please ask your question? Hello, I sometimes notice that after having a bowel movement and cleaning myself thoroughly, there still seems to be some residue around the anal area after a while. When I go to wipe again, I still find some fecal remnants. Additionally, sometimes when ...


Dr. Lin Minghui Reply:
Hello: 1. The skin around the anus is very delicate and can easily become damaged due to frequent friction, leading to conditions such as contact dermatitis and eczema. 2. If you are experiencing incomplete bowel movements, it is recommended to increase your fiber intake, maintai...

[Read More] Understanding Anal Residue and Discomfort After Bowel Movements


Chronic Abdominal Discomfort and Occasional Blood in Stool: Causes and Solutions

Chronic abdominal discomfort and rectal bleeding? Hello Doctor, I often feel a strange sensation in my abdomen (a tight feeling). It’s not painful, but I always feel like there’s something inside, and there are no obvious lumps. In June, I saw a doctor who diagnosed me with gastr...


Dr. Chen Qifeng Reply:
Hello: There is no definitive conclusion regarding the correlation between bloody stools and abdominal discomfort. It is recommended to consult a gastroenterologist to determine whether a colonoscopy is necessary. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Departme...

[Read More] Chronic Abdominal Discomfort and Occasional Blood in Stool: Causes and Solutions


Struggling with Constipation: Understanding Your Digestive Health

Inability to pass stool despite the urge to defecate? Hello Doctor: This is my first time here seeking help, and I'm a bit worried about my health. I apologize for the lengthy explanation! I tend to be a nervous and anxious person. My gastrointestinal motility is slow, and m...


Dr. Chen Qifeng Reply:
Hello: Constipation is a common issue among modern individuals. It is recommended to consume more fruits and vegetables, reduce oily foods, maintain a balanced diet, ensure adequate hydration, and engage in regular physical activity. During bowel movements, do not rush; massaging...

[Read More] Struggling with Constipation: Understanding Your Digestive Health


Understanding Liver Hemangiomas and Fatty Liver: What You Need to Know

Hepatic hemangioma and fatty liver disease? During a health check-up, an ultrasound examination revealed a hepatic hemangioma. After consulting another clinic, the results showed four hemangiomas (approximately 1 cm each) and fatty liver (weight 50 kg). The doctor mentioned that ...


Dr. Chen Qifeng Reply:
Hello: If it is fatty liver and hemangioma, then indeed, follow up as indicated in <a href="https://adoctor.tw/article/36394">#36394</a>. There are many causes of fatty liver, with common ones including obesity, high blood lipids (triglycerides), poorly cont...

[Read More] Understanding Liver Hemangiomas and Fatty Liver: What You Need to Know


Is Unintentional Weight Loss a Sign of Health Issues?

I would like to ask some questions? I would like to ask, my friends say that I am getting thinner, but I eat normally. I also go to bed very late at night. Should I be concerned that something is wrong with my body?


Dr. Lin Minghui Reply:
Hello: If you are experiencing weight loss, it is advisable to measure your weight to determine if there has been a decrease. Possible reasons for weight loss include reduced food intake, poor absorption, and increased energy expenditure. Are you going to bed very late at night, ...

[Read More] Is Unintentional Weight Loss a Sign of Health Issues?


Understanding Constipation and Its Link to Colon Health

Regarding issues of fecal retention and constipation? Hello, I would like to ask about my situation. During my junior high and high school years, I mainly ate fast food, rarely consumed vegetables, and exercised little, which led to long-term constipation. I usually have a bowel ...


Dr. Lin Minghui Reply:
Hello: Regarding your question, here are the responses: (1) Chronic constipation and excessive straining during bowel movements can lead to hemorrhoids, anal fissures, rectal prolapse, and intestinal obstruction. (2) The causes of constipation and irregular bowel movements includ...

[Read More] Understanding Constipation and Its Link to Colon Health


How to Identify and Address Your Constipation Concerns?

How can one distinguish if they have constipation? I have been experiencing symptoms similar to constipation in the past few days. The amount I eat and the amount I pass have noticeably decreased. When I do have a bowel movement, it’s not hard stools; rather, they are somewhat so...


