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Understanding Abnormal Amorphous Phosphate in Urine: Causes and Implications

I would like to inquire about the abnormalities related to "amorphous phosphate." In March 2005, a health check was conducted, and the urine test showed an abnormal result of "amorphous phosphate (+)." I would like to ask: 1. What is amorphous phosphate? 2. Wh...


Dr. Chen Jingwen reply Internal Medicine
Hello Jenny, amorphous phosphates refer to phosphates, including calcium phosphate. Under normal circumstances, phosphates are produced from food metabolism and combine with calcium and other elements, then are excreted through the kidneys in urine. This is a normal metabolic pro...

[Read More] Understanding Abnormal Amorphous Phosphate in Urine: Causes and Implications


Understanding Gallbladder Sludge: Causes, Concerns, and Treatment Options

The issue of gallbladder sludge? I would like to ask about my previous visit to the doctor due to upper abdominal pain. After an ultrasound examination, it was found that my gallbladder is almost seven-tenths full of sludge. This condition occurred because I had been dieting and ...


Dr. Chen Jingwen reply Internal Medicine
Hello! Gallstones refer to concentrated bile, which generally do not cause symptoms. Therefore, if you experience upper abdominal pain, it is important to investigate other potential causes, including gastric or duodenal ulcers, acute gastritis, colon issues, pancreatic problems,...

[Read More] Understanding Gallbladder Sludge: Causes, Concerns, and Treatment Options


Understanding Right Upper Abdomen and Flank Pain: When to Seek Help

Pain in the right upper abdomen and flank? Hello, I have a history of fatty liver disease and experience varying degrees of pain in my right abdomen, located around the right rib cage. Sometimes the pain extends to my lower back, and in severe cases, it causes pain and numbness i...


Dr. Chen Jingwen reply Internal Medicine
Hello, possible causes: 1. Fatty liver disease, which is mostly asymptomatic, with very few individuals experiencing mild discomfort in the upper abdomen or under the ribs. 2. Right kidney issues: such as ureteral or kidney stones, tumors, inflammation, or hydronephrosis. 3. Live...

[Read More] Understanding Right Upper Abdomen and Flank Pain: When to Seek Help


Understanding Chronic Hepatitis B: Impacts of Alcoholic Hepatitis and Monitoring Guidelines

Regarding Hepatitis B carriers? Hello. I have been a carrier of hepatitis B for 6.7 years. I undergo blood tests or ultrasounds every six months, and most results are normal, but occasionally there are 1 or 2 exceptions. The most recent report indicated "alcoholic hepatitis&...


Dr. Chen Jingwen reply Internal Medicine
Hello! The r.GT57 is slightly elevated, which may be due to excessive alcohol consumption. Additionally, conditions such as acute hepatitis and liver tumors can also cause an increase. It is advisable to conduct a blood test for alpha-fetoprotein (α-FP) and perform a liver ultras...

[Read More] Understanding Chronic Hepatitis B: Impacts of Alcoholic Hepatitis and Monitoring Guidelines


Chronic Diarrhea and Abdominal Pain: Seeking Medical Advice and Solutions

I have been experiencing diarrhea for a long time..? Dear Doctor: I have been suffering from chronic diarrhea for many years, occasionally experiencing constipation, but mostly diarrhea. Recently, this past week, I have been going to the bathroom an average of twice a day, accomp...


Dr. Chen Jingwen reply Internal Medicine
Hello, the symptoms you mentioned in your letter are very similar to Irritable Bowel Syndrome (IBS). This condition often affects individuals who are prone to anxiety. If the symptoms are severe, it may be advisable to visit a gastroenterology clinic for medication management. It...

[Read More] Chronic Diarrhea and Abdominal Pain: Seeking Medical Advice and Solutions


Understanding Mitral Valve Prolapse: Symptoms, Diagnosis, and Treatment Options

Question Dr. Chen: Hello! I was diagnosed with mitral valve prolapse only this year. I am currently taking Conor for management, but since starting the medication, I have increasingly felt short of breath, especially at night. Sometimes, I feel like I'm in a state of hypoxia...


Dr. Chen Jingwen reply Internal Medicine
Hello, it is recommended to consult a cardiologist for further diagnosis and to accurately identify the cause of "asthma," as this may lead to finding a solution.

[Read More] Understanding Mitral Valve Prolapse: Symptoms, Diagnosis, and Treatment Options


Understanding Elevated Alkaline Phosphatase Levels: What You Need to Know

Elevated alkaline phosphatase levels? Hello Dr. Chen, I would like to ask you a question regarding my recent urine and blood test results. The liver function tests showed the following: - Total Protein: 7.5 g/dL (Reference range: 6.0-8.2 g/dL) - Albumin: 4.43 g/dL (Reference ...


