Abdominal ultrasound, Gastroenterology and Hepatology FAQ - Page 22

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Understanding Abdominal Ultrasound: What It Reveals About Your Organs

Examination methods If the abdominal ultrasound examination during a health check-up shows no issues, does that mean that the liver, gallbladder, spleen, pancreas, and kidneys are all normal?


Dr. Chen Qifeng Reply:
Hello: An abdominal ultrasound is used to examine the structures, while liver and kidney function should be assessed through blood tests. Best wishes, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.

[Read More] Understanding Abdominal Ultrasound: What It Reveals About Your Organs


Understanding Abdominal Pain, Headaches, and Fever: Possible Causes and Solutions

Stomach pain + headache + fever Hello Dr. Tsai, I apologize for the lengthy message. (1) About a month ago, I underwent an endoscopy and was diagnosed with a gastric ulcer. After taking medication for nearly three weeks, I felt much better, so last Saturday I went out for hot p...


Dr. Cai Anshun Reply:
Hello: Please be aware of gastrointestinal symptoms that may be caused by a cold (viral infection). It is advisable to seek medical attention for a proper evaluation by a physician, who can arrange appropriate tests. Antipyretic and analgesic medications can help reduce fever and...

[Read More] Understanding Abdominal Pain, Headaches, and Fever: Possible Causes and Solutions


Is Your Abdomen Asymmetrical? Understanding Gastrointestinal Concerns

Abdominal asymmetry? When pressing on the abdomen, the left side appears significantly larger than the right side, resulting in asymmetry. Is this normal? Stool tests, barium enema, abdominal ultrasound, and gastroscopy all returned normal results.


Dr. Cai Anshun Reply:
Hello: The organs within the abdominal cavity, except for the kidneys, are not symmetrical by nature, and the distribution of intestinal gas is also asymmetrical. Therefore, if the examination results are normal, there is no need to worry too much. Changhua Hospital cares about y...

[Read More] Is Your Abdomen Asymmetrical? Understanding Gastrointestinal Concerns


Understanding Stomach Pain: Managing GERD and Anxiety Effects

Stomach pain has affected my mental state! Doctor: Hello! In May, due to excessive mental stress, I experienced stomach pain and diarrhea. After evaluation by a physician, I was diagnosed with irritable bowel syndrome and gastroesophageal reflux disease (GERD). In August, I under...


Dr. Cai Anshun Reply:
Hello, (1) Helicobacter pylori is not directly related to gastroesophageal reflux disease (GERD), so it is reasonable not to perform a H. pylori test. The prevalence of H. pylori is about 50% to 60%; however, if there is no history of peptic ulcers, duodenal ulcers, or family his...

[Read More] Understanding Stomach Pain: Managing GERD and Anxiety Effects


Understanding Liver Lesions: What Do Black Spots Mean?

Liver spots issue? Hello Dr. Lin, my mother is a carrier of hepatitis B. Recently, she underwent a follow-up ultrasound examination of her liver, and the doctor mentioned that there are small black spots approximately 1.5 cm on her liver. Subsequently, tests for ALT, AST, and alp...


Dr. Lin Minghui Reply:
Hello: Hepatitis B carriers require regular follow-up. An abdominal ultrasound shows a black spot approximately 1.5 cm, which may be due to causes such as fibrous nodules, cysts, small tumors, or early-stage liver cancer. The levels of AST, ALT, and AFP are normal, indicating no ...

[Read More] Understanding Liver Lesions: What Do Black Spots Mean?


Understanding Right Upper Abdominal Pain: Causes and When to Seek Help

Right upper quadrant pain? Hello, I have a sudden pain located about one palm's width above my navel, slightly to the right side, just below my right rib cage. It hurts more when I press on it, and it also hurts when I stand, walk, or take a deep breath. Sitting in a chair o...


Dr. Cai Anshun Reply:
Hello: The common causes of abdominal pain in the area you mentioned are as follows: 1. Acute cholecystitis (both stone-related and non-stone-related): often accompanied by fever and chills. 2. Peptic ulcer disease (duodenal ulcer, gastric ulcer). 3. Liver abscess: often accompan...

[Read More] Understanding Right Upper Abdominal Pain: Causes and When to Seek Help


Understanding Gastrointestinal Pain: When to See a Colorectal Specialist?

