Understanding Appendicitis Complications: Pelvic Abscess vs. Pelvic Inflammatory Disease
Appendicitis with peritonitis Is a pelvic abscess the same as pelvic inflammatory disease (PID) in the context of appendiceal perforation with abscess and localized peritonitis? Will a pelvic abscess be prone to recurrence like PID? Also, does localized peritonitis mean the same ...
Dr. Chen Jiaming Reply:
Pelvic abscess and pelvic inflammatory disease (PID) are distinct conditions. PID in women is often caused by issues related to the uterus/fallopian tubes or urinary tract infections. If the underlying source is not addressed, it can indeed lead to recurrent episodes. In contrast...[Read More] Understanding Appendicitis Complications: Pelvic Abscess vs. Pelvic Inflammatory Disease
Can I Schedule a Pain-Free Colonoscopy After Barium Enema?
Colonoscopy Dear Director Ke, After cleansing the intestines, is it possible to first arrange for a painless colonoscopy under anesthesia, and then proceed with a barium enema? (Due to right lower abdominal pain and a constant sensation of incomplete evacuation, the outpatient p...
Dr. Ke Fangxu Reply:
Since a colonoscopy has been performed, there is no point in doing a barium study. The reason the physician arranged for a barium study is likely because a colonoscopy was done two years ago. In fact, the accuracy of a colonoscopy is higher than that of a barium study, and patien...[Read More] Can I Schedule a Pain-Free Colonoscopy After Barium Enema?
Understanding Rectal Bleeding: Causes and Concerns for Your Health
Blood on toilet paper after wiping can be a sign of several conditions, including hemorrhoids, anal fissures, or gastrointestinal issues Hello doctor, I have been experiencing blood on the toilet paper after wiping for many years. The blood is bright red, but there is not much pa...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Increasing dietary fibe...[Read More] Understanding Rectal Bleeding: Causes and Concerns for Your Health
Understanding Bowel Issues: When to Seek Medical Attention
Bowel issues I initially only experienced irregular bowel movements and occasional bloating, which did not significantly affect my daily life. A long time ago, I consulted a doctor who prescribed some medications to promote gastrointestinal motility. Since I am currently preparin...
Dr. Xu Kaixi Reply:
There are many factors that can affect bowel movements, including diet and lifestyle habits. If bowel issues have led to the symptoms you described and are impacting your quality of life, it is advisable to visit a gastroenterologist for further examination and treatment.[Read More] Understanding Bowel Issues: When to Seek Medical Attention
Chronic Right Lower Abdominal Pain: Causes and Diagnostic Options
Persistent dull pain in the lower right abdomen? Dear Dr. Ke, I have been experiencing persistent pain in my lower right abdomen, along with a constant sensation of incomplete bowel evacuation. My gastroenterologist has arranged for a lower gastrointestinal (GI) series, but I ha...
Dr. Ke Fangxu Reply:
1. If a colonoscopy was performed two years ago without any abnormalities, then a lower gastrointestinal imaging may not be necessary. It is advisable to first conduct a fecal occult blood test, and if the result is positive, then consider proceeding with lower gastrointestinal i...[Read More] Chronic Right Lower Abdominal Pain: Causes and Diagnostic Options
Understanding Post-Apendectomy Adhesions: Symptoms and Management
Post-appendectomy intestinal adhesions? Hello, I previously asked about the issue of dull pain in the lower right abdomen four months after surgery for a perforated appendicitis with localized peritonitis. Thank you for your patient response. I would like to ask if symptoms such ...
Dr. Chen Jiaming Reply:
Abdominal infections inevitably lead to varying degrees of intestinal adhesions, a fact well understood by surgeons who perform surgeries. Gastroenterologists may have their own perspectives on this issue. Abdominal pain can manifest as a symptom of many diseases, including adhes...[Read More] Understanding Post-Apendectomy Adhesions: Symptoms and Management
Understanding Diarrhea and Bowel Issues: When to Seek Medical Advice
Diarrhea and bowel issues? Hello Doctor, I sometimes have bowel movements three times a day and sometimes just once a day. The shape of my stools is also unusual; sometimes they are thick and normal, other times they are soft and curved, and sometimes the front is normal but the ...
