Understanding Bright Red Blood in Stool: Causes and Concerns
Hemorrhoidal bleeding Hello, doctor. I would like to ask about my bowel movements, which are usually normal. However, today I noticed a small amount of bright red blood during defecation, separate from the stool. After urinating, I also see a small amount of blood on the toilet p...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, blood in the stool is generally associated with issues related to the rectum or anus. Common problems in young individuals include hemorrhoids, anal fissures, and enteritis, while less common causes may include diverticula, polyps, or tumors. It is advisable to avoid spicy...[Read More] Understanding Bright Red Blood in Stool: Causes and Concerns
Essential Tests for Chronic Hepatitis B Carriers: A Guide
What tests should be done for a hepatitis B carrier? Hello: I underwent a health check at the end of 2005, where I tested positive for Hepatitis B surface antigen and negative for Hepatitis B surface antibody. In the following years, my GOT and GPT levels were normal. If I want t...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. According to your examination in 2005, you are a carrier of Hepatitis B. Your liver function tests are normal; however, chronic Hepatitis B poses a high risk for liver cirrhosis and liver cancer. It is recommended to have regular annual check-ups, including liver func...[Read More] Essential Tests for Chronic Hepatitis B Carriers: A Guide
Understanding Long-Term Constipation: Causes, Effects, and Solutions
Inquiry 1. I have been experiencing chronic constipation for over 20 years, primarily straining to have bowel movements, which has led to decreased bowel function. Now my stools are soft, and sometimes I experience cramping diarrhea that I cannot pass without taking a deep breath...
Dr. Lin Minghui reply Gastroenterology and Hepatology
1. After abdominal surgery, the intestines are more prone to adhesions, leading to chronic constipation. Sometimes, holding one's breath can increase abdominal pressure, which may assist in bowel movements. 2. A barium enema is an examination of the lower gastrointestinal ...[Read More] Understanding Long-Term Constipation: Causes, Effects, and Solutions
Understanding Symptoms: Spleen Inflammation vs. Gallstones
Regarding splenitis? The symptoms of left upper abdominal pain radiating to the back, accompanied by vomiting, belching, and occasional dizziness that lasts for a few minutes, could indicate either splenic inflammation or gallstones. However, these symptoms are more commonly asso...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: Left upper abdominal pain with vomiting, belching, and dizziness. Differential diagnoses include esophageal, gastric, and duodenal diseases, as well as pancreatic disorders. Splenic enlargement due to various reasons (such as infections or hematologic diseases) can sometim...[Read More] Understanding Symptoms: Spleen Inflammation vs. Gallstones
What to Do If You Suspect Medication Burns in Your Digestive System?
What to do in case of suspected chemical burn from medication? For the past three days, I have experienced occasional sharp pain or discomfort in my esophagus or stomach while swallowing food. The symptoms are not very pronounced, and my daily life has not been significantly affe...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. Some pain relievers, anti-inflammatory medications, and poor dietary habits can sometimes lead to esophagitis or even esophageal ulcers. It is generally recommended to avoid irritating foods and beverages (such as spicy foods and alcohol), and to maintain a gentle die...[Read More] What to Do If You Suspect Medication Burns in Your Digestive System?