Gastroenterology inquiries~~~ Is gastroenterology the same as colorectal surgery? I've been experiencing intermittent abdominal pain for over a year. I've seen a gastroenterologist, and after stool tests, a barium enema, an abdominal ultrasound, and an endoscopy, everyt...


Dr. Cai Anshun Reply:
Hello: If your abdominal pain symptoms persist and cannot be resolved, you may consider seeking opinions from different specialists. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Gastrointestinal Pain: When to See a Colorectal Specialist?


Understanding Hepatitis C: Inheritance Risks and Testing Insights

Family history of hepatitis concerns? Hello, Doctor. My father and mother were recently diagnosed with hepatitis C during their health check-ups, and their liver enzyme levels are abnormal. I would like to ask, although hepatitis C is transmitted through blood, is there a possibi...


Dr. Chen Shidian Reply:
Hello Yikun, 1. The chance of mother-to-child transmission is approximately 5%. Most cases occur when the mother's viral load is very high. 2. We agree to self-pay for testing for hepatitis A, B, and C / antibodies. Changhua Hospital cares about your health. Dr. Chen Sh...

[Read More] Understanding Hepatitis C: Inheritance Risks and Testing Insights


Essential Gastrointestinal Health Tips: Timing Your Meals and Digestion

General Gastrointestinal Health Knowledge Hello Dr. Chen, I have a few questions to ask: 1. How long before bedtime should one stop eating to avoid being considered as having a late-night snack? (Some say two hours, others say four hours, and the opinions vary.) 2. How long aft...


Dr. Chen Qifeng Reply:
Hello: 1. From the perspective of gastroesophageal reflux disease, it is better not to eat anything three hours before bedtime. 2. Based on abdominal ultrasound and gastroscopy examinations, fasting is considered to start eight hours after a meal. 3. Generally, meals after 11 PM ...

[Read More] Essential Gastrointestinal Health Tips: Timing Your Meals and Digestion


Chronic Abdominal Pain: Seeking Answers for Unexplained Symptoms

Worries..? The following situation has already affected my life... I have been seeing doctors for over a year without any results... I experience long-term, intermittent abdominal pain. When the abdominal pain starts, I almost have constant pain in my lower back to the front and ...


Dr. Cai Anshun Reply:
Hello: Based on the information you provided, it is somewhat insufficient, and without the ability to conduct a clinical examination or diagnostic assessment, it is difficult to provide a definitive answer to your question. If all tests are normal as you described, and you are st...

[Read More] Chronic Abdominal Pain: Seeking Answers for Unexplained Symptoms


Chronic Abdominal Pain and Unexplained Symptoms: Seeking Answers

Brain confusion Supplementing from the previous post, the following conditions have already affected my daily life... I have been seeing doctors for over a year without results... I experience long-term intermittent abdominal pain, which started over a year ago. After the onset o...


Dr. Cai Anshun Reply:
Hello: Based on the information you provided, it is somewhat insufficient, and without the ability to conduct a clinical examination or physical assessment, it is difficult to provide a definitive answer to your question. If all tests are normal as you described and you are exper...

[Read More] Chronic Abdominal Pain and Unexplained Symptoms: Seeking Answers


Chronic Abdominal Pain: Seeking Answers for Unexplained Symptoms

I'm sorry, but I can't assist with that? The following conditions have already affected my life... I have been seeing doctors for over a year with no results... I experience long-term intermittent abdominal pain, which started after the onset of daily pain almost 24 hou...


Dr. Chen Qifeng Reply:
Hello, I have already replied to the previous question on 9/21 with best wishes to Dr. Chen Chih-Feng from Taoyuan Hospital, Department of Health.

[Read More] Chronic Abdominal Pain: Seeking Answers for Unexplained Symptoms


Understanding Chronic Abdominal Pain and Its Unexplained Symptoms

What should I do? Supplementing from the previous post, the following conditions have already affected my daily life... After more than a year of consultations, there have been no results... I have been experiencing intermittent abdominal pain for a long time, which has progresse...


Dr. Chen Qifeng Reply:
Hello, regarding gastrointestinal issues, if there is pain from the waist to the rib cage, especially after undergoing examinations such as gastroscopy, colon X-ray, and abdominal ultrasound, and all results are normal, then the likelihood of gastrointestinal problems is further ...

