Abdomen, Surgery FAQ - Page 21

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Understanding Abdominal Cramps and Constipation: Causes and Solutions

Constipation with abdominal cramping? I often experience cramping pain in my abdomen and constipation. A few days ago, I visited a doctor who said that both sides of my intestines are distended. After taking the medication, I had a bowel movement the next day but also experienced...


Dr. Ke Fangxu Reply:
Abdominal pain in a 17-year-old is often caused by constipation. If the pain persists despite medication, it may be due to the medication itself. It is recommended to increase dietary fiber intake and drink plenty of water, which should help improve the condition. If a stool soft...

[Read More] Understanding Abdominal Cramps and Constipation: Causes and Solutions


Understanding Blood in Stool: When to Seek Medical Attention

Blood streaks in the stool? Hello, doctor. Recently, for the past two or three days, I've noticed some blood (bright red) in my stool, appearing in streaks mixed with it. The first part of the stool is dark, resembling coffee grounds, while the latter part is yellowish-brown...


Dr. Ke Fangxu Reply:
Young individuals experiencing mild abdominal pain accompanied by blood in the stool generally do not need to worry. If the duration of bowel movements is prolonged, there may be a possibility of hemorrhoidal bleeding. Irregular bowel habits, along with abdominal pain and unforme...

[Read More] Understanding Blood in Stool: When to Seek Medical Attention


Understanding Rectal Bleeding and Pain: When to Seek Medical Help

Slight pain with rectal bleeding? A week ago, I experienced pain in my anus during constipation, but there was no bleeding. The next day, I had a soft stool but noticed a little blood and some pain. The pain and bleeding only occur when I have a bowel movement; I don't feel ...


Dr. Ke Fangxu Reply:
At the age of 15, the likelihood of bleeding due to colorectal cancer is close to zero. If there is pain, it may be associated with anal fissures. These issues are related to dietary habits and lifestyle. It is recommended to avoid constipation and shorten the time spent on bowel...

[Read More] Understanding Rectal Bleeding and Pain: When to Seek Medical Help


Blood on Toilet Paper: Understanding Possible Causes and Concerns

There is blood after wiping following a bowel movement? I have had two instances this past week where, after bowel movements, I wiped and found a red, dry, sticky substance. However, when I wiped again, there was no blood. After the bowel movements, I do not experience any signif...


Dr. Cai Xingzhi Reply:
Hello, rectal bleeding can be classified into upper gastrointestinal bleeding and lower gastrointestinal bleeding. If the blood is bright red, it is primarily indicative of lower gastrointestinal bleeding. Please visit a colorectal surgery or gastroenterology clinic for consultat...

[Read More] Blood on Toilet Paper: Understanding Possible Causes and Concerns


What Does It Mean When Your Stool Has Grooves?

What does it mean if stool has grooves? I recently noticed that my stool has grooves, as if one side has been scraped with a spoon. I do not have issues with constipation; my stool is sometimes formed and sometimes soft. I often feel the urge to use the bathroom after breakfast, ...


Dr. Ke Fangxu Reply:
If there is a condition of hemorrhoids, this situation during bowel movements occurs because the hemorrhoidal tissue occupies the anal opening. Of course, low rectal cancer could also present with similar symptoms, but the probability is relatively low. If there are concerns, ple...

[Read More] What Does It Mean When Your Stool Has Grooves?


Understanding Male Breast Issues: Causes and Solutions for Gynecomastia

Male chest Hello, Doctor. My height is 168 cm and my weight is 75 kg, which means I am quite overweight. I used to run a lot when I was younger, so I don't appear very overweight, but I do have excess fat mainly in my chest and abdomen. However, there is a problem that has b...


Dr. Lu Daokuan Reply:
The description is very detailed, but it may not have clinical significance. It is recommended to consult a breast surgeon or a plastic surgeon for an actual diagnosis before deciding on the next steps.

[Read More] Understanding Male Breast Issues: Causes and Solutions for Gynecomastia


Understanding Rectal Bleeding: Causes, Symptoms, and Treatment Options

Blood in the stool? Hello Dr. Ke, I experienced anal pain during bowel movements the day before yesterday and yesterday, and I noticed fresh blood in the toilet. There was also blood on the toilet paper when I wiped. Additionally, I found a large and a small lump at the anal open...