Dr. Lin Minghui Reply:
Hello: The definition of constipation includes: (1) decreased frequency of bowel movements (less than three times a week), passing hard stools, straining during defecation, feeling of incomplete evacuation, and a sensation of obstruction at the anal opening, all of which may indi...

[Read More] How to Identify and Address Your Constipation Concerns?


Understanding Weight Loss in Diabetes: Insights from Gastroenterology

Chronic diseases Hello, Dr. Lin. Why does diabetes cause significant weight loss?


Dr. Lin Minghui Reply:
Hello, high blood sugar causes sugar to be lost through urine, and the body is unable to utilize calories, resulting in weight loss. Best wishes, Dr. Lin Ming-Hui, Taoyuan General Hospital, Department of Health.

[Read More] Understanding Weight Loss in Diabetes: Insights from Gastroenterology


Effective Solutions for Long-Term Relief from Acid Reflux Symptoms

How can gastroesophageal reflux disease (GERD) be effectively treated? Hello, I have been experiencing gastroesophageal reflux disease (GERD) for about two years. I often feel a burning sensation in my stomach, a sensation of something foreign in my throat that feels dry, and I s...


Dr. Chen Qifeng Reply:
Hello: Regarding the issues you raised, I have the following two suggestions. (1) I recommend undergoing an upper gastrointestinal endoscopy to assess the severity of the condition, followed by an adequate course of medication. (2) Pay attention to your diet and lifestyle habits,...

[Read More] Effective Solutions for Long-Term Relief from Acid Reflux Symptoms


Understanding Stomach Ulcers: Symptoms, Diagnosis, and Related Conditions

Questions about gastric ulcers? My first episode was at the emergency department of Min-Sheng Hospital (symptoms: chills, shivering, and weakness). After receiving IV fluids for one night, I went home. The second time, I went to the emergency department of Chang Gung Hospital (sy...


Dr. Yang Zhichao Reply:
Hello Mr. Su: Based on your symptoms, such as persistent chills and shivering, it may indicate an infection or a rheumatologic/immunological condition. Additionally, the accompanying weight loss could suggest a more serious underlying issue. It is advisable to promptly consult a ...

[Read More] Understanding Stomach Ulcers: Symptoms, Diagnosis, and Related Conditions


Long-Term Use of Omelon for Stomach Issues: Risks and Concerns

Long-term use of gastric protective medications and issues related to gastric compartment syndrome? Hello Doctor: I have two questions. I have been taking Yongxin Omelon for gastric protection for six years. I originally had mild gastric and esophageal ulcers, but my last endosco...


Dr. Lin Minghui Reply:
Gastroesophageal reflux disease (GERD) is related to dietary habits, medication use, lower esophageal sphincter relaxation, esophageal structure, neurosecretion, and psychological factors. Medications can improve symptoms, but even after improvement, symptoms may still occur. It ...

[Read More] Long-Term Use of Omelon for Stomach Issues: Risks and Concerns


Understanding Your Concerns About Colon Cancer: Expert Advice

Colorectal cancer concerns? Hello Doctor, in recent years I have been having bowel movements about 2 to 3 times a day, usually concentrated in the morning after waking up or around dinner time. Often, after having a bowel movement in the morning, I will have a second one about an...


Dr. Lin Minghui Reply:
Hello, having more frequent bowel movements is noted. A colonoscopy has shown normal results, but it is advised to pay attention if there is blood in the stool. It is recommended to increase fiber intake to help form well-structured stools. If there is blood in the stool, an anos...

[Read More] Understanding Your Concerns About Colon Cancer: Expert Advice


Understanding Constipation and Loose Stools: A Gastrointestinal Perspective

Constipation with soft stools? I've been struggling with bowel issues for a long time, and I don't know when it started. During my menstrual period, my bowel movements become very infrequent for about a week, and it feels like my intestines hardly move at all. If I do h...


Dr. Lin Minghui Reply:
Hello, experiencing constipation during menstruation while usually having soft stools can be common. Some individuals have sensitive gastrointestinal systems, leading to alternating constipation and diarrhea, especially under stress or with irregular eating habits, which can alte...

