Over-the-Counter Medications for Digestive Discomfort: What to Know
If you frequently experience stomach discomfort, are there any medications you can take? Hello, doctor. I often experience gastrointestinal issues, such as stomach discomfort and diarrhea. I would like to ask if there are any medications approved by the Department of Health that ...
Dr. Li Huixiong reply Internal Medicine
Although you did not mention or describe more about the symptoms you are experiencing, assuming your diet is still okay, I suspect you may be suffering from Irritable Bowel Syndrome (IBS). You can first consult a gastroenterologist for an initial evaluation. If there are no signi...[Read More] Over-the-Counter Medications for Digestive Discomfort: What to Know
Understanding Right Atrial Enlargement and Sinus Tachycardia in Teens
Questions regarding health check-up reports? Hello Doctor: My sister just started her first year of high school this year, and recently the school arranged for a health check-up. The report indicated that my sister has right atrial enlargement and sinus tachycardia. I would like ...
Dr. Li Huixiong reply Internal Medicine
Right atrial enlargement and sinus tachycardia in your sister should be considered normal, especially if she has a slender, flat upper body. During examinations, right atrial enlargement is often observed, and it is common for both adolescent males and females to experience a fas...[Read More] Understanding Right Atrial Enlargement and Sinus Tachycardia in Teens
Signs of Internal Bleeding After a Fall: What to Watch For
My mother fell and her entire front body hit the stairs? If the abdominal cavity experiences internal bleeding due to trauma, symptoms may include abdominal pain, swelling, and a sensation of fluid in the abdomen. Your mother’s description of feeling a "pool of water" a...
Dr. Li Huixiong reply Internal Medicine
Intra-abdominal bleeding is an emergency. If your mother is feeling very unwell, it is advisable for her to see a hepatobiliary specialist for an abdominal ultrasound, which can quickly determine if there is any intra-abdominal bleeding. If there is no significant bleeding causin...[Read More] Signs of Internal Bleeding After a Fall: What to Watch For
Understanding Blood in Stool: Is It Hemorrhoids or Something Else?
I'm very scared? Hello doctor, I have been experiencing some difficulty with bowel movements lately. It has been over a week since my last bowel movement. After drinking vinegar and eating apples, I finally felt the urge to go. However, when I did, I noticed bright red blood...
Dr. Li Huixiong reply Internal Medicine
Based on your age and the symptoms you described, the likelihood of blood in your stool being caused by constipation is higher, rather than being a result of malignant tumors such as colorectal cancer. Additionally, the abdominal impact from riding a motorcycle a few days ago is ...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something Else?
Understanding Chest Tightness and Abdominal Discomfort: When to Seek Help
Chest tightness... abdominal discomfort..? Dear Doctor, I often feel discomfort in my abdomen after eating certain foods, experiencing a bloated sensation, although it doesn't seem to be gas. Sometimes, I even feel this way in the morning right after waking up, without hav...
Dr. Li Huixiong reply Internal Medicine
This is commonly referred to as indigestion. I recommend the following: 1. Try not to talk while eating. 2. Limit your intake of bamboo shoots, glutinous rice products, legumes, and carbonated beverages such as soda and cola. 3. Avoid overeating; aim for about 70-80% fullness. If...[Read More] Understanding Chest Tightness and Abdominal Discomfort: When to Seek Help
Understanding Right Chest Pain When Lying Down: Causes and Next Steps
Chest pain on the right side when lying down? Dear Dr. Lee: Recently, I have been experiencing pain in my right chest when lying down to sleep. I need to adjust my position (lying on my side) to reduce the pain, and I also experience pain when getting up. Sometimes, I feel pain w...
Dr. Li Huixiong reply Internal Medicine
Your pain seems to be related to changes in posture, particularly in the right chest area. Clinically, it does not appear to be a cardiac issue, nor does it seem to involve the lungs or liver; it is more likely related to a musculoskeletal problem. You can start by scheduling an ...[Read More] Understanding Right Chest Pain When Lying Down: Causes and Next Steps
Understanding Chest Pain: Causes and Concerns for Your Health
Chest pain Hello, doctor! For the past two or three days, I have been experiencing persistent pain in my chest, specifically in an area where a bone protrudes. There hasn't been any external trauma, and the pain is less noticeable when I am relaxed. Some people have suggeste...
