Understanding Positive Hepatitis B Test Results: Next Steps for Treatment
Positive for Hepatitis B? Hello Doctor: Today I received my health check report and saw that my Hepatitis B surface antigen (HBsAg) is positive. I reviewed my health check reports from previous years, and they all showed negative results. The report from September 9, 2011, was ne...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, regarding Hepatitis B, a previously negative HBsAg can now be positive, indicating a possible Hepatitis B infection. Blood tests can be performed in an outpatient setting to confirm and assess liver inflammation. Most adults infected with Hepatitis B (about 80%) will impro...[Read More] Understanding Positive Hepatitis B Test Results: Next Steps for Treatment
Understanding Lower Abdominal Pain Below the Navel: Causes and Concerns
Sharp pain in the abdomen just below the navel? I experience a sharp pain in the lower abdomen, extending to the genital area, which usually lasts no longer than 30 seconds. However, today it suddenly lasted for more than 3 minutes. I generally have gastrointestinal issues and te...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: Lower abdominal pain may be related to gastrointestinal, urinary tract, ovarian, uterine issues, or ovulation pain among gynecological problems. You can consult specialists in gastroenterology, obstetrics and gynecology, urology, or family medicine. Wishing you safety and ...[Read More] Understanding Lower Abdominal Pain Below the Navel: Causes and Concerns
Concerns About Swallowing a Toothpick: What You Need to Know
Suspected ingestion? Hello, doctor. Two weeks ago, while helping a colleague with some items, I may have accidentally ingested something. During that time, I was experiencing persistent discomfort in my head and have a habit of biting on a toothpick to relieve some of the tension...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, A 32-year-old male is concerned about accidentally swallowing a toothpick. While some toothpicks may pass through the digestive tract without issue, a small portion can cause perforation and inflammation, such as mediastinitis or purulent peritonitis. Symptoms typically ...[Read More] Concerns About Swallowing a Toothpick: What You Need to Know
Understanding Decreased Appetite: Possible Causes and Concerns
Decreasing appetite? Hello doctor, I would like to ask about my condition. I have not had an appetite for quite some time (about three weeks). Initially, although I lacked appetite, I was still able to eat a substantial amount of food. However, my food intake has decreased signif...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: You are experiencing a decreased appetite, feeling full after eating small amounts, occasional dizziness, loose stools, and abdominal sounds. Medication has not improved your condition, and you have symptoms of panic disorder. Differential diagnoses include gastroenteritis...[Read More] Understanding Decreased Appetite: Possible Causes and Concerns
Understanding Black Specks in Stool: When to Seek Medical Advice
Black specks or flecks in stool? Hello Doctor: I am a 26-year-old male and have been experiencing gastroesophageal reflux and upper gastrointestinal issues for the past two weeks. I have sought medical attention and am currently taking medication for ulcers and enzymes. I have al...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, there is mild pressure in the lower left abdomen. The abnormal dark color of the stool may be related to the food consumed. An abnormal stool can be evaluated through a stool test to check for any issues; if abnormalities are found, further examination is necessary. Anxiet...[Read More] Understanding Black Specks in Stool: When to Seek Medical Advice
When to Schedule Your Next Colonoscopy: Understanding Symptoms and Concerns
Colonoscopy The patient has been diagnosed with irritable bowel syndrome since elementary school and has undergone stool occult blood tests during this period, all of which were negative. The patient experiences intermittent abdominal discomfort, which improves with probiotics bu...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 30-year-old male has irritable bowel syndrome and underwent a colonoscopy 14 months ago, which was normal. He has experienced mucus and blood in his stool, but fecal occult blood tests were negative. There has been no change in weight, and there is no family history of c...[Read More] When to Schedule Your Next Colonoscopy: Understanding Symptoms and Concerns
Understanding Fatty Liver: Is It the Same as Cirrhosis or Hepatitis?
I have fatty liver disease? I was diagnosed with severe fatty liver during a recent health check-up. Does this mean I have cirrhosis or hepatitis? Can appropriate exercise help eliminate this condition? I've been experiencing bloating and frequent burping lately; is this rel...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, cirrhosis indicates severe liver fibrosis, which may lead to impaired liver function. In severe cases, symptoms may include jaundice, ascites, hepatic encephalopathy, and bleeding from esophageal varices. Fatty liver disease is characterized by the accumulation of triglyce...[Read More] Understanding Fatty Liver: Is It the Same as Cirrhosis or Hepatitis?
