Managing Jaundice in Patients with Alpha-Thalassemia: Options and Insights
How to reduce jaundice in patients with type A thalassemia? Hello Doctor, I believe I have Alpha-thalassemia with Hemoglobin H disease! Since I was 20 years old, I have gradually experienced jaundice. I went to a hematology clinic for liver function tests and ultrasound, and all ...
Dr. Cai Zonglong reply Internal Medicine
Hello: The jaundice caused by thalassemia is primarily due to increased destruction during the production of white blood cells, and it is less related to the spleen. Splenectomy or embolization may provide some benefit, but it can also weaken the immune system, so it is not advis...[Read More] Managing Jaundice in Patients with Alpha-Thalassemia: Options and Insights
Understanding Chronic Constipation: Causes, Treatments, and Surgical Options
About constipation? Hello: I have had constipation issues since childhood, and the problem has not improved even into adulthood. I have seen doctors for many years, and while the medications prescribed initially provided some relief, after 2 to 3 doses, they became ineffective, a...
Dr. Cai Zonglong reply Internal Medicine
Hello, if you have previously undergone examinations to rule out organic issues related to your constipation (such as colonoscopy or barium studies to exclude tumors, strictures, etc.), it is likely functional. If the duration exceeds one-fourth of a year, it may be classified as...[Read More] Understanding Chronic Constipation: Causes, Treatments, and Surgical Options
Understanding Right Abdominal Distension: Causes and Concerns
Bloating in the lower right abdomen? Doctor, my right abdomen is slightly more protruded than my left abdomen. This has been the case for two years. I have visited the doctor two or three times in between and had an ultrasound about a year ago in August. Everything appeared norma...
Dr. Cai Zonglong reply Internal Medicine
Hello, based on your situation, if your belly button is indeed misaligned, there is a real issue that needs to be addressed. Please visit a clinic for a referral or examination by a specialist to determine your condition. Thank you. Sincerely, Dr. Tsai Tsung-Long, Internal Medici...[Read More] Understanding Right Abdominal Distension: Causes and Concerns
Understanding Colonoscopy: Safety, Discomfort, and Alternatives Explained
Colonoscopy Hello: I have been experiencing constipation for 2 years. During this time, I have relied on medication for bowel movements, although it's not solely dependent on medication. It's just that going to the bathroom is not very easy. I underwent some examination...
Dr. Cai Zonglong reply Internal Medicine
Hello, a colonoscopy can indeed be somewhat uncomfortable, but there have been many advancements in technology recently that have improved the experience and made it more comfortable. If it's not tolerable, you can opt for a painless colonoscopy, but it will be out-of-pocket...[Read More] Understanding Colonoscopy: Safety, Discomfort, and Alternatives Explained
Sudden Darkening of Lips: Possible Causes and Health Concerns
Sudden darkening of the lips..? Hello doctor, today while I was taking a shower, I suddenly noticed that my lips have turned dark. My friends also noticed that my lips have become much darker. I spend most of my time indoors and only go out at night, so I rarely get sun exposure....
Dr. Cai Zonglong reply Internal Medicine
Hello, a change in facial or lip color to black is indeed a significant warning sign regarding your health. There are many potential causes, so I recommend that you visit a gastroenterology clinic as soon as possible for an examination to seek early diagnosis of any underlying co...[Read More] Sudden Darkening of Lips: Possible Causes and Health Concerns
Understanding Unexplained Stomach Pain: When to Seek Medical Advice
Unexplained abdominal pain? Hello Dr. Tsai, Last Friday night, I suddenly felt pain in my stomach while sleeping. The pain feels similar to that of a bruise and only occurs when I lie down and turn over (it wakes me up). Once I maintain a certain position while sleeping, the pa...
Dr. Cai Zonglong reply Internal Medicine
Hello, your symptoms may be indicative of a peptic ulcer (especially a gastric ulcer). If left untreated, it may heal slowly but is likely to recur. I recommend that you consult a gastroenterologist for evaluation and treatment. Sincerely, Dr. Tsai Tsung-Long, Internal Medicine.[Read More] Understanding Unexplained Stomach Pain: When to Seek Medical Advice
Understanding Gastrointestinal Issues: Causes of Early Satiety and Nausea
Gastrointestinal issues Doctor, I have a question. Recently, during breakfast and lunch, I feel full halfway through my meal, which is not my usual appetite. If I try to continue eating, I start to feel nauseous. Dinner is more normal, but occasionally I also experience this feel...
