Dr. Liang Jiade reply Gastroenterology and Hepatology Question - Page 3

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Best Foods and Remedies for Stomach Ulcers: What to Eat?

What foods are better for gastric ulcers? Our teacher recently developed a gastric ulcer. Are there any home remedies for gastric ulcers? What supplements would be beneficial?


Dr. Liang Jiade reply Gastroenterology and Hepatology
Patients with gastric ulcers must take their prescribed medications (antacids) on time and avoid irritating foods. Additionally, it is important to check for Helicobacter pylori infection; if present, antibiotic treatment must be included.

[Read More] Best Foods and Remedies for Stomach Ulcers: What to Eat?


Understanding Liver Cancer: Symptoms, Diagnosis, and Next Steps

Liver cancer Hello, doctor. My older brother is 41 years old and has a habit of heavy drinking. Recently, he has been feeling very fatigued, has some abdominal swelling, experiences hard stools that are dark brown in color, and has a persistent fever that does not subside (38.5 d...


Dr. Liang Jiade reply Gastroenterology and Hepatology
If you wish to be referred to another hospital, please prepare your previous examination records to reduce the time for subsequent duplicate tests.

[Read More] Understanding Liver Cancer: Symptoms, Diagnosis, and Next Steps


Understanding Abdominal Pain: Causes and Management in Gastroenterology

Localized abdominal pain issues? Hello, I have recently experienced pain in a small area about 6 to 7 centimeters above my navel, approximately 2 cm in diameter, which hurts when pressed. Additionally, my digestion has not been very good for the past few months. I am unsure what ...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, if you have polyps in your gastrointestinal tract (including the stomach, small intestine, and large intestine) and a family history of colorectal cancer, it is recommended to undergo surveillance colonoscopy and gastroscopy every 1-2 years, as well as to check tumor marke...

[Read More] Understanding Abdominal Pain: Causes and Management in Gastroenterology


Understanding the Difference Between Hepatitis B Surface Antigen and Antibody

The difference between Hepatitis B surface antigen (HBsAg) and Hepatitis B surface antibody (anti-HBs) is as follows: HBsAg is a protein on the surface of the Hepatitis B virus, indicating an active infection. The presence of HBsAg in I previously went for a check-up for hepati...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, a positive Hepatitis B surface antigen indicates an infection with Hepatitis B virus. It is recommended to regularly monitor liver function and undergo ultrasound examinations. Hepatitis B surface antibodies refer to the body's immunity against the Hepatitis B virus. ...

[Read More] Understanding the Difference Between Hepatitis B Surface Antigen and Antibody


Understanding Diarrhea: Differences, Dietary Tips, and Age Considerations

Diarrhea Hello Dr. Liang, I would like to ask you two questions. What is the difference between diarrhea and fecal impaction? What kind of diet should be recommended for chronic diarrhea? Are the recommendations the same for the elderly and the young? I hope you can provide me wi...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, 1. Diarrhea is defined as an increase in the frequency and volume of bowel movements, along with an increase in the water content of the stool, resulting in loose or watery stools. In contrast, fecal impaction occurs due to dietary factors, gastrointestinal tract disorde...

[Read More] Understanding Diarrhea: Differences, Dietary Tips, and Age Considerations


Understanding Stomach Pain: Causes and Solutions for Digestive Issues

Stomach pain Hello Doctor, I would like to ask you a few questions. I don't know when it started, but I have been feeling the urge to pass gas whenever I sit on a chair. I can't figure out why; I never used to have this issue, but it suddenly started happening. It seems...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, your symptoms may be related to gastrointestinal dyspepsia and mild constipation. It is important to clarify your bowel habits and related symptoms further. Please start by increasing your physical activity and consuming more fruits and vegetables that are high in fiber.

[Read More] Understanding Stomach Pain: Causes and Solutions for Digestive Issues


Understanding Hepatitis B Markers: HBsAg and Anti-HBs Explained

Hepatitis B index Hello, Doctor: I would like to ask about two items in my previous health examination report: the standard value for HBsAg (Hepatitis B surface antigen) is (-) while the test result is (+ + +), and the standard value for Anti-HBs (Hepatitis B surface antibody) is...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, typically for hepatitis B serological tests, there is no need to pay attention to the differences in values, as each laboratory or hospital has different testing methods and reference ranges. Your test results indicate that you are a carrier of hepatitis B. AST is also kno...

