Understanding Gastrostomy Challenges: Common Issues and Solutions
Gastrostomy complications Dear Dr. Chang, I humbly seek your advice regarding some issues I've been experiencing since I had a gastrostomy tube placed two years ago due to my inability to swallow. I have several questions: 1. After each feeding, about 20 minutes later, mil...
Dr. Zhang Shuhao Reply:
Replying to the physician: General Surgery Dr. Chen Rong-Hong. Hello Jelly, since the gastrostomy is part of the upper gastrointestinal tract, I will respond on behalf of Dr. Chang Shu-Hao. 1. First, after feeding, you should flush any residual milk into the stomach with clear ...[Read More] Understanding Gastrostomy Challenges: Common Issues and Solutions
Understanding Gastrointestinal Issues: Adhesions and Obstructions Explained
Gastrointestinal issues. Intestinal adhesions. Intestinal obstruction? Thank you, doctor. I am a patient from the article at https://adoctor.tw/article/183509. My bloating issue has been bothering me for over a year, and it has significantly affected my quality of life. After los...
Dr. Chen Ronghong Reply:
Hello Mr. Chang, I recommend that you undergo another CT scan to confirm whether the inflammation of the small intestine has resolved. If there is no improvement and the cause remains undetermined, I suggest seeking a specialist in inflammatory bowel disease at a medical center. ...[Read More] Understanding Gastrointestinal Issues: Adhesions and Obstructions Explained
Understanding Gastrointestinal Issues: When to Consider Further Testing
Gastrointestinal issues Thank you, doctor, for responding to my questions. I am a patient from the article #183591 on https://adoctor.tw/article/183591. I would like to ask if, after undergoing an enteroscopy (where a scope is inserted through the mouth to place a clip, and then ...
Dr. Ke Fangxu Reply:
If you have already undergone both a colonoscopy and an enteroscopy, then there is no need to perform a sigmoidoscopy. I do not recommend laparoscopic surgery either, and I certainly would not suggest it to your physician. The presence of gas in the intestines is a natural phenom...[Read More] Understanding Gastrointestinal Issues: When to Consider Further Testing
Understanding Bloating After Fasting: Possible Causes and Solutions
Gastrointestinal bloating Hello Doctor, I am a patient from https://adoctor.tw/article/181332 &sat=1. I wonder if you remember me. I did not use any medication; I only practiced intermittent fasting, mostly drinking water or eating just one dragon fruit or one apple a day. To...
Dr. Ke Fangxu Reply:
At the age of 31, structural abdominal issues are relatively uncommon. A CT scan shows that the rectum requires further examination. I personally recommend undergoing a sigmoidoscopy. Engaging in extreme fasting followed by a return to a normal diet can lead to gastrointestinal f...[Read More] Understanding Bloating After Fasting: Possible Causes and Solutions
Understanding Gastrointestinal Issues: Adhesions and Twists Explained
Gastrointestinal issues Hello Doctor, I am a patient from https://adoctor.tw/article/182755 &sat=1&[email protected]<a href="https://adoctor.tw/article/182755">#182755</a>. Thank you for answering my questions. I do not have emotional issues...
Dr. Chen Ronghong Reply:
Hello Mr. Zhang, intestinal volvulus typically leads to bowel obstruction and abdominal pain. If there is indeed a volvulus, the CT scan report would indicate it. There have been cases where patients have not undergone abdominal surgery but still experienced adhesions, possibly d...[Read More] Understanding Gastrointestinal Issues: Adhesions and Twists Explained
Understanding Gastrointestinal Issues After Rapid Weight Loss: A Patient's Journey
Gastrointestinal issues Since the end of last year, I lost 26 kilograms through two months of fasting (from a normal weight to significantly underweight). After that, I binge-eated for a week and gained back 10 kilograms. Since then, I have been experiencing bloating issues, with...
Dr. Chen Ronghong Reply:
Hello Mr. Chang, if you have not undergone any abdominal surgery, the likelihood of adhesions causing impaired intestinal motility is low (though not impossible). You mentioned that gas sometimes feels like it's in your stomach and sometimes in the small and large intestines...[Read More] Understanding Gastrointestinal Issues After Rapid Weight Loss: A Patient's Journey
Loss of Appetite After Starting Antibiotics for Stomach Ulcers
Loss of appetite after starting antibiotics for a gastric ulcer? Hello Doctor, I am the one who previously asked question #182881. Since last night, I have been feeling very bloated and nauseous. The feeling of nausea has decreased, but I still feel like vomiting and have complet...
