Understanding Pancreatic Issues: Symptoms, Tests, and Next Steps
Pancreatic issues Hello Doctor, In the past month, I have frequently experienced abdominal pain and occasional diarrhea. Sometimes my urine appears cloudy. I had a health check-up three months ago, and the abdominal ultrasound showed no issues. The report indicated a mild infla...
Dr. Chen Qifeng Reply:
The CA-199 levels can be monitored further. Prioritize conducting a nephrology examination.[Read More] Understanding Pancreatic Issues: Symptoms, Tests, and Next Steps
Understanding Gastrointestinal Issues: When to Seek Further Testing
Gastrointestinal discomfort For about three to four years, I have been experiencing unformed stools. They break apart when flushed, and I often have diarrhea or floaty, sticky stools with many bubbles. Sometimes I feel the urge to have a bowel movement, but I can't pass anyt...
Dr. Chen Qifeng Reply:
Abdominal ultrasound is generally not effective for examining the gastrointestinal tract. Based on the current symptoms, the likelihood of irritable bowel syndrome is very high; however, performing a colonoscopy to rule out other organic lesions is also advisable.[Read More] Understanding Gastrointestinal Issues: When to Seek Further Testing
Understanding Irritable Bowel Syndrome: Symptoms and Management Tips
Is it irritable bowel syndrome? Approximately last year, after giving birth, I experienced long-term sleep disruptions while caring for my child. In early 2018, I had stomach discomfort that lasted nearly a month (I consulted a doctor and took medication). Later, feeling uneasy, ...
Dr. Chen Qifeng Reply:
A diet low in oil, dairy, and刺激 foods is fundamental; medication management comes next.[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Management Tips
Understanding Elevated Total Bilirubin: Causes and Implications
Elevated total bilirubin? Hello doctor, the company's health check report shows a total bilirubin level of 2.8 mg/dL and a direct bilirubin level of 0.2 mg/dL, which is elevated. The abdominal ultrasound is normal, with mild fatty liver and a 0.4 cm stone in the right kidney...
Dr. Chen Qifeng Reply:
If there are no hematological disorders, it may be a congenital bile metabolism disorder.[Read More] Understanding Elevated Total Bilirubin: Causes and Implications
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastric discomfort? Hello Doctor: I am 26 years old, do not smoke or chew betel nut, but occasionally drink alcohol during work-related social events. I have been experiencing symptoms of gastroesophageal reflux disease (GERD) for two years. I have undergone gastroscopy and abdom...
Dr. Chen Qifeng Reply:
Based on the described condition, there is chronic gastritis, gastroesophageal reflux disease (GERD), along with dyspepsia and gastric spasms. In addition to dietary adjustments, it is recommended to consult a gastroenterologist.[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Understanding Persistent Hiccups: Causes and Solutions for Relief
Hello, doctor. I would like to inquire about the issue of persistent hiccups? Hello, doctor. Back in mid-December 2018, after eating too much, I started experiencing an inexplicable urge to burp, as if there was gas trapped in my throat. I have to forcefully push to release a bur...
Dr. Chen Qifeng Reply:
In addition to medication, it is recommended to reduce tea and coffee intake, avoid stimulating foods and glutinous rice products, refrain from consuming overly sweet or sour foods, limit tea and soda consumption, and eat until about 80% full.[Read More] Understanding Persistent Hiccups: Causes and Solutions for Relief
Understanding Left Upper Abdominal Pain: Causes and Concerns
Left upper abdominal pain? Hello Doctor: Last October, I underwent an endoscopy which revealed a mild gastric ulcer and gastroesophageal reflux disease (GERD). I was also diagnosed with Helicobacter pylori and completed the antibiotic treatment. Currently, I am still taking a pro...