[Read More] Understanding Constipation and Loose Stools: A Gastrointestinal Perspective


Do I Need a Colonoscopy for My Ongoing Digestive Issues?

Is there a problem with the intestines? Do I need to undergo a colonoscopy? Hello, I am 21 years old and have been struggling with gastrointestinal issues for a long time. I started feeling something was off with my intestines around the age of 17 or 18 in high school, often expe...


Dr. Yang Zhichao Reply:
Hello, Miss: This appears to be a typical case of irritable bowel syndrome (IBS), characterized by alternating rapid (diarrhea, soft stools) and slow (constipation, narrow stools) bowel movements. As long as stool sample tests are normal and your weight is stable, there is no nee...

[Read More] Do I Need a Colonoscopy for My Ongoing Digestive Issues?


Does Weight Affect the Efficacy of Baraclude in Treating Hepatitis B?

Beclomethasone treatment for hepatitis B? After taking Baraclude 0.5 mg for the treatment of hepatitis B for two years, with positive e-antigen and detectable viral load, does a body weight of 90 kg affect the efficacy of the medication? Should I consider self-paying to increase ...


Dr. Chen Shidian Reply:
Hello, sir: Please observe a series of changes in viral load. If there is no increase and only a slow decrease, medication can be continued (the health insurance does not currently allow for 1mg under these circumstances). Changhua Hospital cares about your health. Chen Shidian.

[Read More] Does Weight Affect the Efficacy of Baraclude in Treating Hepatitis B?


Managing Severe Hiccups and Digestive Issues in Young Adults

Severe hiccups My daughter is 19 years old. From September last year to July this year, she has been preparing for her university transfer exams. She originally weighed 52 kg but has reduced to 44 kg, resulting in a low BMI (height: 162 cm). She has developed an aversion to meat,...


Dr. Chen Shidian Reply:
Hello, Miss: Adjust your dietary habits to increase caloric and nutritional intake. Diarrhea is related to rapid peristalsis, so please avoid consuming oily and dairy products that can irritate diarrhea. In severe cases, stool tests or a colonoscopy may be necessary. Changhua Hos...

[Read More] Managing Severe Hiccups and Digestive Issues in Young Adults


Understanding Unexplained Weight Loss and Its Impact on Health

Health status Since I started graduate school, my weight has drastically dropped from 42.6 kg to just 36.8 kg. My limbs are so thin that my veins are very prominent, and when I exert myself, my veins bulge significantly. Additionally, the area in the middle of my buttocks appears...


Dr. Lin Minghui Reply:
Hello, weight loss, indigestion, and constipation can be caused by stress, which may lead to digestive issues and a more sensitive gut, known as irritable bowel syndrome (IBS). It is advisable to review your dietary habits, especially if you are trying to lose weight; ensure you ...

[Read More] Understanding Unexplained Weight Loss and Its Impact on Health


Understanding Your Stomach Issues: Should You Test for H. Pylori?

excuse me? Hello, Doctor. I do not have any bad habits such as smoking, drinking alcohol, or chewing betel nut (and neither do my family members). Since February of this year, I have been experiencing discomfort in my stomach. I consulted both a family doctor and a traditional Ch...


Dr. Chen Shidian Reply:
Hello, sir: Currently, ultrasound is not appropriate for assessing the stomach, and your gastric symptoms do indeed require an endoscopy. If you have a fear of endoscopy, you may choose a hospital that offers sedation for the procedure. Changhua Hospital cares about your health.

[Read More] Understanding Your Stomach Issues: Should You Test for H. Pylori?


Managing Elevated Liver Enzymes: Key Questions and Insights for Caregivers

Regarding issues related to elevated liver enzymes? Hello, Doctor. I would like to ask a question regarding my mother, who has had abnormal liver function for over 10 years and has been regularly monitored through blood tests. This year's health check results showed: AST: 65...


Dr. Chen Shidian Reply:
Hello, Miss: There is no specific medication for fatty liver. A GPT level of 80 can use liver-protective medications covered by health insurance, but the effects are not significant. Weight loss is the most important factor, along with monitoring changes in GPT levels. Patients a...

[Read More] Managing Elevated Liver Enzymes: Key Questions and Insights for Caregivers


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