Understanding Mixed Echo Lesions in the Spleen: What You Need to Know
What is a mixed sound lesion of the spleen? I recently went to the hospital for a check-up and had an abdominal ultrasound. The report indicated a suspected mixed echogenic lesion in the spleen measuring 3.4 cm. I haven't had this in previous years, and I don't have any...
Dr. Lin Minghui Reply:
Hello: It is recommended to arrange for further examinations, such as a computed tomography (CT) scan, to check for any splenic tumors and their characteristics. Possible causes of splenic tumors include: #benign hemangiomas #inflammatory abscesses (which may present with fever a...[Read More] Understanding Mixed Echo Lesions in the Spleen: What You Need to Know
Understanding Your Abdominal Ultrasound Results: Liver and Gallbladder Insights
Abdominal ultrasound examination? Hello Dr. Chen, I had an abdominal ultrasound examination yesterday, and I translated the findings myself. I found several issues!!! The liver size is normal, but the parenchyma is heterogeneous, the surface is smooth, and the vascular system is ...
Dr. Chen Shidian Reply:
If there is no hepatitis B/C or pain, monitoring is sufficient.[Read More] Understanding Your Abdominal Ultrasound Results: Liver and Gallbladder Insights
Understanding Cystic Lesions in the Upper Abdomen: When to Consult a Gastroenterologist
Chest CT shows a cyst in the upper abdomen? Hello, doctor. I just had a chest CT, and I saw a statement in the report that says: "Two cystic mass-like lesions in the upper abdomen (Se2 Im122) up to 11 cm. Suggest abdominal CT with contrast for further evaluation." Howev...
Dr. Chen Shidian Reply:
It seems that the default report text was forgotten to be updated. After undergoing an ultrasound, regular follow-up (approximately once a year) is sufficient.[Read More] Understanding Cystic Lesions in the Upper Abdomen: When to Consult a Gastroenterologist
Understanding Abdominal Ultrasound Results: Key Concerns for Hepatitis B Patients
Questions related to abdominal ultrasound examination? Hello Doctor, I am a carrier of hepatitis B. Today, during my health check-up, I had an abdominal ultrasound. The doctor indicated that there are some white spots on the liver surface, with one larger spot measuring 0.6 cm. I...
Dr. Lin Minghui Reply:
It is recommended to closely monitor and only perform a biopsy if there is a suspicion of malignancy, as small lesions may not be adequately sampled. Pancreatic and hepatic cysts are generally benign. If they are not too large or causing compression or complications, monitoring i...[Read More] Understanding Abdominal Ultrasound Results: Key Concerns for Hepatitis B Patients
Understanding Pancreatic Tumors: Diagnosis, Treatment Options, and Risks
Pancreatic tumor Dear Dr. Lin, In July, my husband underwent a low-dose computed tomography (LDCT) scan originally intended to monitor his lungs, but it unexpectedly revealed a pancreatic tumor approximately 3.2 cm in size with low density. We promptly returned to the thoracic s...
Dr. Lin Minghui Reply:
A cyst in the body of the pancreas larger than three centimeters may sometimes be difficult to identify on imaging. An endoscopic ultrasound (EUS) has been arranged, and it does not communicate with the bile duct. There are no nodules within the tumor, leaning towards a serous cy...[Read More] Understanding Pancreatic Tumors: Diagnosis, Treatment Options, and Risks
Understanding Palmar Erythema: Is It a Sign of Liver Issues?
Suspected palmar erythema? For more than a year, I have noticed redness in the palms of my hands, particularly in the hypothenar area. However, my blood tests every three months have been normal, and my abdominal ultrasound has also shown no issues. I am still very concerned and ...
Dr. Chen Shidian Reply:
It is unlikely to be caused by liver disease; you can take a photo with your mobile phone and provide it for the dermatologist's diagnosis if necessary.[Read More] Understanding Palmar Erythema: Is It a Sign of Liver Issues?
Understanding Elevated CA19-9 Levels: Causes and Concerns
A 20-year-old with significantly elevated CA 19-9 levels? Recently, I visited a gastroenterologist due to unexplained pain in my right abdomen. After three days, my previously distended abdomen suddenly deflated (suspected seroma). Then, over the next five days, I lost one kilogr...
