Is My Stomach Pain a Sign of Vomiting Blood? Understanding Ulcers
Is this vomiting blood? Hello, doctor. I am 24 years old, 165 cm tall, and weigh 86 kg. I have been experiencing stomach pain since I was 18 years old, but I initially found relief by taking stomach medications. However, in the past three years, the stomach pain has become more f...
Dr. Li Zhengqi Reply:
Dear Sir/Madam: Please seek immediate medical attention at a gastroenterology clinic or emergency room on an empty stomach. Be cautious of shock or fainting! Changhua Hospital cares about your health. Chen Shidian[Read More] Is My Stomach Pain a Sign of Vomiting Blood? Understanding Ulcers
Cost of Liver Function Tests and Considerations for Patients in Taipei
Cost of liver function tests? My father has been suffering from hepatitis B for several years. He often feels soreness in his right shoulder, but it's not severe enough that he can't lift it, and he is concerned that it might be related to his liver. I would like to inq...
Dr. Lin Minghui Reply:
Hello: 1. If your father has hepatitis B, it is recommended that he undergo regular monitoring, including ultrasound and blood tests, to assess the condition of his liver. 2. Right shoulder pain may be caused by issues related to muscles, bones, or nerves. 3. Currently, our hospi...[Read More] Cost of Liver Function Tests and Considerations for Patients in Taipei
Understanding Bowel Sounds: Causes and Concerns in Gastrointestinal Health
Borborygmi Hello Dr. Chen: In February 2006, I experienced severe abdominal pain during my menstrual period, so on the fifth day of my cycle, I underwent an abdominal ultrasound. To my surprise, the doctor told me that there was nothing wrong with my uterus. However, I was puzzle...
Dr. Li Zhengqi Reply:
Hello Lin Zhi-Han: The colon naturally undergoes peristalsis at irregular intervals for bowel movements, so there is no need to worry. It is recommended to check the stool; if it is normal, you may take gastrointestinal motility inhibitors to alleviate symptoms (only keep them on...[Read More] Understanding Bowel Sounds: Causes and Concerns in Gastrointestinal Health
Persistent Stomach Discomfort and Nausea: When to Seek Further Evaluation?
Abdominal discomfort... slight swelling in the upper right quadrant... frequent nausea and urge to vomit? Hello, doctor. I've been experiencing discomfort in my stomach for a long time. I had an endoscopy a year and a half ago, which showed some minor lesions in my stomach. ...
Dr. Lin Minghui Reply:
Hello: Abdominal pain, nausea, and a desire to vomit, especially with nighttime pain, may indicate duodenal or gastrointestinal disorders, including gastroesophageal reflux disease (GERD), inflammation, ulcers, or even malignancies. If symptoms persist, it is advisable to seek me...[Read More] Persistent Stomach Discomfort and Nausea: When to Seek Further Evaluation?
Understanding Right Upper Abdominal Discomfort: Possible Causes and Concerns
There is a feeling of heaviness and bloating in the right upper abdomen? Hello, doctor. I have been experiencing bloating in my left abdomen for quite some time. I have taken medications from several clinics, but there hasn't been a significant improvement. Recently, I often...
Dr. Chen Zhiping Reply:
Hello: Liver function is normal, and although there is no hepatitis B, liver and gallbladder issues cannot be completely ruled out. It is recommended that you undergo an abdominal ultrasound to exclude problems with the liver, gallbladder, and pancreas. There are many causes of a...[Read More] Understanding Right Upper Abdominal Discomfort: Possible Causes and Concerns
Persistent High Liver Enzymes: Should You Be Concerned?
I would like to ask why my liver enzymes are not decreasing? Hello, I would like to ask: A 30-year-old male, 165 cm tall, weighing 55 kg, who exercises infrequently, does not drink alcohol, and has not been on long-term medication, has liver enzyme levels elevated to around 100-3...
Dr. Chen Shidian Reply:
Hello, Da'an: Fatty liver cannot be fully explained; consideration for a biopsy at a medical center may be necessary, but prior examination reports should be available to avoid re-examination. Changhua Hospital cares about you, Chen Shidian.[Read More] Persistent High Liver Enzymes: Should You Be Concerned?
Post-Gallbladder Surgery: Essential Health Checkups for Your Wellbeing
Health check-ups after gallstones? Hello Doctor, my father (54 years old) had his gallbladder removed last year due to gallstones. He sometimes experiences discomfort near his stomach. Although he has seen a doctor and occasionally takes gastrointestinal medication, it doesn'...