Dr. Ke Fangxu Reply:
Oral antibiotics are used to treat Helicobacter pylori infections. While these antibiotics kill stomach bacteria, they can also cause gastrointestinal discomfort, and some patients may experience diarrhea. These are all temporary side effects. To completely eradicate Helicobacter...[Read More] Loss of Appetite After Starting Antibiotics for Stomach Ulcers
Understanding Gastrointestinal Issues After Rapid Weight Loss and Binge Eating
Gastrointestinal issues Hello doctor, at the end of last year, I fasted for two months and lost 26 kilograms (from a normal weight to being underweight). After that, I indulged in binge eating for a week. Since then, after meals, I have been experiencing a sensation of gas being ...
Dr. Chen Bingze Reply:
Hello, if you are really concerned, you may need to undergo further examinations at the hospital, such as an upper gastrointestinal endoscopy, colonoscopy, or computed tomography (CT) scan to find out more.[Read More] Understanding Gastrointestinal Issues After Rapid Weight Loss and Binge Eating
Managing Blisters in Cancer Patients Undergoing Chemotherapy
Blister issues? Hello, I am a patient with primary malignant liver tumor and currently undergoing chemotherapy. I have significant ascites, leading to edema in my lower extremities. Recently, I noticed a blister on the skin of my penis, which is very thin. It got accidentally com...
Dr. Yu Mingchang Reply:
Hello: For wounds related to hepatobiliary and gastrointestinal surgery, it is sufficient to apply ointment. Do not soak in water. Changhua Hospital cares about you.[Read More] Managing Blisters in Cancer Patients Undergoing Chemotherapy
Right Upper Abdomen Pain After Sports Injury: When to Seek Medical Attention?
Hit the upper right abdomen while playing ball? Last Friday (4/1), I bumped my right upper abdomen while playing basketball. It hurt a lot at the moment, but after resting for a while, it felt better. However, I still occasionally feel a twisting sensation in my abdomen. After ea...
Dr. Chen Bingze Reply:
Hello, this sounds more like an upper gastrointestinal bleeding issue. It is recommended to seek immediate medical attention from a physician in gastroenterology, family medicine, or general surgery (gastrointestinal surgery).[Read More] Right Upper Abdomen Pain After Sports Injury: When to Seek Medical Attention?
Understanding Black Spots in Stool: Causes and Concerns
Black spots in the stool? In the past two days, I have experienced difficulty with bowel movements. Today, I had a bowel movement with a normal amount, but the surface of the stool is covered with small black spots. What could this indicate? (I have never undergone a colonoscopy,...
Dr. Zhang Shuhao Reply:
Changes in stool color are mostly related to food, but bleeding in the gastrointestinal tract can also present as black stools. If concerned, it is advisable to first visit an outpatient clinic to check for issues such as hemorrhoids or anal fissures, and then perform a fecal occ...[Read More] Understanding Black Spots in Stool: Causes and Concerns
Understanding Bloating After Rapid Weight Loss: Is Adhesion Surgery Necessary?
Gastrointestinal issues Dear Doctor, I lost 26 kilograms through two months of fasting two years ago, and then I binge-eated for a week. Since then, I have been experiencing bloating that has not improved for over a year. I underwent endoscopy and CT scans, all of which were no...
Dr. Chen Jiaming Reply:
It is still a functional issue of the gastrointestinal tract, and dietary habits need to be readjusted. It is advisable to find a meticulous gastroenterologist to gradually work on adjusting the gastrointestinal condition. The likelihood of adhesions without prior surgery is quit...[Read More] Understanding Bloating After Rapid Weight Loss: Is Adhesion Surgery Necessary?
Post-Surgery Complications of Anal Abscess in Adolescents: What to Expect
Postoperative Issues Following Anal Abscess Surgery A 15-year-old boy has been experiencing diarrhea for the past six months. Two months ago, he underwent an endoscopy that revealed inflammation in the small intestine, suspected to be Crohn's disease. He was then referred to...
Dr. Zhang Shuhao Reply:
After incision and drainage of an anal abscess, some cases may still develop into an anal fistula. Diarrhea can also exacerbate the symptoms of the fistula. Additionally, Crohn's disease is more likely to lead to fistula formation, and this condition requires long-term medic...[Read More] Post-Surgery Complications of Anal Abscess in Adolescents: What to Expect
Heavy Bleeding During Bowel Movements: What You Need to Know
There is a lot of blood when wiping after a bowel movement? If you notice a lot of blood when wiping after a bowel movement, but do not experience pain, and you find a significant amount of blood on the ground, it is important to seek medical attention promptly. This could indica...
