Dr. Lin Minghui reply Gastroenterology and Hepatology Question - Page 9

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Understanding Pancreatic Cysts and Liver Hemangiomas: What You Need to Know

Pancreatic cysts and hepatic hemangioma? Due to the abdominal X-ray report indicating an opaque nodule, I recently went to the hospital for further examination. An abdominal ultrasound revealed: 1. Fatty liver, 2. A small cyst on the pancreas, and 3. A hemangioma in the liver. Th...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: There are no symptoms, and blood tests are normal. The doctor recommends regular follow-up every three to six months. Essentially, there is a hepatic hemangioma and a simple cyst in the pancreas, both of which are benign lesions. The number and size of these lesions are un...

[Read More] Understanding Pancreatic Cysts and Liver Hemangiomas: What You Need to Know


Managing Abdominal Pain and Diarrhea: Tips for Quick Relief

Enterovirus abdominal pain Three days ago, I experienced severe cramping pain around my navel, which prompted me to rush to the bathroom. The pain came in waves, occurring approximately every 15 minutes. After visiting the emergency room, the doctor diagnosed me with gastroenteri...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: There is intermittent pain around the navel, bloating and pain in the small intestine, diarrhea, and leg cramps possibly due to potassium deficiency. It is recommended to increase fluid intake and follow a light diet. Regardless of the cause of gastroenteritis, it is impor...

[Read More] Managing Abdominal Pain and Diarrhea: Tips for Quick Relief


Understanding Stomach Pain: Causes, Symptoms, and When to Seek Help

Stomach pain issues? Thank you, doctor. I would like to ask about my condition. About two months ago, I started experiencing discomfort in my stomach that lasted for one to two weeks. Sometimes I had constipation, and occasionally diarrhea, but I did not have a fever. My bowel mo...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: It is advisable to pay attention to your diet and treat gastroesophageal reflux disease (GERD). Common causes of pancreatitis include alcohol consumption, biliary issues, and hyperlipidemia. It is recommended to avoid overly greasy and sweet foods. Blood tests and imaging ...

[Read More] Understanding Stomach Pain: Causes, Symptoms, and When to Seek Help


Are Side Effects of Helicobacter Pylori Treatment Normal?

The side effects of medications for Helicobacter pylori are too strong? I would like to ask if it is normal to experience persistent abdominal pain, diarrhea, nausea, and even vomiting while taking medication for Helicobacter pylori treatment, along with a significant decrease in...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello! Helicobacter pylori is a Gram-negative bacterium associated with peptic ulcers and gastric cancer. The treatment regimen for gastric Helicobacter pylori includes a combination of gastric medications and antibiotics (two or more) for a duration of 10 to 14 days. Some antibi...

[Read More] Are Side Effects of Helicobacter Pylori Treatment Normal?


Understanding Barrett's Esophagus: Diagnosis, Treatment, and Management Tips

Barrett's esophagus Hello, Doctor. Below is my esophagogastroduodenoscopy (EGD) pathology report. **Report of EGD** **Esophagus:** A shallow ulcer noted at the esophagogastric (EG) junction, s/p biopsy *1 for pathology. Mucosal break less than 5mm noted at the EG junction...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. The esophageal mucosal biopsy from the upper gastrointestinal endoscopy shows intestinal metaplasia, which raises the suspicion of Barrett's esophagus. There is a certain degree of chronic inflammation present in the intestinal metaplasia. 2. Treatment for Barrett'...

[Read More] Understanding Barrett's Esophagus: Diagnosis, Treatment, and Management Tips


Understanding Changes in Stool: What Your Digestive Health Might Indicate

Changes in bowel movements Hello doctor, I don't remember when I started occasionally having stool that is approximately 2 cm in diameter. I can't recall the timing or frequency. From April to June, after taking cranberry probiotics for a while, I noticed that it seemed...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Changes in bowel movements may be caused by factors such as diet, medications, gastroenteritis, or irritable bowel syndrome, and do not necessarily indicate a serious illness. It is advisable to pay attention to dietary habits; a high-fiber diet can help form more solid stools. A...

