Understanding Gallbladder Distension: Insights from Ultrasound and CT Reports
I would like to inquire about gallbladder dilation? The ultrasound report states that the common bile duct is not dilated, and there are findings of moderate gallbladder polyps and gallbladder cholesterosis. However, the CT report indicates moderate distension of the gallbladder,...
Dr. Hu Guozheng Reply:
Hello! If you undergo an abdominal ultrasound and CT scan at the hospital, you should return for a follow-up appointment to review the results one week later. At that time, please have the attending physician explain the findings to you. Thank you![Read More] Understanding Gallbladder Distension: Insights from Ultrasound and CT Reports
Understanding Digestive Issues: Black Stool and Abdominal Discomfort
Digestive and bowel issues? I have noticed that my stool has been dark brown, almost black, over the past few days. On Monday, it was very thick and hard, and the next day it became more pellet-like with a lighter color. Today, I also had pellet-like stools but simultaneously pas...
Dr. Chen Shidian Reply:
As long as the weight is normal, continue to monitor the diet and observe.[Read More] Understanding Digestive Issues: Black Stool and Abdominal Discomfort
Unexplained Abdominal Pain: What Tests to Consider Next?
Abdominal pain with normal test results? Hello, doctor. Since November 11, I have been experiencing abdominal pain when bending over, particularly with certain movements that put pressure on my abdomen. Specifically, I feel a sudden sharp pain on the left side of my abdomen (near...
Dr. Yang Zhichao Reply:
Hello Ms. Aasta, based on the symptoms you described, an abdominal ultrasound can be arranged. Additionally, if there is not much improvement with medication treatment, you should discuss further examinations with your attending physician, and possibly arrange for a CT scan. Than...[Read More] Unexplained Abdominal Pain: What Tests to Consider Next?
Understanding Liver Nodules: What You Need to Know After Imaging Tests
Questions about liver nodules? Three months prior to the company health check, I was following up on a 0.5 cm gallbladder polyp at a gastroenterology clinic, and no other issues were found. During the company health check, it was noted that the gallbladder polyp had increased to ...
Dr. Chen Shidian Reply:
1. Follow-up for gallbladder polyps once a year. 2. For liver nodules, follow-up should be determined based on the physician's imaging report, but it can be done in 3 months.[Read More] Understanding Liver Nodules: What You Need to Know After Imaging Tests
Understanding Gallbladder Polyps and GERD: Symptoms and Management
Gallbladder polyps / Gastroesophageal reflux disease (GERD) Hello Doctor, I have been experiencing long-term gastroesophageal reflux issues, and in the past few weeks, I have started to feel bloated and have stomach acid discomfort. I returned for a follow-up appointment, and alt...
Dr. Lin Minghui Reply:
Regarding gallbladder polyps, a size of 0.37 cm (3.7 mm) is considered a small polyp, and it is recommended to monitor the size and characteristics of the polyp. Polyps larger than 1 cm have a higher risk of malignancy. Small polyps less than 0.5 cm are unlikely to cause symptoms...[Read More] Understanding Gallbladder Polyps and GERD: Symptoms and Management
Understanding Persistent Abdominal Pain: Causes and Next Steps
Abdominal discomfort lasting for three to four months? Hello doctor, I usually experience abdominal pain that lasts no longer than 3 to 6 seconds, similar to a sudden punch. However, the location varies; sometimes it's between my stomach and chest, sometimes in the left uppe...
Dr. Chen Shidian Reply:
It is likely not a gastrointestinal issue. It is recommended to adopt a healthy diet for weight loss, avoid intense exercise during pain, and warm up before exercising to prevent strains.[Read More] Understanding Persistent Abdominal Pain: Causes and Next Steps
Understanding Ultrasound Results for Infant Gastrointestinal Issues
Ultrasound examination I would like to ask about my baby, who is almost four months old. This week, we went to the hospital for an abdominal ultrasound, and the results indicated that there is a bit of excess gas. The doctor prescribed medication for gas relief, but there hasn...