Dr. Chen Shidian Reply:
Follow up with a gastroenterologist for examination; the indicators are for reference only.[Read More] Understanding Elevated CA19-9 Levels: Causes and Concerns
Understanding Your Abdominal Ultrasound Results: Key Insights for Liver Health
Inquiry about abdominal ultrasound results? Hello Doctor, I recently had some tests done, including an ultrasound. The doctor had prescribed medication for my condition. Are there any important points to note regarding the ultrasound results? Thank you. Blood test results: GOT...
Dr. Chen Shidian Reply:
A 0.5 cm lymph node located outside the liver in the abdominal cavity can generally be monitored with follow-up.[Read More] Understanding Your Abdominal Ultrasound Results: Key Insights for Liver Health
Understanding Low Amylase Levels: Impacts and Management
Low amylase levels Hello, during my health check-up, it was found that my amylase level is low; the normal range is 29-103, and mine is 19. An abdominal ultrasound showed mild fatty liver, but the report did not recommend any follow-up at the hospital. Could you please explain wh...
Dr. Hu Guozheng Reply:
It is recommended to bring your health check report to a consultation with a family medicine or gastroenterology clinic. Thank you.[Read More] Understanding Low Amylase Levels: Impacts and Management
Understanding Digestive Issues: When to Worry About Cancer Symptoms
Suspected gastrointestinal cancer? Hello Doctor, since July 20, I have been experiencing abdominal bloating, intermittent abdominal pain, hip pain, lower back pain, gastroesophageal reflux, nausea, loss of appetite, and a weight loss of 3-4 kg (originally 48 kg). My bowel habits ...
Dr. Chen Shidian Reply:
The symptoms reported are not necessarily indicative of gastrointestinal cancer, so there is no need to worry. If necessary, a stool occult blood test can be done first (which provides quicker results), but a gastrointestinal endoscopy is more accurate.[Read More] Understanding Digestive Issues: When to Worry About Cancer Symptoms
Understanding Abdominal Discomfort: Causes and When to Seek Help
Slight discomfort in the abdomen and lower back? Hello Doctor, I have recently been experiencing a feeling of pressure in my abdomen (in different areas). A few days ago, I felt a rhythmic poking sensation around my navel, accompanied by frequent burping, poor appetite, nausea, a...
Dr. Chen Shidian Reply:
Continue to return for follow-up visits to discuss the treatment plan and health education. It is advisable to take a walk after meals and learn relaxation techniques (such as meditation, etc.).[Read More] Understanding Abdominal Discomfort: Causes and When to Seek Help
Post-Meal Bloating and Digestive Issues After Rib Injury
After noon, I experienced bloating that made it difficult to eat or swallow in the evening? Hello Doctor, I would like to inquire about my mother's condition. Many doctors have suggested that she has poor gastrointestinal motility, but she did not have this issue before the ...
Dr. Hu Guozheng Reply:
I apologize, but online consultations cannot replace in-person diagnoses. It was mentioned that the patient has already sought medical attention, but the specific specialty was not stated. If it is related to the hepatobiliary and gastrointestinal department, it is recommended to...[Read More] Post-Meal Bloating and Digestive Issues After Rib Injury
Understanding Chronic Lower Abdominal Discomfort: Possible Causes and Solutions
Persistent discomfort below the navel? Hello Doctor: I have gastroesophageal reflux disease and have been under treatment with medication for over a year, primarily using traditional Chinese medicine. My TCM physician mentioned that I have signs of gastritis, as I experience shar...
Dr. Chen Shidian Reply:
If the fecal occult blood test is normal, it is still possible to have irritable bowel syndrome (IBS). Medical consultation and adjustments to lifestyle and dietary habits may be necessary.[Read More] Understanding Chronic Lower Abdominal Discomfort: Possible Causes and Solutions
Understanding Your Abdominal Ultrasound Report: Key Insights on Gallbladder and Liver Health
Abdominal Ultrasound Report Dear Deputy Director, I would like to ask for your assistance in interpreting the abdominal ultrasound findings. Thank you. Findings: Biliary tract: Huge gallbladder (GB) with wall thickening and multiple stones. Liver: Smooth surface, no nodules...