Dr. Cai Zonglong reply Internal Medicine
Hello, generally speaking, your symptoms may indicate a peptic ulcer or other conditions such as hepatitis or nephritis. A thorough evaluation of additional symptoms is necessary for an accurate diagnosis. I recommend consulting a gastroenterologist for further assessment. Sincer...[Read More] Understanding Gastrointestinal Issues: Causes of Early Satiety and Nausea
Understanding Gallstones: Symptoms, Treatment Options, and Weight Concerns
After having gallstones, I feel like my life is going to be dull? Hello Doctor, I learned from a health check that I have gallstones. I have always considered myself a healthy person, going to bed early, waking up early, jogging regularly, and being mindful of my diet. My health ...
Dr. Cai Zonglong reply Internal Medicine
Hello, your issue may be associated with peptic ulcers or irritable bowel syndrome. I recommend consulting a gastroenterologist for diagnosis and treatment. Additionally, about 30-35% of people have gallstones, so there is no need to worry unless you experience severe pain or fev...[Read More] Understanding Gallstones: Symptoms, Treatment Options, and Weight Concerns
Understanding Chronic Constipation: The Importance of Hydration and Screening
Regarding the bowel movement issue I inquired about last time..? Hello Doctor: Thank you for your response. Well... perhaps it's because I don't like drinking water, which has led to my constipation for over 8 years. I had hemorrhoids when I was in the third grade, and ...
Dr. Cai Zonglong reply Internal Medicine
Hello, the primary function of the colon is to absorb water. If you drink insufficient water, the colon will absorb more water from the stool, resulting in harder and darker stools, which can make bowel movements more difficult. Additionally, when the stool is so dirty and the co...[Read More] Understanding Chronic Constipation: The Importance of Hydration and Screening
Understanding Bowel Issues: From Diarrhea to Constipation Solutions
Bowel issues Hello Doctor: Recently, I have been experiencing frequent diarrhea, with my stools appearing a clay-like yellow color, mixed with remnants of the food I ate in my last meal. I have a history of constipation, where I would have bowel movements about 2 to 4 times a wee...
Dr. Cai Zonglong reply Internal Medicine
Hello, based on your situation, it seems that your bowel habits have changed. Therefore, I recommend seeing a gastroenterologist. If you have experienced constipation for more than five years, a colonoscopy is necessary. Additionally, to promote daily bowel movements, it is essen...[Read More] Understanding Bowel Issues: From Diarrhea to Constipation Solutions
Understanding Gastrointestinal Distress: Causes and Remedies for Bloating and Diarrhea
Stomach discomfort, bloating, acid reflux, and diarrhea? Hello doctor, I have been experiencing frequent diarrhea in May and June, about ten times, with brownish stools. Recently, I have not had a bowel movement for four to five days, accompanied by gastric discomfort and bloatin...
Dr. Cai Zonglong reply Internal Medicine
Hello, I believe there may be issues with your stomach and colon. I recommend that you visit a large hospital to see a gastroenterologist for examination and treatment to avoid any delay in your condition. Sincerely, Dr. Tsai Tsung-Long, Internal Medicine.[Read More] Understanding Gastrointestinal Distress: Causes and Remedies for Bloating and Diarrhea
Understanding Hepatitis B Carriers: Diagnosis, Treatment, and Next Steps
Hepatitis B Hello Dr. Tsai: I would like to ask about the difference between being a carrier of hepatitis B and being a hepatitis B carrier. Which one can be cured? I have been tested before and it was determined that I am a hepatitis B carrier. However, I have heard that it can ...
Dr. Cai Zonglong reply Internal Medicine
Hello, generally, hepatitis B is difficult to cure, unless it is contracted after the age of 15, in which case there is a chance of recovery. Typically, being a carrier means it lasts a lifetime, unless new medications become available in the future. However, it is important to h...[Read More] Understanding Hepatitis B Carriers: Diagnosis, Treatment, and Next Steps
Yellowing Skin After Cold Medication: Is It a Sign of Liver Damage?
Skin yellowing after taking cold medication? I have tonsillitis and went to the ENT department. After taking medication, I have been feeling drowsy, unsteady while walking, and my palms have turned yellow. I checked the medication, and one of the drugs can cause jaundice symptoms...
Dr. Cai Zonglong reply Internal Medicine
Hello, any medication can potentially have side effects. If you notice yellowing of the skin and sclera, it may indicate more severe liver damage. Please go to the hospital for an examination, and hospitalization may be necessary. Sincerely, Dr. Tsai Tsung-Long, Internal Medicine...[Read More] Yellowing Skin After Cold Medication: Is It a Sign of Liver Damage?
Understanding Gastrointestinal Issues: Seafood-Induced Nausea and Vomiting
Gastrointestinal issues? I used to eat seafood without any issues, but recently, after consuming certain seafood items like squid and shellfish, I've been experiencing nausea and vomiting. Is this a stomach problem?