Understanding Fatty Liver: Is It Linked to Cirrhosis or Hepatitis?
I have fatty liver disease? I was diagnosed with severe fatty liver during a recent health check-up. Does this mean I have cirrhosis or hepatitis? Can appropriate exercise help eliminate it? I've been experiencing bloating and frequent burping lately; is this related?
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, cirrhosis indicates severe liver fibrosis, which may impair liver function. In severe cases, symptoms such as jaundice, ascites, hepatic encephalopathy, and esophageal variceal bleeding may occur. Fatty liver disease is characterized by the accumulation of triglycerides in...[Read More] Understanding Fatty Liver: Is It Linked to Cirrhosis or Hepatitis?
Can People with Stomach Ulcers Eat Salty Crackers?
Can a person with a stomach ulcer eat salty crackers? Can patients with gastric ulcers eat salty crackers?
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 21-year-old female with a gastric ulcer can eat salty crackers. When dealing with a gastric ulcer, it is important to pay attention to diet in addition to medication. A gentle, fresh, and regular diet is recommended, avoiding overly sweet, oily, or spicy foods. Limit con...[Read More] Can People with Stomach Ulcers Eat Salty Crackers?
Understanding Diarrhea: When to Consider a Colonoscopy
Diarrhea issues? Hello Doctor, a few days ago my bowel movements were normal, but recently I have started experiencing diarrhea for the past 2 to 3 days. There is no abdominal pain, and the amount of stool each time is very small. I need to use the restroom 4 to 5 times a day. I ...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: A 24-year-old male has been experiencing normal bowel movements but has had diarrhea for the past 2-3 days, with a frequency of 4-5 times per day, without blood in the stool. Changes in bowel habits can commonly be attributed to causes such as gastroenteritis, irritable bo...[Read More] Understanding Diarrhea: When to Consider a Colonoscopy
Understanding CA19-9 and Amylase Levels in Pancreatic Cancer Diagnosis
CA19-9 Issues The CA 19-9 level of 76.2 and the amylase level of 47 can provide insights into pancreatic health. CA 19-9 is a tumor marker often elevated in pancreatic cancer, with levels above 37 U/mL typically indicating a potential malignancy. A level of 76.2 suggests a possib...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, CA 19-9: 76.2 is elevated and abnormal. Amylase is 47, which is within the normal range. CA 19-9 is a tumor marker associated with pancreatic cancer, but it has low specificity and sensitivity. Conditions such as biliary diseases, gallstones, pancreatitis, gastrointestin...[Read More] Understanding CA19-9 and Amylase Levels in Pancreatic Cancer Diagnosis
Understanding Bowel Issues: When to Worry About Rectal Pain and Bleeding
Bowel issues Hello Doctor, I recently experienced rectal bleeding during bowel movements, and after a digital rectal examination at a large hospital, I was diagnosed with an anal fissure. No further tests were conducted. However, the bleeding has recurred, and I am experiencing p...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 17-year-old female is experiencing bowel issues—severe anal fissures causing bleeding and pain. Diarrhea or difficulty in bowel movements can exacerbate the fissure problem. It is important to drink plenty of water, increase fiber intake, engage in moderate exercise, and...[Read More] Understanding Bowel Issues: When to Worry About Rectal Pain and Bleeding
Safe Hemorrhoid Treatments for Pregnant Women: What You Need to Know
Hemorrhoid medication for pregnant women? I had hemorrhoid issues before pregnancy, and now I am experiencing bleeding hemorrhoids during pregnancy. I would like to inquire whether I can use the two ointments I previously used, Yizhi Kang Ointment and New York Hemorrhoid Ointment...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: For a 36-year-old pregnant woman with hemorrhoidal bleeding, topical hemorrhoid ointments should be safe to use. However, if the bleeding is severe, please seek medical attention, as significant bleeding can lead to anemia. The above information is for reference. Wishing y...[Read More] Safe Hemorrhoid Treatments for Pregnant Women: What You Need to Know
Understanding Sudden Lipase Spikes After Acute Pancreatitis
Lip levels suddenly exceed the normal range? Hello, doctor. I was hospitalized last week due to acute pancreatitis, and my lipase level was 119 upon admission. However, it suddenly spiked to 500 before my discharge, which caused me to stay an additional two days. A follow-up bloo...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: Lipase may be elevated during pancreatitis. The rise occurs more slowly but remains abnormal for a longer duration. Symptoms are the primary focus, and laboratory tests are only for reference. Amylase and lipase are digestive enzymes secreted by the pancreas. When the panc...[Read More] Understanding Sudden Lipase Spikes After Acute Pancreatitis
