Understanding Pancreatic Issues: Symptoms and When to Seek Help
Pancreatic issues Hello, Doctor. During my sophomore year of high school, I suddenly felt discomfort in my upper abdomen, which I wasn't sure was stomach pain (it felt more like a pressure pain). I went to the emergency room, where blood tests showed a white blood cell count...
Dr. Chen Shidian Reply:
It is not pancreatitis; a follow-up visit is necessary.[Read More] Understanding Pancreatic Issues: Symptoms and When to Seek Help
Understanding Bloating and Abdominal Pain: Is It IBS or Something Else?
Gastrointestinal bloating Recently, I have been experiencing bloating and cramping in my abdomen, and I have difficulty passing gas. Although I have a bowel movement every day, I feel a sense of heaviness followed by lightness. I underwent a colonoscopy in April of last year (the...
Dr. Zhang Kebin Reply:
If the examination results are normal, there is no need for excessive concern; you can continue to monitor the situation. If you have any doubts, it is recommended to return for a consultation with your primary physician. Thank you.[Read More] Understanding Bloating and Abdominal Pain: Is It IBS or Something Else?
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? Hello doctor, I have a question. Today when I went to the bathroom, there was no blood in my stool, but after straining a bit, I noticed fresh red blood on the edge of the stool. The first time I wiped, there was blood, but the second time there was none. I ha...
Dr. Lin Minghui Reply:
Hello, it is advisable to investigate the cause of blood in the stool in order to provide appropriate treatment. Common causes of blood in the stool include anal fissures, hemorrhoids, rectal or colon polyps, tumors, or inflammation. It is recommended to increase fiber and fluid ...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Positive Hepatitis B Test Results: Next Steps for Treatment
Positive for Hepatitis B? Hello Doctor: Today I received my health check report and saw that my Hepatitis B surface antigen (HBsAg) is positive. I reviewed my health check reports from previous years, and they all showed negative results. The report from September 9, 2011, was ne...
Dr. Lin Minghui Reply:
Hello, regarding Hepatitis B, a previously negative HBsAg can now be positive, indicating a possible Hepatitis B infection. Blood tests can be performed in an outpatient setting to confirm and assess liver inflammation. Most adults infected with Hepatitis B (about 80%) will impro...[Read More] Understanding Positive Hepatitis B Test Results: Next Steps for Treatment
Understanding Hepatitis C: Transmission and Testing Explained
Hepatitis C Consultation Hello Dr. Chen: Regarding hepatitis C, I would like to ask you the following questions: Q1. Can hepatitis C be transmitted through saliva? Q2. Dr. Chen, in general, testing for hepatitis C infection requires a blood test for "HCV antibodies (Anti...
Dr. Chen Shidian Reply:
Hello: Generally, saliva transmission is rare. If you're concerned, you can opt for a paid test to measure the viral load.[Read More] Understanding Hepatitis C: Transmission and Testing Explained
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
Chronic Diarrhea and Abdominal Pain: Seeking Answers for Persistent Symptoms
Chronic diarrhea and abdominal pain? Hello, Vice Dean Chen. I am 28 years old, but since October of last year, I have been experiencing frequent loose stools and even diarrhea (with significant abdominal pain). I went to a small hospital where I underwent a CT scan, colonoscopy, ...
Dr. Chen Shidian Reply:
Only a fecal occult blood test is needed. The symptoms described are likely related to irritable bowel syndrome, and managing anxiety is also necessary for improvement.[Read More] Chronic Diarrhea and Abdominal Pain: Seeking Answers for Persistent Symptoms
Understanding Yellowish-Black Stool: Causes and When to Seek Help
Stool that is yellow with black streaks? I previously experienced frequent abdominal pain, and recently I couldn't tolerate it any longer, so I underwent an upper gastrointestinal endoscopy. After the procedure, it was discovered that I had gastric bleeding and Helicobacter ...
