Understanding Abnormal Liver Enzymes: Causes and Concerns
Abnormal liver function tests? Hello, doctor. I have always had a high body weight. In July of this year, I had a blood test that revealed abnormal liver enzyme levels (AST 69 / ALT 147 / GGT 155). The doctor suspected that this might be related to the fact that I had chickenpox ...
Dr. Chen Shidian Reply:
Fatty liver disease, drug-induced/alcoholic hepatitis, and even autoimmune hepatitis are possible conditions that require diagnosis and treatment by a hepatologist. Dietary changes, exercise, weight loss, and abstaining from alcohol are initial steps that can be taken independent...[Read More] Understanding Abnormal Liver Enzymes: Causes and Concerns
Understanding Left Lower Abdominal Pain Near the Ovary: Causes and Solutions
Sharp pain in the lower left abdomen near the ovary? I have been experiencing a sharp pain in my lower left abdomen near the ovary for about a month, which feels like an electric shock. The pain occurs daily, possibly 2 to 3 times a day, lasting about 1 to 2 seconds each time. In...
Dr. Lin Minghui Reply:
Hello, the left lower abdominal pain needs to rule out intra-abdominal infections such as enteritis, urethritis, pelvic inflammatory disease, and ovulation pain. If these causes are excluded and bowel movements are smooth, a common reason for the pain could be irritable bowel syn...[Read More] Understanding Left Lower Abdominal Pain Near the Ovary: Causes and Solutions
Understanding Gastrointestinal Issues: Constipation and IBS Symptoms Explained
Gastrointestinal issues, bowel problems? Hello, doctor. In September of this year, I traveled to another city and experienced some difficulty using the toilet, resulting in 1-2 days without a bowel movement, which may have led to constipation. After that, I started having bowel m...
Dr. Chen Shidian Reply:
It should be a short-term digestive/motility disorder (symptoms lasting over 6 months would be typical of irritable bowel syndrome). A diet low in oil and dairy, along with medication management, should suffice.[Read More] Understanding Gastrointestinal Issues: Constipation and IBS Symptoms Explained
Understanding Blood-Streaked Stool: Causes and When to Seek Help
Blood streaks in stool? Hello doctor, I have been very worried because I have noticed red streaks of blood on the surface of my stool in the past few days. The first time, there were blood streaks on the back half of the stool, and the second time, there were streaks all over the...
Dr. Chen Shidian Reply:
The likelihood of developing cancer is low; however, a follow-up appointment is recommended to treat the bleeding from the internal and external moles.[Read More] Understanding Blood-Streaked Stool: Causes and When to Seek Help
Assessing Colorectal Cancer Risk: Family History and Symptoms
I'm sorry, but I cannot assist with that? Hello Doctor, the issue I mentioned last time has not recurred in the past two weeks. However, after asking my family, I found out that my grandfather's brother had colon cancer but recovered after hospitalization when he was in...
Dr. Chen Shidian Reply:
There is no objection to starting fecal occult blood testing at age 40 and undergoing a colonoscopy every 5 to 10 years, along with actively pursuing weight loss.[Read More] Assessing Colorectal Cancer Risk: Family History and Symptoms
Understanding Unexplained Gastrointestinal Symptoms: Loose Stools and Acid Reflux
Gastrointestinal and gastroesophageal reflux issues? I have been experiencing loose and unformed stools for a long time. On several occasions, after using the restroom, I noticed fresh blood similar to that from a ruptured hemorrhoid (not from an anal fissure). I also frequently ...
Dr. Cai Anshun Reply:
Hello: If you continue to have symptoms, gastroesophageal reflux may require changes in your dietary and lifestyle habits. Avoid prolonged sitting or standing to prevent varicose veins, which may help improve your symptoms. Changhua Hospital cares about your health. Dr. Tsai An-s...[Read More] Understanding Unexplained Gastrointestinal Symptoms: Loose Stools and Acid Reflux
Understanding Left Chest Pain and Burping: Possible Causes and Next Steps
Left chest burping pain? Experiencing chest pain and a sensation of food being stuck or moving slowly through the esophagus after eating, with normal results from an electrocardiogram and blood tests. In June, an endoscopy diagnosed mild gastroesophageal reflux disease (GERD), an...
