Understanding Bowel Issues: When to Consider a Colonoscopy
Bowel movement issues I previously experienced constipation, but recently I have been having persistent diarrhea and weight loss. I visited a gastroenterologist who initially ordered blood tests to check for hyperthyroidism, as my heart rate was slightly elevated. If the blood te...
Dr. Ke Fangxu Reply:
Indeed, underweight patients may sometimes experience more discomfort during a colonoscopy; however, the procedure is generally safe. Although there is a risk of perforation, it typically ranges from 0.1% to 0.01%. If there are concerns, a barium enema can be performed, which is ...[Read More] Understanding Bowel Issues: When to Consider a Colonoscopy
Understanding Constipation and Diarrhea: When to Seek Medical Advice
Bowel movement issues? Hello, Dr. Ke: I often experience constipation, occasionally followed by diarrhea. Sometimes my stools are too hard, and there is blood on the surface of the stool. My weight has typically been around 42-43 kg, but this month it has dropped to 41-42 kg, eve...
Dr. Ke Fangxu Reply:
At the age of 26, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like irritable bowel syndrome. I recommend starting with a light diet and maintaining a good lifestyle. Spicy, irri...[Read More] Understanding Constipation and Diarrhea: When to Seek Medical Advice
Understanding Abdominal Symptoms: A Teen's Guide to Digestive Health
Abdominal concerns? Hello Dr. Ke, I am 16 years old. I previously asked you a question referenced in <a href="https://adoctor.tw/article/124261">#124261</a>. I apologize for bothering you again, and I appreciate your patience with my lengthy message. 1. Las...
Dr. Ke Fangxu Reply:
1. The presence of mucus in the stool is often caused by prolonged bowel movements leading to mucosal congestion. Intestinal tumors or inflammation can also cause this, but at this age, these are usually not serious issues. Caucasians may experience rare cases of Crohn's dis...[Read More] Understanding Abdominal Symptoms: A Teen's Guide to Digestive Health
Understanding Prolonged Rectal Bleeding and Associated Symptoms in Young Adults
Bleeding during bowel movements has persisted for 2-3 months? Female, 21 years old, has lost 10 kg over the past 2-3 months. Adequate water intake and a high vegetable consumption (healthy diet + detox drinks). Has never undergone any gynecological, endocrinological, or gastroint...
Dr. Chen Jiaming Reply:
There are many ways to lose weight, and many people encounter bowel issues during the process (though this is often not discussed). Increasing fiber intake through dietary changes (such as vegetables, fruits, and special beverages), enhancing satiety, and reducing calorie absorpt...[Read More] Understanding Prolonged Rectal Bleeding and Associated Symptoms in Young Adults
Understanding Rectal Bleeding and Weight Loss: Key Concerns for Young Adults
In mid-January, there was blood in the stool? 1. Regarding your question, after experiencing bright red blood in your stool in mid-January, you promptly consulted a colorectal specialist who performed a flexible sigmoidoscopy and diagnosed you with a mild anal fissure. Following ...
Dr. Ke Fangxu Reply:
The anoscope, as you described, is a method for examining the anus and does not cover the rectal area. Since a colonoscopy has already been scheduled, there is no need to dwell on it. You likely already know the results when you saw the email response. It is true that patients wi...[Read More] Understanding Rectal Bleeding and Weight Loss: Key Concerns for Young Adults
Understanding SMA Syndrome: Symptoms, Diagnosis, and Treatment Options
Suspected SMA syndrome? Dear Dr. Chen, I previously consulted you about some abdominal issues. I have been experiencing persistent abdominal discomfort (bloating and pain) for almost a year now. Despite taking medication and actively seeking medical attention, there has been lit...
Dr. Chen Jiaming Reply:
I apologize for the delay in responding to your inquiry due to issues with our information system. Firstly, I do not believe that your original symptoms align with the typical clinical presentation of Superior Mesenteric Artery (SMA) syndrome. Of course, as your condition worsens...[Read More] Understanding SMA Syndrome: Symptoms, Diagnosis, and Treatment Options
Changes in Bowel Habits: Understanding Symptoms and Concerns
Changes in bowel habits and narrowing of stools? Hello, Doctor Hsu: In the past two weeks, I have noticed a change in my bowel habits; my stools have become very thin (similar to the size of a pencil or resembling sheep droppings), and I have also experienced episodes of diarrh...
