Understanding Nausea: Beyond Gastrointestinal Issues and Treatment Options
Gastrointestinal issues Doctor, I would like to ask if nausea and vomiting seem to worsen in cold weather (or at night), aside from gastrointestinal issues, what else could be the cause? Two summers ago, I underwent an endoscopy and took PPIs for two months. I wonder if my irregu...
Dr. Cai Anshun Reply:
Hello: In addition to gastroesophageal reflux, it is important to check for fecal impaction and any abnormalities in bowel motility. If problems persist, you may consult a gastroenterologist for an evaluation to determine if further examination is necessary. Changhua Hospital car...[Read More] Understanding Nausea: Beyond Gastrointestinal Issues and Treatment Options
Understanding Gallbladder Polyps: Prevention, Lifestyle Changes, and Follow-Up Care
Gallbladder polyp Hello, during the employee health check, an abdominal ultrasound revealed multiple gallbladder polyps (about five), with the largest measuring 0.5 cm. Last year's health check did not specify the number, only mentioning a size of over 0.3 cm. At that time, ...
Dr. Chen Qifeng Reply:
1. Gallbladder polyps should be monitored every six months; if the number increases or if a single polyp exceeds 1 centimeter in size, surgical removal of the gallbladder is necessary. 2. Studies have shown that reducing fat intake is recommended.[Read More] Understanding Gallbladder Polyps: Prevention, Lifestyle Changes, and Follow-Up Care
Understanding Congenital Bile Duct Cysts: When Is Surgery Necessary?
Congenital choledochal cyst Hello, doctor. Recently, my health check-up report showed elevated total bilirubin levels, and after undergoing an abdominal ultrasound and CT scan at the hospital, I was diagnosed with a choledochal cyst. However, the doctor mentioned that I only need...
Dr. Chen Shidian Reply:
Hello, it is quite rare to perform surgery for this condition, but it still depends on the individual case. You may discuss this further with your attending physician and continue to monitor the situation, or consult a specialist in biliary diseases at a medical center. Changhua ...[Read More] Understanding Congenital Bile Duct Cysts: When Is Surgery Necessary?
Excessive Lamb Hot Pot: Is It Triggering Your Hemorrhoid Flare-Up?
Eating too much lamb hot pot can lead to a recurrence of internal hemorrhoids? Hello, Doctor. Today, I experienced some difficulty with bowel movements and later noticed bleeding. There was a significant amount of bright red blood on the toilet paper and in the stool (although th...
Dr. Chen Qifeng Reply:
If there is persistent bleeding, please consult a colorectal surgeon.[Read More] Excessive Lamb Hot Pot: Is It Triggering Your Hemorrhoid Flare-Up?
Which Specialist to Consult for Fluid Between Kidneys and Muscles?
There are blisters between the kidneys and muscles? I have reviewed a lot of information and consulted with some doctors I know, but I am still unsure which specialty to visit. Previously, I went to Taipei City Hospital for an examination, and during an abdominal ultrasound, the ...
Dr. Cai Anshun Reply:
Hello: You can visit the gastroenterology or nephrology department again to check if the cyst is still present. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Which Specialist to Consult for Fluid Between Kidneys and Muscles?
Understanding Abdominal Discomfort: Insights into Gastrointestinal Issues
Abdominal issues? Hello Doctor, at the end of October, I went to the emergency room due to discomfort in my back and slight cold sweats. Since it was after dinner time and I needed to take medication, I bought a small snack to eat. However, before taking the medication, I started...
Dr. Chen Shidian Reply:
Hello, sir. It doesn't seem like pancreatitis, but it would still be advisable to have an abdominal ultrasound to check for any other internal issues. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Abdominal Discomfort: Insights into Gastrointestinal Issues
Weight Loss and Unformed Stool: Understanding Gastrointestinal Issues
Weight loss and loose stools? Hello, doctor. On October 28th, I waited until the afternoon to eat after not eating since the morning, and I consumed fried foods too quickly. I experienced stomach discomfort and a burning sensation. I went to a nearby clinic and was diagnosed with...