Understanding Liver Cirrhosis and Biliary Issues: Treatment Options
Cirrhosis and bile issues? Hello, Director: I have been undergoing blood tests for monitoring at the Hepatobiliary and Gastroenterology Department of a hospital in Zhongli for a long time. A few years ago, my GGT level was found to be over 300, and the doctor has been prescribing...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 54-year-old male has a medical history indicating that he has liver cirrhosis, which is attributed to chronic hepatitis. The causes of cirrhosis can include viral hepatitis such as hepatitis B and C, alcoholic liver disease, autoimmune conditions, cardiac issues, biliary...[Read More] Understanding Liver Cirrhosis and Biliary Issues: Treatment Options
Understanding Gastritis: Causes, Symptoms, and Dietary Tips for Relief
Gastrointestinal discomfort Two days ago, after suddenly feeling full, I experienced severe pain above my navel that lasted all night, preventing me from sleeping. Later, I took an over-the-counter medication called "Zhi Ni Kui," and I unknowingly fell asleep. The next ...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 33-year-old female. Recurrent abdominal pain occurs after meals, lasting 10-20 minutes each time. There has been improvement with medication for ulcers and gastroesophageal reflux at night. Gastroscopy and ultrasound examinations show gastritis. Dietary recommendations f...[Read More] Understanding Gastritis: Causes, Symptoms, and Dietary Tips for Relief
Understanding Blood and Mucus in Stool: Possible Gastrointestinal Issues
The stool contains fresh blood and white, thick substances? After having a bowel movement in the morning, I noticed a white, thick substance mixed with the stool, and there was fresh blood when I wiped my bottom. I don't have any abdominal discomfort. This situation occurs a...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: The presence of white, thick substances in the stool may indicate sloughed epithelial mucus from the colon. If there is fresh blood when wiping the anus, occurring every 2-3 days, common causes include hemorrhoids, anal fissures, colitis, and colorectal tumors. Prolonged b...[Read More] Understanding Blood and Mucus in Stool: Possible Gastrointestinal Issues
Understanding Hepatitis B: Key Insights for Family Health Management
Regarding Hepatitis B? Hello Doctor: Recently, my mother (70 years old) underwent a health check-up, and the ultrasound revealed signs of liver degeneration. She has also had a clinic health examination and an upper gastrointestinal endoscopy, which showed the presence of Helicob...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: HBsAg (+) *243.300 indicates a carrier of Hepatitis B, who requires regular monitoring every six months, including blood tests and abdominal ultrasounds. Hepatitis B is a high-risk factor for liver cirrhosis and liver cancer. If taking dietary supplements and traditional C...[Read More] Understanding Hepatitis B: Key Insights for Family Health Management
Understanding Abdominal Pain and Fever in Children: When to Seek Help
Abdominal pain and vomiting followed by fever the next day? Hello Dr. Lin, my child (12 years old) started complaining of abdominal pain around 5 PM on January 26. Initially, I thought it was just due to overeating, so I advised him to skip dinner. He vomited for the first time a...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 12-year-old child is experiencing abdominal pain, vomiting, fever, and dizziness. There are signs of infection in the body. In cases of gastroenteritis, it is important to pay attention to hydration and electrolyte replenishment, as well as to maintain a light diet. If a...[Read More] Understanding Abdominal Pain and Fever in Children: When to Seek Help
Persistent Pain Near Ribs: Understanding Possible Gastrointestinal Issues
Persistent pain near the ribs? At the beginning of the month, I was diagnosed with pancreatitis at the hospital after blood tests indicated inflammation. However, it has been a month, and there has been no improvement. I have been trying to maintain a light diet, but the pain in ...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 31-year-old female is experiencing persistent pain near the rib cage. She has a history of pancreatitis, which can be commonly caused by factors such as alcohol consumption, gallstones, bile duct stones, autoimmune diseases, hypertriglyceridemia, and certain medications....[Read More] Persistent Pain Near Ribs: Understanding Possible Gastrointestinal Issues