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Medical Channel Asia Latest Questions

Hi doctors, I’m a 24 year old female and for the past few weeks I’ve been noticing that I seem to be going to the toilet to poop much more frequently than usual. My appetite is same same. I feel ...

  1. Frequent bowel movements can sometimes be a sign of an underlying issue, but it's also possible that it's a temporary change in your body's rhythm. Since your appetite and diet haven't changed significantly, it might be worth considering other factors. Here are some potential causes to think about:Read more

    Frequent bowel movements can sometimes be a sign of an underlying issue, but it’s also possible that it’s a temporary change in your body’s rhythm. Since your appetite and diet haven’t changed significantly, it might be worth considering other factors.

    Here are some potential causes to think about:

    1. Stress or Anxiety: Both can affect your digestive system and lead to more frequent bowel movements.
    2. Caffeine Intake: Coffee is a known stimulant for the digestive system, which can increase bowel movements. If you’ve increased your caffeine intake or are particularly sensitive to it, this could be a factor.
    3. Irritable Bowel Syndrome (IBS): IBS can cause changes in bowel habits, including increased frequency. Other symptoms may include bloating, cramping, or discomfort.
    4. Dietary Factors: Even if your diet hasn’t changed much, certain foods might affect your digestion more at certain times. High-fiber foods, artificial sweeteners, or certain fruits can increase bowel movements.
    5. Infections or Gastrointestinal Conditions: Infections or conditions like inflammatory bowel disease (IBD) can also cause increased frequency, though these are often accompanied by other symptoms like pain, weight loss, or blood in the stool.
    6. Hydration Levels: While 2L of water is generally a healthy amount, changes in your water intake or your body’s response to hydration might influence your bowel habits.

    Given that this change has been persistent for a few weeks and is starting to concern you, it might be a good idea to consult with a healthcare provider. They can take a detailed history, conduct a physical exam, and possibly run tests to rule out any underlying conditions.

    In the meantime, you might want to monitor any other symptoms, such as changes in the consistency of your stool, any abdominal pain, or changes in weight, and share these with your doctor.

    https://www.helf.co/en

    All responses provided by HELF are generated by its AI architecture. The information shared is intended for general informational purposes only and should not be relied upon for medical diagnosis or treatment. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

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Hello, hope you’re doing well. I have a medical (I think) worry that I’ve been meaning to ask but I’m not sure what is the cause or whether it’s something I should go to the doctor for. Over the years I’ve had ...

  1. It sounds like you are experiencing a range of twitching sensations in various parts of your body, including your fingers, eyes, thighs, and more recently, your stomach and intestines. This can understandably be concerning, especially with the increase in frequency and the sensation of twinges accomRead more

    It sounds like you are experiencing a range of twitching sensations in various parts of your body, including your fingers, eyes, thighs, and more recently, your stomach and intestines. This can understandably be concerning, especially with the increase in frequency and the sensation of twinges accompanying the twitching. Let’s explore the potential causes, implications, and considerations for your situation.

    Understanding Muscle Twitching

    Muscle twitching, or fasciculation, can occur for a variety of reasons, and it can be benign or indicative of an underlying condition. Here are some common causes:

    1. Benign Causes:
      • Fatigue and Stress: Even if you feel your work environment is manageable, underlying stress or fatigue can lead to muscle twitching. Lack of sleep, as you mentioned, can also contribute.
      • Caffeine and Stimulants: High caffeine intake or other stimulants can lead to increased muscle excitability.
      • Nutritional Deficiencies: Deficiencies in electrolytes (like magnesium, potassium, or calcium) can cause muscle twitching. A balanced diet is crucial.
      • Dehydration: Insufficient fluid intake can lead to muscle cramps and twitching.
    2. Neurological Causes:
      • Peripheral Neuropathy: Conditions affecting the peripheral nerves can lead to twitching sensations. This can be due to diabetes, vitamin deficiencies, or other systemic issues.
      • Neuromuscular Disorders: Conditions like myasthenia gravis or amyotrophic lateral sclerosis (ALS) can present with twitching, but these are typically accompanied by other significant symptoms.
      • Tics or Tourette Syndrome: These can manifest as involuntary movements or sounds, but they usually have a more specific pattern.
    3. Gastrointestinal Causes:
      1. Visceral Muscle Spasms: The sensation of twitching in the stomach or intestines could be related to spasms of the smooth muscle in the gastrointestinal tract. This can occur due to digestive issues, food intolerances, or even stress-related gut responses.
      2. Irritable Bowel Syndrome (IBS): This condition can cause various gastrointestinal symptoms, including spasms and discomfort.

