Emergency Surgery for Acute Cholecystitis: Navigating High Liver Enzymes
The emergency physician arranged for an urgent surgical operation? Hello Dr. Chen, I would like to inquire about the following narrative: A patient presented to the emergency department late at night with abdominal pain. Blood tests revealed elevated liver enzymes, and a CT s...
Dr. Chen Shidian Reply:
If the liver function tests are significantly elevated, anesthesia or surgery may not be advisable. Please discuss the details with your attending physician.[Read More] Emergency Surgery for Acute Cholecystitis: Navigating High Liver Enzymes
Understanding Abdominal Pain: Is It Muscle Strain or Digestive Issues?
Abdominal palpation causes pain? Hello doctor, I have pain in my abdomen, specifically in the area about 3 centimeters above my navel on both sides. When I engage my abdominal muscles, I experience pain upon pressing, but if I relax, there is still some discomfort, though it'...
Dr. Chen Shidian Reply:
It could be anything, but if the pain occurs when changing positions, it is more likely to be muscle inflammation. You can start with local heat application and observe the symptoms.[Read More] Understanding Abdominal Pain: Is It Muscle Strain or Digestive Issues?
Understanding Abdominal Pain: Insights into Liver and Gastrointestinal Issues
Abdominal pain Hello doctor, I just experienced pain again in the triangular area below my ribcage. I noticed that the sensation is different from before. Previously, it was a sudden, very sharp pain with some intensity. Now, it feels like a faint, very sharp pain without any int...
Dr. Chen Shidian Reply:
Pay attention to posture, apply local protection and heat therapy, and seek medical attention if necessary.[Read More] Understanding Abdominal Pain: Insights into Liver and Gastrointestinal Issues
Understanding Slime-Like Stool: Causes and Concerns After Sushi
Bowel-related issues? Hello, doctor. I am 20 years old, and today I ate a lot of sashimi. During my bowel movement, I passed a solid that resembled slime and had a membranous texture. What could this be? Is it related to eating sashimi? Could it be mucus accumulation or something...
Dr. Chen Shidian Reply:
If there is no abdominal pain or diarrhea, further observation is sufficient.[Read More] Understanding Slime-Like Stool: Causes and Concerns After Sushi
Left Upper Abdominal Pain: Is It Organ or Nerve Related?
Pain in the left upper abdomen with tenderness upon palpation? Hello, there is localized pain in the left upper abdomen (about 9 cm from the navel) when pressing on the abdomen, with a width of approximately three fingers. It feels dull when not pressed, but it hurts when pressur...
Dr. Chen Shidian Reply:
Ultrasound is sufficient; however, gastroscopy may also be considered.[Read More] Left Upper Abdominal Pain: Is It Organ or Nerve Related?
Understanding Upper Abdominal Pain: Is It Related to the Pancreas?
Upper abdominal pain, abdominal ultrasound concerns? Hello Doctor, over the past year, I have occasionally experienced pain in the upper abdomen, particularly in the left upper quadrant. There is usually a specific point that is painful when pressed, and sometimes it seems to be ...
Dr. Cai Anshun Reply:
Hello: Pain in the upper left abdomen is more commonly associated with issues related to gastric acid. Pancreatic problems are less likely unless there is a history of long-term alcohol consumption or hypertriglyceridemia. If the symptoms persist, it is advisable to consult a gas...[Read More] Understanding Upper Abdominal Pain: Is It Related to the Pancreas?
Two Weeks of Diarrhea: When to Seek Medical Attention?
Diarrhea for two weeks? Hello Doctor: I am 41 years old, with a height of 159.3 cm and a weight of 51.2 kg. This month, I switched to a night shift from 19:00 to 07:00. I have a regular habit of having a bowel movement once a day, typically 1-2 hours after finishing work. Since s...
Dr. Hu Guozheng Reply:
If there are more than three bowel movements per day and the stools are watery and unformed, it is referred to as diarrhea. If it persists for more than four weeks, it is classified as chronic diarrhea. There are many potential causes of diarrhea, including infections, medication...[Read More] Two Weeks of Diarrhea: When to Seek Medical Attention?