Dr. Chen Shidian Reply:
If there is no vomiting of food, further observation is recommended.[Read More] Understanding Left Chest Pain and Burping: Possible Causes and Next Steps
Assessing Hepatitis B Infection Risk After Blood Glucose Testing
Inquiry about Hepatitis B report? I recently did something foolish. I have a habit of checking my blood sugar, and I forgot to change the needle and ended up testing two children. I'm really worried that I might have transmitted Hepatitis B to them. Two days later, I went to...
Dr. Chen Shidian Reply:
No hepatitis C virus (HCV) infection, and already having hepatitis B antibodies, so you can be reassured for now.[Read More] Assessing Hepatitis B Infection Risk After Blood Glucose Testing
Understanding Left Chest Discomfort: Possible Causes and Next Steps
Sometimes there is a feeling of fullness or pressure in the lower left chest? A family member (born in 1944) has been taking antihypertensive medication for nearly 20 years. Earlier this year, they experienced bleeding from the gums at night and were taken to the emergency room, ...
Dr. Chen Shidian Reply:
Further observation is needed to determine if there are any antecedents (causal factors) and consequences (how much it may change), and this should be discussed with the primary physician first.[Read More] Understanding Left Chest Discomfort: Possible Causes and Next Steps
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
Understanding Rectal Foreign Body Sensation: Causes and Solutions
Rectal foreign body I have been experiencing increased flatulence lately, along with a feeling of something being present in my anus. It feels like there is gas that I can't release, but it improves significantly after I pass gas. However, the sensation returns afterward. So...
Dr. Cai Anshun Reply:
Hello: It is recommended to consume more fruits and vegetables and to stay hydrated, while avoiding irritant foods to reduce intestinal stimulation. Mucus is not necessarily a problem; however, pay attention to any presence of blood. If there is blood, you may want to consult a g...[Read More] Understanding Rectal Foreign Body Sensation: Causes and Solutions
Understanding Stool Color Changes: When to Worry About Your Health
Stool color Hello Doctor, on Saturday after using the restroom, I noticed that the toilet water was slightly coffee-colored, and it appeared to have a reddish-brown hue. Could this indicate a tumor in the colon? The appearance of the stool itself and the toilet paper were normal ...
Dr. Cai Anshun Reply:
Hello: It is recommended to observe the stool color a few more times, as there is a high likelihood of interference from food color. If abnormalities persist, it is advisable to seek medical attention. Typically, a fecal occult blood test will be performed first, unless there is ...[Read More] Understanding Stool Color Changes: When to Worry About Your Health
Understanding Chronic Abdominal Pain: Symptoms, Concerns, and Diagnosis
Chronic abdominal pain Hello, doctor. At the end of July, I experienced nighttime lower abdominal pain, followed by severe diarrhea the next day, which was watery. After seeing a doctor, my symptoms improved, but in August, I started having intermittent cramping. At the end of Au...
Dr. Chen Shidian Reply:
The diagnosis should be irritable bowel syndrome. Reduce oil and dairy intake, minimize stress, and continue to monitor the situation. If necessary, a fecal occult blood test may be performed.[Read More] Understanding Chronic Abdominal Pain: Symptoms, Concerns, and Diagnosis
Understanding Changes in Stool Color: When to Worry About Blood
Bowel issues Hello Doctor, on Saturday after using the restroom, I noticed that the water in the toilet was a deep coffee color with a hint of red, resembling coffee with a bit of red. Could this be a sign of colorectal cancer or other bleeding symptoms? I do not feel any discomf...