Dr. Chen Jingwen reply Internal Medicine
Hello, elevated alkaline phosphatase levels can have many causes, such as acute hepatitis, liver tumors, hemolytic anemia, bone disorders, and bile duct obstruction. Therefore, it is recommended to seek further evaluation at an internal medicine outpatient clinic.

[Read More] Understanding Elevated Alkaline Phosphatase Levels: What You Need to Know


Understanding the Urgency of Monitoring Polycystic Liver and Kidney Disease

Polycystic liver and kidney disease Dr. Chen: Hello! My father (86 years old) was hospitalized in early January this year due to gastrointestinal bleeding and received treatment in the emergency room of a hospital in Taipei. His condition improved, and he was discharged a week la...


Dr. Chen Jingwen reply Internal Medicine
Hello! 1. Polycystic liver and kidney disease is a genetic condition, and it is recommended to follow up with regular check-ups. 2. CA 19-9 is associated with gastrointestinal tumors such as those in the stomach, intestines, and pancreas, so it is advisable to consult a gastroent...

[Read More] Understanding the Urgency of Monitoring Polycystic Liver and Kidney Disease


Understanding Upper Body Exercise Limitations: Symptoms and Possible Causes

The issue of being completely unable to move the upper body..? Hello: Whenever I engage in any physical activity that involves my upper body, I experience the following symptoms (regardless of the intensity): 1. Extreme dizziness and severe pain in my head 2. My vision becomes co...


Dr. Chen Jingwen reply Internal Medicine
Hello! During exercise, a normal person's oxygen demand increases, leading to enhanced function across various body systems. For instance, the sympathetic nervous system accelerates the heart rate, and the increased oxygen demand causes faster breathing (which may be perceiv...

[Read More] Understanding Upper Body Exercise Limitations: Symptoms and Possible Causes


Understanding Hepatic Calcification: Causes, Concerns, and Follow-Up

Calcification in the right liver lobe? Hello Dr. Chen, I underwent a health check at the joint outpatient center of the National Health Insurance Administration. An abdominal ultrasound revealed a 0.55 cm calcification in the right liver lobe. My AST is 23, ALT is 20, and other l...


Dr. Chen Jingwen reply Internal Medicine
Hello! Right hepatic calcification is generally caused by obstruction of the intrahepatic bile ducts or localized inflammation leading to fibrosis, which gradually calcifies. It may also be due to a previous parasitic infection, where the source of infection (the parasite) dies a...

[Read More] Understanding Hepatic Calcification: Causes, Concerns, and Follow-Up


Sudden Sharp Pain in Right Side of Back While Turning in Bed

Sudden sharp pain on the right side of the back caused by turning over? Hello Dr. Chen, last night when I went to bed, I was lying on my side with my left knee bent and turned to the right when I suddenly experienced a sharp, severe pain on the right side of my back that lasted f...


Dr. Chen Jingwen reply Internal Medicine
Hello! These symptoms are temporary and resolve on their own, especially occurring when changing positions. They are classified as muscle cramps, not a disease, and certainly not a kidney condition. There is no need for a medical consultation; just be mindful of your movements an...

[Read More] Sudden Sharp Pain in Right Side of Back While Turning in Bed


Understanding Post-Meal Back Pain: Causes and Solutions

Postprandial back pain? Dr. Chen: Over two years ago, I started experiencing back pain (located in the middle of the spine, behind the stomach) about 1-2 hours after eating fatty foods (such as chips and fries) before dinner. The pain lasts for several hours and sometimes is seve...


Dr. Chen Jingwen reply Internal Medicine
Hello, your symptoms resemble a gastric ulcer. Please visit the internal medicine or gastroenterology outpatient clinic for an examination. Amylase refers to starch enzyme, not pancreatic enzyme. Normal blood test results can only rule out acute pancreatitis. Thank you! Chen Jing...

[Read More] Understanding Post-Meal Back Pain: Causes and Solutions


Understanding Redness and Swelling in Toes: Gout or Uric Acid?

Redness and swelling? I experience redness and swelling in my toes every winter. Could this be caused by gout or uric acid?


Dr. Chen Jingwen reply Internal Medicine
Hello! When we consume protein-rich foods, they are metabolized into uric acid in the body. Elevated blood uric acid levels can lead to the deposition of urate crystals in soft tissues, joint capsules, or organs such as the kidneys, causing inflammation in the joints, which resul...

[Read More] Understanding Redness and Swelling in Toes: Gout or Uric Acid?


Understanding Pain in Legs After Prolonged Sitting: Causes and Solutions

Prolonged sitting and inability to stand can be symptoms of several conditions, including musculoskeletal disorders, nerve compression, or circulatory issues. It may also indicate conditions such as lumbar disc herniation, sciatica, or peripheral neuropathy. A thorough evaluation...