[Read More] Understanding Changes in Stool: What Your Digestive Health Might Indicate


Understanding Right Abdominal Discomfort: Causes and Solutions

Discomfort in the right abdominal area? In April and May, I experienced pain in the lower left abdomen, approximately in the area of the sigmoid colon. At that time, the clinic doctor used a stethoscope to listen to the abdominal sounds and indicated that the pain was due to inte...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Left lower abdominal pain, bloating, and increased bowel movements. Symptoms have improved with medication treatment including analgesics, prokinetic agents, anti-flatulence medications, antacids, and laxatives. Occasionally, pain is felt on the left side and sometimes on the rig...

[Read More] Understanding Right Abdominal Discomfort: Causes and Solutions


Understanding IBS: Managing Bloating and Appetite Issues

Irritable bowel syndrome (IBS), stomach rumbling? Hello, I have been experiencing gastrointestinal discomfort for a month (bloating, loss of appetite, nausea). After seeing a doctor and getting an X-ray, it was found that there is significant bloating, and I was diagnosed with st...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Gastrointestinal discomfort has been diagnosed as irritable bowel syndrome (IBS). Although the source of stress has been eliminated, symptoms such as bloating and loss of appetite persist. There are gurgling sounds in the left abdomen, accompanied by tenderness upon palpation. In...

[Read More] Understanding IBS: Managing Bloating and Appetite Issues


Managing Rapidly Growing Liver Cysts: Treatment Options and Concerns

A liver cyst has grown to 3.7 cm over the course of four years? Recently, a health check revealed that a liver cyst has grown from over 1 cm four years ago to now 3.7 cm, located centrally near the bile duct (not connected). The growth rate seems rapid, and it will inevitably nee...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Simple hepatic cysts (bubbles) generally do not present symptoms and do not require treatment. It is important to determine whether the hepatic cyst is solitary or multiple, and whether it is a simple cyst or a complex cyst. Complex cysts refer to those with thick walls, containi...

[Read More] Managing Rapidly Growing Liver Cysts: Treatment Options and Concerns


Are Undercooked Pork Ribs Safe? Risks of Parasites and Bacteria Explained

If the pork ribs feel undercooked towards the end, is there a risk of parasitic infection? Hello, Doctor. Recently, I bought a box of pork ribs (the thicker kind) at a supermarket. Before cooking, I marinated them with white wine and some Italian herbs and stored them in the refr...


Dr. Lin Minghui reply Gastroenterology and Hepatology
The likelihood of occurrence is low. Maintain good oral hygiene and avoid consuming raw or unclean food. If you experience any unusual symptoms such as fever, diarrhea, or headache, please seek medical attention. Wishing you good health!

[Read More] Are Undercooked Pork Ribs Safe? Risks of Parasites and Bacteria Explained


Understanding Gastric Polyps and Familial Adenomatous Polyposis Risks

Gastric polyps and familial adenomatous polyposis? Hello, Doctor. I have a question. I undergo gastroscopy every year, and each time the doctor mentions that I have dozens of gastric polyps, which seem to be increasing every year. I have seen some information stating that having ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Familial adenomatous polyposis (FAP) is an autosomal dominant genetic disorder characterized by the presence of hundreds to thousands of polyps in the colon. Ninety percent of individuals will experience gastrointestinal symptoms before the age of 35, and around the age of 40, th...

[Read More] Understanding Gastric Polyps and Familial Adenomatous Polyposis Risks


Understanding Elevated Bilirubin Levels: Causes and Solutions

Elevated bilirubin levels? Hello Doctor: I would like to inquire about the issue of elevated bilirubin levels in my recent two health check-ups, with the most recent results showing a significant increase compared to the previous one. In 2020, my total bilirubin was 1.51 mg/dL, d...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, elevated direct bilirubin along with other liver function indices may indicate liver or biliary tract-related diseases. Your abdominal ultrasound showed no abnormalities, other liver indices are normal, urine bilirubin is negative, and there are no obvious liver or biliary...

[Read More] Understanding Elevated Bilirubin Levels: Causes and Solutions


Understanding Rib Pain: When to See a Gastroenterologist

Pain below the rib cage? Left rib pain that used to occur only at night after staying up late has now started to occur during the day as well. There is localized tenderness when pressing on a specific area, while the right rib does not have significant pain but also shows tendern...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: The area between the ribs contains nerves and muscles. It may be a problem related to the muscles or nerves. If the symptoms persist, please seek medical attention at an outpatient clinic. Wishing you safety and health! Sincerely, Dr. Ming-Hui Lin, Attending Physician, Dep...