Dr. Li Huixiong reply Internal Medicine
At the age of 21, the likelihood of experiencing angina is low. Typically, a protrusion in the chest area is a normal anatomical structure. Have you ever experienced ulcers in your stomach or duodenum? It is possible that you may be dealing with a peptic ulcer or gastric spasms. ...[Read More] Understanding Chest Pain: Causes and Concerns for Your Health
Understanding Liver and Biliary Tumors: A Patient's Guide to Diagnosis and Care
Summary of Hepatobiliary Tumors Hello Dr. Lee, our family is really unfamiliar with medical issues. I have compiled the summary of my mother's condition and diagnosis from her recent visit to the clinic over the past 2-3 days, and I hope you can help us interpret it. Thank y...
Dr. Li Huixiong reply Internal Medicine
AST and ALT are referred to as liver function indices. Your results are 162 and 66, respectively, with normal values typically being less than 40. Elevated levels indicate the presence of hepatitis. Since both HBsAg and anti-HCV tests are negative, I interpret this as non-B and n...[Read More] Understanding Liver and Biliary Tumors: A Patient's Guide to Diagnosis and Care
Understanding Left Chest Pain: Causes and When to Seek Help
Pain Recently, I have been experiencing pain in the lower chest (around the ribs) or on the left side of my chest. Sometimes, it feels uncomfortable to breathe, as if something is pressing down on it, and I have to exert effort to breathe properly. It usually takes about three mi...
Dr. Li Huixiong reply Internal Medicine
Based on your symptoms and considering your age, if you have not been informed by a physician of any history of congenital heart disease, the likelihood of developing heart disease is low, although not impossible. If your symptoms have developed recently, I believe gastrointestin...[Read More] Understanding Left Chest Pain: Causes and When to Seek Help
Understanding and Managing Irritable Bowel Syndrome Symptoms
Irritable Bowel Syndrome (IBS)... Please help me? Duration (several times a day) of pain in both the intestines and stomach has persisted for over 2 years. More than a year ago, I underwent two examinations, and the doctor diagnosed it as irritable bowel syndrome (IBS). However, ...
Dr. Li Huixiong reply Internal Medicine
Irritable bowel syndrome (IBS) is a highly distressing condition that is typically diagnosed based on the patient's self-reported symptoms rather than through laboratory tests. However, it is essential to first rule out any organ abnormalities before making this diagnosis. I...[Read More] Understanding and Managing Irritable Bowel Syndrome Symptoms
Understanding High Cholesterol: The Impact of Diet and Exercise
High cholesterol? Hello, doctor. I recently had a blood test that showed my cholesterol level is as high as 263 mg/dL. However, I exercise at least four times a week, engaging in activities like swimming and brisk walking for over 40 minutes. My daily diet mainly consists of frui...
Dr. Li Huixiong reply Internal Medicine
Having elevated cholesterol levels at your age is indeed unusual and abnormal, especially considering your frequent and intense physical activity. Your caloric intake needs to be carefully monitored to determine if it is excessive; however, if you frequently and excessively consu...[Read More] Understanding High Cholesterol: The Impact of Diet and Exercise
Distinguishing Post-Surgery Lung Scarring from Tuberculosis Calcification
Assessment of Scarring after Thoracotomy and Calcification in Pulmonary Tuberculosis? I was hospitalized six years ago due to a spontaneous pneumothorax in the upper left chest (in 2000). However, due to poor drainage and complications from a pleural fistula surgery, I developed ...
Dr. Li Huixiong reply Internal Medicine
1. When chest X-rays show calcification, it can sometimes be difficult to distinguish whether it is due to surgical changes or residual effects from tuberculosis; detailed medical history inquiry is essential. However, if there is a history of both chest surgery and tuberculosis,...[Read More] Distinguishing Post-Surgery Lung Scarring from Tuberculosis Calcification
Understanding Pulmonary Lobe Calcification: Causes, Treatment, and Prognosis
Lobar calcification 1. What is pulmonary lobe calcification? 2. What causes pulmonary lobe calcification? 3. How should pulmonary lobe calcification be managed? 4. What is the likelihood of recovery from pulmonary lobe calcification? 5. What complications can arise from p...
Dr. Li Huixiong reply Internal Medicine
Your question is more related to pathology and has limited clinical significance. 1. Pulmonary lobe calcification may be suspected on chest X-rays or observed in lung biopsies. 2. The causes may include tissue necrosis or changes after natural degeneration. 3. No treatment is nec...[Read More] Understanding Pulmonary Lobe Calcification: Causes, Treatment, and Prognosis
Understanding Pulmonary Edema: Causes, Symptoms, and Risks
Pulmonary edema Hello Doctor: I have a question to ask. A relative of mine recently passed away abroad. The day before his death, he experienced chest tightness and pain, but it subsided after about ten minutes. The next morning, he felt pain again, but in the afternoon, he passe...