Dr. Cai Anshun Reply:
Hello: Let's wait for the results of the occult blood test before making any conclusions! Theoretically, if there is gastrointestinal bleeding, the blood may appear red, possibly dark red, brick red, or bright red. Changhua Hospital cares about your health. Dr. Tsai An-shun[Read More] Understanding Yellowish-Black Stool: Causes and When to Seek Help
Persistent Abdominal Discomfort: When to Seek Further Medical Evaluation
Abdominal discomfort? Hello Dr. Chen, Since March and April of last year, I have been experiencing discomfort in my upper left abdomen. I visited two gastroenterology clinics, where I underwent gastroscopy, and the doctors diagnosed me with excessive gastric acid and gastroesoph...
Dr. Chen Shidian Reply:
There should be no major illnesses; you can start taking the medication with peace of mind. Normalize your diet and exercise, and then monitor your symptoms.[Read More] Persistent Abdominal Discomfort: When to Seek Further Medical Evaluation
Understanding Red Stools: Is It Carrot Pigment or Something More?
Bowel issues? Hello doctor, I had an upper gastrointestinal endoscopy last Saturday and was diagnosed with a gastric ulcer. I have been taking my medication on time. Recently, I have noticed some red discoloration in my stool (the predominant color is still brown or yellow), and ...
Dr. Chen Shidian Reply:
Further observation is possible, and if necessary, a stool occult blood test may be performed.[Read More] Understanding Red Stools: Is It Carrot Pigment or Something More?
Understanding Intermittent Right Lower Abdominal Pain: Causes and Solutions
Intermittent sharp pain in the lower right abdomen? About a month ago, I started experiencing intermittent sharp pain in my lower right abdomen, which occurs after having a bowel movement in the morning and around 11 PM. My stools have been watery, and I have been experiencing bl...
Dr. Chen Shidian Reply:
It is recommended to apply local heat therapy and continue monitoring the condition.[Read More] Understanding Intermittent Right Lower Abdominal Pain: Causes and Solutions
Should You Get a Colonoscopy for Chronic Abdominal Bloating?
Abdominal bloating Hello doctor, I have been experiencing unexplained abdominal bloating for the past two to three years. The doctor suspects that it may be caused by intestinal adhesions from abdominal surgery I had as a child. I have undergone fecal occult blood tests last year...
Dr. Cai Anshun Reply:
Hello: This may require clinical judgment from a physician. The location of your abdominal pain needs to be determined as to whether it is related to the large intestine or the small intestine. If it is a small intestine issue, a colonoscopy may not be necessary. It is advisable ...[Read More] Should You Get a Colonoscopy for Chronic Abdominal Bloating?
When to Schedule Your Next Colonoscopy: Understanding Symptoms and Concerns
Colonoscopy The patient has been diagnosed with irritable bowel syndrome since elementary school and has undergone stool occult blood tests during this period, all of which were negative. The patient experiences intermittent abdominal discomfort, which improves with probiotics bu...
Dr. Lin Minghui Reply:
Hello, a 30-year-old male has irritable bowel syndrome and underwent a colonoscopy 14 months ago, which was normal. He has experienced mucus and blood in his stool, but fecal occult blood tests were negative. There has been no change in weight, and there is no family history of c...[Read More] When to Schedule Your Next Colonoscopy: Understanding Symptoms and Concerns
Understanding Fatty Liver: Is It the Same as Cirrhosis or Hepatitis?
I have fatty liver disease? I was diagnosed with severe fatty liver during a recent health check-up. Does this mean I have cirrhosis or hepatitis? Can appropriate exercise help eliminate this condition? I've been experiencing bloating and frequent burping lately; is this rel...
Dr. Lin Minghui Reply:
Hello, cirrhosis indicates severe liver fibrosis, which may lead to impaired liver function. In severe cases, symptoms may include jaundice, ascites, hepatic encephalopathy, and bleeding from esophageal varices. Fatty liver disease is characterized by the accumulation of triglyce...[Read More] Understanding Fatty Liver: Is It the Same as Cirrhosis or Hepatitis?
