Understanding Pancreatic Health: Normal Ultrasound and Blood Test Results
Pancreatic ultrasound and blood draw? Hello Dr. Lin, I would like to ask about my recent abdominal ultrasound and blood tests conducted in the gastroenterology department. My blood tests for CA19-9 and CEA were both normal, and the abdominal ultrasound showed no abnormalities in ...
Dr. Lin Minghui Reply:
Hello, pancreatic cancer is associated with several risk factors such as family history, chronic cholangitis, chronic pancreatitis, and biliary cystic diseases. Inflammation of the bile and pancreas is related to alcohol consumption and gallstones. Currently, if examinations are ...[Read More] Understanding Pancreatic Health: Normal Ultrasound and Blood Test Results
Persistent Oily Stools: Do I Need Further Tests for Digestive Issues?
Floating stools with oil have been evaluated through various tests. I would like to ask if any further examinations are necessary? The patient has been experiencing long-term pain in the right upper abdomen and has had unformed stools. Recently, the stools have been floating and ...
Dr. Lin Minghui Reply:
Hello, a 38-year-old male presents with floating stools. His diet is not excessively greasy, and stool tests can be conducted to check for steatorrhea. Floating stools are associated with diet, medications, and gastrointestinal, liver, gallbladder, and pancreatic diseases. Both g...[Read More] Persistent Oily Stools: Do I Need Further Tests for Digestive Issues?
Understanding Stomach Ulcers and IBS: When to Seek Further Evaluation
Gastric ulcer issues? Hello Doctor: In early January of this year, I experienced abdominal pain and bloating, so I underwent a gastroscopy, which revealed that I had a gastric ulcer and gastritis. The colon only had benign polyps. I was prescribed a proton pump inhibitor (PPI) fo...
Dr. Lin Minghui Reply:
Hello, after improvement of the gastric ulcer, abdominal pain and bloating still occur daily, and there are occasional episodes of constipation and flatulence. For gastric ulcers and gastritis, it is important to pay attention to diet: avoid eating too quickly and refrain from co...[Read More] Understanding Stomach Ulcers and IBS: When to Seek Further Evaluation
Can Gallbladder Inflammation Cause Pain in Upper Left and Lower Right Abdomen?
Cholecystitis can cause pain in the upper left abdomen, lower right abdomen, and right abdomen? Dear Dr. Tsai, I recently had an abdominal ultrasound, and the doctor diagnosed me with gallstones and an enlarged gallbladder, suggesting that I should undergo surgery for chronic ch...
Dr. Cai Anshun Reply:
Hello, in cases of gallbladder distension, the area of pain may expand, or gallbladder dysfunction can lead to indigestion, causing discomfort in other areas as well. Additionally, the presence of other concurrent issues should also be considered. It is recommended to follow up w...[Read More] Can Gallbladder Inflammation Cause Pain in Upper Left and Lower Right Abdomen?
Persistent Diarrhea After Flu Shot: What to Do Next?
If taking anti-diarrheal medication is ineffective and diarrhea persists, what should be done? Hello Doctor: My father had a colonoscopy at the end of October, and the doctor said there were no polyps. The next day, he went to get the flu vaccine, and since then, he has been expe...
Dr. Zhang Kebin Reply:
Dear Ms. Ya, You reported that your father has been experiencing diarrhea for a month. Here are the responses to your questions: 1. Will he experience diarrhea after a colonoscopy, or could it be related to the flu vaccine? => A colonoscopy is a physical examination and shou...[Read More] Persistent Diarrhea After Flu Shot: What to Do Next?
Persistent Discomfort in the Upper Right Abdomen: Causes and Next Steps
Persistent discomfort in the right upper abdomen? For the past two months, I have been experiencing a tight, burning sensation in the upper right part of my abdomen (approximately from just above the navel to just below the lower rib margin). At the end of last month, I had an ab...
Dr. Cai Anshun Reply:
Hello, since you have already undergone abdominal ultrasound, gastroscopy, and colonoscopy, most diseases in the right upper abdomen can be diagnosed. You may want to review your dietary habits to see if they are contributing to your gastric discomfort, such as the consumption of...[Read More] Persistent Discomfort in the Upper Right Abdomen: Causes and Next Steps
Challenges in Draining Liver Abscess: Risks and Treatment Options
The location of the liver abscess makes drainage impossible? On December 1, 2021, I had a fever and went to the emergency room. A CT scan of my abdomen revealed a liver abscess, which led to my hospitalization for treatment. During my hospital stay, an abdominal ultrasound showed...