Dr. Chen Shidian Reply:
Ultrasound should not visualize the rectum; please discuss this with the pediatric attending physician.[Read More] Understanding Ultrasound Results for Infant Gastrointestinal Issues
Post-Appendectomy Concerns: Understanding Abdominal Discomfort and Adhesions
It has been two months since the appendectomy? Hello Dr. Lin, I have some health concerns that I would like to discuss with you. On August 3rd, I underwent an appendectomy at Min-Sheng Hospital on Jingguo Road in Taoyuan and was hospitalized for four days. After being discharge...
Dr. Lin Minghui Reply:
It has been 2.5 months since the appendectomy, and there is still an intermittent feeling of swelling in the right abdomen, raising concerns about adhesions. Wound healing naturally requires time, and preventing adhesions should be considered both during and after surgery. After ...[Read More] Post-Appendectomy Concerns: Understanding Abdominal Discomfort and Adhesions
Understanding Mild Liver Fibrosis: Should You Seek Further Evaluation?
Mild hepatic parenchymal fibrosis I would like to ask the doctor about the abdominal ultrasound examination during a health check-up, which revealed mild hepatic parenchymal fibrosis, but liver function tests are normal. Should I go for a follow-up outpatient examination? Is fibr...
Dr. Lin Minghui Reply:
Regarding liver parenchymal lesions, follow-up is recommended. Is liver fibrosis reversible? Identifying the cause of fibrosis is essential for targeted treatment. Conditions such as viral hepatitis (hepatitis B, C, D), alcoholic or metabolic liver disease, autoimmune hepatitis, ...[Read More] Understanding Mild Liver Fibrosis: Should You Seek Further Evaluation?
Persistent Left Lower Abdominal Discomfort: Possible Causes and Next Steps
Left lower abdominal distension? Hello Doctor, I have been feeling a sense of heaviness and bloating in my lower left abdomen since mid-October. A few days later, I experienced cramping pain in my intestines and had diarrhea for a day or two. I visited a clinic, and the doctor di...
Dr. Chen Shidian Reply:
Local heat application can be used, along with regular exercise, to monitor changes in symptoms and provide relevant information for the attending physician.[Read More] Persistent Left Lower Abdominal Discomfort: Possible Causes and Next Steps
Understanding Abdominal Ultrasound Results: Key Insights for Liver and Kidney Health
Abdominal ultrasound Hello, my mother underwent an ultrasound examination, and the results were unclear. The interpretation of the imaging report on the National Health Insurance app is difficult to understand, so I would like to inquire about any important points to note. Thank ...
Dr. Chen Shidian Reply:
Pay attention to the aging/degradation of the kidneys; it is advisable to have a blood test for kidney function assessment.[Read More] Understanding Abdominal Ultrasound Results: Key Insights for Liver and Kidney Health
Understanding Total Bilirubin Levels: Is 1.3 mg/dL a Cause for Concern?
Total bilirubin 1.3? Hello, Dr. Lin! My total bilirubin level is 1.3, which is slightly above the normal value of 1.2, but my GOT level is 14 and GPT level is 8, both of which are normal. Is this related to anemia? My hemoglobin level is 10.6. Thank you for taking the time to res...
Dr. Lin Minghui Reply:
Hello: Elevated total bilirubin can be primarily due to increased direct bilirubin or increased indirect bilirubin. Possible causes of elevated direct bilirubin include liver diseases and hepatobiliary disorders. If the elevation is primarily in indirect bilirubin, it may be due ...[Read More] Understanding Total Bilirubin Levels: Is 1.3 mg/dL a Cause for Concern?
Understanding Gallbladder Polyps: Growth Concerns and Next Steps
Gallbladder polyp enlargement? Hello, doctor. During my company's health check-up last November, an abdominal ultrasound revealed multiple gallbladder polyps, with the largest measuring 0.3 cm. This year, the ultrasound showed the largest polyp measuring 0.38 cm, indicating ...