Dr. Cai Anshun Reply:
Hello: If you notice any changes in your mood or emotions, try to adjust and see if it improves. It is not possible to diagnose any illness based on short-term conditions; if necessary, you should consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai A...[Read More] Weight Loss and Unformed Stool: Understanding Gastrointestinal Issues
Managing Gallstones: Treatment Options and Follow-Up Care
Gallbladder stones issues? Hello Dr. Tsai: I was diagnosed with gallstones after an abdominal ultrasound in October. Aside from surgery, is there a medication treatment for gallstones? Also, is it necessary to have follow-up abdominal ultrasounds? If follow-up is needed, how ofte...
Dr. Cai Anshun Reply:
Hello: Gallstones can be classified into three types: 1. Cholesterol stones: These are formed due to obesity and the consumption of high-fat, high-calorie foods, which increase the concentration of cholesterol in bile. 2. Pigment stones: These stones are formed due to bacterial o...[Read More] Managing Gallstones: Treatment Options and Follow-Up Care
Upper Abdominal Pain Above the Navel: Causes and Next Steps
Tenderness above the umbilicus, normal findings on gastroscopy? Hello, doctor. I am a 30-year-old male office worker who sits for long periods. My symptoms include tenderness in the abdomen, specifically at a small point just above the navel and just below the xiphoid process. Pr...
Dr. Cai Anshun Reply:
Hello: After undergoing gastroscopy, colonoscopy, and ultrasound without finding any specific issues, it is important to consider functional problems, such as spasms or gastroesophageal reflux that does not cause esophagitis, as well as bloating and dyspepsia. It may be beneficia...[Read More] Upper Abdominal Pain Above the Navel: Causes and Next Steps
Should I Undergo Further Health Checks for My Ongoing Symptoms?
Should I undergo further comprehensive health screening? Hello, doctor. I have been experiencing fatigue and dizziness for the past two months, so I would like to ask a question. On August 12, 2017, I drank quite a bit of alcohol for my birthday, and after returning home, I start...
Dr. Cai Anshun Reply:
Hello: The possible side effects of Propafenone (心利正) listed in the package insert include dizziness, drowsiness, dry mouth, headache, gastrointestinal discomfort, diarrhea, constipation, vomiting, and decreased appetite. However, these may not necessarily be caused by the medica...[Read More] Should I Undergo Further Health Checks for My Ongoing Symptoms?
Understanding Digestive Issues After Liver Transplant: Bloating, Pain, and More
Abdominal bloating, belching, flatulence, abdominal pain? I have a history of liver transplantation and have experienced bowel sounds for several years, with bowel movements occurring every 1-2 days. In October of last year, I suddenly started having bowel movements every 2-3 day...
Dr. Cai Anshun Reply:
Hello: 1. If you have already undergone a colonoscopy and only have issues with hemorrhoids, then the blood after wiping is more likely to be due to hemorrhoidal bleeding. 2. The liver is located on the right side, so there is a high possibility of adhesions from surgery. 3. Ther...[Read More] Understanding Digestive Issues After Liver Transplant: Bloating, Pain, and More
Should Medication Be Changed After Gastric Polyp Removal?
Is it necessary to change medications after the removal of gastric polyps? Hello Doctor, my wife has been experiencing stomach pain and bloating. She has been taking medication from the clinic for 18 days (starting with cimetidine and later switched to ranitidine) without improve...
Dr. Chen Qifeng Reply:
1. Endoscopic removal of polyps rarely has complications. 2. If symptoms do not improve, abdominal ultrasound and other examinations may be considered.[Read More] Should Medication Be Changed After Gastric Polyp Removal?
Understanding Liver Function Test Results: What Do They Mean for Your Health?
Inquiry about liver function tests? Height: 182 cm, Weight: 65 kg, Age: 19. I went to bed at midnight the night before the examination. The results are as follows: 1. AST: 54 U/L 2. ALT: 47 U/L 3. Serum Creatinine: 0.9 mg/dL 4. Estimated Glomerular Filtration Rate (eGFR): 115...
Dr. Cai Anshun Reply:
Hello: 1. Get enough rest and avoid staying up too late; if you are overweight, you should manage your weight. 2. You can consult a gastroenterologist, and if necessary, arrange for an abdominal ultrasound at Changhua Hospital to monitor your health. Dr. Tsai An-shun.[Read More] Understanding Liver Function Test Results: What Do They Mean for Your Health?
Understanding Abdominal and Back Pain: When to See a Gastroenterologist
Stomach pain with back pain? Hello Doctor, I had a barbecue lunch the day before yesterday, and after taking a shower that evening, I suddenly felt abdominal pain along with discomfort in my lower back. Later that night, I had two episodes of diarrhea, but the pain in my stomac...