Dr. Xu Kaixi Reply:
Hello, please help me reply as follows: The presence of blood in the stool, along with changes in gastrointestinal function and bowel habits, as well as alterations in stool characteristics, are all abnormal symptoms. Possible diagnoses range from hemorrhoids to other serious g...[Read More] Changes in Bowel Habits: Understanding Symptoms and Concerns
Understanding Symptoms of Colorectal Cancer: What You Need to Know
Symptoms of colorectal cancer? Hello Doctor: About a year ago, I suddenly experienced fresh blood during bowel movements, and the toilet paper was also stained with bright red blood. This lasted for about three days and then stopped. Until September of this year, I started taking...
Dr. Ke Fangxu Reply:
At the age of 19, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is relatively low. Based on your description, it seems more like irritable bowel syndrome. It is recommended to maintain a light diet and a good lifestyle routine, avoiding sp...[Read More] Understanding Symptoms of Colorectal Cancer: What You Need to Know
Understanding Blood When Wiping: Possible Causes and Concerns
Blood on toilet paper after wiping can indicate several potential issues, such as hemorrhoids, anal fissures, or gastrointestinal bleeding? Hello, this week I've noticed blood when wiping after using the bathroom, but it's only a little bit. There was one instance where...
Dr. Ke Fangxu Reply:
At the age of 18, the likelihood of developing colorectal cancer is not zero, but it is generally very low. Based on your description, it seems more like hemorrhoidal bleeding. I recommend starting with a light diet and maintaining a good lifestyle. If the symptoms persist withou...[Read More] Understanding Blood When Wiping: Possible Causes and Concerns
Post-Surgery Complications: Understanding Bowel Adhesions and Diarrhea
Intestinal obstruction after intestinal adhesion surgery? Hello, Dr. Ke! I have a few questions I would like to ask you. I was hospitalized for conservative treatment of intestinal obstruction on July 20, and after nearly two weeks of treatment, my condition did not improve and a...
Dr. Ke Fangxu Reply:
If the intestinal adhesion surgery did not go smoothly, it is likely that a considerable amount of antibiotics were used. Long-term use of antibiotics can potentially lead to diarrhea. Additionally, if a significant portion of the small intestine was resected during the surgery, ...[Read More] Post-Surgery Complications: Understanding Bowel Adhesions and Diarrhea
Struggling with Hemorrhoids and Anal Fissures: Is Surgery the Only Solution?
Due to prolonged sitting on the toilet because of constipation, there is a noticeable external hemorrhoid? About 1-2 years ago, I had a hot pot meal with seafood that wasn't fresh, and after an all-you-can-eat experience, I ended up with diarrhea for several days. At that ti...
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. Warm sitz baths may als...[Read More] Struggling with Hemorrhoids and Anal Fissures: Is Surgery the Only Solution?
Effective Solutions for Concealed Penis Due to Obesity
Could you please provide the content you would like me to translate? Hello, doctor. I would like to ask, if someone has a hidden penis due to obesity, what methods can help make the penis more visible? Thank you!
Dr. Zhou Hongzhang Reply:
1. The most appropriate method is weight loss. 2. Liposuction may also be helpful.[Read More] Effective Solutions for Concealed Penis Due to Obesity
Could These Symptoms Indicate Colorectal Cancer?
Could this be colorectal cancer? Three weeks ago, I noticed blood streaks on toilet paper after wiping, which lasted for two days. Since then, I've been feeling my heart racing, experiencing some difficulty breathing, and it takes me a long time to fall asleep at night. Afte...
Dr. Ke Fangxu Reply:
This situation is likely due to hemorrhoidal bleeding rather than colorectal cancer. 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 the toilet. Warm sitz baths may al...[Read More] Could These Symptoms Indicate Colorectal Cancer?
Understanding Abdominal Pain and Weight Loss: A Surgical Perspective
The physician would like to seek your professional advice? Hello Doctor: Recently, I have been experiencing dull pain on both sides of my abdomen, sometimes accompanied by referred pain. I previously underwent an examination that revealed intestinal gas pockets. I have been self-...