[Read More] Understanding Hepatitis B Markers: HBsAg and Anti-HBs Explained


Understanding Hepatitis B: Isolation, Prevention, and Newborn Care

Hepatitis B 1. Do patients with hepatitis B need to be isolated during hospitalization? 2. What measures can be taken to prevent transmission to others? 3. Are there specific isolation methods for newborns? Thank you.


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, hepatitis B does not require isolation at home, in the hospital, or in terms of diet, as it is transmitted through contact with blood or bodily fluids. Therefore, if there are any wounds, it is essential to avoid contact with the blood of a hepatitis B patient. Additionall...

[Read More] Understanding Hepatitis B: Isolation, Prevention, and Newborn Care


Understanding Hepatitis B: Risks, Treatments, and Myths Explained

Hepatitis I am 29 years old and recently discovered that I am a carrier of hepatitis B, with a positive HBeAg. My liver function tests are normal; total bilirubin is 1.3 mg/dL, direct bilirubin is 0.3 mg/dL, and an ultrasound showed a rough texture of the liver. The lab technicia...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, it is recommended to regularly monitor liver function and undergo ultrasound examinations. Your liver function is currently normal. Although HBeAg is positive, antiviral medication treatment is not advised. To date, there is no research or literature in traditional Chinese...

[Read More] Understanding Hepatitis B: Risks, Treatments, and Myths Explained


Understanding Gastrointestinal Stromal Tumors: Risks, Treatments, and Resources

Gastrointestinal stromal tumor (GIST) Dear Dr. Liang, I have a question regarding my father. After undergoing a gastric examination and surgery at the hospital, he was diagnosed with a gastrointestinal stromal tumor (GIST). I would like to ask you: 1. What is a gastrointestinal...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Gastrointestinal stromal tumors (GISTs) are tumors that arise from interstitial cells of Cajal (spindle cells or epithelial-like cells). They primarily occur in middle-aged and older adults, with 70% located in the stomach, 20-30% in the small intestine, and others in various gas...

[Read More] Understanding Gastrointestinal Stromal Tumors: Risks, Treatments, and Resources


Understanding Bloating and Gas: Concerns About Colon Cancer Risk

Gastrointestinal tract I often feel bloated in my abdomen and have a sensation of gas movement. I frequently need to burp and pass gas. I have undergone a health check-up, and all results were normal, including carcinoembryonic antigen (CEA) at 0.34 and alpha-fetoprotein (AFP) at...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, having a family history of cancer is just one of the risk factors for developing cancer. Tumor markers (such as CEA, AFP, etc.) are also only one of the indicators used for screening or monitoring. No single marker can determine a diagnosis. There is no need for excessive ...

[Read More] Understanding Bloating and Gas: Concerns About Colon Cancer Risk


Evaluating Liver Tumors: MRI Accuracy and Biopsy Risks Explained

Diagnosis of liver tumors? I underwent an ultrasound examination two weeks ago, which revealed a tumor approximately four centimeters in diameter. A subsequent CT scan could not determine whether it was a hemangioma or liver cancer (blood tests for GOT, GPT, and alpha-fetoprotein...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, liver tumors are often not diagnosable with a single imaging examination with 100% certainty. It is necessary to evaluate the characteristics of various tests or to use multiple examinations simultaneously for assessment. Of course, a biopsy for pathological or cytological...

[Read More] Evaluating Liver Tumors: MRI Accuracy and Biopsy Risks Explained


Managing Upper Right Abdominal Pain and Bloating: Tips for Relief

Right upper abdominal pain radiating to the back, accompanied by bloating to the point of difficulty breathing? I have long working hours and irregular meal times, and I have been under constant pressure from sales performance, which has resulted in poor sleep quality. I often ex...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, long-term emotional stress from work and irregular eating habits are the most common causes of gastrointestinal dyspepsia. The best solution is to eliminate these aggravating factors to achieve a complete resolution. Relying solely on medication often does not provide a co...

