Dr. Lin Minghui reply Gastroenterology and Hepatology Question - Page 50

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Understanding Gallbladder Polyps: Symptoms, Effects, and Treatment Options

Gallbladder polyp Gallbladder sludge can have various effects on the body and may lead to symptoms such as abdominal pain, nausea, vomiting, and indigestion. In some cases, it can cause complications like cholecystitis (inflammation of the gallbladder) or pancreatitis (inflammati...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. Gallbladder polyps are small nodules that protrude outward from the mucosal layer of the gallbladder due to hyperplasia. Polyps are considered tissue overgrowths and typically do not present symptoms. Most are discovered incidentally during ultrasound examinations, and patholo...

[Read More] Understanding Gallbladder Polyps: Symptoms, Effects, and Treatment Options


Understanding Rapid Digestion and Increased Heart Rate After Gastroscopy

Gastroscopy Hello Doctor: Yesterday I had an endoscopy, and the report showed only mild gastritis. I'm not sure why my gastrointestinal tract is moving very quickly now, and my heart rate is also elevated today. What could be the reason?


Dr. Lin Minghui reply Gastroenterology and Hepatology
Causes of increased gastrointestinal motility and rapid heartbeat include inflammation of the gastrointestinal tract, medication effects, anxiety, or bleeding. Pay attention to the color of the stool to check for possible gastrointestinal bleeding. If discomfort persists, it is a...

[Read More] Understanding Rapid Digestion and Increased Heart Rate After Gastroscopy


Understanding Stomach Bloating: Causes and Solutions for Relief

Bloating Hello, I often experience bloating in my stomach. What could be the cause of this? Additionally, I frequently hear gurgling sounds, and when these sounds occur, I feel like my entire stomach is churning. What could be the reason for this?


Dr. Lin Minghui reply Gastroenterology and Hepatology
Factors contributing to bloating include dietary factors, functional gastrointestinal disorders, and organic lesions in the gastrointestinal tract, such as inflammation, ulcers, and tumors. Diseases of the liver, gallbladder, and pancreas, as well as systemic conditions including...

[Read More] Understanding Stomach Bloating: Causes and Solutions for Relief


Understanding Green Stool: Causes and Concerns in Digestive Health

Green stool The diet has been relatively consistent, but today at noon, I had a bowel movement that was half dark green and half brown. This is the first time this has happened, and I'm unsure why. Yesterday, I skipped breakfast, had roasted duck rice for lunch, and braised ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Consuming dark vegetables or iron-rich foods, such as red meat, can result in darker stool color. If there is upper gastrointestinal bleeding, the stool may appear even darker, resembling tar. In such cases, it is important to seek emergency medical treatment. Monitoring stool co...

[Read More] Understanding Green Stool: Causes and Concerns in Digestive Health


Understanding Normal Liver Function Test Values for Hepatitis B Carriers

excuse me? I am a carrier of hepatitis B and would like to know what the normal reference values for liver function tests are.


Dr. Lin Minghui reply Gastroenterology and Hepatology
The standard values for liver enzymes in our hospital are as follows: GPT: 5-40 IU/ml, GOT: 12-40 IU/ml, and AFP (Alpha-fetoprotein): 0-10 ng/ml.

[Read More] Understanding Normal Liver Function Test Values for Hepatitis B Carriers


Unexplained Left Abdominal Discomfort: Causes and Next Steps

There is a sensation of a foreign body in the left abdominal area? Hello, doctor. I would like to ask a question: About two years ago, I started experiencing a sensation of something foreign (possibly related to the kidney?) on the left side of my back, near the end of the rib ca...


Dr. Lin Minghui reply Gastroenterology and Hepatology
You are experiencing abnormal bowel movements, but feel more comfortable after passing gas, along with symptoms of abdominal burning. The most common cause could be irritable bowel syndrome. Given your family history of colorectal cancer, it is advisable to test your stool for oc...

[Read More] Unexplained Left Abdominal Discomfort: Causes and Next Steps


Understanding Constipation: Causes and Solutions for Digestive Health

Constipation I often do not have the urge to have a bowel movement, but I frequently pass gas. Sometimes, I go several days without a bowel movement. Is there something wrong with my body?


Dr. Lin Minghui reply Gastroenterology and Hepatology
Possible causes of irregular bowel movements: 1. Dietary factors: abnormal intake of fluids and fiber. 2. Functional gastrointestinal disorders, irritable bowel syndrome. 3. Structural issues in the pelvic region of the colon: hemorrhoids, pelvic floor dysfunction, rectal prolaps...

