Can Pregnant Women Undergo Colonoscopy? Addressing Constipation Concerns
Colonoscopy concerns? Hello Dr. Ke: I am currently 17 weeks pregnant. Before my pregnancy, I had difficulty with bowel movements and frequently experienced abdominal pain. Since becoming pregnant, my bowel movements have become even more challenging, and I now need to take medica...
Dr. Ke Fangxu Reply:
Hello: In response to your question, it is generally not recommended to undergo a colonoscopy during pregnancy because the procedure may exert pressure on the uterus and fetus at the sigmoid colon. While it is not guaranteed to cause harm, it should still be avoided if possible. ...[Read More] Can Pregnant Women Undergo Colonoscopy? Addressing Constipation Concerns
Unusual Growths Around the Anus: What You Need to Know
I have developed some unusual growths? I would like to ask the doctor two questions. First, I recently noticed some irregularly shaped small growths around my anus. They occasionally itch but are not very painful, and they don't seem to resemble the hemorrhoids that people u...
Dr. Lin Zhiguang Reply:
There are many possible causes for small lumps around the anus, including polyps, papillomas, fistulas, and even complications from anal fissures, among others. A thorough examination may be necessary to determine the exact cause. If there is blood in the mucus or if it appears t...[Read More] Unusual Growths Around the Anus: What You Need to Know
Understanding Ileal Issues: Symptoms, Diagnosis, and Surgical Implications
Ileal issues Dr. Ke: I would like to ask you three questions regarding the ileum. Please help me clarify: (1) What kind of pathological changes or symptoms occur if the ileum undergoes necrosis? (2) Is it possible to detect necrosis of the ileum through examinations? (3) How much...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the ileum refers to the portion of the small intestine that is adjacent to the large intestine, primarily responsible for the absorption of water and vitamins, with a length of approximately 2 meters. (1) Regardless of which segment of the int...[Read More] Understanding Ileal Issues: Symptoms, Diagnosis, and Surgical Implications
Understanding Hemorrhoids: Pain, Bleeding, and Digestive Concerns
I have a few questions I would like to ask you? Hello, Doctor: I have been suffering from hemorrhoids for three years. Recently, I have been experiencing pain at the anal opening during bowel movements, and there is occasional bleeding. In addition to internal hemorrhoids, it see...
Dr. Ke Fangxu Reply:
Hello: In response to your question, if the symptoms of hemorrhoids are not too severe, I personally do not oppose self-medication, provided that a physician has diagnosed and confirmed it is indeed hemorrhoids. The texture and color of stool can be influenced not only by food bu...[Read More] Understanding Hemorrhoids: Pain, Bleeding, and Digestive Concerns
Post-Operative Abdominal Pain in Teens: When to Seek Help
Post-abdominal surgery Hello, my 15-year-old child underwent laparoscopic surgery on November 3rd, with three incisions and two drainage tubes that were removed two weeks post-operation. The current wound is healing well, but recently he has been frequently complaining of dull pa...
Dr. Xie Wenhuai Reply:
It is recommended to perform a CT scan or ultrasound examination to rule out the possibility of an intra-abdominal intestinal abscess.[Read More] Post-Operative Abdominal Pain in Teens: When to Seek Help
Chronic Abdominal Pain and Constipation: Seeking Solutions
Frequent abdominal cramps and constipation? Hello Doctor: Since April 2009, I have been experiencing intermittent pain in my left abdomen (around the area near the navel), occasionally close to the lower left abdomen; I also often have unexplained cramping in my abdomen, followed...
Dr. Ke Fangxu Reply:
Hello: In response to your question, abdominal pain in young people is often caused by two main reasons. One is Irritable Bowel Syndrome (IBS), where the pain is usually not localized, and bowel habits may alternate between constipation and diarrhea. The stool often lacks form an...[Read More] Chronic Abdominal Pain and Constipation: Seeking Solutions
Understanding Chronic Abdominal Pain and Changes in Bowel Habits
Frequent abdominal pain and changes in bowel habits? Hello Dr. Hou: Since April 2009, I have been experiencing intermittent dull pain in my left abdomen, occasionally near the lower left abdomen, and sometimes I have inexplicable cramping pain in my abdomen, which I can still tol...
