Understanding Gallbladder Polyps: When to Worry and What to Do
Gallbladder polyp Hello Dr. Chen, since I started undergoing health check-ups in February 2013, I discovered an issue with gallbladder polyps. At that time, there was only one polyp, approximately 0.5 mm in size. However, during a follow-up health check arranged by my company in ...
Dr. Chen Qifeng Reply:
The principles of surgery for gallbladder polyps are that if the size is greater than 1 centimeter or if the number continues to increase, cholecystectomy should be considered due to the risk of complications. If a person experiences diarrhea after consuming oily foods, it may be...[Read More] Understanding Gallbladder Polyps: When to Worry and What to Do
Understanding Gallstones: Next Steps After Diagnosis and Surgery Options
A small clinic has diagnosed gallstones? Hello Dr. Chen, I have a question to ask. Last Friday night, I experienced abdominal pain and went to a small clinic for a consultation. The doctor at the clinic listened to my description and symptoms (abdominal pain and slight back pain)...
Dr. Chen Shidian Reply:
Hello, you can directly see a general surgery evaluation and start a low-fat diet. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Gallstones: Next Steps After Diagnosis and Surgery Options
Managing Gallstone Pain: When to Seek Emergency Care and Treatment Options
Issues with Pain Relief Injections for Gallstones Hello Dr. Chen, In July of this year, I underwent an abdominal ultrasound at the hospital and discovered that I have a gallstone approximately 1 cm in size. My symptoms typically begin with nausea, followed by intermittent sever...
Dr. Chen Shidian Reply:
Hello, sir. It's better to undergo surgery as soon as possible to avoid recurrent inflammation and adhesions, which can complicate the procedure. Changhua Hospital cares about your health. Best regards, Chen Shidian.[Read More] Managing Gallstone Pain: When to Seek Emergency Care and Treatment Options
Can Gallstones and Fatty Liver Cause Chest and Shoulder Pain?
Can gallstones and fatty liver cause pain in the epigastric region or upper abdomen, right shoulder pain, and discomfort in the back? Hello, Director Chen. I apologize for interrupting you during your busy schedule. I am 36 years old, have never smoked or consumed alcohol, and my...
Dr. Chen Shidian Reply:
Hello, sir. While the chances of related opportunities may not be significant, if you have been troubled for a long time, you might consider laparoscopic cholecystectomy to prevent future occurrences of gallstones. Changhua Hospital cares about your health. Sincerely, Chen Shidia...[Read More] Can Gallstones and Fatty Liver Cause Chest and Shoulder Pain?
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
Understanding Enlarged Bile Duct and Pancreatic Head: Symptoms and Concerns
Common bile duct and enlargement of the pancreatic head? Dear Doctor, My father started experiencing some symptoms at the beginning of last year: 1) fever and weakness that would resolve the next day, returning intermittently; 2) vomiting, and around May of last year, he develop...
Dr. Chen Qifeng Reply:
There are many causes of obstructive jaundice, including benign conditions such as bile duct stones, and malignant conditions primarily involving tumors (such as cholangiocarcinoma, pancreatic head cancer, duodenal cancer, and duodenal papilla cancer). Therefore, it is essential ...[Read More] Understanding Enlarged Bile Duct and Pancreatic Head: Symptoms and Concerns
Understanding Right Lower Abdominal Pain: Causes and Treatment Options
Right lower abdominal pain? I've been experiencing pain in my lower right abdomen for the past couple of days, and it hurts even more when I take a deep breath. What could this possibly indicate? I've had two episodes of gallbladder pain that required emergency care in ...
Dr. Cai Anshun Reply:
Hello, if you are experiencing recurrent pain from gallstones, it is recommended to undergo cholecystectomy, as there are no other effective treatments. Gallbladder pain typically manifests in the right upper abdomen, while pain in the right lower abdomen may have other causes; i...[Read More] Understanding Right Lower Abdominal Pain: Causes and Treatment Options
What is Gallbladder Adenomyomatosis and Its Cancer Risks?
