Understanding Liver and Spleen Issues: Seeking Answers for Chronic Fatigue
I apologize for the trouble, doctor? Hello, doctor! I had an ultrasound that showed an enlarged spleen, a rough surface on the liver, and a portal vein measuring 1.15 cm. There is also a hyperechoic nodule in segment 5 of the liver, which is currently being monitored. I have a hi...
Dr. Cai Anshun Reply:
Hello: If you have not seen a hematologist, you can consult a hematology specialist to investigate the causes of anemia and splenomegaly. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Liver and Spleen Issues: Seeking Answers for Chronic Fatigue
Addressing Dizziness in Colon Cancer: Beyond Anemia Concerns
Dizziness related to colorectal cancer? Hello, doctor! I would like to ask if dizziness caused by colon cancer is due to anemia, and blood tests show no signs of anemia. Can we then rule out the factors causing dizziness related to colon cancer?
Dr. Cai Anshun Reply:
Hello: Complete exclusion cannot be guaranteed. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Addressing Dizziness in Colon Cancer: Beyond Anemia Concerns
Can Colonoscopy Detect Mesenteric Tumors? Understanding Gastrointestinal Issues
Regarding dermatofibroma? Can a colonoscopy detect a submucosal tumor if I have been experiencing recent bloating in my intestines?
Dr. Chen Shidian Reply:
Hello, please consult with a gastroenterologist regarding your medical history. Generally, bloating is often related to issues with digestive motility. If necessary, a stool occult blood test can be performed to determine whether a colonoscopy is needed. Changhua Hospital cares a...[Read More] Can Colonoscopy Detect Mesenteric Tumors? Understanding Gastrointestinal Issues
Why Do I Feel Weak and Fatigued After Bowel Movements?
Why do I experience a burning sensation in my intestines and feel weak and fatigued after having a bowel movement? I have seen a gastroenterologist and a family medicine doctor. I told the gastroenterologist about my symptoms, and he ordered blood tests, which came back mostly no...
Dr. Lin Minghui Reply:
Irritable bowel syndrome (IBS) is characterized by recurrent abdominal pain associated with changes in stool consistency, frequency, or relief of symptoms after bowel movements. Patients may experience discomfort after defecation, along with weakness and fatigue. Blood tests and ...[Read More] Why Do I Feel Weak and Fatigued After Bowel Movements?
Understanding Abnormal Sensations in the Rectal Area: What You Should Know
Feeling a rough or thick sensation inside the anus? During my shower today, I inserted my finger into my rectum for cleaning and noticed that the walls on both sides felt slightly rough. Is this normal? It doesn't feel very rough, but it's not as smooth as the inside of...
Dr. Cai Anshun Reply:
Hello: Fecal occult blood can indicate bleeding. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Abnormal Sensations in the Rectal Area: What You Should Know
Understanding Bowel Issues: Insights on Constipation and Thyroid Health
Bowel movement issues Hello, Doctor: (long text) I used to experience constipation, having a bowel movement every three days, until July when I had diarrhea and went to the hospital. I have hyperthyroidism, and recently I have been having normal bowel movements daily, but sometim...
Dr. Cai Jinji Reply:
If you are still concerned or have symptoms, you may consider undergoing a colonoscopy to determine if there are any issues with the colon.[Read More] Understanding Bowel Issues: Insights on Constipation and Thyroid Health
Understanding Gastrointestinal and Liver Health: When to Seek Further Testing
Gastrointestinal, liver, and kidney? Hello Doctor, I have been experiencing some discomfort in my stomach for the past two weeks. It feels bloated and sometimes a bit painful. I recently had a cold, and my doctor mentioned that it might be related to that. However, I have noticed...
Dr. Chen Shidian Reply:
Hello, if you are experiencing persistent discomfort in the upper abdomen, you may consider undergoing an upper gastrointestinal endoscopy. There doesn't seem to be any urgency regarding other issues, so you can continue to monitor your condition. Changhua Hospital cares abo...[Read More] Understanding Gastrointestinal and Liver Health: When to Seek Further Testing
Does a Shadow on the Pancreas Always Indicate Cancer?