Dr. Hou Yongji Reply:
Based on your description, I am unable to provide accurate advice. Please consult a colorectal surgeon for further evaluation. Thank you.[Read More] Understanding Chronic Abdominal Pain and Changes in Bowel Habits
Understanding Abdominal Pain After Appendectomy: Causes and Concerns
Appendicitis pain in the location of the appendix? Hello doctor, my boyfriend and I are currently living abroad. My boyfriend started experiencing abdominal pain and diarrhea on Thursday, October 28, 2010. Initially, he felt discomfort and had to go to the bathroom five times in ...
Dr. Lai Jihong Reply:
Hello Ms. Amy: How is your boyfriend doing? I wish him a speedy recovery. Generally speaking, acute abdominal pain can have many causes, including: 1. Infectious causes (such as food poisoning, gastrointestinal upset, upper respiratory infections, and colds), 2. Infections of int...[Read More] Understanding Abdominal Pain After Appendectomy: Causes and Concerns
Understanding Recovery After Appendicitis and Peritonitis
Recovery period after peritonitis? It's been two months since my discharge. I had appendicitis accompanied by gastroenteritis, which led to peritonitis. Although I have been discharged and the doctor told me that I don't need to see him anymore, I've been experienc...
Dr. Xie Wenhuai Reply:
After surgery, the healing of the wound requires tissue growth and repair, which can lead to sensations of itching. Additionally, due to the presence of postoperative scars, patients may occasionally experience discomfort or a dull ache, which typically improves over time. Genera...[Read More] Understanding Recovery After Appendicitis and Peritonitis
Understanding Pain Near the Anus and Genital Area: Causes and Solutions
Pain near the anus and genital area? Hello doctor, I have a question. Recently, I've been experiencing a sharp, painful sensation near my anus and genital area. I'm not sure which specific area is hurting, but it hurts when I sit down. The pain feels sharp and strange, ...
Dr. Ke Fangxu Reply:
Hello, in response to your question, the area between the anus and the genitals is referred to as the perineum. Pain in this area can sometimes be related to issues with the anus or the urogenital system. If it is an anal issue, it could be due to hemorrhoidal swelling, anal fiss...[Read More] Understanding Pain Near the Anus and Genital Area: Causes and Solutions
Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Blood in the stool, with a significant amount? Doctor, I currently have a situation with rectal bleeding. I've had some blood when wiping after using the bathroom for a while, and I've also experienced swelling and pain around the anal area. However, for the past couple...
Dr. Ke Fangxu Reply:
Hello: In response to your question, anal pain accompanied by blood during wiping is generally a symptom of anal fissure. In contrast, hemorrhoidal bleeding typically involves a larger volume of blood. Considering your age of 24, the likelihood of colorectal cancer is very low, a...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Common Gastrointestinal Concerns: When to Seek Medical Attention
I have a few questions regarding intestinal issues? Hello, doctor. I have a few questions to ask: 1. About a year ago, I experienced abdominal pain and noticed blood in my stool. I underwent a colonoscopy at Medical Center A (approximately 60 cm), but I had to stop due to pain....
Dr. Ke Fangxu Reply:
Hello: In response to your question, if you have already undergone a colonoscopy and a barium study, both of which showed no abnormalities, then performing a fecal occult blood test would not be meaningful. If the test result is negative, that is naturally good; if it is positive...[Read More] Common Gastrointestinal Concerns: When to Seek Medical Attention
Understanding Colorectal Issues: Persistent Abdominal Pain and Constipation
Colorectal issues Hello, I would like to ask for your advice. I frequently experience unexplained abdominal cramping, have significant difficulty with bowel movements, often feel the urge to defecate but cannot, and have been suffering from persistent pain in the upper left abdom...
Dr. Lin Zhiguang Reply:
I apologize for the wait. Your symptoms are more indicative of common chronic constipation seen in young women, which may be related to a high sigmoid colon. The common organs to consider for left upper abdominal pain include the stomach, colon, small intestine, and even the panc...[Read More] Understanding Colorectal Issues: Persistent Abdominal Pain and Constipation
Post-Surgery Complications: Managing Fever and Infection After Gastric Surgery
Worsening condition after gastric surgery with recurrent fever? On April 22, my mother was admitted to the hospital after experiencing abdominal pain for several days. The doctor explained that she had a perforated stomach and needed surgery. She is 72 years old and has diabetes ...
