Understanding Your Digestive Discomfort: When to Seek Medical Advice
I've been feeling something strange in my abdomen, almost like a sensation in my belly? I have seen a gastroenterologist a few times before and took medication for about two weeks, which seemed to alleviate the symptoms. However, in the past couple of days, I have been feeli...
Dr. Cai Anshun Reply:
Hello: It is indeed advisable to consider undergoing an upper gastrointestinal endoscopy to check for gastroesophageal reflux disease (GERD) or peptic ulcers. Avoid drinking tea (black tea/green tea/milk tea), coffee, and other caffeinated beverages. Additionally, pay attention t...[Read More] Understanding Your Digestive Discomfort: When to Seek Medical Advice
Understanding Gastrointestinal Discomfort: Symptoms and Concerns
My stomach feels strange? Doctor, seven days ago I had spicy duck blood with sweet potato for dinner, and the next day I experienced stomach pain and diarrhea. After that, my entire gastrointestinal system felt strange. Pressing around my navel causes pain, but it doesn’t hurt wh...
Dr. Chen Shidian Reply:
Hello: First, control with medication/diet and then observe.[Read More] Understanding Gastrointestinal Discomfort: Symptoms and Concerns
Understanding Upper Abdominal Discomfort and Indigestion Issues
Dyspepsia and upper abdominal discomfort? Hello Doctor, thank you for your response a few days ago. I would like to ask a few more questions. I am 27 years old. When standing, I notice that the area under my right rib cage (upper right abdomen) feels more prominent and hard when ...
Dr. Cai Anshun Reply:
Hello: Ultrasound examination of the liver and gallbladder has a high degree of accuracy. If the ultrasound does not reveal any issues, there is generally no need for excessive concern. However, if there are still suspicions of a problem, it is advisable to consult a physician fo...[Read More] Understanding Upper Abdominal Discomfort and Indigestion Issues
Understanding Persistent Indigestion and Abdominal Discomfort
Dyspepsia with upper abdominal discomfort? Hello, doctor. I have been experiencing recurrent indigestion for over two years, which has led to weight loss. I underwent an endoscopy last year that showed normal results, and the doctor mentioned that my gastrointestinal tract is qui...
Dr. Cai Anshun Reply:
Hello: 1. If you are experiencing anxiety and tension, you may consider trying medication prescribed by your physician. 2. Pay attention to your eating habits; for example, irregular meal times or eating too quickly, and whether you are consuming irritating or hard-to-digest food...[Read More] Understanding Persistent Indigestion and Abdominal Discomfort
Understanding Persistent Indigestion and Abdominal Discomfort
Dyspepsia and discomfort in the upper abdomen? Hello, doctor. I have been experiencing recurrent indigestion for over two years, which has led to weight loss. I underwent an upper gastrointestinal endoscopy last year, and the results were normal; the doctor mentioned that my gast...
Dr. Cai Anshun Reply:
Hello: 1. If you are experiencing anxiety and tension, you may consider trying medications prescribed by a physician. 2. Pay attention to your eating habits; for example, irregular meal times or eating too quickly, and whether you are consuming irritating or hard-to-digest foods....[Read More] Understanding Persistent Indigestion and Abdominal Discomfort
Understanding Gastrointestinal Distress: Causes and Solutions for Bloating
Gastrointestinal bloating issues Around September to October last year, I started having bowel movements three times a day, which were somewhat formed but also breaking apart, and I experienced a sensation of needing to go but not being able to. I visited a nearby small hospital ...
Dr. Chen Shidian Reply:
It is likely irritable bowel syndrome (IBS). Further tests should be conducted to rule out other possibilities, and it is important to patiently cooperate with the physician's treatment and make lifestyle adjustments.[Read More] Understanding Gastrointestinal Distress: Causes and Solutions for Bloating
Understanding Black Specks in Stool: When to Seek Medical Advice
Black specks or flecks in stool? Hello Doctor: I am a 26-year-old male and have been experiencing gastroesophageal reflux and upper gastrointestinal issues for the past two weeks. I have sought medical attention and am currently taking medication for ulcers and enzymes. I have al...