Dr. Chen Jingwen reply Internal Medicine
Hello! The symptoms you mentioned, such as soreness and weakness in both thighs, seem to be related to posture and do not resemble discomfort caused by high uric acid levels. I recommend that you consult with a rheumatologist and an orthopedic specialist for further examination. ...

[Read More] Understanding Pain in Legs After Prolonged Sitting: Causes and Solutions


Addressing Your Teen's Constipation: Solutions for a Common Concern

I'm really troubled! My son is thirteen years old and typically has a bowel movement about once every one to two days (at most three days), which should be considered fairly normal. However, it is strange that his stools seem particularly large and often clog the toilet, lea...


Dr. Chen Jingwen reply Internal Medicine
Hello! Based on your description, your son's bowel movements are considered normal, but he may not be getting enough fluids and fiber. It is recommended to drink more water (at least 2500 to 3000 cc daily, in addition to food intake), consume more fiber-rich foods such as fr...

[Read More] Addressing Your Teen's Constipation: Solutions for a Common Concern


Understanding Elevated Liver Enzymes: What SGOT and SGPT Levels Mean

Elevated liver enzymes? Hello, I would like to ask a question. If a health check report shows elevated levels of SGOT (AST) at 42 and SGPT (ALT) at 101, what does this indicate about liver health, and how should one pay attention to and manage this situation? Thank you!


Dr. Chen Jingwen reply Internal Medicine
Hello, the liver function indices GOT 42 and GPT 101 may have the following possible causes: 1. Chronic hepatitis, including known hepatitis B and C. 2. Fatty liver: liver function may be abnormally elevated but can also be normal; such indices usually indicate a more benign chan...

[Read More] Understanding Elevated Liver Enzymes: What SGOT and SGPT Levels Mean


Understanding Liver Health: Questions After Acute Hepatitis Diagnosis

Questions about the liver? Last year, I experienced suspected acute hepatitis, with GOT and GPT levels reaching as high as 2000. This is true. 1. I would like to ask if this poses any problems for me and whether there could be other complications. 2. If I become ill again, could ...


Dr. Chen Jingwen reply Internal Medicine
Hello, 1. In cases of acute hepatitis, liver function abnormalities may rise to GOT/GPT levels above 2000. If subsequent tests show normalization, it indicates that the acute hepatitis has resolved; however, it may progress to chronic hepatitis or may have fully healed. This is...

[Read More] Understanding Liver Health: Questions After Acute Hepatitis Diagnosis


What Does an Elevated SGPT Level Mean for Your Liver Health?

What problem does my liver have? I received my health check report from college, and my liver function test showed that my SGPT level is 54, which exceeds the normal range of 5-42. What does this indicate? I generally have a regular routine, do not smoke or drink alcohol, and usu...


Dr. Chen Jingwen reply Internal Medicine
Hello, the liver function test (commonly measured by GPT) shows an elevation of 54. Possible causes include: 1. Chronic hepatitis B or C 2. Fatty liver (caused by obesity, high blood lipids, etc.) 3. Other infections, such as a cold 4. Issues with the gallbladder or bile ducts 5....

[Read More] What Does an Elevated SGPT Level Mean for Your Liver Health?


Understanding Liver Injury: Symptoms and What to Do After a Trauma

Urgent... Regarding liver issues? Hello, doctor. Recently, I was hit while playing basketball, and the impact was around my liver area. It hurt a lot, to the point where I felt weak. After resting for about 5 minutes, the pain subsided. Is it possible that I have a liver rupture?...


Dr. Chen Jingwen reply Internal Medicine
Hello! A liver rupture can cause significant internal bleeding, leading to hypovolemic shock and acute abdominal pain. If not treated urgently, it can be fatal, as the liver is a highly vascular organ. If you experienced a collision and rested for five minutes, it is unlikely to ...

[Read More] Understanding Liver Injury: Symptoms and What to Do After a Trauma


Exploring the Benefits of Arginine: Circulation and Sexual Health

What are the functions of arginine? Hello Doctor: After the metabolism of arginine, nitric oxide (NO) is produced. How effective is the consumption of commercially available arginine supplements in improving peripheral blood circulation? Is there a significant effect on male sexu...


Dr. Chen Jingwen reply Internal Medicine
Arginine metabolism produces nitric oxide (NO), which has vasodilatory effects, thereby improving peripheral blood circulation. There are many causes of sexual dysfunction; if it is due to vascular issues such as atherosclerosis, taking arginine-containing nutritional supplements...

[Read More] Exploring the Benefits of Arginine: Circulation and Sexual Health


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