Dr. Chen Jiaming Reply:
Given the history of diverticular disease, abdominal pain should be carefully evaluated for symptoms of diverticulitis (such as persistent worsening pain or fever). If you notice orange-red stains on toilet paper after wiping, this is likely fresh blood, which is typically due to...[Read More] Understanding Abdominal Pain and Weight Loss: A Surgical Perspective
Understanding Sticky Blood Clots in Stool: Causes and Concerns
Presence of sticky blood clots in stool? Hello, Director. I apologize for the lengthy message. I have been undergoing treatment with antibiotics and other medications for about a month due to urinary stones and sinusitis. During this month, my physical condition has led to feelin...
Dr. Ke Fangxu Reply:
Long-term use of antibiotics can lead to the condition known as pseudomembranous colitis, with symptoms similar to what you described. However, if a colonoscopy has already been performed, it should confirm that there are no issues. Based on your description, it seems more like i...[Read More] Understanding Sticky Blood Clots in Stool: Causes and Concerns
Surgical Options for Long-Term Appetite Control: Costs and Considerations
Surgical Inquiry Hello, doctor. I would like to ask if there are any surgeries that can help me control my appetite long-term, considering I am 157 cm tall and weigh 98 kg, and I can eat up to 4 meals a day. What would the approximate cost be? Thank you.
Dr. Ke Fangxu Reply:
Taiwan's National Health Insurance (NHI) coverage for weight loss surgery is primarily based on the standards published by the National Institutes of Health (NIH) in 1991, which must meet the following criteria: 1. BMI ≥ 40, or BMI ≥ 35 with obesity-related comorbidities. 2....[Read More] Surgical Options for Long-Term Appetite Control: Costs and Considerations
Why Is My Stool Orange and Watery? Understanding Unusual Symptoms
The reason why the color of the stool can appear darker or more orange-yellow than urine is due to the presence of bile pigments, particularly bilirubin, which is produced during the breakdown of red blood cells. When bile is secreted into the intestines, it can be modified by gu...
Dr. Ke Fangxu Reply:
If you consume a higher amount of fatty foods, fish with high omega-3 content, or take weight loss medications, the fat content in your stool may increase. These fats can extract bilirubin from the stool, resulting in an orange-yellow color. It is recommended that you temporarily...[Read More] Why Is My Stool Orange and Watery? Understanding Unusual Symptoms
Understanding Symptoms of Colon Cancer: What You Need to Know
Symptoms of colorectal cancer? In the past 3 to 4 weeks, my bowel movements have been thin and infrequent, and after a few days, I experience diarrhea, which also feels minimal. Sometimes, when I strain to have a bowel movement, I notice a bit of bright red blood on the toilet 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. Warm sitz baths may als...[Read More] Understanding Symptoms of Colon Cancer: What You Need to Know
Post-Surgery Weight Gain: How to Manage Increased Appetite After Gallbladder Surgery
Is it normal to have recovery after surgery, and do I need to return for a follow-up appointment? Director, in July 2015, you performed surgery for my gallstones and cholecystitis. After the surgery, I have been taking the prescribed medications regularly, but since the operation...
Dr. Yu Mingchang Reply:
Hello; please come back for a follow-up appointment at the Changhua Hospital of the Ministry of Health and Welfare. We care about you.[Read More] Post-Surgery Weight Gain: How to Manage Increased Appetite After Gallbladder Surgery
Chronic Vomiting and Weight Loss: A Case Study of SMA Syndrome
Chronic vomiting (including the expulsion of water)? Hello Doctor: I have been experiencing headaches since 2011, and starting in April 2012, I began to vomit whenever I ate. Initially, the vomit was white foam, but it progressively worsened to the point where I would vomit almos...
Dr. Xu Kaixi Reply:
Based on your description, you have undergone numerous tests, yet the exact cause of your vomiting remains unidentified. It was previously confirmed that you have Superior Mesenteric Artery (SMA) syndrome, for which you underwent surgical treatment. You experienced improvement fo...[Read More] Chronic Vomiting and Weight Loss: A Case Study of SMA Syndrome