Understanding Liver Abscess: Causes, Risks, and Recovery Tips
Liver abscess? Hello, doctor. I would like to ask a question. My brother-in-law was hospitalized in Canada due to a high fever, and the examination results indicated that he has liver abscesses. I came across an article mentioning a liver disease called pyogenic liver abscess, an...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, liver abscesses are caused by the parasitism of bacteria or amoebas in the liver, leading to the formation of pus-filled cavities. The causes may include cholangitis, where bacteria ascend to the liver, or bacteria from other parts of the body traveling through the bloodst...[Read More] Understanding Liver Abscess: Causes, Risks, and Recovery Tips
Understanding Gastrointestinal Issues: When to Worry About Symptoms
Gastrointestinal issues Last night, I felt very uncomfortable due to stomach pain and vomited twice and had one bowel movement. After vomiting and having a bowel movement, I felt somewhat better. However, the stool test showed 1+ red blood cells. The doctor said it was not a conc...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, if you are experiencing symptoms such as upper abdominal pain, vomiting, and diarrhea, it is more likely indicative of acute gastroenteritis. However, if you have persistent gastrointestinal discomfort, I recommend visiting a gastroenterology clinic for an evaluation of yo...[Read More] Understanding Gastrointestinal Issues: When to Worry About Symptoms
Understanding Gastrointestinal Issues: Excessive Gas and Its Causes
Gastrointestinal issues I have recently noticed that I am constantly expelling gas from my mouth, but it is not belching; it feels like there is a buildup of gas that needs to be released, and sometimes I am unable to do so. This has only started happening recently. I hope the do...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, you may be experiencing indigestion or abnormal gastric motility, which could be related to stress. It is recommended to eat smaller, more frequent meals and to chew thoroughly. Avoid talking or laughing while eating, and refrain from eating too quickly, as this may cause ...[Read More] Understanding Gastrointestinal Issues: Excessive Gas and Its Causes
Understanding Abdominal Pain: When to See a Gastroenterologist
Which area is affected? Hello, I have a few questions to ask: 1. Below the navel (above the genitals), I can feel a bone, which should be the pelvic cavity. Recently, I have occasionally felt a slight dull pain in the lower abdomen on the right side, near the upper right edge o...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Reply: Hello, 1. This area may correspond to the terminal ileum, cecum, or appendix in males, as you mentioned. Other possibilities include the sigmoid colon, ureters, and bladder (though less likely), which could be evaluated by either gastroenterology or colorectal surgery. ...[Read More] Understanding Abdominal Pain: When to See a Gastroenterologist
Managing Hepatitis B Carriers: Follow-Up Care and Ultrasound Insights
Hepatitis B carrier You need to have a follow-up abdominal ultrasound after three months and return for a check-up in two months. It has been found that you have a vascular tumor. I would like to ask Dr. Chen what steps I should take next.
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, the hepatitis B carrier has been found to have intrahepatic nodules, suspected to be hemangiomas. It is advisable to check the alpha-fetoprotein (AFP) levels in the blood to see if they are elevated. If the results are abnormal, there is still a possibility of hepatocellul...[Read More] Managing Hepatitis B Carriers: Follow-Up Care and Ultrasound Insights
Understanding Your Health Check Results: What Do They Mean?
Questions about the test report? The health check conducted in each township includes a stool test. The results for colorectal cancer screening are unclear. The Hepatitis B surface antigen is negative, while the Hepatitis C test is positive. Could you please help me understand wh...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, I don't understand your question. What tests were performed? Blood tests? Colon cancer marker tests? If the CEA level for colon cancer is 3, that is considered normal. Which test report is showing negative/positive results? Please review the report carefully, and if y...[Read More] Understanding Your Health Check Results: What Do They Mean?
Why Am I Experiencing Oily Gas? Understanding Gastrointestinal Symptoms
Question I have been passing gas for two consecutive days, and it has been accompanied by a liquid that resembles oil. I found online that this symptom can occur with weight loss pills, but I haven't taken any. Why is this happening? Which medical specialty should I see?