[Read More] Understanding Constipation: Causes and Solutions for Digestive Health


Chronic Abdominal Pain: Uncovering the Hidden Causes

Muscle pain Hello Doctor: Several years ago, I may have caused severe muscle pain in my lower left abdomen (between the groin and the navel) due to excessive strain. Since then, I have felt pain every day. In recent years, I have undergone a sigmoidoscopy, which did not reveal an...


Dr. Lin Minghui reply Gastroenterology and Hepatology
There is something in the abdomen, and I feel pain every day. I may need to visit a physician's office to check if anything can be palpated and whether it is related to my pain. Additionally, I will arrange for relevant imaging studies.

[Read More] Chronic Abdominal Pain: Uncovering the Hidden Causes


Where to Get Hepatitis A Vaccine for Adults: Timing and Locations

Administration of the Hepatitis A vaccine? Where can adults receive the hepatitis A vaccine, and what are the recommended times for vaccination? Thank you!


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. The hepatitis A vaccine can be administered at the Family Medicine, General Internal Medicine, or Gastroenterology outpatient clinics, and it is available during regular clinic hours. 2. Individuals without hepatitis A antibodies can receive the hepatitis A vaccine to develop ...

[Read More] Where to Get Hepatitis A Vaccine for Adults: Timing and Locations


Understanding Abdominal Discomfort: Insights on Gastrointestinal Health

Abdominal issues are very troubling for me? Hello Dr. Lin, I have been experiencing a sensation in my stomach (around the area between my ribs) that feels like a needle pricking me, but it’s not painful; it feels more like a cramp. This sensation is not constant and often occurs...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Your three questions: 1. Occasionally having blood in your stool may indicate issues related to the rectum and anus, commonly seen in conditions such as hemorrhoids, anal fissures, tumors, or inflammatory polyps. It is advised to avoid prolonged sitting, engage in moderate exerci...

[Read More] Understanding Abdominal Discomfort: Insights on Gastrointestinal Health


How to Support a Family Member with Chronic Hepatitis B Concerns

How can we help her? Dear Doctor: My family member (temporarily referred to as Ms. A, please forgive me for wanting to maintain some privacy) is a carrier of hepatitis B. She previously had elevated liver enzyme levels, which were finally controlled after treatment with Hepa-Merz...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Loss of appetite, abdominal bloating, and insomnia require identifying the underlying cause, whether it is psychological or physiological. After treatment for hepatitis B, it is important to continue monitoring; liver function should be closely observed for potential recurrence o...

[Read More] How to Support a Family Member with Chronic Hepatitis B Concerns


Understanding Irregular Bowel Movements: Causes and Solutions

What should I do if I have irregular bowel movements? Hello, doctor. I apologize for bothering you during your busy schedule. I am 31 years old, and since childhood, my bowel movements have not been very regular; sometimes I go every two days, and other times I have a bowel movem...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. "Hemorrhoids" can protrude due to straining during bowel movements, and some hemorrhoids can be pushed back in. 2. Diet and emotions can affect bowel habits and frequency; a reduced food intake can impact stool volume. It is recommended to maintain good habits of dri...

[Read More] Understanding Irregular Bowel Movements: Causes and Solutions


How to Seek Medical Help for Esophageal Foreign Body Issues

How to seek medical attention for esophageal foreign body? Hello! It seems that I have something stuck in my esophagus, and I feel discomfort while eating. I also have the sensation of a foreign object when swallowing. How should I seek medical attention?


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. If there is a true case of foreign body ingestion or a fishbone lodged in the throat, one should go to the emergency department or an otolaryngology specialist for examination. 2. If there is a sensation of a foreign body in the esophagus or discomfort while swallowing, one ca...

[Read More] How to Seek Medical Help for Esophageal Foreign Body Issues


Managing Diet for Gastroesophageal Reflux: What to Eat and Avoid

Diet for Gastroesophageal Reflux Disease (GERD) Hello Dr. Lin, I had an upper gastrointestinal endoscopy a few days ago, and the result showed gastroesophageal reflux disease (GERD). The doctor mentioned it is at stage two. I'm not quite sure how serious this is. Regarding m...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. The second stage involves the classification of esophageal mucosal damage due to gastroesophageal reflux as observed through endoscopy. Stages three and four are more severe; however, the classification observed during endoscopy does not necessarily correlate with the severity...