Dr. Lin Minghui Reply:
Hello: A polyp measuring 0.3 cm has changed to 0.38 cm, which is roughly equivalent to 3-4 mm; both are considered small polyps, and follow-up is recommended. During abdominal ultrasound examinations, the measurement of the polyp may vary due to angle issues. A change from 0.3 cm...[Read More] Understanding Gallbladder Polyps: Growth Concerns and Next Steps
Low GPT/LDH Levels and Gallbladder Polyps: What You Need to Know
GPT/LDH levels are low, gallbladder polyp: 0.3/0.38 cm? Hello Dr. Chen, in the past two years, my company's health check reports show: GPT: 7 (normal range 10-40 U/L) and LDH: 91 (normal range 106-207 U/L), with both values remaining the same over the two years. An abdominal...
Dr. Chen Shidian Reply:
Annual follow-up is sufficient.[Read More] Low GPT/LDH Levels and Gallbladder Polyps: What You Need to Know
Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Elevated total bilirubin? Hello Dr. Tsai! Recently, I have been experiencing a dull pain in my upper right abdomen, and I'm unsure if it is nerve or muscle pain, so I went to the hospital for an examination. The test results are as follows: Creatinine "1.13" mg/dL,...
Dr. Cai Anshun Reply:
Hello: The total bilirubin level of "1.8" mg/dL is elevated, and the AST level is "46" U/L, which is also elevated, while the ALT level is "29" U/L. This may be related to alcohol and medication (herbal medicine) intake, so it would be advisable to c...[Read More] Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Persistent Left Lower Abdominal Pain: Seeking Answers for a Child's Discomfort
Left lower abdominal pain for more than a month? Left lower abdominal pain, persistent hiccups throughout the day. After several visits to a small clinic without improvement, I ended up in the emergency room and was hospitalized for four days. Initially, I experienced low blood p...
Dr. Chen Shidian Reply:
Discuss more with a pediatric gastroenterologist.[Read More] Persistent Left Lower Abdominal Pain: Seeking Answers for a Child's Discomfort
Understanding Pancreatic Nodules: Are They Cancerous?
Pancreatic nodule This week, my family medicine doctor told me that there is something in my pancreas. In September, the gastroenterologist performed an abdominal ultrasound and mentioned that there is a nodule in the pancreas that needs to be monitored. Is there a possibility th...
Dr. Yang Zhichao Reply:
Hello Ms. Chen, pancreatic nodules have the potential to be malignant, so regular monitoring is necessary. It is recommended that you follow up with your doctor for further discussion. Thank you for your inquiry.[Read More] Understanding Pancreatic Nodules: Are They Cancerous?
Persistent Right Abdominal Pain: Causes and Next Steps for Diagnosis
Right abdominal dull and sharp pain for almost a month? One night, I was suddenly awakened by what seemed to be acute gastroenteritis, experiencing vomiting and fever. The next morning, I saw a doctor and felt some improvement. However, after a few days, my symptoms worsened. Ini...
Dr. Chen Shidian Reply:
Please discuss with the attending physician.[Read More] Persistent Right Abdominal Pain: Causes and Next Steps for Diagnosis
Understanding Pancreatic Issues: Symptoms, Risks, and Follow-Up Care
Pancreatic issues Doctor, may I ask: sometimes I experience dull pain on the left side of my navel; could this be related to the pancreas? My bowel movements are often soft (normal yellow color), and sometimes I have soft stools followed by loose stools. During my last abdominal ...
Dr. Chen Shidian Reply:
Please discuss the imaging results with the attending physician.[Read More] Understanding Pancreatic Issues: Symptoms, Risks, and Follow-Up Care
Understanding Blood in Stool: When to Seek Medical Attention
There are small traces of blood in the stool? Hello, Doctor! Occasionally in the morning, I experience stomach discomfort and diarrhea, but it usually resolves immediately after using the restroom. At other times, my bowel movements are normal without diarrhea. A few months ago, ...
Dr. Cai Anshun Reply:
Hello: If you notice obvious blood streaks, you can first take a photo with your phone and then consult a gastroenterologist to arrange for appropriate examinations. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Blood in Stool: When to Seek Medical Attention