Understanding Left Back Pain: Is It Muscular or Organ-Related?
Tightness and pain in the left upper back? Hello Doctor, for the past month or so, I have been experiencing discomfort under my left shoulder blade. There is a persistent tightness, and sometimes I also feel soreness. I have researched a lot and found that issues with internal or...
Dr. Lin Minghui Reply:
How to distinguish between visceral pain and muscle soreness? Visceral pain may be accompanied by related symptoms such as abdominal pain and vomiting. Muscle pain, on the other hand, is often more localized and can sometimes be related to posture. There are now musculoskeletal u...[Read More] Understanding Left Back Pain: Is It Muscular or Organ-Related?
Understanding Stomach Pain: When to Worry About Gastric Cancer
Stomach discomfort, gastric cancer? Hello doctor, today I have been experiencing stomach discomfort and pain from morning until evening, along with a slight feeling of nausea, but I can eat normally. My digestion is slow, and I have been burping with a taste of food. I had one ep...
Dr. Chen Shidian Reply:
Dietary recommendations and symptom management. Significant weight loss requires further evaluation.[Read More] Understanding Stomach Pain: When to Worry About Gastric Cancer
Understanding Occasional Abdominal Pain: When to Seek Further Testing
I would like to inquire about occasional abdominal pain? Hello Dr. Tsai: I have been experiencing occasional abdominal pain for some time now. The pain is located approximately to the right of my navel and feels like a sharp, intense stabbing sensation. During an episode, I can h...
Dr. Cai Anshun Reply:
Hello: It is advisable to first consult a gastroenterologist for evaluation. If necessary, an ultrasound may be arranged to rule out liver, gallbladder, or urinary system issues. However, the area to the right of the navel may involve the stomach, duodenum, or colon, so it is rec...[Read More] Understanding Occasional Abdominal Pain: When to Seek Further Testing
Understanding Loss of Appetite and Nausea: Insights from Gastroenterology
Loss of appetite, nausea, and the urge to vomit? Hello, I would like to inquire about my condition. At the end of December last year, I suddenly experienced weakness and numbness in both legs, to the point where I couldn't stand straight. A few days later, my hands also star...
Dr. Lin Minghui Reply:
Hello: You are experiencing loss of appetite and nausea. The gastroscopy and abdominal ultrasound examinations did not reveal significant issues. It is advised to identify the underlying cause in order to provide targeted treatment. Autoimmune diseases and related complications s...[Read More] Understanding Loss of Appetite and Nausea: Insights from Gastroenterology
Understanding Digestive Issues: When to Worry About Pancreatic Problems
Unsure where the problem lies in the body? Hello doctor, I am currently 22 years old, and I do not smoke or drink alcohol. However, I have been experiencing alternating periods of constipation, bloating, and diarrhea. Last week, I visited a gastroenterologist due to these issues,...
Dr. Chen Shidian Reply:
Early-stage pancreatic cancer typically does not present any symptoms. Pain is usually associated with advanced stages of the disease. Ultrasound can easily detect abnormalities, but by that time, surgical intervention may no longer be an option. Therefore, it is recommended to m...[Read More] Understanding Digestive Issues: When to Worry About Pancreatic Problems
Managing Stomach Issues: Insights on Medication and Gastrointestinal Health
Medication Consultation for Gastrointestinal Issues Hello Doctor: Over a year ago, I experienced discomfort in my stomach and was diagnosed with Helicobacter pylori, for which I underwent eradication therapy and confirmed successful treatment. However, since then, I have frequent...
Dr. Cai Anshun Reply:
Hello: 1. If there is no improvement, you can return for a consultation, where the physician will assess whether a colonoscopy is necessary or if you should consider a self-paid colonoscopy as part of an advanced health check-up. 2. Taking gastric medication for a year and a half...[Read More] Managing Stomach Issues: Insights on Medication and Gastrointestinal Health
Understanding Bloating After H. Pylori Treatment: Causes and Solutions
Medication Consultation for Gastrointestinal Bloating Hello Doctor: Over a year ago, I experienced discomfort in my stomach and was diagnosed with Helicobacter pylori, for which I underwent eradication therapy and confirmed successful eradication. However, since then, I have freq...