[Read More] Managing Upper Right Abdominal Pain and Bloating: Tips for Relief


Understanding Rectal Pain: Symptoms and Top Colorectal Surgeons in Taichung

Colorectal Surgery Symptoms: A sensation of a foreign body entering the anus, occurring infrequently. There has been no weight loss, no blood in the stool, and no pain during bowel movements. The discomfort only occurs while sitting, and there are occasional sharp pains in the lo...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, a feeling of foreign body sensation in the anal area is most commonly associated with hemorrhoids, inflammation around the anus, or abnormalities of the anal sphincter. A medical examination or further diagnostic tests are necessary to determine the exact cause. Additional...

[Read More] Understanding Rectal Pain: Symptoms and Top Colorectal Surgeons in Taichung


Do I Need Surgery for a 0.5cm Gallstone? Dietary Control Options

0.5 cm gallstone I recently went to the hospital for a health check-up and an abdominal ultrasound revealed a 0.5 cm gallstone. Do I need to have surgery to remove it, or can I manage it with dietary control? I have not experienced any discomfort so far. Thank you for your respon...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, asymptomatic gallstones generally only require regular monitoring and do not necessitate immediate surgery. If you experience abdominal pain, please visit a hospital to check if it is related to gallstones, and then decide whether surgical treatment is necessary.

[Read More] Do I Need Surgery for a 0.5cm Gallstone? Dietary Control Options


High SGPT Levels with Normal SGOT: Understanding Liver Health Concerns

The SGPT level is elevated, while the SGOT level is normal? Hello Dr. Liang, I recently participated in a company health check-up, and the results for my liver, gallbladder, kidney function, and blood lipids are all normal. However, my SGPT level is two and a half times the maxim...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, excessive fatigue, prolonged staying up late, medication use, and fatty liver can potentially lead to elevated liver function indices, but other various causes must also be considered. Furthermore, it is necessary to monitor changes in liver function values over time. If t...

[Read More] High SGPT Levels with Normal SGOT: Understanding Liver Health Concerns


Understanding Liver Tumor Concerns: A Guide for Hepatitis B Carriers

excuse me? Hello Dr. Liang: I am a freshman in college and a carrier of hepatitis B (vertically transmitted). In my recent ultrasound and CT scan, a mass approximately 3 cm in size, suspected to be a tumor, was found. However, my blood tests showed alpha-fetoprotein at 1.2, liver...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, during your ultrasound and CT scan, a suspicious mass was found. Tumors in the liver can be classified into two main categories: benign and malignant. Benign tumors include hemangiomas, focal nodular hyperplasia, adenomas, hyperplastic nodules, and focal steatosis, among o...

[Read More] Understanding Liver Tumor Concerns: A Guide for Hepatitis B Carriers


Understanding Chronic Diarrhea: When to Seek Further Gastrointestinal Evaluation

Diarrhea issues? Hello, Doctor. I am your patient who visited you about a week ago. For the past 2 to 3 weeks, I have been experiencing diarrhea every morning after breakfast. I have been taking the medication you prescribed on time, but my condition has not improved; I still hav...


Dr. Liang Jiade reply Gastroenterology and Hepatology
The patient has returned for outpatient treatment.

[Read More] Understanding Chronic Diarrhea: When to Seek Further Gastrointestinal Evaluation


Is Your Lower Abdomen Protruding? Understanding Possible Internal Issues

Abdominal protrusion? Hello, I am 160 cm tall and weigh 53 kg, with measurements of 33-31-34. I have noticed that my lower abdomen is particularly protruding. I have a previous medical history of gastrointestinal issues (early-stage gastric ulcer). I would like to ask if the abno...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, the protrusion of the lower abdomen you mentioned is usually related to body posture and the distribution of subcutaneous fat. It is also important to rule out any abnormal tumors or structures within the abdominal cavity. This should be assessed in conjunction with other ...

[Read More] Is Your Lower Abdomen Protruding? Understanding Possible Internal Issues


Advancements in BPRS74 for Treating Chronic Hepatitis C

Progress in the Treatment of Hepatitis C with BPRS74 Hello Dr. Liang, my wife is a chronic hepatitis C patient. Recently, I learned from a website in Taiwan about an old drug numbered BPRS74 that may be used to treat hepatitis C, and its efficacy is reported to be better than int...


Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, I apologize, but regarding the BPRS74 used for the treatment of hepatitis C, it is part of a study by the National Health Research Institutes, and I am not involved in this research. As for its progress, I am unaware. However, since there have not yet been any human trials...

[Read More] Advancements in BPRS74 for Treating Chronic Hepatitis C


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