[Read More] Understanding Rib Pain: When to See a Gastroenterologist


Occasional Pain Under Right Rib: Should You See a Doctor?

Occasional pain below the right rib cage? I have been experiencing lower back pain recently, likely due to carrying a child. The back pain has improved over the past two to three days, but I have noticed occasional mild pain under my right rib cage. Is it necessary for me to see ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: A 30-year-old male occasionally experiences pain under the right rib cage. There may be nerve pain between the ribs, possibly due to a muscle strain causing nerve irritation. If the pain requires medication or if there are any changes, it is advisable to seek medical atten...

[Read More] Occasional Pain Under Right Rib: Should You See a Doctor?


Understanding Deep Orange Sediments in Stool: Causes and Concerns

Large sedimentation? Hello, doctor. In the past few months, I have noticed deep orange sediment in my stool. I'm not sure if it's blood, but the color of the stool itself appears normal. Thank you for your help.


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: The sediment and color of stool may be related to recent food intake or medications. Deep orange sediment could indicate undigested dietary fiber; check if you have consumed yellow or red vegetables and fruits. If you are concerned about abnormal stool with blood, a stool ...

[Read More] Understanding Deep Orange Sediments in Stool: Causes and Concerns


Understanding Stomach Ulcers and Loss of Appetite: Key Insights

Gastric ulcer, loss of appetite? Hello Doctor, I have been experiencing nausea and loss of appetite recently, and I have a bit of a gastric ulcer. My condition has improved slightly over the past two days, but I still experience bloating and burping. My food intake is about a qua...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, the symptoms mentioned could be related to dyspepsia, gastroenteritis, gastric ulcers, or peptic ulcers. Traditional Chinese medicine and Western medicine have different approaches to treating gastrointestinal issues; it may be beneficial to consult a qualified TCM practit...

[Read More] Understanding Stomach Ulcers and Loss of Appetite: Key Insights


How to Properly Use Winiful for Stomach Discomfort: Expert Guidance

Instructions for Using Stomach Medications Doctor, I often experience gastrointestinal discomfort. I have undergone an upper endoscopy, which revealed slight relaxation of the cardia, causing erosion of the gastric mucosa, and some inflammation in the stomach and duodenum, leadin...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: According to the information, Winiful contains famotidine 40mg, which is a Histamine H2 blocker that inhibits gastric acid secretion. The 40mg dosage is considered high and is recommended to be administered once or twice a day (after breakfast, after dinner, or before bedt...

[Read More] How to Properly Use Winiful for Stomach Discomfort: Expert Guidance


Understanding Bowel Issues: When to Seek Help for Digestive Health

Bowel-related issues? I used to have pellet-like stools, and I have tried taking probiotics, which sometimes help me have a bowel movement. My lower abdomen often feels bloated and sometimes painful, but the discomfort usually goes away after I have a bowel movement. I haven'...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: You are experiencing bowel movements that are hard and pellet-like, along with bloating and pain despite taking probiotics. The symptoms improve after defecation, but you have noticed dark stools or blood, which raises concerns about colorectal cancer. You are hesitant to ...

[Read More] Understanding Bowel Issues: When to Seek Help for Digestive Health


Concerns About Bowel Health: Understanding Symptoms and Risks at 29

Bowel issues I have been experiencing hard stools during bowel movements. A few days ago, I noticed a small amount of blood in my stool. Yesterday, I had thin, black stools, and today, while the stools are no longer black, they are still somewhat thin. I'm worried that the t...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, experiencing hard stools with blood, some dark in color, occasionally thin and elongated, and sometimes not smooth raises concerns about colorectal cancer. It is advisable to investigate the cause of blood in the stool. Common causes include hemorrhoids, anal fissures, inf...

[Read More] Concerns About Bowel Health: Understanding Symptoms and Risks at 29


Understanding Blood in Stool: Causes and When to Seek Help

Blood in the stool? Hello doctor, I have a question. Today when I went to the bathroom, there was no blood in my stool, but after straining a bit, I noticed fresh red blood on the edge of the stool. The first time I wiped, there was blood, but the second time there was none. I ha...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, it is advisable to investigate the cause of blood in the stool in order to provide appropriate treatment. Common causes of blood in the stool include anal fissures, hemorrhoids, rectal or colon polyps, tumors, or inflammation. It is recommended to increase fiber and fluid ...

[Read More] Understanding Blood in Stool: Causes and When to Seek Help


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