Dr. Yu Mingchang Reply:
Hello; eating more vegetables and fruits is beneficial. Please take some time to check the colorectal health resources from the Changhua Hospital, Ministry of Health and Welfare, which cares about your well-being.[Read More] Understanding Diarrhea and Bowel Issues: When to Seek Medical Advice
Understanding Constipation: Signs, Symptoms, and Cancer Concerns
Constipation is characterized by the presence of small, pellet-like stools as well as thin, ribbon-like stools? I have been experiencing constipation recently. I went to the hospital and received laxatives. After taking the medication, I was able to pass some stool, but I am stil...
Dr. Yu Mingchang Reply:
Hello: Please take some time to visit the colorectal department and schedule a colonoscopy. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Constipation: Signs, Symptoms, and Cancer Concerns
Post-Surgery Probiotic Use for Constipation Relief in Seniors
Issues with taking probiotics after colon surgery? Hello Doctor, I would like to explain my grandfather's situation. He is 83 years old. In early July, he experienced difficulty with bowel movements. After seeing a doctor, he was diagnosed with "C187 malignant tumor of...
Dr. Ke Fangxu Reply:
1. Theoretically, probiotics and laxatives should not have an impact on each other, and adjustments can be made based on bowel movement status. 2. Products that contain chicory may even enhance the effects of intestinal probiotics. 3. 4. It should be possible.[Read More] Post-Surgery Probiotic Use for Constipation Relief in Seniors
Understanding Abdominal Pain and Blood in Stool: When to Seek Help
Bowel issues? Hello doctor, I recently started experiencing sudden abdominal pain, but I don't feel the urge to use the restroom. After resting for a while, I feel somewhat better, but the pain persists. When I checked my stool, I noticed a small amount of red color, althoug...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a major concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Increasing dietar...[Read More] Understanding Abdominal Pain and Blood in Stool: When to Seek Help
Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?
Blood in the stool? Hello Doctor, I have had a history of pellet-like stools since childhood, but I do not experience constipation, as I usually have a bowel movement every one to two days. Recently, I have noticed that when my stools are particularly hard, there is sometimes a s...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The causes are often related to constipation or diarrhea. The fundamental treatment is to improve bowel habits, along w...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?
Understanding Left Upper Abdomen Pain and Chest Flaking Issues
Flaking issues in the left upper abdomen and chest? 1. I have been experiencing pain in my upper left abdomen recently. It's not extremely painful, so it doesn't make me cry out in agony, but sometimes I can't tell if the pain is superficial, related to the bones, ...
Dr. Ke Fangxu Reply:
1. Left-sided abdominal pain is often related to gastric issues. It is recommended to follow a light diet for a few days and consider taking over-the-counter antacids. If there is no improvement, then consult a doctor. 2. It is normal for females in their developmental stage to...[Read More] Understanding Left Upper Abdomen Pain and Chest Flaking Issues
Blood in Diarrhea with Bloating: When to Seek Medical Help?
Diarrhea with blood, but no pain, accompanied by frequent belching and flatulence? My dad is 56 years old and often experiences hiccups and flatulence, along with diarrhea. He has trouble sleeping at night and gets up to use the bathroom. Today, he even had blood in his stool! He...
Dr. Xu Kaixi Reply:
Excessive flatulence may be caused by swallowing too much air and is also related to the production of excessive gas in the digestive tract. If you notice that, in addition to burping, bloating, or constant flatulence, you also experience frequent diarrhea, persistent abdominal p...[Read More] Blood in Diarrhea with Bloating: When to Seek Medical Help?