Dr. Cai Zonglong reply Internal Medicine
Hello, the causes of nausea and vomiting can be quite varied, ranging from central nervous system issues to diabetes and kidney disease. If the reaction is only to seafood, it may be a neural reflex. However, if vomiting occurs with most foods, liver function or gastrointestinal ...[Read More] Understanding Gastrointestinal Issues: Seafood-Induced Nausea and Vomiting
Understanding Your Hepatitis B Test Results: What It Means to Be a Carrier
Hepatitis B Test Report Hello, Dr. Tsai. Two years ago, I had a blood test for hepatitis B, and the report indicated that I had surface antibodies for hepatitis B. Recently, I had another blood test at a different hospital, and for hepatitis B, they only tested HBsAg (-), HBeAg (...
Dr. Cai Zonglong reply Internal Medicine
Hello, generally speaking, a positive HBsAg indicates the presence of hepatitis B, while a negative result indicates the opposite. A positive HBsAb means that hepatitis B has resolved; however, in a small number of patients, both markers may be present, which could indicate a spe...[Read More] Understanding Your Hepatitis B Test Results: What It Means to Be a Carrier
Understanding Issues Faced by Hepatitis B Carriers: Symptoms and Concerns
Issues related to Hepatitis B carriers? Hello Doctor: I am a carrier of hepatitis B. Throughout my education from college to graduate school, my health check results have consistently shown slightly elevated liver enzyme levels, although not significantly high. My most recent che...
Dr. Cai Zonglong reply Internal Medicine
Hello, discomfort in the upper right abdomen is a common symptom among patients with liver diseases. It is important to have an ultrasound every six months to a year (preferably with a qualified hepatobiliary specialist). Additionally, rest and diet are crucial; ensure adequate s...[Read More] Understanding Issues Faced by Hepatitis B Carriers: Symptoms and Concerns
Understanding Chronic Hepatitis B: Treatment Options and Healthcare Access in Taiwan
Regarding hepatitis B issues? Hello, I am a carrier of hepatitis B. I regularly undergo follow-up examinations. I have a few questions I would like to ask: 1. Currently, there is a strengthened chronic hepatitis B treatment pilot program under the National Health Insurance. Wha...
Dr. Cai Zonglong reply Internal Medicine
Reply: Hello, 1. Chronic hepatitis B carriers with GPT > 200 for more than six months and HBeAg positive are eligible to participate. 2. Entecavir can suppress the virus but cannot eliminate it; however, it may lead to a conversion of HBeAg from positive to negative. Interfero...[Read More] Understanding Chronic Hepatitis B: Treatment Options and Healthcare Access in Taiwan
Understanding Severe Gastrointestinal Issues After Medication Overdose
Severe gastrointestinal issues? I attempted suicide a month ago due to relationship issues, taking over sixty pills at once, including cold medicine, Abbott 15mg weight loss pills, and detox beauty pills. The day before this incident, I also took twelve sleeping pills. That night...
Dr. Cai Zonglong reply Internal Medicine
Hello, I think your issue is quite complex. It may be necessary to consult a hematologist to check for any bleeding tendencies. Additionally, you should see an obstetrician-gynecologist to examine for any organ abnormalities. The black vomit you experienced a month ago likely ind...[Read More] Understanding Severe Gastrointestinal Issues After Medication Overdose
Preventing Hepatitis B Transmission to Newborns: Essential Guidelines
Hepatitis B prevention Doctor, I have a hepatitis B virus (HBV) infection and my wife does not. If we have a child, will I vertically transmit the virus to the baby? Should the baby receive hepatitis B immunoglobulin within 24 hours of birth? How should the vaccination be adminis...
Dr. Cai Zonglong reply Internal Medicine
Hello, the direct source of infection for a newborn is limited to the mother. If the mother is not a carrier and has no B-type infection, there is no need for immunoglobulin; the baby should receive the vaccine as usual. However, if the mother has never been infected (i.e., HBsAg...[Read More] Preventing Hepatitis B Transmission to Newborns: Essential Guidelines
Why Does Sore Throat Always Lead to Fever? Understanding the Connection
Fever? Doctor, why do I always have a fever when I have a sore throat? Is it related to my tonsils? Can I let the fever resolve on its own, or is it better to see a doctor for a quicker recovery?
Dr. Cai Zonglong reply Internal Medicine
If throat pain is caused by inflammation, it may lead to a fever. Throat pain is not necessarily related to the tonsils. It is recommended that if you experience throat pain accompanied by a fever, you should seek assistance and diagnosis from an otolaryngologist. This response i...[Read More] Why Does Sore Throat Always Lead to Fever? Understanding the Connection