Dr. Chen Shidian Reply:
It is recommended to closely cooperate with the physician for follow-up, providing a daily temperature log for three meals. If the fever exceeds 38 to 39 degrees Celsius, return for an earlier consultation or visit the emergency department.[Read More] Challenges in Draining Liver Abscess: Risks and Treatment Options
Understanding Upper Right Abdominal Tightness and Heat Sensation
Tightness and a prickling heat sensation in the upper right abdomen? Recently, I have been experiencing a tight sensation in the upper right abdomen (approximately from above the navel to just below the rib cage) that feels warm at times. This has persisted for about a month and ...
Dr. Chen Shidian Reply:
First, apply local heat therapy and observe. Avoid vigorous exercise or local strain, and return for a follow-up if necessary.[Read More] Understanding Upper Right Abdominal Tightness and Heat Sensation
Understanding Upper Abdominal Pain: Is It Related to Pancreatic Issues?
What is upper abdominal pain? Hello doctor, I am 170 cm tall and weigh 62 kg. I do not smoke or drink alcohol. I would like to ask about my ongoing issues with gastric ulcers and duodenal ulcers. I do not have Helicobacter pylori, but I have been treating my ulcers for a long tim...
Dr. Cai Jinji Reply:
Hello Mr. Hong: I would like to know how long it has been since you started losing weight. I recommend discussing your situation with your physician to hear their advice and how to proceed. Director Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.[Read More] Understanding Upper Abdominal Pain: Is It Related to Pancreatic Issues?
Unexplained Left Lower Abdominal Pain: Seeking Solutions and Next Steps
Left lower abdominal pain of unknown origin? Since March of this year, I have been experiencing pain in the left lower abdomen after walking for extended periods (more than 5-10 minutes). I have consulted with medical professionals and undergone blood tests, colonoscopy, gastrosc...
Dr. Chen Shidian Reply:
It is likely caused by neuromuscular issues; you may also consult a rehabilitation physician.[Read More] Unexplained Left Lower Abdominal Pain: Seeking Solutions and Next Steps
Is There a Connection Between Back Pain and Gastrointestinal Issues?
Is there a connection between back pain and gastrointestinal issues? Hello, doctor. I have been experiencing back pain for about two months, with a more noticeable pain near the left shoulder close to the scapula. I previously sought medical attention for severe hiccups and under...
Dr. Chen Shidian Reply:
The correlation may not be significant, but it is necessary to continue symptomatic treatment and monitor changes.[Read More] Is There a Connection Between Back Pain and Gastrointestinal Issues?
Understanding Left Rib Pain: Possible Causes and Next Steps
Recently, I have been experiencing a subtle pain in the left lower rib area for about three weeks? For the past three weeks, there has been a subtle pain in the left lower rib area. Duration: Approximately three weeks Location: Near the lower left rib, not quite on the side C...
Dr. Chen Shidian Reply:
Please see the gastroenterology outpatient clinic.[Read More] Understanding Left Rib Pain: Possible Causes and Next Steps
Understanding Hepatitis B Fibrosis: Which Doctor's Advice to Trust?
Hepatic fibrosis due to hepatitis B? Hello Doctor, I am a carrier of Hepatitis B and have been regularly monitored at a gastroenterology clinic in Chiayi. Recently, during an ultrasound examination, the clinic doctor informed me that there appears to be some fibrosis in my liver,...
Dr. Chen Shidian Reply:
Ultrasound is influenced by personal interpretation and machine resolution, raising concerns about the accuracy of biopsy or self-paid liver fibrosis scans (approximately around NT$1,000).[Read More] Understanding Hepatitis B Fibrosis: Which Doctor's Advice to Trust?
Next Steps for Suspected Pancreatic Cancer: Essential Tests and Recommendations
If pancreatic cancer is suspected, what further tests should be conducted? Hello Doctor, in mid-September, I sought medical attention due to abdominal discomfort and occasional back pain. After undergoing an electrocardiogram and gastroscopy, I was diagnosed with erosive esophagi...