Dr. Chen Zhiping Reply:
Hello: After gallbladder removal surgery, if there is discomfort in the upper abdomen, it is necessary to first check for the presence of stones in the bile duct or the possibility of peptic ulcers in the stomach and duodenum. Additionally, pancreatic diseases may also present as...[Read More] Post-Gallbladder Surgery: Essential Health Checkups for Your Wellbeing
Managing Splenomegaly: Health Tips for Hepatitis B Carriers
Splenomegaly Hello Dr. Lin, I am a carrier of hepatitis B. During a previous ultrasound examination, I was found to have splenomegaly. Could you please advise me on how to maintain my health? Do I need to take any medication? Thank you.
Dr. Lin Minghui Reply:
Hello: 1. Causes of splenomegaly include liver and biliary diseases, hematological disorders, viral infections, and should be monitored clinically. 2. For hepatitis B carriers, it is important to avoid excessive fatigue, maintain a normal diet, consume plenty of fresh foods, lim...[Read More] Managing Splenomegaly: Health Tips for Hepatitis B Carriers
Managing Moderate to Severe Liver Cirrhosis: A Caregiver's Guide
Moderate to severe liver cirrhosis, please help..? My mother went to the emergency room at the beginning of last month due to persistent diarrhea. She has been diagnosed with early-stage cirrhosis two to three years ago, and recently she seems to have frequent bloating and ascite...
Dr. Xu Jinchuan Reply:
Hello! 1. Based on the information in the letter, your mother has developed ascites, indicating that she has moderate to severe cirrhosis. In this condition, the current approach can only focus on symptom management and close monitoring. 2. The purpose of a liver biopsy is to ass...[Read More] Managing Moderate to Severe Liver Cirrhosis: A Caregiver's Guide
Understanding GPT Levels During Pregnancy: What You Need to Know
GPT: 50 GOT: 34 Hello, I completed a health check on October 26, and the report indicated that everything is normal (urinalysis, kidney function tests including BUN, CREA, and UA are all normal; lipid profile, metabolic tests, blood, and serum tests show HBsAg (-), HBsAb (+), ...
Dr. Lin Minghui Reply:
Response: 1. GPT: Abnormal liver function tests indicate inflammation of the liver, necessitating further monitoring of liver function and investigation into potential causes of liver inflammation, such as viral hepatitis, fatty liver disease, alcohol use, medications, metabolic ...[Read More] Understanding GPT Levels During Pregnancy: What You Need to Know
Herbal Remedies for Pain Relief: Unintended Stomach Issues Explored
Taking traditional Chinese medicine for pain relief may instead trigger stomach pain? My mother started taking traditional Chinese medicine to treat shoulder pain, but after two days, she developed stomach pain. She has seen three doctors and undergone two gastroscopies, all of w...
Dr. Chen Shidian Reply:
Hello, helpless person: 1) Due to changing doctors for treatment, you may undergo repeated examinations. You can bring the gastroscopy report and medication list from the previous hospital to the second hospital to avoid unnecessary tests. 2) "Non-ulcer dyspepsia" can s...[Read More] Herbal Remedies for Pain Relief: Unintended Stomach Issues Explored
Understanding Elevated SGPT Levels: When to Seek Further Testing
Elevated S.G.P.T (Serum Glutamic-Pyruvic Trans Hello Dr. Lin: I completed my health check-up in July, and my SGPT level was above 139 U/L with a positive occult blood test. Should I undergo another examination, or is there something specific I should pay attention to? I usually d...
Dr. Lin Minghui Reply:
Hello, 1. A GPT value of 139 indicates liver inflammation, and it is important to investigate the causes of liver function abnormalities. Common causes include viral hepatitis (chronic B and C), alcohol, medications, and fatty liver disease. It is essential to monitor liver enz...[Read More] Understanding Elevated SGPT Levels: When to Seek Further Testing
Understanding Persistent Abdominal Pain: Causes and Solutions
Abdominal pain and discomfort? Hello Director Chen, Since February of this year, I have been experiencing intermittent pain in my left abdomen (approximately 3 to 5 centimeters from my navel), along with a feeling of overall abdominal bloating, which is very uncomfortable. In Ap...
Dr. Chen Shidian Reply:
Hello Zhao Nianyu: You can visit the gastroenterology department to confirm the related symptoms and treatment (including small intestine and large intestine) in order to understand the cause and provide symptomatic treatment. Wishing you a speedy recovery, Chen Shidian.[Read More] Understanding Persistent Abdominal Pain: Causes and Solutions
Understanding Isolated Elevated r-GT Levels: Causes and Next Steps
Only r-GT is elevated, all other values are normal, and there is no history of alcohol abuse? Hello Dr. Lee: I recently underwent a health check-up, and the results are as follows: r-GT 85, SGOT 27, SGPT 28, alkaline phosphatase 77, direct bilirubin 0.2, total bilirubin 1.0, chol...