Does the presence of a shadow on the pancreas always indicate cancer? Hello: Recently, an ultrasound revealed a 2.8 cm shadow on my pancreas. The doctor didn't say much, only that I need to get a CT scan. That afternoon, I went to another hospital for another ultrasound, and...
Dr. Cai Anshun Reply:
Hello: It is recommended to wait for the CT scan report and not to seek medical attention elsewhere. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Does a Shadow on the Pancreas Always Indicate Cancer?
Red Spots in Stool: When to Seek Medical Advice for Gastrointestinal Issues
There are small red spots in the stool? Hello, doctor. About two years ago, I had gastritis (I underwent an endoscopy), and since then, I have occasionally experienced bloating. About 2 to 3 weeks ago, I suddenly started having diarrhea after meals every day. After a few days, I ...
Dr. Chen Qifeng Reply:
Hello: Generally speaking, when there is blood in the stool, it is usually seen as streaks or clots, and it is rare to see small dots of red. If this phenomenon persists, it is advisable to consult a gastroenterologist. The term "occult blood test" refers to a test wher...[Read More] Red Spots in Stool: When to Seek Medical Advice for Gastrointestinal Issues
Why Do I Feel Sleepy After Breakfast and Bowel Movements?
Why am I experiencing this? After I finish breakfast, I feel very sleepy; lunch and dinner are not as bad. Additionally, I also feel fatigued and want to sleep after having a bowel movement. I have consulted with a gastroenterologist and a family medicine doctor. The gastroentero...
Dr. Chen Qifeng Reply:
Hello: The test results are normal, so everything is fine. Additionally, chronic fatigue syndrome should be considered, which is often caused by stress. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan Genera...[Read More] Why Do I Feel Sleepy After Breakfast and Bowel Movements?
Understanding Hepatitis B Test Results: Should You Pay for Further Testing?
Hepatitis B..? Hello Doctor, I did not pass the military service physical examination and was asked to undergo a re-examination. Therefore, I spent 1500 NTD at a clinic for a blood test to check my liver. After the results came out, the doctor said my report was very unreasonable...
Dr. Chen Shidian Reply:
Hello, you can visit a large hospital's gastroenterology department for follow-up examinations. If your ALT levels continue to rise without decreasing, you may also consider having a DNA test covered by health insurance. Changhua Hospital cares about your health. Chen Shidia...[Read More] Understanding Hepatitis B Test Results: Should You Pay for Further Testing?
Could My Digestive Issues Be Caused by H. Pylori Infection?
Could it be caused by Helicobacter pylori? Doctor, it has been three weeks since my gastroscopy. The doctor mentioned that my stomach is red and slightly inflamed, but did not test for Helicobacter pylori. Why have I been experiencing indigestion, frequent belching, and sometimes...
Dr. Chen Shidian Reply:
Hello, sir. Hiccups and digestive motility disorders are not necessarily caused by Helicobacter pylori. However, if tests (which can be done through out-of-pocket blood tests) reveal the presence of bacteria, you may opt for out-of-pocket eradication treatment (insurance coverage...[Read More] Could My Digestive Issues Be Caused by H. Pylori Infection?
Understanding Lower Abdominal Pain with Mild Urge to Defecate
Lower abdominal pain with a slight urge to defecate, but no actual bowel movement occurs? Hello Doctor: I had a duodenal ulcer in high school, and during a gastrointestinal examination, the doctor mentioned that my bowel motility is slow. About a year and a half ago, I underwent ...
Dr. Cai Anshun Reply:
Hello: If symptoms persist, it is recommended to consult a gastroenterologist, as it may be necessary to repeat the fecal occult blood test and, if needed, even perform a colonoscopy. This is especially important if there is a family history of colorectal cancer and weight loss. ...[Read More] Understanding Lower Abdominal Pain with Mild Urge to Defecate
Concerns About Hepatitis Transmission in Sexual Encounters
Hepatitis transmission through sexual activity? I am a gay man and I met someone online in March of this year. We engaged in some intimate actions, including kissing. During anal intercourse, he inserted his finger into my anus, but I experienced too much pain, and he only penetr...