Dr. Chen Qifeng Reply:
Based on the symptoms, the likelihood of stomach pain is still the highest. It is advisable to ask the physician to adjust the medication. If there is still no improvement, an abdominal ultrasound examination is recommended.[Read More] Understanding Left Upper Abdominal Pain: Causes and Concerns
Chronic Bloating: Understanding Causes and Seeking Relief
The issue of abdominal bloating has persisted for a long time? Hello Doctor, I have been experiencing frequent abdominal bloating for about six months, despite not making any intentional changes to my diet or meals. I have tried gastrointestinal health supplements like New Bifi...
Dr. Chen Qifeng Reply:
1. Based on the symptoms, it appears to be a gastrointestinal dysfunction. However, I would still recommend considering a colonoscopy. 2. This degree of weight loss is not clinically significant. 3. In terms of diet, I would still advise a low-fat, low-dairy, and low-irritant die...[Read More] Chronic Bloating: Understanding Causes and Seeking Relief
Can Cospanon Capsules Be Taken Preventively for Gallstone Attacks?
Can the medication "Ursodiol" for gallstones be taken prophylactically? Hello Dr. Chen, Last year I had two episodes of gallstone attacks, both occurring unexpectedly after meals. The pain was so intense that I felt like rolling on the floor. After visiting the emerge...
Dr. Chen Qifeng Reply:
Cospanon belongs to the class of antispasmodics and can appropriately alleviate pain in the gallbladder and bile ducts. However, it does not guarantee complete prevention of attacks or a 100% elimination of pain. For symptomatic gallstones, the solution still lies in surgical rem...[Read More] Can Cospanon Capsules Be Taken Preventively for Gallstone Attacks?
Understanding Liver Tumors: Ultrasound Findings and Next Steps
Ultrasound detected a liver tumor? Hello Doctor: I have never had an abdominal ultrasound before, but today I underwent one and found that I have mild fatty liver and a 2 cm tumor. The doctor initially believes it to be benign and mentioned that blood tests are needed. I would li...
Dr. Cai Anshun Reply:
Hello: Based on the current information provided, it is not possible to make a determination. If blood tests show positive for Hepatitis B, Hepatitis C, or elevated tumor markers, you would be considered at high risk, and further evaluation with a CT scan or MRI is recommended. C...[Read More] Understanding Liver Tumors: Ultrasound Findings and Next Steps
Understanding Abdominal Ultrasound Reports: Key Insights on Liver and Pancreas Health
Abdominal Ultrasound Report Abdominal ultrasound report content: Echo pattern: abnormal, heterogeneous parenchyma Pancreas: negative, head and tail is blocked Spleen: negative Sonar Diagnosis: Parenchymal liver disease score: 5 I would like to ask what these items repr...
Dr. Cai Jinji Reply:
Hello, it is recommended that a physician explain it to you personally to avoid misunderstandings or further questions that may arise from a simple literal translation.[Read More] Understanding Abdominal Ultrasound Reports: Key Insights on Liver and Pancreas Health
Can Exercise and Hydration Help Remove Gallbladder Polyps?
Hello, how can I assist you today? Today at the company health check, the personnel found what seems to be a 0.2 cm polyp near the gallbladder through an abdominal ultrasound. Doctor, can a 0.2 cm polyp be eliminated through exercise and hydration? If it cannot be eliminated, wha...
Dr. Cai Jinji Reply:
Hello, if the polyp is 0.2 centimeters, it is usually not a cause for concern; however, it is still advisable to have regular follow-ups for monitoring.[Read More] Can Exercise and Hydration Help Remove Gallbladder Polyps?
Understanding Pain-Free Endoscopy: Your Guide to Gastrointestinal Health
Hello, regarding painless gastroscopy and colonoscopy examinations? Hello, Doctor. I would like to ask you about my condition. I have been experiencing constipation (having a bowel movement every few days), but recently I have had alternating episodes of constipation and diarrhea...