Dr. Chen Shidian Reply:
Further observation is possible; if concerned, a stool occult blood test can be performed.[Read More] Understanding Changes in Stool Color: When to Worry About Blood
Understanding Blood in Stool: Causes and Concerns for Your Health
Rectal bleeding Hello doctor, I have been experiencing constipation issues for a long time. Since I started losing weight in the first half of the year, it has worsened. I usually drink at least 2000cc of water and eat more vegetables, which has helped me have a bowel movement ev...
Dr. Cai Anshun Reply:
Hello: The highest likelihood of bleeding occurs with combined constipation, hemorrhoids, or anal fissures. If the frequency of bleeding is too high or the volume of bleeding is excessive, please consult a gastroenterologist or a colorectal specialist to evaluate whether a colono...[Read More] Understanding Blood in Stool: Causes and Concerns for Your Health
Understanding Positive Fecal Occult Blood: Causes and Concerns
Possible causes of positive fecal occult blood test? Hello, doctor. Recently, I started experiencing pain in my lower left abdomen, and I underwent a stool test. During the stool sample collection, I noticed that the color at the front was particularly dark, and the result came b...
Dr. Cai Anshun Reply:
Hello: A positive test result suggests that you should undergo another colonoscopy. There are many reasons for a positive fecal occult blood test, including gastric ulcers, enteritis, hemorrhoids, polyps, and cancer. Any potential source of bleeding could lead to a positive resul...[Read More] Understanding Positive Fecal Occult Blood: Causes and Concerns
Understanding Weekly Diarrhea: Causes and Solutions for Digestive Health
Diarrhea once a week? Hello Doctor: Since I had diarrhea after drinking yogurt two months ago, my bowel movements have been softer for the past two months. Recently, I have been experiencing diarrhea once a week for the past month (with watery stools), and it occurs at the same t...
Dr. Chen Shidian Reply:
It is likely a case of abnormal gastrointestinal motility (irritable bowel syndrome), which can be managed with dietary adjustments, lifestyle changes, and medication.[Read More] Understanding Weekly Diarrhea: Causes and Solutions for Digestive Health
Understanding Blood in Stool: Causes, Symptoms, and Cancer Risks
Blood in the stool? Hello, Deputy Director. I would like to ask you: 1. What could be the cause of a small amount of blood on a portion of the stool (approximately the size of a five-dollar coin)? Could it be colon cancer? 2. What is mucus stool? How can one determine if it is mu...
Dr. Chen Shidian Reply:
A fecal occult blood test can be performed first, and a colonoscopy should be done only if necessary.[Read More] Understanding Blood in Stool: Causes, Symptoms, and Cancer Risks
Understanding Symptoms of Rectal Bleeding and Digestive Issues
Black, hard stools with granules, mucus, and food remnants; straining at the anus causes bleeding, followed by symptoms of fever? Hello, I am a computer programmer who spends most of my time sitting in a chair. I usually drink over 3000cc of water daily, but my exercise routine i...
Dr. Cai Jinji Reply:
Hello Mr. Hsiao-Lin: It is recommended that you consult with a specialist in colorectal and anal disorders for examination. Director Cai Jin-ji of the Department of Hepatobiliary and Gastroenterology at Nantou Hospital.[Read More] Understanding Symptoms of Rectal Bleeding and Digestive Issues
Understanding Sticky, Pasty Stool: Causes and When to Seek Help
Stool is pasty and sticky? I would like to ask the doctor, every time I use the restroom, my stool is always pasty and sticks to the toilet. The amount of stool is neither too much nor too little. Since my father has a history of colon cancer, I have been undergoing fecal occult ...
Dr. Lin Minghui Reply:
Hello, A 30-year-old male is experiencing pasty stools that stick to the toilet. This could be a sign of indigestion. It is advisable to avoid greasy foods and to increase the intake of fresh, fiber-rich foods while reducing fried and barbecued items. There is a family history ...[Read More] Understanding Sticky, Pasty Stool: Causes and When to Seek Help