What is gallbladder adenomyomatosis? Ultrasound during a health check-up revealed multiple gallstones, the largest measuring 0.6 cm, and the gallbladder wall thickness at the base is 0.6 cm. Is a gallbladder adenomyomatosis simply thickening of the gallbladder wall? Is cholecyste...
Dr. Lin Minghui Reply:
Hello, 1. For gallstones, it is advisable to avoid greasy foods. If symptoms such as frequent pain and complications like cholecystitis or pancreatitis occur, surgical removal should be considered. 2. Adenomyomatosis of the gallbladder refers to thickening of the gallbladder wall...[Read More] What is Gallbladder Adenomyomatosis and Its Cancer Risks?
Managing Post-Cholecystectomy Complications: A Patient's Journey
Please ask your question about the gallbladder? I was hospitalized last year due to recurrent abdominal pain from gallstones, and subsequently underwent a cholecystectomy in July 2015. However, after the surgery, I have been admitted multiple times for fever. Last week, after und...
Dr. Chen Qifeng Reply:
Hello, after surgery on the bile duct or gallbladder, there are occasional cases where gas may enter the bile duct. Even so, this does not necessarily lead to inflammation. When diagnosing bile duct cancer, it is still important to rule out inflammation in other areas or the pres...[Read More] Managing Post-Cholecystectomy Complications: A Patient's Journey
Understanding Chronic Cholecystitis: Symptoms, Risks, and Treatment Options
Chronic cholecystitis Chronic cholecystitis is a long-term inflammation of the gallbladder, often associated with the presence of gallstones. Symptoms may include abdominal pain, particularly in the upper right quadrant, nausea, vomiting, and bloating, although some individuals m...
Dr. Chen Shidian Reply:
Hello, Sir: Local irritation from gallstones may lead to acute inflammation (acute pain). It can also cause chronic inflammation (with less noticeable pain, but resulting in thickening of the gallbladder wall), which over time may lead to local cellular deterioration and the deve...[Read More] Understanding Chronic Cholecystitis: Symptoms, Risks, and Treatment Options
Post-Cholecystectomy: Is a Hard Lump Normal at the Incision Site?
After gallbladder removal surgery, there is a lump at the incision site? Hello Doctor, I underwent a cholecystectomy due to gallstones on 10/21 last week. The sutured wound has healed, and I can shower normally. However, there seems to be a lump inside the wound above my navel (a...
Dr. Yang Zhichao Reply:
Dear Mr. Hsiao, regarding your question, the lump may be caused by the wound and the sutures. If possible, please have the surgeon who performed your operation examine it during your follow-up visit. Changhua Hospital cares about your health.[Read More] Post-Cholecystectomy: Is a Hard Lump Normal at the Incision Site?
Post-Operative Fever After Laparoscopic Cholecystectomy: Is It Normal?
Postoperative fever after acute cholecystitis? My father underwent laparoscopic surgery for acute cholecystitis, but after being discharged and returning home, he has been experiencing fever almost every day, ranging from approximately 37.3 to 38.3 degrees Celsius. During the fev...
Dr. Chen Shidian Reply:
Hello, Miss: Please return for a follow-up appointment with the doctor as soon as possible. Changhua Hospital cares about your health. Chen Shidian[Read More] Post-Operative Fever After Laparoscopic Cholecystectomy: Is It Normal?
Managing Gallbladder Polyps: Prevention and Dietary Tips
Management of Gallbladder Polyps I have had gallbladder polyps for about 10 years and have been undergoing regular ultrasound examinations every year. What preventive measures and maintenance should I take, and how should I adjust my diet?
Dr. Chen Qifeng Reply:
Hello: Gallbladder polyps should be monitored with ultrasound every six months. If they are larger than 1 cm, cholecystectomy is required. Generally, it is related to individual constitution, and only monitoring is necessary. Some studies suggest a possible correlation with fat i...[Read More] Managing Gallbladder Polyps: Prevention and Dietary Tips
Best Herbal Remedies for Gallbladder Polyps: A Guide
Gallbladder polyps If you have gallbladder polyps, which herbal medicine is recommended for treatment?