Dr. Li Huixiong reply Internal Medicine
Xiao Jun: Hello, first of all, I would like to clarify that "pulmonary edema" and "hemothorax" are not the same! "Pulmonary edema" in medical terms refers to the abnormal accumulation of fluid within the lung parenchyma, while "hemothorax" ...[Read More] Understanding Pulmonary Edema: Causes, Symptoms, and Risks
Understanding Chest Discomfort: Possible Causes and Concerns
Chest tightness? My mother is currently 54 years old. Over two years ago, she underwent a thyroidectomy due to a tumor. Recently, she mentioned that she occasionally feels a sensation of air rushing up from her chest to her jaw and between her ears, and both her chest and jaw fee...
Dr. Li Huixiong reply Internal Medicine
Erin: Hello, your mother underwent a thyroidectomy two years ago, and recently she has started to occasionally feel discomfort as if air is rising from her chest. I recommend that she consult a cardiologist to check for any heart issues, such as coronary artery problems that coul...[Read More] Understanding Chest Discomfort: Possible Causes and Concerns
Understanding Erythrocytosis: Symptoms, Risks, and Dietary Recommendations
Erythrocytosis Regarding your friend's health check-up, a hemoglobin level of 316,000 (31.6 g/dL) is indeed above the normal range of 270,000 to 310,000 (27.0 to 31.0 g/dL). This condition could suggest polycythemia, which is characterized by an increase in red blood cell ma...
Dr. Li Huixiong reply Internal Medicine
I believe the information you provided is incorrect, and I suggest you review the report again. Polycythemia refers to an abnormal increase in the number of red blood cells, measured in millions! The normal range is between 4.5 million and 5.5 million. However, the number you pro...[Read More] Understanding Erythrocytosis: Symptoms, Risks, and Dietary Recommendations
Understanding Heart Effusion: Causes, Risks, and Treatment Options
Could you please clarify your question for the doctors? Can I ask a question? What is pericardial effusion? Is it treatable? Is it dangerous? Will hospitalization be necessary? Are there any dietary restrictions? I hope to get a clearer answer. Thank you!
Dr. Li Huixiong reply Internal Medicine
In clinical practice, we sometimes refer to congestive heart failure as "cardiac effusion"; however, cardiac effusion can also refer to pericardial effusion, which is the abnormal accumulation of fluid in the space within the pericardium surrounding the heart. This can ...[Read More] Understanding Heart Effusion: Causes, Risks, and Treatment Options
Understanding Granular Stool: Causes and Dietary Solutions
The stool is pellet-like? I have noticed that my stool has recently become darker and grainy (it used to be normal and tubular). I have bowel movements almost every day, but occasionally I feel like I haven't fully emptied my bowels. A long time ago, I experienced a situatio...
Dr. Li Huixiong reply Internal Medicine
A person's bowel movements can be considered normal if they occur anywhere from three times a day to once every three days. The stool is typically soft and somewhat formed. However, there is considerable individual variation, so we usually compare to one's own baseline ...[Read More] Understanding Granular Stool: Causes and Dietary Solutions
Understanding Low Platelet Count: Is Bone Marrow Testing Necessary?
Thrombocytopenia My sister is 16 years old and has low platelet counts. The doctor said she needs a bone marrow biopsy for examination. Is it really necessary to perform a bone marrow biopsy? I really feel reluctant to let her go through this; I've heard it can be quite pain...
Dr. Li Huixiong reply Internal Medicine
Thrombocytopenia, before deciding to perform a bone marrow biopsy, other tests should have already been conducted, and those tests could not determine the cause, which is why the decision to proceed with a bone marrow biopsy was made. I believe no physician would subject a patien...[Read More] Understanding Low Platelet Count: Is Bone Marrow Testing Necessary?
Understanding Bloating: Symptoms, Causes, and When to Seek Help
Bloating? One day, I experienced unexplained headaches, weakness in my limbs, rapid heartbeat (around 117 bpm), nausea, and persistent vomiting. I went to the emergency room, and the doctor suggested it might be due to gastric distension. Are these symptoms indicative of gastric ...
Dr. Li Huixiong reply Internal Medicine
The correlation among the symptoms you described is not very clear. To make an accurate diagnosis, it is essential to inquire about the circumstances of your visit on that day. The physician who treated you likely had substantial reasons for diagnosing "gastric distension.&q...[Read More] Understanding Bloating: Symptoms, Causes, and When to Seek Help