Dr. Lin Minghui Reply:
Hello, there is mild pressure in the lower left abdomen. The abnormal dark color of the stool may be related to the food consumed. An abnormal stool can be evaluated through a stool test to check for any issues; if abnormalities are found, further examination is necessary. Anxiet...[Read More] Understanding Black Specks in Stool: When to Seek Medical Advice
Conflicting Diagnoses: Ultrasound Reveals Spleen Tumor, CT Scan Denies It
Abdominal ultrasound revealed a tumor in the spleen, but the CT scan showed no evidence of it? Last February, I had an abdominal ultrasound at a gastroenterology clinic, which revealed a 2 cm tumor on my spleen. In March, I followed up at a medical center where the head of the ga...
Dr. Chen Shidian Reply:
Hemangiomas are benign and generally asymptomatic. A CT scan can be reviewed to discuss why it was not visualized (you may consult the gastroenterology department at the same hospital for further evaluation). If necessary, an MRI scan can be performed.[Read More] Conflicting Diagnoses: Ultrasound Reveals Spleen Tumor, CT Scan Denies It
Understanding Hypoechoic Nodules and Mild Fatty Liver: What You Need to Know
Hypoechoic liver nodule / Mild fatty liver disease Hello doctor, I recently had a routine health check-up, and after an abdominal ultrasound, a nodule (2.02 cm) was found in the right lobe of my liver (a hypoechoic nodule). I have mild fatty liver, and my AFP and AST levels are n...
Dr. Chen Shidian Reply:
Need to discuss with the attending physician.[Read More] Understanding Hypoechoic Nodules and Mild Fatty Liver: What You Need to Know
Understanding Digestive Issues: From Irregular Bowel Movements to Stress
Frequent episodes of diarrhea? I have been observing my condition for a while, but my bowel movements are always unstable; sometimes they are normal, and other times I have diarrhea. After prioritizing my health, I researched online and came across information about colorectal ca...
Dr. Cai Anshun Reply:
Hello: Please pay attention to your dietary habits by reducing oil and avoiding刺激性 foods, and manage your mental stress appropriately. The issues identified through ultrasound (gallbladder polyps, left renal cyst, kidney stones, and fatty liver) are likely unrelated to the diarrh...[Read More] Understanding Digestive Issues: From Irregular Bowel Movements to Stress
Understanding Your Fatty Liver Diagnosis: Severity Levels Explained
What stage of fatty liver disease do I have? Hello doctor, I recently had an abdominal ultrasound, and the report described the liver as "Liver: Bright echogenicity of liver parenchyma. Fatty liver is considered." Based on this description alone, can we determine whethe...
Dr. Cai Anshun Reply:
Hello: This term only refers to fatty liver, without distinguishing between mild, moderate, or severe cases. You can return for a follow-up consultation to ask the doctor for more details. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Your Fatty Liver Diagnosis: Severity Levels Explained
Understanding Tumor Diagnosis: Navigating Liver Health Concerns
Informed of having a tumor? Hello Doctor, I discovered a 1.6 cm hypoechoic lesion in my liver during a health check on November 29 (no hepatitis B, but no antibodies; hepatitis C is negative, and blood tests are normal). I scheduled an appointment on March 8 and had an abdominal ...
Dr. Chen Shidian Reply:
Appointment rescheduling/early follow-up visit.[Read More] Understanding Tumor Diagnosis: Navigating Liver Health Concerns
Understanding Abdominal Pain and Bowel Changes: Is It Colon Cancer?
Bowel-related issues. Abdominal pain? Hello Doctor, I have recently experienced sudden sharp pain in my left abdomen while standing or sitting, along with tenderness when pressing on that area of my abdominal muscles. Additionally, I sometimes feel discomfort during lunch or dinn...
Dr. Cai Anshun Reply:
Hello: The situation you described seems more like a phenomenon caused by retained stool or constipation. Although there are cases of colon cancer in individuals in their twenties, the probability is extremely low, so there is no need to worry excessively. It is important to main...[Read More] Understanding Abdominal Pain and Bowel Changes: Is It Colon Cancer?
Managing Appetite Loss and Nausea in Elderly Patients After Injury
Loss of appetite after an injury? The grandmother (95 years old) experienced gastric bleeding over two years ago and has been taking Nexium 1# HS and Amlodipine (for hypertension) for a long time. She originally had a good appetite, able to eat a large bowl of porridge in one mea...