Understanding Abdominal Pain: What Left and Right Upper Discomfort May Indicate
Location of abdominal pain 1. If you are experiencing pain in the left upper abdomen today, it could be related to several issues, including gastritis, splenic problems, or even issues with the pancreas or stomach. 2. If you just felt a slight pain in the right upper abdomen, wh...
Dr. Ke Fangxu Reply:
The upper right abdomen is the location of the liver and gallbladder, so pain in this area typically leads to consideration of these organs. However, at such a young age, it could also be related to issues with the stomach or duodenum. I recommend starting with a light diet and o...[Read More] Understanding Abdominal Pain: What Left and Right Upper Discomfort May Indicate
Understanding Blood in Stool: When to Seek Medical Attention
Rectal bleeding Hello, doctor. I suddenly felt the urge to have a bowel movement and had to hold it for about 5-10 minutes while I was outside (without abdominal pain). The stool was soft, and the process was smooth, but I noticed blood streaks when wiping and also on the stool (...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Increasing dietary fibe...[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Understanding Post-Exercise Abdominal Pain and Other Health Concerns
Abdominal pain after intense exercise? Hello, doctor. I have several questions and would appreciate your help in clarifying them. Thank you in advance. 1. Regarding a head issue, sometimes I feel a lump on my scalp that can be painful when pressed. I have had this for quite some...
Dr. Ke Fangxu Reply:
1. If you feel a lump on your scalp, it is important to have it examined by a physician to determine its nature. Most of the time, these lumps are either lipomas or benign skin tumors; however, there are many individuals who mistakenly identify bony protrusions as tumors. 2. Si...[Read More] Understanding Post-Exercise Abdominal Pain and Other Health Concerns
Understanding Post-Appendectomy Pain in Children: What to Expect
Appendicitis with perforation complicated by peritonitis? A five-year-old child visited the emergency room on July 23 and was diagnosed with appendicitis. Initially, the doctor considered treating it with antibiotics, but that was ineffective, leading to surgery on July 26. The d...
Dr. Chen Jiaming Reply:
Due to a ruptured appendix leading to peritonitis, there is a widespread inflammatory response within the abdominal cavity, making postoperative intestinal adhesions very likely. Children may experience abdominal distension and complain of pain. Generally, it is important to moni...[Read More] Understanding Post-Appendectomy Pain in Children: What to Expect
Common Surgical Concerns: Abdominal Pain, Head Bumps, and Dizziness
Various Surgical Issues 1. I have been experiencing abdominal pain in the upper left quadrant, usually occurring about half an hour to an hour after breakfast. What could be the cause of this? 2. Recently, I have noticed two or three raised, painful areas on my head. I am concer...
Dr. Chen Jiaming Reply:
1. The left upper abdomen primarily corresponds to the location of the stomach, as well as other parts of the intestines. If there is gastrointestinal pain after meals, it is advisable to consult a gastroenterologist or seek an in-person evaluation to determine whether it is a fu...[Read More] Common Surgical Concerns: Abdominal Pain, Head Bumps, and Dizziness
Is a Second Appendectomy Necessary? Understanding Recurrent Abdominal Pain
Is it possible to have had an appendectomy twice? Hello doctor, I experienced abdominal pain in April and went to the emergency department at China Medical University Hospital, where I underwent an appendectomy. However, in May, I had abdominal pain again and visited the emergenc...
Dr. Yu Mingchang Reply:
None.[Read More] Is a Second Appendectomy Necessary? Understanding Recurrent Abdominal Pain
Changes in Bowel Habits: When to Seek Medical Attention
Changes in bowel habits I have always had a good bowel habit; after eating, I usually feel the urge to go to the bathroom without any abdominal pain, and it typically takes less than two minutes to finish. However, during a trip abroad from late last year to January, my eating ha...
Dr. Ke Fangxu Reply:
In this situation, you should see a doctor and avoid self-medicating with over-the-counter medications. A colonoscopy may not be necessary, but it is important to have a physician evaluate and make a determination.[Read More] Changes in Bowel Habits: When to Seek Medical Attention