Dr. Ke Fangxu Reply:
Based on your description, it seems you may have a combination of internal and external hemorrhoids along with an anal fissure. If the bleeding is not severe, using a topical hemorrhoid cream is acceptable. Of course, constipation can exacerbate the symptoms of hemorrhoids and an...

[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and Treatment Options


Understanding Abdominal Pain: Is It a Colon Issue?

I'm not sure if it's a colon issue? Recently, I've been experiencing bloating and pain in the lower abdomen near the pelvis on both sides. When lying down, it feels like gas is trapped on both sides, and the symptoms worsen as the day goes on. When I feel the urge ...


Dr. Ke Fangxu Reply:
Abnormal bowel movements in a 17-year-old are often related to lifestyle and dietary habits. Excessive intake of meat can lead to stronger odors due to protein breakdown. It is recommended to increase the intake of plant fiber, ensure adequate hydration, and maintain good lifesty...

[Read More] Understanding Abdominal Pain: Is It a Colon Issue?


Understanding Blood in Stool: Causes and Concerns for Constipation

Blood in the stool? I apologize for your discomfort. It sounds like you are experiencing constipation, abdominal pain, and rectal bleeding. The presence of bright red blood in the toilet and a faint blood color when wiping could indicate that the hard stools are causing irritatio...


Dr. Ke Fangxu Reply:
1. If there is constipation accompanied by significant bleeding, it is likely a problem related to hemorrhoidal bleeding. If the constipation improves and the bleeding stops, then it can be monitored. However, if the bleeding persists without improvement, a consultation with a ph...

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


Understanding Left Rib Pressure: Causes and When to Seek Help

There is a swelling sensation under the left rib cage? Since the end of last year, I have been experiencing a bloated pressure sensation under my left rib cage, which has recently worsened and become quite uncomfortable. I previously visited a doctor who mentioned it was due to i...


Dr. Ke Fangxu Reply:
Young women often experience stubborn constipation issues. It is recommended to increase water intake and supplement with dietary fiber; however, some patients may not see improvement in their symptoms. If the symptoms are severe, it is necessary to consult a physician for medica...

[Read More] Understanding Left Rib Pressure: Causes and When to Seek Help


Understanding Fragmented and Dark Stool: Causes and Concerns

Black stools and fragmented stools? Hello, Dr. Ke. I have the following symptoms and would appreciate your insights. Recently, my bowel movements have been fragmented, and sometimes the stool is very dark, almost black. I have been experiencing a strange sensation in my right abd...


Dr. Ke Fangxu Reply:
Irritable bowel syndrome (IBS) commonly presents with irregular bowel habits and unformed stools, and the severity of symptoms often correlates with stress levels. Based on your description, it seems to be IBS without a doubt. If you prefer not to rely on medication, the best app...

[Read More] Understanding Fragmented and Dark Stool: Causes and Concerns


Understanding Left Lower Abdominal Discomfort After Overeating

After eating Hello, doctor. Sometimes, if I go a long time without eating and then eat a large amount, I notice a dull pain in my lower left abdomen. After resting for an hour or two, it improves significantly. I would like to know what this issue might be. (I had a colonoscopy l...


Dr. Ke Fangxu Reply:
Fasting for an extended period followed by binge eating is not a normal eating behavior. So, is it wrong for the body to protest against this? Please cherish your body and treat it well.

[Read More] Understanding Left Lower Abdominal Discomfort After Overeating


Understanding Gastrointestinal Issues: Symptoms and Concerns

Gastrointestinal issues Hello Doctor, a few years ago I noticed that my bowel movements decreased, but the next day I would have a lot. Recently, however, despite eating a lot, I haven't been having many bowel movements. I also feel very hungry and have to eat a lot, which m...


Dr. Ke Fangxu Reply:
It seems that your eating habits are quite poor. I recommend that you first establish a regular and balanced eating routine; otherwise, binge eating itself can lead to the issues you described. At the age of 28, it is generally unlikely to consider the possibility of colon cancer...

[Read More] Understanding Gastrointestinal Issues: Symptoms and Concerns


Post-Operative Care for Peritonitis: Managing Complications and Recovery

Postoperative peritonitis The patient is a 71-year-old male. On January 18, he presented to the emergency department with acute abdominal pain and was observed for one day before being discharged. On January 19, he experienced severe abdominal pain again and was diagnosed with in...