Dr. Zhang Shuhao Reply:
The most common cause of rectal bleeding in young individuals is the rupture of a thrombosed hemorrhoid; however, a small number of cases may be due to colorectal lesions. It is recommended to consult a colorectal surgeon for further evaluation. Wishing you a speedy recovery.[Read More] Heavy Bleeding During Bowel Movements: What You Need to Know
Heavy Bleeding During Bowel Movements: What You Need to Know
There is a lot of blood when wiping after a bowel movement? If you notice a lot of blood when wiping after a bowel movement but do not experience pain, and you find that there is a significant amount of blood on the ground, it is important to seek medical attention as soon as pos...
Dr. Zhang Shuhao Reply:
The most common cause of rectal bleeding in young individuals is the rupture of a thrombosed hemorrhoid; however, a small number of cases may be due to colorectal lesions. It is recommended to consult a colorectal surgeon for further examination. Wishing you a speedy recovery.[Read More] Heavy Bleeding During Bowel Movements: What You Need to Know
Understanding Bowel Issues: Concerns About Color Changes and Cancer Risks
Bowel issues Hello, doctor! Today, during a bowel movement, the stool appeared to be a coffee color with a slight reddish hue. The texture was somewhat soft and coarse. When wiping, I noticed some pinkish color on the toilet paper along with the stool. My bowel movements have bee...
Dr. Zhang Shuhao Reply:
Bleeding from internal hemorrhoids typically occurs during bowel movements due to excessive straining or the rupture of a thrombosis, resulting in moderate bleeding. Commonly, this presents as fresh blood at the end of normal-colored stools. In cases of gastrointestinal bleeding,...[Read More] Understanding Bowel Issues: Concerns About Color Changes and Cancer Risks
Post-Appendectomy: Understanding Abdominal Swelling and Its Causes
After appendectomy, the abdomen may appear distended? Hello doctor, it has been about 7 days since my appendectomy, and I notice that my lower abdomen around the navel is noticeably swollen. However, there is no pain or other sensations, and it doesn't feel like gas. I would...
Dr. Xu Kaixi Reply:
If it is a laparoscopic appendectomy, there should be a wound of about one centimeter near the navel, which should theoretically have healed after one week and should not cause the changes in the appearance of your abdomen that you described. It is possible that the abdominal dis...[Read More] Post-Appendectomy: Understanding Abdominal Swelling and Its Causes
Understanding Stool Color Changes: Food Effects and Health Concerns
Bowel issues Hello Doctor, I previously inquired about orange-red or coffee-red water in my stool. Subsequently, I underwent a fecal occult blood test at the end of October (two types, one for gastrointestinal bleeding which cost an additional $250, and one for colorectal bleedin...
Dr. Ke Fangxu Reply:
Food coloring may affect the results of a stool occult blood test for more than one day. If there are no persistent color abnormalities, a colonoscopy may not be necessary.[Read More] Understanding Stool Color Changes: Food Effects and Health Concerns
Understanding Blood in Stool: Is It a Sign of Hemorrhoid Recurrence?
After the stool sits for a while, the surrounding water turns light red? Hello Dr. Chang, I have some questions regarding suspected recurrence of hemorrhoids that I would like to ask you, thank you: I am a 47-year-old male. In early April 2021, I developed internal hemorrhoids, w...
Dr. Zhang Shuhao Reply:
Isolated internal hemorrhoids can cause bleeding, but it is more common to see bright red blood mixed with normal-colored stool or a larger amount of bleeding due to the rupture of a hemorrhoid during straining. Depending on the severity of the hemorrhoids, symptoms such as prola...[Read More] Understanding Blood in Stool: Is It a Sign of Hemorrhoid Recurrence?
Understanding Red Mucus in Diarrhea: When to Seek Medical Attention
Diarrhea with bright red mucus? Hello Doctor: I have irritable bowel syndrome and have frequently experienced diarrhea for a long time. Currently, I am five months postpartum. My bowel movements were relatively normal, occurring once every one to two days, with stools that were g...
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 spicy and irritating foods during this period and to increase the intake of dietary fiber, which ca...[Read More] Understanding Red Mucus in Diarrhea: When to Seek Medical Attention