Understanding the Connection Between Bloating and Allergies
Other causes of abdominal bloating? I often experience intermittent abdominal bloating (this time the bloating is due to intestinal motility issues, not gastric acid problems). Additionally, I have nasal polyps, and whenever I have an allergy, I find it difficult to breathe. Thes...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, nasal allergies and abdominal bloating may occur together, but they are not necessarily related. They could be associated with allergies, emotions, or neurological factors. Sometimes, functional gastrointestinal disorders or dyspepsia can cause bloating, which may be relat...[Read More] Understanding the Connection Between Bloating and Allergies
Understanding Bloating with Reduced Gas: Causes and Next Steps
Bloating with a decrease in flatulence? Dear Doctor, I have been experiencing a dull sensation under my left rib cage recently, which sometimes extends to the left side of my lower back. This has been ongoing for a week. I consulted a traditional Chinese medicine practitioner wh...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, an abdominal ultrasound can generally rule out liver, gallbladder, and pancreatic diseases as the cause of pain after eating, which is more related to gastrointestinal issues. Bloating is usually relieved by passing gas or burping. The causes of bloating include poor dieta...[Read More] Understanding Bloating with Reduced Gas: Causes and Next Steps
Understanding Gallbladder Polyps: Concerns, Risks, and Surgical Options
Gallbladder polyp Hello Doctor: My mother had an abdominal ultrasound at the hospital a month ago, which revealed two polyps in her gallbladder, one measuring 0.2 cm and the other 0.6 cm. After a month, she had another examination at a different hospital, and the polyps were foun...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. Polyps can sometimes be multiple, and different hospitals may yield varying results. The imaging equipment itself may have discrepancies, and factors such as the size of small polyps, angles, or whether different polyps have truly grown can all contribute to these dif...[Read More] Understanding Gallbladder Polyps: Concerns, Risks, and Surgical Options
Understanding and Managing Severe Stomach Cramps: A Guide for Patients
Questions regarding gastric spasms? Hello, Doctor: I have a friend who frequently experiences symptoms of gastric spasms, and each episode feels life-threatening, often causing her to faint. I would like to ask how her symptoms can be improved. She is also taking medication (thou...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, if you frequently experience gastric spasms and pain, it is recommended to maintain a regular diet. Chew your food slowly and thoroughly, and avoid consuming irritating foods such as cold items and those containing caffeine. Some individuals may also have lactose intoleran...[Read More] Understanding and Managing Severe Stomach Cramps: A Guide for Patients
Can Ascites from Cirrhosis Spread Hepatitis C? Understanding the Risks
Cirrhosis Hello, Dr. Lin. I would like to ask if ascites caused by liver cirrhosis is contagious. On December 19, my mother-in-law went to the hospital to have fluid drained from her lungs due to cirrhosis. After returning home, the puncture site did not heal properly, causing fl...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, although the virus can be detected in the pleural effusion, the amount is small. There is a possibility of infection, so it is important to monitor for any skin breaks. Infection is more likely with blood contact, so it is advisable to avoid direct contact as much as possi...[Read More] Can Ascites from Cirrhosis Spread Hepatitis C? Understanding the Risks
Are Peanut Milk Drinks Safe for Hepatitis B Patients?
Does peanut milk contain aflatoxins? Hello Doctor: I am currently being treated for an acute outbreak of hepatitis B. Can I consume peanut milk beverages? The beverage company has not responded to my inquiry. Additionally, does sunflower seeds contain aflatoxins, or is it only pe...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. Aflatoxin is a toxin produced by Aspergillus fungi in food. It is not the case that peanuts inherently contain aflatoxin; rather, aflatoxin is present only when peanuts become moldy. In addition to moldy peanuts and their products, other foods such as grains, nuts (in...[Read More] Are Peanut Milk Drinks Safe for Hepatitis B Patients?
Can Homemade Red Bean Heating Pads Cause Aflatoxin Contamination?
Aflatoxin Is there a risk of aflatoxin production when a doctor uses red beans to make a reusable heating pad that is heated in the microwave? Thank you.
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, Aspergillus flavus frequently contaminates crops such as peanuts, corn, rice, wheat, and nuts. When Aspergillus flavus proliferates in large quantities, it can produce aflatoxins, which are heat-resistant. According to data, temperatures of 260-280°C are required to kill t...[Read More] Can Homemade Red Bean Heating Pads Cause Aflatoxin Contamination?
How to Seek Medical Help for Liver Issues After Abnormal Test Results
If you suspect you have liver issues, how should you seek medical consultation? Hello Dr. Lin, I recently had a simple health check-up and my recent blood donation showed abnormalities in my liver (I had normal results in previous donations). My GOT and ALT levels are elevated. I...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, elevated ALT and AST levels can have many causes, including viral infections, medications, endocrine disorders, and systemic diseases. You may consult with a hepatobiliary and gastroenterology specialist, a general internist, or a family medicine physician to arrange for f...[Read More] How to Seek Medical Help for Liver Issues After Abnormal Test Results
Persistent Diarrhea and Severe Headaches: Which Specialist to See?