Dr. Chen Shidian Reply:
It is necessary to change the medication to be taken at noon instead of on an empty stomach in the morning, and it may be advisable to schedule an appointment with a gastroenterologist.[Read More] Managing Appetite Loss and Nausea in Elderly Patients After Injury
Understanding Your Ultrasound Report: Insights on Fatty Liver Diagnosis
Examination report issues? Hello Doctor, I had an abdominal ultrasound last month, and the doctor mentioned that everything was normal at the time. However, after checking the National Health Insurance app, it indicated fatty liver. The report is as follows: Sonar Findings: - L...
Dr. Chen Shidian Reply:
For mild fatty liver, if overweight, implement a diet and weight loss plan.[Read More] Understanding Your Ultrasound Report: Insights on Fatty Liver Diagnosis
Understanding Liver Cirrhosis and Biliary Issues: Treatment Options
Cirrhosis and bile issues? Hello, Director: I have been undergoing blood tests for monitoring at the Hepatobiliary and Gastroenterology Department of a hospital in Zhongli for a long time. A few years ago, my GGT level was found to be over 300, and the doctor has been prescribing...
Dr. Lin Minghui Reply:
Hello, a 54-year-old male has a medical history indicating that he has liver cirrhosis, which is attributed to chronic hepatitis. The causes of cirrhosis can include viral hepatitis such as hepatitis B and C, alcoholic liver disease, autoimmune conditions, cardiac issues, biliary...[Read More] Understanding Liver Cirrhosis and Biliary Issues: Treatment Options
Understanding Upper Abdominal Pain: When to Seek Medical Attention
Upper abdominal discomfort? About three days ago, I started experiencing pain when pressing on a specific point in the upper right part of my abdomen (it doesn't hurt when not pressed). Initially, the tenderness would subside after a few minutes of pressure, and pressing the...
Dr. Cai Anshun Reply:
Hello: That location may correspond to the gastroesophageal junction. Please pay attention to any symptoms of gastroesophageal reflux. It is recommended to follow a light diet and avoid caffeinated beverages. Fatty liver or mild liver inflammation typically does not present with ...[Read More] Understanding Upper Abdominal Pain: When to Seek Medical Attention
Is a Bulge to the Right of the Belly Button Normal? Expert Insights
The area to the right of the navel is more protruded? Hello doctor, I noticed that the area to the right of my navel has been more protruding since December of last year. It looks the same whether I am lying down or standing up, and it feels soft, similar to the area on the left,...
Dr. Cai Anshun Reply:
Hello: The organs in the abdominal cavity are not perfectly symmetrical, and there can be variations due to gas in the intestines or the positioning of the internal organs. However, it is still recommended to consult a gastroenterologist to determine if an abdominal ultrasound is...[Read More] Is a Bulge to the Right of the Belly Button Normal? Expert Insights
Understanding Hepatitis B: Key Insights for Family Health Management
Regarding Hepatitis B? Hello Doctor: Recently, my mother (70 years old) underwent a health check-up, and the ultrasound revealed signs of liver degeneration. She has also had a clinic health examination and an upper gastrointestinal endoscopy, which showed the presence of Helicob...
Dr. Lin Minghui Reply:
Hello: HBsAg (+) *243.300 indicates a carrier of Hepatitis B, who requires regular monitoring every six months, including blood tests and abdominal ultrasounds. Hepatitis B is a high-risk factor for liver cirrhosis and liver cancer. If taking dietary supplements and traditional C...[Read More] Understanding Hepatitis B: Key Insights for Family Health Management
Can Liver Tumors Grow Rapidly? Understanding Ultrasound Findings
Ultrasound reveals a suspected liver tumor? I underwent an abdominal CT scan on December 2nd of last year (2021), which did not indicate any liver masses. However, during an abdominal ultrasound at another hospital on January 20th of this year (2022), two suspected liver tumors w...
Dr. Cai Anshun Reply:
Hello: In terms of accuracy, the results of the CT scan should be considered. The high and low echoes observed in ultrasound can be affected by factors such as intestinal gas and fatty liver, so there is no need to worry too much at this point. You may want to consult your hepato...[Read More] Can Liver Tumors Grow Rapidly? Understanding Ultrasound Findings