Understanding Adhesive Intestinal Obstruction: When to Seek Specialized Care
Intestinal adhesions troubles? I would like to ask the director, last year I underwent surgery for intestinal obstruction, but since the surgery, I have been suffering daily with bloating and can only eat 1-2 meals a day. When I return to the outpatient clinic, the doctors are di...
Dr. Xu Kaixi Reply:
If you continue to experience these gastrointestinal symptoms after surgery, it is recommended that you undergo further examinations to identify the cause and receive targeted treatment.[Read More] Understanding Adhesive Intestinal Obstruction: When to Seek Specialized Care
Understanding Changes in Bowel Movements: Causes and Solutions
Bowel movement issues? About a week ago, I started noticing that my stools have become thinner (approximately the size of an "OK" hand gesture with my thumb and index finger forming a circle, but previously they were noticeably thicker). Sometimes, I feel like I am not ...
Dr. Xu Kaixi Reply:
Based on the gastrointestinal symptoms you described, they are not sufficient for a definitive diagnosis. It is recommended that you visit a hospital for further examination to clarify the issue for appropriate treatment.[Read More] Understanding Changes in Bowel Movements: Causes and Solutions
Concerns About Digestive Issues: What Your Symptoms Might Indicate
Issues related to the digestive system? Hello doctor, I am a 21-year-old college student. I have a history of peptic ulcer and diverticulitis, and I have also undergone an appendectomy. I would like to ask you about something. This morning, my stool was mushy and brown in color. ...
Dr. Xu Kaixi Reply:
There are many factors that can affect stool, including diet and lifestyle habits, which may lead to changes in stool characteristics. If you visually suspect the presence of blood, it is considered an abnormal symptom, and it is recommended that you visit a hospital for further ...[Read More] Concerns About Digestive Issues: What Your Symptoms Might Indicate
Understanding Stoma Dysfunction After Total Gastrectomy: Causes and Solutions
Fistula surgery In October 2019, I went to the emergency department at Chung Cheng Hospital due to intestinal obstruction. As a result, I underwent a stoma procedure, which revealed that stomach cancer had metastasized to the colon. However, about six months later, my attending p...
Dr. Yu Mingchang Reply:
Hello: Jejunum? Failure? Redo? Stoma function? What type of stoma?[Read More] Understanding Stoma Dysfunction After Total Gastrectomy: Causes and Solutions
Post-Surgery Concerns: Managing Vomiting After Gastric Perforation
Case 166293 Follow-up Inquiry - Subsequent Issues After Treatment for Perforated Stomach Leading to Peritonitis Dear Dr. Chen, Thank you for your response. Currently, my family member is still fasting and has not consumed any water or food. They are receiving nutritional injecti...
Dr. Chen Jiaming Reply:
Currently, the administration of nutritional injections, lipids, and saline solution is only a part of the "maintenance" treatment. As for investigating the underlying causes, a comprehensive assessment of the clinical condition is necessary. Although you have made grea...[Read More] Post-Surgery Concerns: Managing Vomiting After Gastric Perforation
Managing Pain and Itching After Hemorrhoid Banding Surgery
Itching and pain after hemorrhoid ligation? Hello Doctor: I visited the clinic due to gastrointestinal discomfort and underwent a colonoscopy, which revealed grade II internal hemorrhoids. The physician recommended a hemorrhoid ligation procedure. Before the procedure, I was info...
Dr. Ke Fangxu Reply:
If the rubber band ligation for internal hemorrhoids is too close to the anal opening, it may lead to painful complications. If there is currently only a small amount of bleeding and no pain, it is generally not a concern. However, if the pain is severe, the only option is to inc...[Read More] Managing Pain and Itching After Hemorrhoid Banding Surgery
Understanding Appendicitis: Why Testing is Essential After Surgery
Appendicitis tests Hello Doctor, my mother experienced severe abdominal pain around 1:00 AM on February 28th and was continuously vomiting (including the sleeping pills she took before bed). We took her to the emergency room, where she underwent X-rays, a chest X-ray, and a CT sc...
Dr. Chen Jiaming Reply:
No need to worry! Under the National Health Insurance system, it is standard procedure to send the excised inflamed appendiceal tissue for pathological examination after an appendectomy. This surgical approach complies with the health insurance billing process. It is not that you...[Read More] Understanding Appendicitis: Why Testing is Essential After Surgery
Blood on Toilet Paper: Is It Hemorrhoids or Colon Cancer?
There are small spots of blood on the toilet paper? After having a bowel movement, I noticed small spots of blood on the toilet paper, but my stool is golden yellow and does not contain any blood. This has been happening for three days. Should I be concerned about colon cancer, o...
Dr. Xu Kaixi Reply:
Rectal bleeding is considered an abnormal symptom and can range from common conditions like hemorrhoids to more serious gastrointestinal diseases. Based on your description, the likelihood of hemorrhoidal bleeding is the highest. If the bleeding persists without improvement or if...[Read More] Blood on Toilet Paper: Is It Hemorrhoids or Colon Cancer?