Dr. Yang Yaokun Reply:
Hello^^ Due to the patient's complex clinical condition, we are unable to provide relevant advice. Please discuss the situation in detail with the treating physician. Thank you!

[Read More] Post-Operative Care for Peritonitis: Managing Complications and Recovery


Post-Appendectomy Recovery: Understanding Pain, Bruising, and Bowel Changes

Appendectomy Hello, my mother underwent laparoscopic appendectomy at Chang Gung Memorial Hospital on January 28. It has been six days since her discharge, and the stitches have been removed. Why does the abdominal incision feel sharp and have bruising around it? Her abdomen appea...


Dr. Ke Fangxu Reply:
Common complications after appendectomy include two types: one is wound infection, which can cause redness, swelling, and pain at the incision site, and sometimes there may be purulent discharge. The second is intra-abdominal abscess, which can lead to abdominal pain and fever. B...

[Read More] Post-Appendectomy Recovery: Understanding Pain, Bruising, and Bowel Changes


Preventing Prolapse of the Stoma After Colorectal Surgery

How to prevent the intestines from protruding further? Dr. Hsu: Hello, I had surgery for rectal cancer in June of last year, and I have had a colostomy on my left abdomen for one year and three months. In the first few months after the surgery, the stoma was very flat, but in rec...


Dr. Xu Kaixi Reply:
The height between the stoma and the abdominal wall surface varies from person to person; some protrusions are not necessarily abnormal. If you have concerns, it is recommended that you visit a surgical outpatient clinic for an examination.

[Read More] Preventing Prolapse of the Stoma After Colorectal Surgery


Understanding Gastrointestinal Distress: When to Seek Medical Attention

Gastrointestinal discomfort On November 13th, I first experienced symptoms of wanting to have a bowel movement and passing gas. When I passed gas, some liquid stool came out. Initially, it was watery but not much, and then it was followed by small, pellet-like stools, which were ...


Dr. Ke Fangxu Reply:
This is a situation that can occur with severe constipation, where a large mass of hard stool obstructs the lower bowel, allowing only liquid stool to pass through, which can be mistaken for diarrhea. It is recommended to use stool softeners along with enemas to clear the fecal i...

[Read More] Understanding Gastrointestinal Distress: When to Seek Medical Attention


Understanding Symptoms: Diarrhea, Abdominal Pain, and Blood in Stool

Diarrhea, abdominal pain, and blood in the stool? Hello Doctor: In the past two to three weeks, I have experienced the following symptoms and would like to inquire about what might be happening: (1) Change in bowel habits - I used to have a bowel movement every two to three days,...


Dr. Ke Fangxu Reply:
At the age of 23, we would typically diagnose irritable bowel syndrome (IBS). If you feel that it is not IBS, you can ask your physician to arrange a colonoscopy to alleviate your concerns. If the results of the examination are normal and the symptoms persist, sometimes adding an...

[Read More] Understanding Symptoms: Diarrhea, Abdominal Pain, and Blood in Stool


Understanding Blood in Stool: When to Seek Colonoscopy and What to Expect

Blood in the stool? I often experience flatulence, which is quite foul-smelling. I have both internal and external hemorrhoids. For the past few days, I have noticed fresh red blood in my stool each time I have a bowel movement. Initially, there was a small amount of blood on the...


Dr. Ke Fangxu Reply:
Although colorectal cancer is more common in individuals aged 50 and older, there is still a possibility of developing colorectal cancer at younger ages, albeit at a lower probability. If there are persistent symptoms of bleeding, individuals of any age can undergo a colonoscopy ...

[Read More] Understanding Blood in Stool: When to Seek Colonoscopy and What to Expect


Understanding Colonoscopy Misdiagnosis Rates and Patient Concerns

Colonoscopy misdiagnosis rate Hello Dr. Ke, In early May, I noticed blood in my stool (it was visible on the surface, varying in color from bright red to carrot red, but the amount was small). At that time, I also felt that my abdomen was always bloated, which made me very anxi...


Dr. Ke Fangxu Reply:
If you have already undergone a colonoscopy and confirmed that there are no malignant tumors, then the bleeding is likely caused by hemorrhoids. Additionally, at the age of 23, you are generally not considered to be at high risk for malignant tumors. Repeating the colonoscopy wou...

[Read More] Understanding Colonoscopy Misdiagnosis Rates and Patient Concerns


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