Dr. Chen Shidian Reply:
If there are gallstones accompanied by gallbladder enlargement or thickening of the gallbladder wall, and if there is right upper quadrant pain or suspicion of cholecystitis, it is necessary to go to the emergency department.[Read More] Understanding Your Abdominal Ultrasound Report: Key Insights on Gallbladder and Liver Health
Understanding Intermittent Black Stool: Causes and Concerns for Young Patients
Intermittent black stools? Hello Doctor, about six months ago, I started experiencing intermittent black stools, and sometimes I would have abdominal pain at night, which made me quite concerned. Later, my parents took me for an abdominal ultrasound due to my persistent worries, ...
Dr. Chen Shidian Reply:
If the fecal occult blood test is positive, then proceed with endoscopic examination.[Read More] Understanding Intermittent Black Stool: Causes and Concerns for Young Patients
Understanding Fecal Occult Blood Tests and Gastrointestinal Health Concerns
Body issues such as fecal occult blood problems, etc? Hello, doctor. In April, I underwent a quantitative immunochemical fecal occult blood test conducted by the National Health Administration. I have a fear of having colorectal cancer, so I thought it would be wise to start with...
Dr. Cai Anshun Reply:
Hello: Fecal occult blood testing is not 100% accurate; it is merely a screening tool. For further confirmation, a colonoscopy may be necessary. If colorectal cancer is suspected, a colonoscopy (which examines the entire colon) is the most accurate method. You can consult a gastr...[Read More] Understanding Fecal Occult Blood Tests and Gastrointestinal Health Concerns
Understanding CA199 Levels: What Rising Numbers Mean for Your Health
CA19-9 Issues Hello, doctor. Two years ago, my CA 19-9 level was 5. This year, from February to May, the levels increased from 15 to 17, 18, and then 23. All other markers are normal, abdominal ultrasound is fine, and the gastroscopy showed superficial gastritis. Does this increa...
Dr. Chen Shidian Reply:
Currently, the health insurance can only provide follow-up. If you are still concerned, you may consider paying out of pocket for an abdominal CT scan or MRI.[Read More] Understanding CA199 Levels: What Rising Numbers Mean for Your Health
Understanding Gallbladder Polyps: Growth Rates, Risks, and Management Options
Gallbladder polyp Hello Doctor, I am a 30-year-old male. During an employee health check in May 2023, an abdominal ultrasound revealed a gallbladder polyp measuring 0.67 cm. I reviewed last year's health check record (August 2022), where the polyp was 0.3 cm. In less than a ...
Dr. Hu Guozheng Reply:
Hello, it is recommended to bring your health check report to the gastroenterology clinic for evaluation. Thank you.[Read More] Understanding Gallbladder Polyps: Growth Rates, Risks, and Management Options
Understanding Gastrointestinal Issues: Causes and Necessary Tests
Gastrointestinal issues In the past month, I have been experiencing dizziness almost every day, with a slightly elevated body temperature, usually between 37.4-38 degrees Celsius when measured in the ear. My weight has dropped from 75 kg to 70 kg, and my bowel movements are somet...
Dr. Hu Guozheng Reply:
Hello! You can come to the outpatient clinic for an evaluation. Thank you.[Read More] Understanding Gastrointestinal Issues: Causes and Necessary Tests
Blood in Stool and Left Rib Pain: Gastrointestinal Concerns Explained
Blood in the stool and rebound tenderness below the left rib cage? Hello, doctor. In the past year, I have experienced some gastrointestinal issues. Initially, an endoscopy revealed that I had a gastric ulcer, but follow-up reports indicated that it has healed. However, I have co...
Dr. Hu Guozheng Reply:
Hello, it is recommended to return for a follow-up appointment and discuss with the physician. Thank you.[Read More] Blood in Stool and Left Rib Pain: Gastrointestinal Concerns Explained