Persistent diarrhea and headache? Your girlfriend has been experiencing diarrhea for two consecutive days, with more than six episodes in one day, accompanied by severe headaches, and it coincides with her menstrual period. Which department should she consult, and how can her sym...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. Severe diarrhea and menstrual periods require attention to hydration; a light diet is recommended, avoiding spicy foods, and maintaining food hygiene. 2. You can consult the Department of Family Medicine or General Internal Medicine. If there are gynecological issues...[Read More] Persistent Diarrhea and Severe Headaches: Which Specialist to See?
Understanding Hepatitis B: When to Test for Viral DNA and Consider Treatment
Hepatitis B treatment The e-antigen has been positive for many years; GPT is elevated to twice the normal value. Should viral DNA be tested? Is medication necessary?
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. According to the current consensus on the treatment of hepatitis B, patients with ALT levels that remain normal or slightly elevated (less than 2 times the normal value) are not recommended for treatment, but should be monitored with follow-up examinations every 3 to ...[Read More] Understanding Hepatitis B: When to Test for Viral DNA and Consider Treatment
Understanding Elevated GGT Levels: Implications and Concerns
Re-evaluating abnormal aminoacyl transferase levels? I apologize for asking you again about the abnormality of gamma-glutamyl transferase (GGT). Recently, during a health check at my company, my GGT level was found to be abnormal at 104. However, the alkaline phosphatase (ALP) le...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. The hepatic hemangioma is 0.6 cm in size, which is small, but it requires monitoring. The ultrasound shows typical characteristics of the hemangioma. Due to the small size of the tumor, ultrasound is a better tool for follow-up. Generally, clinical guidelines recommen...[Read More] Understanding Elevated GGT Levels: Implications and Concerns
Struggling with Digestive Issues: Seeking Relief for Gut Health
Hello doctor, please help me with my gastrointestinal issues? Hello, doctor. To begin with, I have regular bowel movements every morning, so I don't have issues with constipation. However, I have a sensitive gastrointestinal system and I am lactose intolerant, which makes me...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Experiencing diarrhea after eating can be quite troubling. Lactose intolerance is different from irritable bowel syndrome (IBS), and it is important to avoid dairy products in the case of lactose intolerance. IBS is related to emotions, infections, and diet. It is recommended to ...[Read More] Struggling with Digestive Issues: Seeking Relief for Gut Health
Understanding Liver Hemangiomas: Causes, Risks, and Management Tips
Hepatic hemangioma My mother (60 years old) underwent a CT scan of the liver, which revealed two hepatic hemangiomas measuring 4.4 cm and 4.2 cm. I would like to ask the doctor: 1. What are the causes of hepatic hemangiomas? 2. Will they continue to grow? Is there a risk of ruptu...
Dr. Lin Minghui reply Gastroenterology and Hepatology
1. Hepatic hemangiomas are tumors formed by abnormal proliferation of blood vessels within the liver, with unknown etiology. Some are congenital, while others may be related to female hormones. 2. Hepatic hemangiomas grow very slowly, and may not increase in size at all. Genera...[Read More] Understanding Liver Hemangiomas: Causes, Risks, and Management Tips
Understanding Persistent High Liver Enzymes: Causes and Concerns
The GPT index remains consistently high? The health check revealed that liver enzyme levels have consistently been above 200. I have undergone a self-paid liver examination package, which showed no hepatitis A, B, or C; I have antibodies for hepatitis B, no alcoholic liver diseas...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. Non-alcoholic fatty liver disease (NAFLD) has become a leading cause of chronic hepatitis in Western countries, second only to viral hepatitis, and is highly associated with metabolic syndrome, including obesity, type 2 diabetes, hyperlipidemia, and insulin resistance...[Read More] Understanding Persistent High Liver Enzymes: Causes and Concerns
Is Hepatitis B Treatment with ETV Covered by Insurance in Taiwan?
Hepatitis B Is the medication ETV (Entecavir) for the treatment of hepatitis B covered by health insurance? Is it effective? I heard online that health insurance coverage was opened in August this year. Does Hsinchu Hospital have this medication?
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, the treatment medications for hepatitis B are divided into two main categories. One category is interferons, which have antiviral, anti-proliferative, and immunomodulatory effects. The other category consists of oral nucleos(t)ide analogs; currently, there are four types a...[Read More] Is Hepatitis B Treatment with ETV Covered by Insurance in Taiwan?