Dr. Chen Shidian Reply:
Bloating (after excluding gastrointestinal disorders) can only be managed symptomatically with medications, including dietary adjustments. Probiotics have no definitive evidence of effectiveness, but they are harmless and can be tried.[Read More] Understanding Bloating After H. Pylori Treatment: Causes and Solutions
Understanding Abdominal Discomfort: Causes and Solutions
Abdominal discomfort? Hello Doctor: In June of this year, I began to feel frequent tightness in my right abdomen. I underwent an abdominal ultrasound, abdominal X-ray, and gastroscopy. The ultrasound appeared normal, the X-ray showed gas and fecal matter that were not completely ...
Dr. Chen Shidian Reply:
It is recommended to cooperate with the attending physician for treatment and follow-up.[Read More] Understanding Abdominal Discomfort: Causes and Solutions
Understanding Gastrointestinal Issues: When to Seek Medical Attention
Gastrointestinal issues Hello doctor, for the past three to four days, I've suddenly felt some bloating in my stomach and abdomen. I've noticed an increase in burping and flatulence, and my stomach makes gurgling noises. My bowel movements have also decreased (from one ...
Dr. Cai Anshun Reply:
Hello: Generally speaking, if a colonoscopy shows no polyps, it is recommended to follow up in three years. However, if there are still significant changes in bowel habits, a physician should reassess whether further follow-up is necessary. Changhua Hospital cares about your heal...[Read More] Understanding Gastrointestinal Issues: When to Seek Medical Attention
Understanding Right Lower Abdominal Discomfort: Diverticulitis Insights
Please provide the content you would like to have translated into English? Dear Dr. Tsai, Thank you very much for your response and guidance in article #185848. My previous inquiry was regarding a feeling of fullness and occasional sharp pain in my lower right abdomen, which has...
Dr. Cai Anshun Reply:
Hello: 1. In terms of location, diverticulitis is also one of the differential diagnoses. 2. Feces can potentially get trapped in the diverticula of the colon. 3. If feces are trapped in the diverticulum and are tightly lodged, it may lead to diverticulitis. Drinking plenty of wa...[Read More] Understanding Right Lower Abdominal Discomfort: Diverticulitis Insights
Effective Screening Options for Bloating and Digestive Issues
Recommendations for Gastrointestinal Gas Check-up Since childhood, I have had gastrointestinal issues, often experiencing constipation and bloating. The constipation has gradually improved, but I still experience bloating for several hours after meals. The main symptoms include f...
Dr. Chen Shidian Reply:
Most issues are related to digestive motility disorders, and not necessarily due to any growths, which is when an endoscopy is needed. If budget allows, a gastroscopy examination is recommended. It's advisable to avoid foods that cause bloating (which can be found online), a...[Read More] Effective Screening Options for Bloating and Digestive Issues
Understanding Pancreatic Cysts and Liver Hemangiomas: What You Need to Know
Pancreatic cysts and hepatic hemangioma? Due to the abdominal X-ray report indicating an opaque nodule, I recently went to the hospital for further examination. An abdominal ultrasound revealed: 1. Fatty liver, 2. A small cyst on the pancreas, and 3. A hemangioma in the liver. Th...
Dr. Lin Minghui Reply:
Hello: There are no symptoms, and blood tests are normal. The doctor recommends regular follow-up every three to six months. Essentially, there is a hepatic hemangioma and a simple cyst in the pancreas, both of which are benign lesions. The number and size of these lesions are un...[Read More] Understanding Pancreatic Cysts and Liver Hemangiomas: What You Need to Know
Understanding Stomach Pain: Causes, Symptoms, and When to Seek Help
Stomach pain issues? Thank you, doctor. I would like to ask about my condition. About two months ago, I started experiencing discomfort in my stomach that lasted for one to two weeks. Sometimes I had constipation, and occasionally diarrhea, but I did not have a fever. My bowel mo...
Dr. Lin Minghui Reply:
Hello: It is advisable to pay attention to your diet and treat gastroesophageal reflux disease (GERD). Common causes of pancreatitis include alcohol consumption, biliary issues, and hyperlipidemia. It is recommended to avoid overly greasy and sweet foods. Blood tests and imaging ...[Read More] Understanding Stomach Pain: Causes, Symptoms, and When to Seek Help
Understanding Gallbladder Inflammation: Causes and Connections
Gallbladder issues Hello doctor, I visited the doctor a week ago due to bloating, which subsequently turned into cholecystitis. I am currently taking antibiotics and my symptoms have improved. During the initial examination, no gallstones were found, so it was determined to be no...