Understanding Diarrhea and Anal Discomfort During Menstruation
Frequent diarrhea and anal discomfort? Hello, Doctor: I am currently on my period, and I often experience diarrhea during my menstrual cycle, usually about 1-2 times a day. This time, I may have eaten something bad and have had diarrhea seven times, with very watery stools that s...
Dr. Chen Shidian Reply:
Diarrhea during menstruation is a common issue for many women, which may be related to increased intestinal motility caused by hormonal changes during the menstrual cycle. However, if the situation is more severe, it could be due to improper diet or gastrointestinal infection. ...[Read More] Understanding Diarrhea and Anal Discomfort During Menstruation
Understanding Chronic Morning Abdominal Pain: Possible Causes and Solutions
Long-term abdominal pain upon waking up in the morning? Hello Doctor, I have been experiencing abdominal discomfort for a long time (about 3-4 years). I often feel pain in the area about three fingerbreadths to the left of my navel when I wake up in the morning. This pain is not ...
Dr. Cai Anshun Reply:
Hello: It is advisable to first undergo an upper gastrointestinal endoscopy to rule out any gastric issues. Additionally, please avoid tea (black tea/green tea/milk tea), coffee, chocolate, sweets, spicy foods, fried foods, high-fat, and high-protein foods. Changhua Hospital care...[Read More] Understanding Chronic Morning Abdominal Pain: Possible Causes and Solutions
Understanding Nighttime Abdominal Pain: Causes and Concerns
Woke up at night due to abdominal pain? Two days ago, I woke up around 3 AM due to abdominal pain. I was lying flat on my back at the time, and the pain felt localized in the upper abdomen. It slightly eased when I turned onto my side. Before sleeping, I had a sensation of bloati...
Dr. Hu Guozheng Reply:
You can start by adjusting your diet and observing whether the stool color returns to normal. If you continue to experience black stools, bloating, or abdominal pain, it is recommended to visit a gastroenterology clinic for examination. Thank you.[Read More] Understanding Nighttime Abdominal Pain: Causes and Concerns
Understanding Changes in Stool Shape: What Does It Mean for Your Health?
Stool becomes thin? Hello Doctor: Recently, I have noticed that my stools are sometimes not well-formed and seem to be thinner (though I don't remember how they looked before). Today, my stool is quite thin, and I am unsure if it resembles what is referred to online as "...
Dr. Hu Guozheng Reply:
You may continue to monitor your condition, but if you still experience discomfort, please visit the hepatobiliary and gastroenterology outpatient clinic. If you have already undergone examinations, it is advisable to consult your attending physician in person. Thank you.[Read More] Understanding Changes in Stool Shape: What Does It Mean for Your Health?
Understanding Digestive Issues: When to Seek Medical Advice
Gastrointestinal issues Since the start of last school year (September), I have been experiencing mild pain on the sides of my abdomen and in the four corners. At that time, my bowel movements were not very smooth, and the doctor diagnosed me with constipation, advising me to dri...
Dr. Luo Yining Reply:
If symptoms persist or worsen despite adjustments in lifestyle and dietary habits, it is recommended to consult a pediatrician or a pediatric gastroenterologist for further evaluation and treatment.[Read More] Understanding Digestive Issues: When to Seek Medical Advice
Understanding Soft Stool: Parasite Infection or Medication Side Effects?
Parasitic infectious diarrhea Hello, Dr. Luo. In April 2021, I experienced a mental health crisis and, in an attempt to avoid being forcibly taken to the hospital by my family, I hid in a public restroom at a temple. During that time, I completely lost my rationality and felt ext...
Dr. Luo Yining Reply:
Most intestinal parasites enter the human body through the oral route. Poor dietary or hygiene practices, such as consuming raw or undercooked food, drinking unclean water, and failing to wash hands before eating or after using the restroom, can lead to the ingestion of parasite ...[Read More] Understanding Soft Stool: Parasite Infection or Medication Side Effects?