Dr. Chen Shidian Reply:
Monitoring is the primary focus, and there are currently no other recommendations.[Read More] Next Steps for Suspected Pancreatic Cancer: Essential Tests and Recommendations
Does Taking Antacids Affect Helicobacter Pylori Stool Test Results?
Helicobacter pylori stool test Hello, doctor. Due to stomach discomfort, I visited the hospital on September 29 and took a gastric antacid prescribed by the doctor that evening. The next day, during the gastroscopy and abdominal ultrasound, everything was normal except for mild g...
Dr. Chen Shidian Reply:
I cannot.[Read More] Does Taking Antacids Affect Helicobacter Pylori Stool Test Results?
Understanding Persistent Upper Left Abdominal Pain After Ulcer Diagnosis
Persistent stabbing pain in the upper left abdomen below the rib cage? Hello, Dr. Chen. Three days ago, I underwent an abdominal ultrasound and gastroscopy at the hospital, and the doctor diagnosed me with a peptic ulcer. I was prescribed a month’s supply of enteric-coated omepra...
Dr. Chen Shidian Reply:
Unlike an ulcer, please return for a follow-up consultation with your physician.[Read More] Understanding Persistent Upper Left Abdominal Pain After Ulcer Diagnosis
Understanding Gallbladder Polyps: When to Worry and Next Steps
Gallbladder polyp Hello Doctor, I recently underwent a health check-up at my own expense due to some health issues. An abdominal ultrasound indicated that I have a gallbladder polyp measuring 0.7 cm. The doctor asked if it had been present before and mentioned that if it exceeds ...
Dr. Chen Shidian Reply:
1. Follow-up can be done annually, and most lesions do not grow larger or grow very slowly. 2. An upper gastrointestinal endoscopy can provide a better view of the throat entrance, but it can be quite uncomfortable; sedation (out-of-pocket expense) is recommended if necessary.[Read More] Understanding Gallbladder Polyps: When to Worry and Next Steps
Understanding Occasional Left Lower Abdominal Pain: Causes and Next Steps
Occasional pain in the lower left abdomen? Hello, I have been experiencing occasional pain in my lower left abdomen for the past two months. I have already undergone a uterine examination with no issues, and a fecal occult blood test showed no abnormalities (as stated by the doct...
Dr. Cai Jinji Reply:
Dear Jochi, Without your other medical reports, it is difficult to assess the possibility of gastrointestinal cancer based on the information you provided and to recommend specific tests. I suggest discussing this with your physician. Sincerely, Director Cai Jinji Departm...[Read More] Understanding Occasional Left Lower Abdominal Pain: Causes and Next Steps
Understanding Hepatitis B Antigen and Antibody Results: What You Need to Know
Hepatitis B antigen and antibody issues? Hello Doctor: In August, I had blood tests for arthritis at the rheumatology department, and the physician also conducted tests for viral hepatitis. The report indicated that my hepatitis B surface antigen antibody level was 1.28, which ex...
Dr. Lin Minghui Reply:
Hello: Regarding the issue of hepatitis B antigen and antibody. If there is hepatitis B surface antigen but no hepatitis B antibodies, the individual is considered a carrier. Liver function tests may be normal, so regular monitoring of liver function, AFP (alpha-fetoprotein), and...[Read More] Understanding Hepatitis B Antigen and Antibody Results: What You Need to Know
Left Upper Abdomen Tingling and Contraction: Is It Gastric Related?
Numbness and a constricting sensation in the upper left abdomen? Hello, I have been experiencing a tingling sensation and a constricting feeling in my upper left abdomen recently. I consulted a doctor and underwent an abdominal ultrasound and an endoscopy. The abdominal ultrasoun...
Dr. Lin Minghui Reply:
Hello: A 33-year-old male presents with left upper abdominal pain, symptoms lasting for 2-3 weeks. Endoscopy reveals gastritis and gastroesophageal reflux disease (GERD). The pain may be attributed to gastritis. In addition to pharmacological treatment, it is advised to pay atten...[Read More] Left Upper Abdomen Tingling and Contraction: Is It Gastric Related?