Understanding Fatty Liver: Is It Linked to Cirrhosis or Hepatitis?
I have fatty liver disease? I was diagnosed with severe fatty liver during a recent health check-up. Does this mean I have cirrhosis or hepatitis? Can appropriate exercise help eliminate it? I've been experiencing bloating and frequent burping lately; is this related?
Dr. Lin Minghui Reply:
Hello, cirrhosis indicates severe liver fibrosis, which may impair liver function. In severe cases, symptoms such as jaundice, ascites, hepatic encephalopathy, and esophageal variceal bleeding may occur. Fatty liver disease is characterized by the accumulation of triglycerides in...[Read More] Understanding Fatty Liver: Is It Linked to Cirrhosis or Hepatitis?
Understanding Bloating and Digestive Issues: When to Seek Medical Help
Prone to bloating and abnormal bowel movements? Hello Doctor: I am 24 years old, and for the past 1-2 months, I have been experiencing frequent bloating after meals, along with audible bowel sounds, leading to gastrointestinal discomfort. Sometimes I feel a dull ache in my lower ...
Dr. Chen Shidian Reply:
It is likely irritable bowel syndrome (IBS) with abnormal peristalsis. You can consult a family physician or a gastroenterologist for stool occult blood testing and medication/dietary adjustments. For issues related to the navel, you may see a dermatologist.[Read More] Understanding Bloating and Digestive Issues: When to Seek Medical Help
Understanding Abdominal Distension and Weight Loss: Gastrointestinal Concerns
Abdominal bloating, feeling more full in the morning upon waking than before going to bed (sensation of abdominal distension)? Six months ago, my weight began to gradually decrease, and it has dropped from 50 kg to 40 kg (height 153 cm). Blood tests show liver enzymes over 70. I ...
Dr. Chen Shidian Reply:
Please seek medical treatment.[Read More] Understanding Abdominal Distension and Weight Loss: Gastrointestinal Concerns
Understanding Variations in Stool Shape: When to Seek Medical Advice
The stool consistency varies between thick and thin? Hello, doctor. My usual bowel habit is about twice a day, and I have maintained this for many years. Since the beginning of this year, the characteristics of my daily bowel movements have changed somewhat. The first bowel movem...
Dr. Chen Shidian Reply:
As long as there is no blood present, further observation is acceptable, and it is recommended to increase the intake of fruits and vegetables for fiber. If there are concerns, a fecal occult blood test can be performed.[Read More] Understanding Variations in Stool Shape: When to Seek Medical Advice
Understanding Morning Diarrhea: Causes and Solutions for Chronic Symptoms
Strange fixed time for diarrhea? I experience multiple episodes of diarrhea every morning after waking up (sometimes very urgent), but it resolves by noon. This has been ongoing for 5 to 6 years. I often take probiotics, specifically Grapewang Kangbeier Lactobacillus, to manage t...
Dr. Cai Anshun Reply:
Hello, it is recommended for individuals over 50 years old to undergo a fecal occult blood test. If there are changes in bowel habits, you should consult a gastroenterologist to determine if a colonoscopy is necessary. Pay attention to whether consuming dairy products exacerbates...[Read More] Understanding Morning Diarrhea: Causes and Solutions for Chronic Symptoms
Understanding Abdominal Bloating: Causes and Diagnosis After Surgery
Abdominal bloating Hello Doctor: I am 47 years old. I had surgery for intestinal obstruction in the fifth grade. About two to three years ago, I started experiencing unexplained abdominal bloating that lasts for about a week, and then it gradually returns to normal. This occurs a...
Dr. Chen Shidian Reply:
Adhesions can occur at any time. A colonoscopy can be performed, but it is challenging due to the increased angle, so it should be done with caution. Clinically, it is often recommended to maintain a low-volume diet and monitor for changes in symptoms.[Read More] Understanding Abdominal Bloating: Causes and Diagnosis After Surgery