Dr. Cai Anshun Reply:
Hello: Upper abdominal pain that radiates to the back may be indicative of pancreatitis, gastroesophageal reflux disease (GERD), or duodenal ulcers. It is recommended to consult a gastroenterologist to determine the cause. Changhua Hospital cares about your health. Dr. Tsai An-Sh...[Read More] Understanding Abdominal and Back Pain: When to See a Gastroenterologist
Understanding Upper Abdominal Pain, Appetite Loss, and Blood in Stool
Upper abdominal pain, decreased appetite, and blood in the stool? Recently, I have been experiencing pain above my navel, with the location varying, but it is often just below the rib cage and towards the center. The pain occurs on both sides and has persisted for about a month. ...
Dr. Chen Qifeng Reply:
Your symptoms fall within the realm of gastroenterology, and the upper abdominal pain may warrant consideration for an abdominal ultrasound. The blood in your stool is more suggestive of hemorrhoids, and you may also seek assistance from a colorectal surgeon.[Read More] Understanding Upper Abdominal Pain, Appetite Loss, and Blood in Stool
Understanding Liver Hemangiomas: Commonality and Diagnostic Insights
Hepatic hemangioma Hello! Last April, I had blood in my urine and underwent an abdominal CT scan with contrast, which reported everything as normal, but a polyp was found in my gallbladder. This July, I had an abdominal ultrasound to follow up on the gallbladder polyp, but it als...
Dr. Yang Zhichao Reply:
A physician may not administer treatment, prescribe medication, or issue a diagnosis without personally examining the patient.[Read More] Understanding Liver Hemangiomas: Commonality and Diagnostic Insights
Understanding Hiccups, Chest Tightness, and Stomach Ulcers: A Patient's Journey
Gastric ulcer / chest tightness / belching Hello Dr. Chen, last month I experienced persistent hiccups, chest tightness, a sensation of a foreign body in my throat, and black stools. I visited a gastroenterology clinic, where the doctor performed an ultrasound that came back norm...
Dr. Chen Shidian Reply:
Hello, if it has been confirmed that there are no heart issues, you may take antacids to see if it improves the chest pain, which could be due to gastroesophageal reflux. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Hiccups, Chest Tightness, and Stomach Ulcers: A Patient's Journey
Understanding Gastric Endoscopy: Insights on External Compression and Digestive Health
Gastrointestinal endoscopy I would like to ask about the findings after my gastroscopy, which showed only superficial gastritis. Additionally, the doctor mentioned suspected external compression of the stomach. My family medicine doctor recommended a CT scan. Currently, I have no...
Dr. Chen Qifeng Reply:
If the gastroscopy confirms external compression, an abdominal ultrasound may be considered first. If this does not clarify the situation or if there are issues, further evaluation with a CT scan should be performed.[Read More] Understanding Gastric Endoscopy: Insights on External Compression and Digestive Health
Can Weight Loss and Diet Reverse Severe Fatty Liver Disease?
Fatty liver disease issues? Hello, Doctor. Recently, I went to the hospital for a check-up and an abdominal ultrasound at the family medicine department. The family medicine doctor said that the gastroenterologist indicated I have significant fatty liver (severe fatty liver). My ...
Dr. Yang Zhichao Reply:
Dear Ms. Chen, Hello. Fatty liver can indeed be improved through dietary changes and regular exercise. The liver accumulates fat, and when this fat oxidizes over time, it can lead to inflammation, resulting in elevated liver enzymes. Given that you weigh over 100 kilograms, it i...[Read More] Can Weight Loss and Diet Reverse Severe Fatty Liver Disease?
Understanding Abnormal AST Levels and Managing Abdominal Ultrasound Findings
Health Check Consultation Doctor, I would like to ask about my health check results. My AST (GOT) level is 38, while the reference range is 15-37. Should I be concerned about this abnormality? Additionally, the abdominal ultrasound indicated that the tail of my pancreas is obstru...
Dr. Chen Shidian Reply:
Hello, Miss. 1. As long as there is no hepatitis B or C, there should be no problem; just continue with monitoring. 2. Gastrointestinal issues can obstruct the angle of the pancreatic tail, which is often difficult to resolve, but there are also fewer chances of lesions. Changhua...[Read More] Understanding Abnormal AST Levels and Managing Abdominal Ultrasound Findings