Dr. Ke Fangxu Reply:
Hello: In response to your question, I hope that you can trust that your mother's attending physician is doing everything possible to treat her. From your letter, it seems that her condition is quite complex, and it is difficult to determine the exact issue based on the prov...[Read More] Post-Surgery Complications: Managing Fever and Infection After Gastric Surgery
Understanding Lower Abdominal Pain: Bladder or Colon Issues?
Lower abdominal pain? Hello Dr. Ke: I apologize for bothering you again for clarification. The first question: A few days ago, while I was sleeping, I felt bloating and pain in my lower abdomen and had the urge to urinate. After urinating, the bloating and pain went away. Tonig...
Dr. Ke Fangxu Reply:
Hello, Mouse: 1. In males, the bladder is located directly in front of the rectum. Sometimes, bladder inflammation can also affect the rectum, causing abnormal sensations and a persistent feeling of urgency. It is recommended that you undergo a urinalysis. In females, the uteru...[Read More] Understanding Lower Abdominal Pain: Bladder or Colon Issues?
Complications After Appendectomy: Understanding Post-Surgery Viral Infections
Complications after appendectomy? The patient had surgery for appendicitis during his military service years ago. Initially, everything went smoothly after the surgery; however, one to two months later, he developed symptoms consistent with enterovirus infection, including fever,...
Dr. Yu Mingchang Reply:
Hello: 1. Appendicitis and enterovirus infections are unrelated; undergoing appendectomy does not increase the incidence of enterovirus infections. 2. Enteroviruses are most common in children under 12 years old, so it is important to determine whether the symptoms are due to ent...[Read More] Complications After Appendectomy: Understanding Post-Surgery Viral Infections
Is It Colon Cancer? Understanding Symptoms and When to Seek Help
Is this colorectal cancer? In the past couple of days, I have noticed blood in my stool, but the amount is small, just a few drops. About two to three weeks ago, I experienced sudden abdominal cramping in the middle of the night, but the pain went away when I got up. I would like...
Dr. Ke Fangxu Reply:
Hello: In response to your question, at the age of 27, rectal bleeding is generally not first suspected to be colorectal cancer, as the likelihood of developing colorectal cancer at this age, while not zero, is extremely low. It is usually caused by hemorrhoidal bleeding. If ther...[Read More] Is It Colon Cancer? Understanding Symptoms and When to Seek Help
Understanding Peritonitis Treatment: What to Expect in Critical Care
Treatment of peritonitis? My sister was admitted to Kaohsiung Chang Gung Memorial Hospital two days ago due to abdominal pain. She is currently in the surgical intensive care unit. The physician diagnosed her with peritonitis. The attending physician has been administering antibi...
Dr. Huang Zhihui Reply:
It appears that the patient is exhibiting signs of sepsis, which is associated with a decrease in blood pressure. There are many potential causes of sepsis, and a definitive diagnosis requires correlating clinical manifestations with various tests. Sometimes, the initial symptoms...[Read More] Understanding Peritonitis Treatment: What to Expect in Critical Care
Understanding Post-Surgery Complications After Stage III Hemorrhoid Surgery
Surgical intervention for third-degree hemorrhoids? My wife underwent surgery for stage III hemorrhoids on November 25. She had a normal recovery for the first week post-surgery. However, a week later, after taking the stool softeners prescribed by the hospital, she began to expe...
Dr. Hou Yongji Reply:
Based on your description, a definitive diagnosis cannot be made. It is recommended that you return to the hospital where the surgery was performed to discuss your condition in detail with your physician, or seek treatment from a nearby colorectal specialist. Thank you.[Read More] Understanding Post-Surgery Complications After Stage III Hemorrhoid Surgery
Understanding Blood in Stool: When to Seek Colonoscopy Evaluation
Hemorrhagic stool First, I would like to describe my recent health condition. At the beginning of October, I experienced rectal bleeding due to hard stools for about two weeks. After improving my diet, this issue resolved. On the evening of October 23, I suddenly developed a feve...
Dr. Ke Fangxu Reply:
Hello: Generally speaking, blood in the stool is a fairly common issue, and whether further examination is needed depends on several related factors: 1. Age: If the patient is over 50 years old, as this is the age group where colorectal cancer is more prevalent, a colonoscopy is ...[Read More] Understanding Blood in Stool: When to Seek Colonoscopy Evaluation