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
Understanding Rectal Bleeding: Causes and Emergency Response
Rectal bleeding Sudden rectal bleeding during a shower, which continues to drip and is not associated with a bowel movement, along with some lower abdominal bloating and pain, and persistent bleeding for 14 hours, could indicate several potential conditions. These may include hem...
Dr. Chen Jiaming Reply:
If the bleeding has persisted for too long, it is advisable to seek medical attention as soon as possible. If there is no appropriate specialty available (such as colorectal surgery to confirm if it is rectal bleeding), then go directly to the emergency department.[Read More] Understanding Rectal Bleeding: Causes and Emergency Response
Understanding Gastrointestinal Issues: Anxiety, Bowel Changes, and Symptoms
Bowel issues, sensation of anal foreign body, gastrointestinal problems? Hello Doctor, about two weeks ago, I started experiencing diarrhea every morning for six consecutive days. On some days, I also had to go after meals, but there were no accompanying symptoms like fever or vo...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 18 can be considered negligible. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, and greasy foods shoul...[Read More] Understanding Gastrointestinal Issues: Anxiety, Bowel Changes, and Symptoms
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
Blood in Stool and Urine: Should You Worry About Colon Cancer?
Blood in the stool, along with blood in the urine on the same day? That day, my stool was hard and appeared golden yellow, but the toilet was filled with blood, and the toilet paper was also stained with blood. I also noticed blood in my urine that day. Later in the evening, the ...
Dr. Xu Kaixi Reply:
Blood in the stool or the presence of blood is considered an abnormal symptom. Possible diagnoses range from common hemorrhoids to various gastrointestinal diseases. Given your age, the likelihood of colorectal cancer is low; it is more probable that the bleeding is caused by hem...[Read More] Blood in Stool and Urine: Should You Worry About Colon Cancer?
Understanding Rectal Bleeding: Causes, Concerns, and When to Seek Help
Bowel issues, rectal bleeding? Hello Doctor, I am 20 years old and a few months ago, I started noticing blood on the toilet paper after having a bowel movement. This situation occurs about 1 to 2 times a month (though I can't remember exactly if it's every month), lasti...
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, shorten the time spent on bowel movements, and increase the intake of di...[Read More] Understanding Rectal Bleeding: Causes, Concerns, and When to Seek Help
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 Weakness and Gastrointestinal Bleeding After Brain Tumor Biopsy
Brain tumor biopsy Doctor, I would like to ask about a family member who underwent a biopsy surgery for a brain tumor. The patient has been experiencing persistent weakness and has also developed gastrointestinal bleeding. Could you please explain what might be causing the weakne...
Dr. Zhang Junwei Reply:
Weakness may be due to the brain tumor itself, while gastrointestinal bleeding could be caused by a stress ulcer.[Read More] Understanding Weakness and Gastrointestinal Bleeding After Brain Tumor Biopsy
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 Post-Appendectomy Pain: Is It Adhesions?
It is common to experience pain after an appendectomy? In mid-July, I underwent laparoscopic surgery for a perforated appendicitis complicated by a localized abscess and peritonitis, involving three ports and one drainage tube, totaling four incisions. I had no significant issues...
Dr. Chen Jiaming Reply:
Appendicitis with perforation and localized peritonitis will inevitably lead to some degree of intra-abdominal adhesions, which will not be altered by your surgical approach (laparoscopy). Individuals may experience varying symptoms based on the extent of intra-abdominal adhesion...[Read More] Understanding Post-Appendectomy Pain: Is It Adhesions?
Understanding Movable Right Abdominal Mass: Causes and Concerns
Right abdominal mass? Hello doctor, two months ago I felt a movable hard lump in the middle of my right abdomen (it feels somewhat elongated). However, when I lie down and try to touch my abdomen, I cannot feel that lump. Since I am currently abroad, what could be the possible re...
Dr. Xu Kaixi Reply:
It can be palpated on the body surface, and the location is likely within the subcutaneous soft tissue layer, which may be fat, fibrous tissue, or a subcutaneous cyst. Its correlation with the gastrointestinal tract in the abdominal cavity is relatively low. It is recommended to ...[Read More] Understanding Movable Right Abdominal Mass: Causes and Concerns
Understanding Blood in Mucus-Lined Stool: When to Seek Medical Attention
Blood in mucus in stool? Hello Doctor: I have seen many people asking about mucus in their stool, but I have mucus-covered blood in my stool. I checked the mucus with chopsticks and found blood in it, which I find very strange. Recently, I have been experiencing alternating const...
Dr. Xu Kaixi Reply:
Blood in the stool or the presence of blood is considered an abnormal symptom, which can range from common hemorrhoids to other serious gastrointestinal diseases. Based on your description, in addition to the bloody stools, there are several other gastrointestinal symptoms. I str...[Read More] Understanding Blood in Mucus-Lined Stool: When to Seek Medical Attention