    When to Seek Medical Attention

    Given the increase in frequency and the new sensations you are experiencing, it would be prudent to consult a healthcare professional. Here are some considerations for your visit:

    1. Documentation: Keep a diary of your symptoms, noting when they occur, their duration, any associated activities (like eating or stress), and any other symptoms (like pain, changes in bowel habits, etc.). This can help your doctor understand the pattern.
    2. Specialist Consultation: Depending on your symptoms, you may need to see:
      • A neurologist for evaluation of the twitching and any potential neurological causes.
      • A gastroenterologist if the gastrointestinal symptoms are prominent or concerning.
    3. Diagnostic Tests: Your doctor may recommend tests such as:
      • Blood tests to check for electrolyte levels, vitamin deficiencies, and thyroid function.
      • Imaging studies (like an MRI or CT scan) if there are neurological concerns.
      • Electromyography (EMG) to assess muscle and nerve function if neurological issues are suspected.

    Practical Advice

    1. Lifestyle Modifications: Ensure you are well-hydrated, maintain a balanced diet rich in vitamins and minerals, and consider reducing caffeine intake. Regular physical activity and stress management techniques (like mindfulness or yoga) can also be beneficial.
    2. Monitor Symptoms: Pay attention to any changes in your symptoms, especially if they worsen or if new symptoms develop (like weakness, significant pain, or changes in bowel habits).

    Conclusion

    While muscle twitching can often be benign, the increase in frequency and the specific sensations you describe warrant further investigation. Consulting with a healthcare professional will provide clarity and appropriate management. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek help.

    https://www.helf.co/en

    All responses provided by HELF are generated by its AI architecture. The information shared is intended for general informational purposes only and should not be relied upon for medical diagnosis or treatment. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

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My dad just had a gallbladder surgery and he’s recuperating fine. Just wondering if there is anything specific I should be looking out for him or supporting him in recovery. Heard he can’t eat oily food? Can he still ...

  1. I'm glad to hear your dad's surgery went well. Here are some general guidelines for post-gallbladder surgery recovery: Dietary Adjustments: Avoid fatty and oily foods: Since the gallbladder helps digest fats, without it, the liver will still produce bile, but in smaller, continuous amounts. To helpRead more

    I’m glad to hear your dad’s surgery went well. Here are some general guidelines for post-gallbladder surgery recovery:

    1. Dietary Adjustments:
      • Avoid fatty and oily foods: Since the gallbladder helps digest fats, without it, the liver will still produce bile, but in smaller, continuous amounts. To help with digestion, it’s best to avoid greasy, fried, and high-fat foods for a while. Gradually reintroduce fats to see how his body tolerates them.
      • Small, frequent meals: This can be easier on the digestive system than large meals.
      • Fiber-rich foods: Help prevent constipation, but increase fiber intake gradually to avoid bloating.
      • Alcohol: It’s best to avoid alcohol in the early recovery period. Later, moderate consumption may be allowed, but it’s important to consult with the surgeon or doctor about when it’s safe.
    2. Monitoring for Complications:
      • Digestive issues: It’s common to have some digestive changes, like diarrhea, after the surgery, but these usually improve over time.
      • Infection signs: Watch for signs of infection like fever, increased pain, redness, or swelling at the incision site.
      • Bowel movements: Ensure normal bowel function returns. Severe constipation or diarrhea should be reported to the doctor.
    3. Activity Levels:
      • Rest: Encourage him to rest and gradually resume normal activities.
      • Avoid heavy lifting: For at least a few weeks, he should avoid lifting anything heavy or doing strenuous activities.
    4. Follow-up Appointments: Make sure he attends all scheduled follow-ups with his surgeon.

    It’s great that he’s recuperating well. Encourage him to follow his doctor’s specific advice, as they can provide the most personalized guidance for his recovery.

    https://www.helf.co/en

    All responses provided by HELF are generated by its AI architecture. The information shared is intended for general informational purposes only and should not be relied upon for medical diagnosis or treatment. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

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I apologise in advance for this question…🥲 recently noticed a small lump at the top/inner part of my anus. I can feel it with my finger, but it doesn’t cause any irritation or discomfort when I’m sitting. The lump is a ...

  1. Lumps in and around the anus are common issue that many patients see us for regardless of age or gender, so please don't feel like you are too young to see someone for it! From the description of the lump it does sound like it could be haemorrhoids (also known as piles) Haemorrhoids are actually norRead more

    Lumps in and around the anus are common issue that many patients see us for regardless of age or gender, so please don’t feel like you are too young to see someone for it! From the description of the lump it does sound like it could be haemorrhoids (also known as piles)

    Haemorrhoids are actually normal structures at the anus, and are present in every one of us! They are blood vessels that fill and drain to help with fine control of continence in addition to the anal sphincter muscle. However in some people they do become symptomatic and can swell, bleed and even prolapse (come out of the anus) and present like a new lump around the area.