[Read More] Managing Diet for Gastroesophageal Reflux: What to Eat and Avoid


Is Your Gut Health at Risk? Understanding Farting and Bowel Control

Passing gas can cause stool to be expelled? Hello doctor, I’m not sure if there’s an issue with my intestines. Even passing gas sometimes causes me to have a bowel movement, especially within a few hours after I’ve just gone to the bathroom. I can’t tell if I need to pass gas or ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. Excessive flatulence, abnormal bowel movements, and unformed stools that may sometimes lead to fecal incontinence can be influenced by factors such as poor dietary habits, emotional stress, hormonal imbalances, a sensitive gastrointestinal tract, and gastrointestinal inflammat...

[Read More] Is Your Gut Health at Risk? Understanding Farting and Bowel Control


Understanding Stomach Heat: Symptoms and Possible Causes

Stomach heat In the past two to three weeks, I have been experiencing a burning sensation in my stomach, a warm feeling in my abdomen, occasional coolness in my throat, frequent facial flushing, diarrhea, and a feeling of bloating even after eating. When I am very hungry, my stom...


Dr. Lin Minghui reply Gastroenterology and Hepatology
The symptoms of burning sensation in the stomach, bloating, and a gnawing feeling when hungry are associated with conditions related to gastric acid secretion, including gastritis and peptic ulcers. It is recommended to avoid irritating foods. Since these symptoms have persisted ...

[Read More] Understanding Stomach Heat: Symptoms and Possible Causes


Persistent Left Abdominal Pain: Possible Causes and When to Seek Help

Continuous intermittent pain in the left upper abdomen for eleven days? Hello Doctor: Since Saturday morning two weeks ago, I experienced pain after eating spicy food the night before. During the night, I woke up due to pain, which was localized on the left side of my lower back,...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Abdominal pain accompanied by bowel irregularities, considering your age, common causes include gastroenteritis and irritable bowel syndrome. It is recommended to pay attention to your diet, eat at regular intervals, chew food thoroughly, and avoid irritating foods, caffeine, car...

[Read More] Persistent Left Abdominal Pain: Possible Causes and When to Seek Help


Understanding Foul Gas: Should You Worry About Your Gut Health?

Please ask about the issue of frequently passing gas? Dear esteemed doctors, Hello, I would like to take this opportunity during the New Year holiday to wish you a Happy New Year and prosperity. I also want to ask some health-related questions. I am a 45-year-old male, and all m...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: 1. Regarding abnormal flatulence (excessive gas or foul-smelling gas), it is important to know that a normal person expels about 600 ml of gas daily, averaging around 14 times. The gas in the gastrointestinal tract can originate from: (1) air swallowed through the mouth,...

[Read More] Understanding Foul Gas: Should You Worry About Your Gut Health?


Understanding Abnormal Urine Bilirubin Levels: What You Need to Know

Abnormal bilirubin in urine? Hello, Dr. Lin. My health check report shows abnormal bilirubin levels. Liver function tests: ALK-P: 45, S.G.O.T. (AST): 14, S.G.P.T. (ALT): 11, HBsAg (EIA): (-), Anti-HBs (EIA): (+), HCV-Antibody: (-), Chest X-ray: no abnormalities. I would like to k...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. The menstrual period should not affect the urine bilirubin test. 2. The presence of bilirubin in the urine may indicate elevated conjugated bilirubin levels in the blood, which can have various causes that require differential diagnosis, including medications and liver-bilia...

[Read More] Understanding Abnormal Urine Bilirubin Levels: What You Need to Know


Understanding Gastrointestinal Issues: Is It Irritable Bowel Syndrome?

Irritable Bowel Syndrome (IBS) Hello Doctor: I was originally very thin, but since the fourth grade, my weight has been steadily increasing, often accompanied by abdominal pain and diarrhea. I thought it wasn't a big deal and didn't see a doctor. Two years ago, I experi...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. Medications, exercise levels, palpitations, and diet can all affect weight and gastrointestinal motility. To determine if weight is truly excessive, one can consult a family physician, a metabolic specialist, or a general internist. 2. In the case of metabolic syndrome, it is ...

[Read More] Understanding Gastrointestinal Issues: Is It Irritable Bowel Syndrome?


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