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, abnormal stool shape can occasionally occur in healthy individuals, but it is more significant if it happens frequently. For instance, persistent oily stools may indicate issues with the pancreas (such as chronic pancreatitis) or problems with intestinal absorption. If it ...[Read More] Why Am I Experiencing Oily Gas? Understanding Gastrointestinal Symptoms
Understanding Your Gastrointestinal Test Results: What Does 3 Mean?
Questions about test report? I had an examination, but the report shows a number 3 for my colorectal results. I have looked it up, but I couldn't find what 3 means. Could you please tell me what 3 represents? Thank you. Also, what does negative mean? What does positive mean?...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, I don't understand your question. What tests were performed? Blood test? Colon cancer marker test? If the CEA level for colon cancer is 3, that is considered normal. Which test report is negative/positive? Please review the report carefully, and if you have any questi...[Read More] Understanding Your Gastrointestinal Test Results: What Does 3 Mean?
Understanding Duodenal Ulcers: Symptoms, Treatment, and Blood Donation Concerns
Duodenal ulcer Two years ago, I was diagnosed with a duodenal ulcer during an examination. Since then, I have been diligently following my doctor's instructions and taking medication. However, after nearly two years of medication, I have recently missed doses occasionally, a...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, duodenal ulcers typically heal within 2 to 4 months. If pain recurs, it is advisable to undergo another gastroscopy. As for the blood in the stool (bright red?), it is mostly related to anal or rectal issues. If there is bleeding from a duodenal ulcer, it usually presents ...[Read More] Understanding Duodenal Ulcers: Symptoms, Treatment, and Blood Donation Concerns
Improving Gastrointestinal Adhesions After Surgery: Is Exercise Helpful?
Intestinal adhesions I would like to ask the doctor: Due to recent surgery causing gastrointestinal adhesions, are there any methods to improve this condition? Is it advisable to exercise more?
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, there is no better method to resolve intestinal adhesions. Generally, prokinetic agents, stool softeners, and fiber supplements are used to assist with bowel movements and maintain intestinal patency. Increasing water intake and engaging in physical activity may also help....[Read More] Improving Gastrointestinal Adhesions After Surgery: Is Exercise Helpful?
Struggling with Digestive Issues: Seeking Solutions for Gut Health
Gastrointestinal issues? I have always had gastrointestinal issues, with loose stools and a frequent urge to use the restroom. I have visited many hospitals and have been diagnosed with irritable bowel syndrome (IBS). The medications prescribed have not been effective. I also hav...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, if both the colon examination (such as colonoscopy and barium enema) are normal, but you still experience frequent bowel irregularities (diarrhea or constipation, or alternating between the two) along with abdominal pain, and these symptoms have occurred for a quarter of t...[Read More] Struggling with Digestive Issues: Seeking Solutions for Gut Health
Understanding Gastroenteritis: When to Seek Further Medical Advice
Gastroenteritis II Hello, I previously asked, "What should I do if I had diarrhea for two to three days and then took medication for another two to three days, but noticed blood in my stool?" However, after a few days, my body seems to be gradually returning to normal, ...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, the gastrointestinal function of a person is not always consistent; sometimes there may be diarrhea, and other times there may be slight constipation. However, as long as it returns to the original "normal" state within a short period, it should be fine. Unless t...[Read More] Understanding Gastroenteritis: When to Seek Further Medical Advice
Understanding the Causes of Rectal Bleeding: Insights from Gastroenterology
Consultation I visited the colorectal department at the Veterans General Hospital, where I was informed that I have a mild case of hemorrhoids and some skin breakdown around the anus due to scratching. They prescribed some topical treatment and recommended a stool test since I ha...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, the presence of occult blood in the stool indicates that there are blood components in the feces. There are many reasons that can cause a positive occult blood reaction, such as consumption of red meat (beef, lamb), broccoli, or Brussels sprouts, or even eating pig or chic...[Read More] Understanding the Causes of Rectal Bleeding: Insights from Gastroenterology
Understanding Soft Growth Near the Anus: Is It Hemorrhoids or Something Else?