    Anal cancer if present tends to be hard and fixed, may cause difficulty passing motion if large enough and may even have other symptoms associated like loss of weight and appetite. Based on your description it does not sound likely, but I would certainly suggest to go to a doctor to have it checked – even if it ends up being nothing I think it is worth the peace of mind!

    Dr Eugene Yeo
    Colorectal & General Surgeon
    Eugene Yeo Colorectal & Minimally Invasive Surgery (TEN Surgery Group)
    Email: dr.eugene.yeo@gmail.com
    https://www.eugeneyeosurgery.sg/

    The information provided on this forum is for educational purposes only and not intended as medical advice. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

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Sorry i think its v embarassing to ask this. I am male, 35yo, n I fluctuate between 98-115kg depending on the time of the year. I am 175cm tall. yes I know I am fat. I have been trying over the ...

  1. This answer was edited.

    Hi Lucian, thank you for your open sharing about your struggles with weight loss. I can certainly empathise with the challenges you've faced, as many of my patients have experienced similarly. As a gastroenterologist, I have experience with various weight loss interventions, including the use of gasRead more

    Hi Lucian, thank you for your open sharing about your struggles with weight loss. I can certainly empathise with the challenges you’ve faced, as many of my patients have experienced similarly.

    As a gastroenterologist, I have experience with various weight loss interventions, including the use of gastric balloons like you asked. The gastric balloon is a deflated silicone balloon that is inserted into the stomach by swallowing grape size ball and then inflated inside the stomach. This takes up space in the stomach, which can help reduce appetite and promote feelings of fullness. In my practice, this balloon does not require surgery or endoscopy for insertion. After 4 months, the balloon will self-deflate and passes out naturally through the body.

    The gastric balloon can be an effective option for many patients who have had difficulties achieving their weight loss goals through lifestyle changes alone. Patients who undergo the gastric balloon procedure lose on average 10-15% of their total body weight over the 16 week period the balloon is in place. If needed, after thorough assessment by doctors, this balloon can be combined with other weight loss therapy such as medication for enhanced weight loss outcomes.

    The best weight management approach is highly personalised and depends on a variety of factors like your individual goals, overall health, lifestyle, personal preferences, and risk factors for obesity. There are a range of effective treatments available, and many people find success using a combination of different interventions over time.

    I would encourage you to have an open discussion with your doctors to review your full health history, understand your specific needs and objectives, and then recommend the right combination of interventions to help you achieve safe, sustainable weight loss. Feel free to reach out to me if you would like to learn more.

    Dr John Hsiang
    Gastroenterologist and Hepatologist
    https://richmondgastro.com.sg/
    FB – Richmond Gastroenterology Centre
    https://www.facebook.com/profile.php?id=61552438412862&mibextid=ZbWKwL
    https://www.tiktok.com/@gastrodoc_sg

    The information provided on this forum is for educational purposes only and not intended as medical advice. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

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I’ve noticed a change in the color of my stool recently, and I’m wondering what it could indicate. It’s not the usual brown color—it’s either lighter or darker, sometimes even red or green. I’m curious to know if this change ...

  1. Brown poop or dark brown poop is generally a normal colour. If it’s black, that’s not good. It could mean bleeding. If it’s green, you probably have a lot of green vegetables. If it’s white, that’s not good because it may mean your bile duct is blocked. If it’s yellow, you may have too much fat andRead more

    Brown poop or dark brown poop is generally a normal colour. If it’s black, that’s not good. It could mean bleeding. If it’s green, you probably have a lot of green vegetables. If it’s white, that’s not good because it may mean your bile duct is blocked. If it’s yellow, you may have too much fat and grease. If it’s red, it could mean you had a lot of red fruits or vegetables, but it could also that there is blood and there is bleeding. That is not normal.

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I’ve been experiencing chest pains lately, and I’m curious about what could be causing them. They seem to come and go, sometimes accompanied by shortness of breath or discomfort in my arms. Could this be a sign of something serious, ...

  1. It could be angina. Angina is defined as chest pain precipitated by effort and relieved by rest or the medication nitroglycerine. There can be some subtle symptoms, like fatigability and shortness of breath. It occurs when part of your heart muscle does not get enough oxygen-rich blood. You should hRead more

    It could be angina. Angina is defined as chest pain precipitated by effort and relieved by rest or the medication nitroglycerine. There can be some subtle symptoms, like fatigability and shortness of breath. It occurs when part of your heart muscle does not get enough oxygen-rich blood. You should have a check with your doctor. They will do an ECG and check your medical history to confirm if it is coronary artery disease.

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