Persistent Gas and Bloating While Sitting: Possible Gastrointestinal Issues
Frequent flatulence while sitting for extended periods? Hello, doctor. I have been experiencing these symptoms for about three years now. Whenever I sit at school, I often feel the urge to pass gas, burp, and my stomach feels bloated. These occurrences happen very frequently. Ini...
Dr. Chen Shidian Reply:
It's just normal flatulence; you can reduce the intake of gas-producing foods in your daily diet.[Read More] Persistent Gas and Bloating While Sitting: Possible Gastrointestinal Issues
Left Abdominal Pain Near Belly Button: Symptoms and Possible Causes
Occasionally experiencing pain when pressing on the left side of the abdomen near the navel, having yellowish stools with visible black particles resembling vegetable remnants, and a persistent urge to have a bowel movement? Hello doctor, today I noticed that pressing on the left...
Dr. Chen Shidian Reply:
It's just symptoms caused by peristalsis, so there's no need to worry.[Read More] Left Abdominal Pain Near Belly Button: Symptoms and Possible Causes
Understanding Recurrent Bloating and Abdominal Pain: When to Seek Further Tests
Frequent bloating and abdominal pain? Hello Doctor, I have seen many doctors this month. In the first and second weeks, I visited for bloating, and in the third week, I consulted for gastroesophageal reflux disease. After taking medication, I felt better in two days, but then I e...
Dr. Luo Yining Reply:
The main cause of abdominal bloating is excessive air, which can generally be divided into two categories: excessive gas production or poor gas expulsion. Excessive gas production can be due to consuming too many gas-producing foods or swallowing too much air, such as when talkin...[Read More] Understanding Recurrent Bloating and Abdominal Pain: When to Seek Further Tests
Understanding Digestive Issues: When to Worry About Stool Color and Constipation
Bowel issues Hello Doctor, today I ate too many fiber-rich vegetables and noticed that my stool was constipated and darker in color. I also observed that the color of my stool mixed with urine was somewhat dark, even slightly reddish, which makes me worried it could be blood in t...
Dr. Chen Shidian Reply:
Further observation is needed to determine if there are still issues. Fiber should help promote peristalsis and bowel movements.[Read More] Understanding Digestive Issues: When to Worry About Stool Color and Constipation
Can Traditional Chinese Medicine Cause Rectal Bleeding?
Can traditional Chinese medicine cause me to have bloody stools? Dear Doctor, I have a hard lump near my anus, and a colorectal surgeon diagnosed it as an anal fistula. Currently, I am relying on traditional Chinese medicine. My TCM doctor mentioned that this is just a minor issu...
Dr. Hu Guozheng Reply:
We recommend that you visit the colorectal surgery outpatient clinic for evaluation by a specialist. Thank you.[Read More] Can Traditional Chinese Medicine Cause Rectal Bleeding?
Understanding Constipation and Its Link to Colon Cancer Risks
Regarding constipation and colorectal cancer issues? Hello Doctor, I have been experiencing constipation since I started university in September 2015. I often have hard stools that cause bleeding from the anus. Now, my stools frequently feel unformed, and I rarely have well-forme...
Dr. Cai Anshun Reply:
Hello: 1. There are many causes of constipation, including insufficient hydration, lack of fruits and vegetables, or regularly consuming diuretic beverages without compensating with enough water (such as tea or coffee), as well as excessive stress and irregular lifestyle habits, ...[Read More] Understanding Constipation and Its Link to Colon Cancer Risks
Understanding Severe Bloating and Digestive Issues After Hemorrhoid Surgery
Abdominal pain, bloating, bowel sounds, mild diarrhea, mucus, belching, flatulence, and indigestion? Hello Doctor, I have been experiencing severe bloating for the past two weeks, especially when lying down, accompanied by bowel sounds. The bloating is mostly concentrated in the ...
Dr. Chen Shidian Reply:
Dysmotility is an abnormality of digestive peristalsis, and medication may be necessary for management. If concerned, a stool occult blood test can be performed.[Read More] Understanding Severe Bloating and Digestive Issues After Hemorrhoid Surgery