Dr. Li Zhengqi Reply:
Hello Josin: Elevated r-GT and TG levels are commonly caused by alcohol consumption, but there may be other reasons such as bile duct obstruction or cholestasis. It is recommended to undergo an abdominal ultrasound examination and to have long-term follow-up. Wishing you a speedy...[Read More] Understanding Isolated Elevated r-GT Levels: Causes and Next Steps
Chronic Bloating: Understanding Causes and Effective Solutions
Chronic bloating? Hello Doctor: For the past two to three years, I have been experiencing intermittent bloating issues. I have seen many doctors and taken various medications, but none have provided a cure. Over the past six months, regardless of whether it is morning or evening,...
Dr. Yuan Hongdao Reply:
Hello, if your bloating symptoms are severe, persistent, and causing you significant distress, I recommend undergoing an upper gastrointestinal endoscopy, abdominal ultrasound, and blood tests to rule out any potential pathological conditions. Otherwise, frequently worrying about...[Read More] Chronic Bloating: Understanding Causes and Effective Solutions
Understanding Left Lower Abdominal Pain and Digestive Discomfort
Occasional sharp pain in the lower left abdomen, muscle soreness in the buttocks, and abdominal bloating? You may want to consult a gastroenterologist for your symptoms, as they can evaluate issues related to the gastrointestinal tract, including potential acid reflux. Additional...
Dr. Li Zhengqi Reply:
Hello Frances, 1. Left lower abdominal pain may be associated with issues in the gastrointestinal or urinary tract. In females, it may also involve gynecological organs such as the ovaries and uterus. Additionally, soft tissue structures (including muscles, fascia, ligaments, an...[Read More] Understanding Left Lower Abdominal Pain and Digestive Discomfort
Understanding Your Digestive Issues: Gallbladder, Liver, and Stomach Concerns
I don't know what disease it is? Hello Doctor, I have been troubled by a persistent issue for a long time, and I kindly ask for your guidance. About two years ago, I started experiencing stomach pain and have been receiving treatment at a clinic, with symptoms fluctuating b...
Dr. Xu Jinchuan Reply:
Hello! 1. Gastroesophageal reflux occurs when the lower esophageal sphincter is too relaxed, allowing stomach acid to flow back up into the esophagus. There are many factors that can trigger this symptom, including high stress, obesity, and certain medications. A gastroscopy can ...[Read More] Understanding Your Digestive Issues: Gallbladder, Liver, and Stomach Concerns
Managing GERD and Stomach Ulcers: Seeking Expert Advice
Gastroesophageal reflux disease (GERD), gastric ulcer? Hello Dr. Yuan: I frequently experience burning pain in my chest, hunger-like pain in my abdomen, and aching in my back. Sometimes, I also have a dull pain in my bones. These symptoms often occur at night, causing me to wake ...
Dr. Yuan Hongdao Reply:
Hello, for pain caused by gastroesophageal reflux or gastric mucosal erosion, there should be significant improvement after using medications like Tegamet or Nexium. If there is no improvement, it may be necessary to consider other underlying issues. It is recommended to perform ...[Read More] Managing GERD and Stomach Ulcers: Seeking Expert Advice
Understanding Gallstones: Causes, Symptoms, and Treatment Options
Gallstones Recently, I went for a health check-up with my husband, and the doctor performed an abdominal ultrasound and X-ray, which revealed that I have gallstones. This made me realize why I often feel fatigued, have headaches, and generally have lower energy levels than others...
Dr. Lin Minghui Reply:
Hello, the exact cause of gallstone formation is still not fully understood. Women, individuals with obesity, those with cirrhosis, and patients with hemolytic diseases are at a higher risk. Approximately 20-40% of patients with gallstones experience symptoms, which include upper...[Read More] Understanding Gallstones: Causes, Symptoms, and Treatment Options
Understanding Elevated GOT and GPT Levels: What Tests Should You Consider?
GOT (Glutamate Oxaloacetate Hello: A month ago, blood tests revealed that my GOT and GPT levels were around 400. I do not have hepatitis B or C, but I am unsure if I have fatty liver. Over the past two years, I have gained about 40 kg and my diet is not very strict, as I tend to ...
Dr. Lin Minghui Reply:
Reply: Hello, 1. An abdominal ultrasound can be arranged to check for fatty liver, liver cysts, liver tumors, etc. 2. GOT and GPT levels are approximately ten times the normal value, indicating liver inflammation. If Hepatitis B and C are ruled out, common causes include fatty...[Read More] Understanding Elevated GOT and GPT Levels: What Tests Should You Consider?