Dr. Cai Anshun Reply:
Hello: If you are concerned, you can have a blood test to find out. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Concerns About Hepatitis Transmission in Sexual Encounters
Understanding Stomach Ulcer Biopsy: What You Need to Know
Gastric ulcer biopsy Last week, my mother underwent an upper gastrointestinal endoscopy, which revealed the presence of an ulcer in her stomach. According to her description, the ulcer is round and surrounded by a red, swollen area resembling broken skin. The doctor mentioned tha...
Dr. Cai Anshun Reply:
Hello: Of course, the probability of benign conditions is higher. A biopsy can determine whether it is benign or malignant, or if there is an infection with Helicobacter pylori. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Stomach Ulcer Biopsy: What You Need to Know
Understanding Right Upper Abdominal Pain and Its Causes
Right upper quadrant pain radiating to the back? Hello, I have had my gallbladder removed. Last year, I experienced mild pain in my lower right rib, and after an ultrasound, the doctor found stones in the bile duct, which led to an ERCP that caused pancreatitis. Recently, the pai...
Dr. Chen Qifeng Reply:
1. If there is enlargement of the pancreatic tail, it should cause pain in the left upper abdomen. 2. There is a possibility of recurrence of bile duct stones, but blood tests are normal, which cannot explain the situation. 3. A PET scan may not be very helpful. 4. If ERCP ...[Read More] Understanding Right Upper Abdominal Pain and Its Causes
Understanding Bowel Issues: Insights on Rectal and Colon Health
Bowel issues Hello Dr. Chen: I have had irregular bowel habits since childhood, typically having a bowel movement every 2-3 days. I experienced bleeding from hemorrhoids about ten years ago and underwent a colonoscopy, but it was very painful, so they only examined the sigmoid co...
Dr. Chen Qifeng Reply:
Based on the symptoms, it is recommended to undergo a painless colonoscopy.[Read More] Understanding Bowel Issues: Insights on Rectal and Colon Health
Understanding Abdominal Discomfort: Is It Normal to Feel Your Intestines?
Palpation of the intestinal structure in the right lower abdomen? Hello Doctor, since around mid-July, I have been experiencing a strange sensation in my lower abdomen (it's not pain, but it's uncomfortable). This feeling comes and goes, and along with a loss of appetit...
Dr. Cai Anshun Reply:
Hello: Feeling the shape of the intestines may occur in several situations: being too thin, or having gas and fecal impaction in the intestines. You can try adjusting your diet to see if bowel movements become smoother. If you still have concerns, you can consult a gastroenterolo...[Read More] Understanding Abdominal Discomfort: Is It Normal to Feel Your Intestines?
Understanding Gastroenteritis: Symptoms, Weight Loss, and Recovery
Gastroenteritis, accompanied by general fatigue and weight loss? Hello Doctor, I would like to ask about my condition over the past two weeks. I have been experiencing gastroenteritis, initially presenting with symptoms of vomiting, diarrhea, and loss of appetite. For the next ...
Dr. Cai Anshun Reply:
Hello: It may be that your physical strength has not fully recovered, or there could be an electrolyte imbalance. It is important to pay attention to your diet and gradually adjust it to a balanced state, while reducing high-fat and high-protein foods. You may consider supplement...[Read More] Understanding Gastroenteritis: Symptoms, Weight Loss, and Recovery
Understanding Bile Duct Swelling: Causes and Diagnostic Insights
Bile duct dilation Hello, doctor. Recently, my mother has been experiencing abdominal pain for several days and visited a clinic. The clinic indicated that there are gallstones in the bile duct and that she can only manage it with medication. The next day, she went to a teaching ...
Dr. Cai Anshun Reply:
Hello: 1) After gallbladder removal, dilation of the bile duct is a normal phenomenon. As long as there is no obstruction in the bile duct, it is not a concern. Typically, the presence of obstruction can be assessed through blood tests measuring bilirubin and alkaline phosphatase...[Read More] Understanding Bile Duct Swelling: Causes and Diagnostic Insights