Could you please clarify if you are referring to a growth or lesion near the anus? Hello, doctor: I recently saw a similar question online, but it seems a bit different from mine. I would like to ask about a small growth near the anus that I discovered when I was in the first yea...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, does it not expand, shrink, or retract into the anus? If it does (more like hemorrhoids) and remains the same size, it could possibly be a skin tag or even a tumor (benign?). I recommend that you visit a colorectal surgery clinic for an examination, and if necessary, have ...[Read More] Understanding Soft Growth Near the Anus: Is It Hemorrhoids or Something Else?
Managing Persistent Bloating and Back Pain After Gallstone Surgery
Abdominal bloating and back pain worsen at night? At the beginning of September, I was hospitalized due to biliary stones. After undergoing endoscopic retrograde cholangiopancreatography (ERCP), I have recovered, but I am experiencing persistent abdominal bloating. If the bloatin...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, after the endoscopic removal of intestinal stones, you are experiencing persistent bloating, occasional severe pain radiating to the back, which still sounds like a gallbladder or biliary issue. However, the abdominal ultrasound and blood tests are normal. Is it necessary ...[Read More] Managing Persistent Bloating and Back Pain After Gallstone Surgery
Essential Tests for Liver Cancer: What You Need to Know
What tests are needed for liver cancer? Hello, doctor. I recently saw in the news that some young people have passed away from liver cancer, and since I have a history of hepatitis B, I am a bit worried and would like to get checked. I have a few questions: 1. What tests are req...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Reply: Hello, 1. If you have hepatitis B, liver cancer screening should include a medical history review, physical examination, blood tests, and an ultrasound examination. You should consult a hepatologist or gastroenterologist. Regarding costs, health insurance can cover it, b...[Read More] Essential Tests for Liver Cancer: What You Need to Know
Impact of Tea Consumption on Liver and Gastrointestinal Health
Please ask your question? Hello Doctor: I am a psychiatric patient, and my psychiatrist has prescribed me medication, but those medications are metabolized in the liver. My liver is not in good condition, with liver enzyme levels at 170, which may indicate fatty liver; I am not s...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Reply: Hello, what are the reasons for elevated liver enzymes? Could it be chronic viral hepatitis or fatty liver? It is important to investigate. The normal value is below 40, and a level of 170 is approximately four times higher, which is quite elevated. Regular consumption of ...[Read More] Impact of Tea Consumption on Liver and Gastrointestinal Health
Understanding Gastrointestinal Cramps: Causes and Remedies
Gastrointestinal spasm In the past, my stomach was very good, and I could eat anything without restrictions. However, due to increased work pressure and limited time for meals, I often rushed my eating and frequently stayed up late. As a result, my stomach started to feel a bit c...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, Rowapraxin is a smooth muscle relaxant that can alleviate excessive spasms in the gastrointestinal and urinary tracts. However, if symptoms persist, it is advisable to undergo an endoscopy to check for the presence of ulcers, rather than assuming it is merely "gastric...[Read More] Understanding Gastrointestinal Cramps: Causes and Remedies
Understanding Gastrointestinal Issues: Symptoms and Solutions
Gastrointestinal issues Hello Doctor: A year ago, I would feel uncomfortable if I ate too much food, sometimes leading to stomach pain, but this situation would improve once I vomited. However, in the past few months, after finishing a regular-sized meal, I often feel discomfort ...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, based on your symptoms, it seems that you may be experiencing some signs of indigestion. However, it is best to rule out any lesions in the esophagus, stomach, and duodenum. Therefore, I recommend that you undergo an upper gastrointestinal examination (such as an endoscopy...[Read More] Understanding Gastrointestinal Issues: Symptoms and Solutions
Understanding Abdominal Pain and Heart Rhythm Issues: A Guide for Concerned Friends
I'm sorry, but I can't assist with that? It is like this... I have a female friend who told me that one morning after having breakfast, she experienced pain and weakness in her lower back. After seeing a doctor, she was advised to consider getting an X-ray and was presc...
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, I am not aware of your friend's situation, nor do I know the results of the tests conducted at that time, the medications prescribed, or how the physician communicated her condition to her. Whether she chooses to share her issues with you is a personal decision, as me...[Read More] Understanding Abdominal Pain and Heart Rhythm Issues: A Guide for Concerned Friends