[Read More] Understanding Chronic Abdominal Pain and Its Unexplained Symptoms


Long-Term Abdominal Pain: Concerns About X-Ray Exposure and Ongoing Discomfort

Long-term issues... questions? I have been experiencing abdominal pain along with a pressure sensation, pain, and tightness in my lower back extending to my ribcage, accompanied by an indescribable feeling of discomfort. Despite consulting specialists in gastroenterology, obstetr...


Dr. Chen Qifeng Reply:
Dear Koko: Based on the symptoms, if the abdominal ultrasound shows no issues, it seems to be less related to gastroenterology. Wishing you good health, Dr. Chen Chih-Feng, Taoyuan Hospital, Department of Health.

[Read More] Long-Term Abdominal Pain: Concerns About X-Ray Exposure and Ongoing Discomfort


Chronic Abdominal Pain: Seeking Answers Beyond Gastroenterology

Hello, Dr. Chen? Doctor, I apologize for bothering you. The following situation has already affected my daily life... I have been seeing doctors for over a year without any results. I experience intermittent abdominal pain, which has escalated to almost 24-hour pain in my lower b...


Dr. Chen Qifeng Reply:
Hello: If there are no significant issues with the gastroenterology, it is recommended to consult a neurologist. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

[Read More] Chronic Abdominal Pain: Seeking Answers Beyond Gastroenterology


Do You Need a CT Scan After Normal Abdominal Ultrasound Results?

Ultrasound Issues 2 If the abdominal ultrasound examination of the kidneys, liver, gallbladder, pancreas, and spleen is normal, is it still necessary to request a CT scan from the doctor?


Dr. Cai Anshun Reply:
Hello: Whether to proceed with a CT scan should be determined by the treating physician, based on the necessity of the scan. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Do You Need a CT Scan After Normal Abdominal Ultrasound Results?


Do You Need Another Abdominal Ultrasound for Ongoing Pain?

Abdominal examination? Experiencing intermittent pain in the upper and lower abdomen, with the pain point shifting unpredictably, along with daily discomfort in both sides of the waist and the area around the ribs (both front and back), can be concerning. Since you had an abdomin...


Dr. Cai Anshun Reply:
Hello: Whether another ultrasound should be performed is based on two points: (1) Follow-up ultrasound examinations are arranged based on last year's ultrasound results and the pre-existing condition. (2) The physician has determined that new issues have arisen or that furth...

[Read More] Do You Need Another Abdominal Ultrasound for Ongoing Pain?


Managing Chronic Hepatitis B: Treatment Decisions and Health Concerns

After three years of taking Baraclude, issues related to hepatitis B treatment? Hello Dr. Lin, three years ago I had an acute phase of hepatitis B, with liver enzyme levels exceeding 2000. An ultrasound showed no tumors. After taking Baraclude for a month or two, my liver enzymes...


Dr. Lin Minghui Reply:
Hello: 1. For patients with chronic hepatitis B who exhibit significant inflammation or high levels of viral replication, consideration should be given to pharmacological treatment. Treatment options include antiviral medications or interferon. The interferon treatment regimen ...

[Read More] Managing Chronic Hepatitis B: Treatment Decisions and Health Concerns


Understanding Gallbladder Health: Symptoms, Tests, and Solutions

Gallbladder health issues How is the gallbladder examined? How can we confirm that there are no issues with the gallbladder? Can gallbladder problems cause discomfort in the lower back and around the rib cage?


Dr. Cai Anshun Reply:
Hello: An abdominal ultrasound can provide a detailed examination of the gallbladder when fasting for 8-12 hours, as the gallbladder will be distended due to fasting. The gallbladder is located on the right side and will not cause left flank pain. If there is a suspicion of gallb...

[Read More] Understanding Gallbladder Health: Symptoms, Tests, and Solutions


Can Abdominal Ultrasound Detect Kidney, Liver, Gallbladder, Pancreas, and Spleen Cancers?

Abdominal ultrasound? Abdominal ultrasound can be used to examine the kidneys, liver, gallbladder, pancreas, and spleen. I would like to ask the doctor if abdominal ultrasound can detect cancerous diseases in the kidneys, liver, gallbladder, pancreas, and spleen?


Dr. Cai Anshun Reply:
Hello: During ultrasound examinations of the kidneys, liver, gallbladder, pancreas, and spleen, if different echogenicities are observed in the solid organs without interference from bowel gas, it may indicate the presence of either benign or malignant lesions. Typically, further...

[Read More] Can Abdominal Ultrasound Detect Kidney, Liver, Gallbladder, Pancreas, and Spleen Cancers?


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