Dr. Chen Shidian Reply:
Hello, it is possible that you have Irritable Bowel Syndrome (IBS). It is recommended to start with dietary and medication adjustments. If you are still concerned, you may consider undergoing a painless colonoscopy (out-of-pocket, prices vary by hospital, no hospitalization requi...[Read More] Understanding Pain-Free Endoscopy: Your Guide to Gastrointestinal Health
Understanding Increased Brightness in Pancreas Ultrasound Reports
Abdominal ultrasound report inquiry? Hello Dr. Chen: Due to a benign tumor in my liver, I have been undergoing annual abdominal ultrasounds for monitoring. I reviewed the reports from the past two years and found a description regarding the pancreas that states: "Pancreas In...
Dr. Chen Shidian Reply:
Hello, sir. Yes, there is also fatty pancreas. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Increased Brightness in Pancreas Ultrasound Reports
Understanding Changes in Bowel Habits and Mucus in Stool
Changes in bowel habits with mucus? Hello Dr. Chen: Around June or July, my bowel habits changed to constipation (every 2-3 days) → normal (every 2 days) → alternating with loose, watery stools (for 2 days). I also noticed that my stools became thinner and sometimes had mucus. In...
Dr. Chen Shidian Reply:
Hello, please first check for occult blood in your stool. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Changes in Bowel Habits and Mucus in Stool
Understanding Esophageal Pain and Digestive Issues: When to Seek Help
Esophageal issues, loss of appetite, gastrointestinal discomfort? Hello Dr. Chen, I have been experiencing esophageal pain during swallowing and a feeling of fullness and discomfort in my stomach for the past two months, which has led to a loss of appetite. A recent endoscopy sh...
Dr. Chen Qifeng Reply:
It is recommended to complete the treatment for esophageal ulcers; if there is no improvement, further evaluation and management should be pursued.[Read More] Understanding Esophageal Pain and Digestive Issues: When to Seek Help
Persistent Stomach Pain and Bitter Taste: When to Seek Further Medical Help
Abdominal distension, bitter taste in the mouth, vomiting, and chest pain? Hello Dr. Chen, I have been experiencing stomach pain for three weeks now, which feels like a dull ache (similar to being punched). I have undergone an endoscopy and consulted a doctor. The results of the ...
Dr. Chen Qifeng Reply:
In addition to completing the antimicrobial treatment, it is recommended to undergo abdominal ultrasound and liver function tests.[Read More] Persistent Stomach Pain and Bitter Taste: When to Seek Further Medical Help
Understanding Liver Function: High SGPT and SGOT Levels Explained
Is liver function normal? Is an SGPT of 108 and an SGOT of 67 considered high? Does this indicate a liver problem? Additionally, an abdominal ultrasound revealed gallbladder polyps; is there a connection? What should I do next? Thank you.
Dr. Chen Shidian Reply:
Hello: Please cooperate with the gastroenterologist to determine the cause and treatment, and adjust your lifestyle and diet accordingly. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Liver Function: High SGPT and SGOT Levels Explained
Understanding Gastrointestinal Issues: When to Consider Endoscopy
Gastrointestinal issues and abdominal problems? Hello, doctor! My gastrointestinal system has been quite unstable for the past few months. The first time I felt uncomfortable was about three to four months ago when I experienced abdominal bloating and pain. I went to National Tai...
Dr. Chen Shidian Reply:
Hello, if you have persistent discomfort, it is recommended to undergo an upper gastrointestinal endoscopy to rule out any concerns. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Gastrointestinal Issues: When to Consider Endoscopy
Understanding Left Upper Abdominal Pain: Causes and Next Steps
Left upper abdominal pain? Hello Doctor: I have been experiencing pain in the upper left abdomen for a long time. During this period, I have undergone abdominal ultrasound, X-rays, gastroscopy, and colonoscopy, as well as blood tests for CEA. The results showed fatty liver, multi...
Dr. Cai Anshun Reply:
Hello: If most of the tests have already been done, it may be necessary to consider functional issues or lifestyle and dietary habits, as these may not be detectable through tests. You may need to make changes to your lifestyle and dietary habits. Changhua Hospital cares about yo...[Read More] Understanding Left Upper Abdominal Pain: Causes and Next Steps