Dr. Cai Anshun Reply:
Hello: It should be unrelated. Generally speaking, the likelihood of gallbladder inflammation is low without gallstones. If you haven't had an abdominal ultrasound, it is recommended to consult a gastroenterologist to arrange for one. Changhua Hospital cares about your healt...[Read More] Understanding Gallbladder Inflammation: Causes and Connections
Understanding Abdominal X-Ray Findings: Right Lower Quadrant Concerns
Abdominal X-ray report: Right lower abdomen? Hello, doctor: I would like to ask about an abdominal X-ray that shows a non-transparent nodule in the right abdominal area. What could this indicate? During the abdominal ultrasound, it was mentioned that it is close to the edge of fa...
Dr. Chen Shidian Reply:
To review the imaging, you can return to the gastroenterology outpatient clinic at the same hospital.[Read More] Understanding Abdominal X-Ray Findings: Right Lower Quadrant Concerns
Understanding Elevated Bilirubin Levels: Causes and Solutions
Elevated bilirubin levels? Hello Doctor: I would like to inquire about the issue of elevated bilirubin levels in my recent two health check-ups, with the most recent results showing a significant increase compared to the previous one. In 2020, my total bilirubin was 1.51 mg/dL, d...
Dr. Lin Minghui Reply:
Hello, elevated direct bilirubin along with other liver function indices may indicate liver or biliary tract-related diseases. Your abdominal ultrasound showed no abnormalities, other liver indices are normal, urine bilirubin is negative, and there are no obvious liver or biliary...[Read More] Understanding Elevated Bilirubin Levels: Causes and Solutions
Understanding the Connection Between Anxiety and Gastrointestinal Symptoms
What could be the possible causes of my condition? Hello doctor, I have been a patient with anxiety disorder and obsessive-compulsive disorder for over 10 years. I have been intermittently taking medication from a psychiatrist, and my diet is not particularly health-focused. I do...
Dr. Cai Anshun Reply:
Hello: If you still feel unwell, discomfort in the upper left abdomen is mostly related to gastric issues. You may want to consult a gastroenterologist to determine if an endoscopy or medication is necessary. It is advisable to maintain a light diet, avoid eating too quickly or o...[Read More] Understanding the Connection Between Anxiety and Gastrointestinal Symptoms
Understanding the Connection Between Anxiety and Gastrointestinal Symptoms
I'm not sure if it's a psychological factor, but my gastrointestinal function is not good? Hello, doctor. I have been a patient with anxiety disorder and obsessive-compulsive disorder for over 10 years. I have been intermittently taking medication prescribed by a psychi...
Dr. Chen Shidian Reply:
If it has been over a year, follow-up examinations with ultrasound or blood tests can be performed. Cancer typically does not remain unchanged for 10 years, so it can be ruled out. Please rest assured.[Read More] Understanding the Connection Between Anxiety and Gastrointestinal Symptoms
Understanding Normal Gallbladder Ultrasound with Elevated Bilirubin Levels
Abdominal ultrasound shows normal gallbladder? I apologize, but I would like to ask about abdominal ultrasound results. The gallbladder appears normal, but blood tests show total bilirubin (T-Bil) at 1.3 mg/dL and direct bilirubin (D-Bil) at 0.21 mg/dL. Is this considered normal?...
Dr. Chen Shidian Reply:
Normal margins, largely insignificant; it is sufficient to recheck in 3 to 6 months or during the next health examination.[Read More] Understanding Normal Gallbladder Ultrasound with Elevated Bilirubin Levels
Understanding Abdominal Masses: Causes, Concerns, and Diagnosis
Abdominal mass Hello doctor, three days ago I had some discomfort in my stomach and went to see a doctor. The doctor performed an abdominal ultrasound and said that the organs appeared normal. Today, when I contracted my abdomen (by tightening it), I suddenly felt some indentatio...
Dr. Chen Shidian Reply:
It is advisable to seek medical attention to confirm that there are no issues.[Read More] Understanding Abdominal Masses: Causes, Concerns, and Diagnosis