Dr. Chen Qifeng Reply:
Hello: Gallbladder polyps are generally assessed based on their size. If they are larger than 1 centimeter, cholecystectomy is required. If they are smaller than 1 centimeter, follow-up should be done every six months, and medication is unlikely to be effective. Wishing you safet...[Read More] Best Herbal Remedies for Gallbladder Polyps: A Guide
Post-Cholecystectomy Diet: What to Eat and Avoid After Gallbladder Surgery
Diet After Cholecystectomy Hello, doctor. I would like to ask about dietary restrictions after undergoing surgery for gallstones, where both the gallbladder and bile ducts were removed. Are there any specific dietary restrictions during recovery? Which vegetables and fruits are r...
Dr. Chen Shidian Reply:
Hello Amin, you have just undergone gallbladder removal, which may lead to fat malabsorption and diarrhea. Therefore, a low-fat diet is recommended as a principle. Other than that, you can have a proper diet as long as you do not experience any discomfort. Changhua Hospital cares...[Read More] Post-Cholecystectomy Diet: What to Eat and Avoid After Gallbladder Surgery
Choosing the Right Specialist for Gallbladder Stone Surgery
Cholecystectomy (gallbladder surgery) Hello Doctor, I apologize for bothering you. I would like to ask: my family member previously underwent an abdominal ultrasound and a colonoscopy, and at that time, they consulted Dr. Zheng from the colorectal surgery department. Now, we have...
Dr. Lin Minghui Reply:
Hello: If you have symptoms of gallstones, you may need to undergo cholecystectomy. You can schedule an appointment for evaluation with Dr. Tong Heng-Yu or Dr. Chou Chia-Cheng at our general surgery clinic. Wishing you good health, Dr. Lin Ming-Hui, Ministry of Health and Welfare...[Read More] Choosing the Right Specialist for Gallbladder Stone Surgery
Post-Operative Concerns After Laparoscopic Cholecystectomy for Acute Cholecystitis
Postoperative Issues Related to Acute Cholecystitis Hello Doctor, two weeks ago I underwent laparoscopic cholecystectomy due to acute cholecystitis. Since the surgery, I have been experiencing a loss of appetite, a feeling of bloating in my stomach, and a slight shortness of brea...
Dr. Chen Shidian Reply:
Hello Mr. Andy, please return for an outpatient examination to check for any complications. If it is only postoperative symptoms, adjusting to a light diet and taking oral medications should help improve your condition. Changhua Hospital cares about your health. Dr. Chen Shidian.[Read More] Post-Operative Concerns After Laparoscopic Cholecystectomy for Acute Cholecystitis
Post-Laparoscopic Cholecystectomy: Liver Function and Dietary Tips
Laparoscopic cholecystectomy has been performed to remove the gallbladder due to gallstones? Recently, I underwent laparoscopic cholecystectomy due to gallstones. I understand that the liver will still produce bile for digestion, but without the gallbladder for storage, I need to...
Dr. Chen Qifeng Reply:
Hello: The secretion of bile is primarily the function of the liver; however, since the storage part of the bile has been removed, it does not increase the burden on the liver. In addition to maintaining a low-fat diet, it is important to monitor for symptoms such as abdominal bl...[Read More] Post-Laparoscopic Cholecystectomy: Liver Function and Dietary Tips
Life After Gallbladder Removal: Managing Symptoms and Concerns
After gallbladder removal, what should I do? I underwent surgery to remove my gallbladder due to gallstones a little over two months ago, and I didn't expect this to be the beginning of a nightmare. After the surgery, I sometimes experience unexplained palpitations and eleva...
Dr. Chen Qifeng Reply:
Hello: The most common complication after cholecystectomy is fatty diarrhea, primarily due to the removal of the gallbladder, which serves as a storage place for bile. As a result, bile is continuously secreted by the liver, and when fatty foods are consumed, there may be an insu...[Read More] Life After Gallbladder Removal: Managing Symptoms and Concerns
Understanding Gallbladder Polyps: Concerns and Treatment Options
About gallbladder polyps? Dear Doctor, I apologize for not including the website in my previous email and am resending it in hopes of receiving your response. In 2005, during a health check at a medical center, I was informed that I had gallbladder polyps. The doctor at that tim...
Dr. Chen Shidian Reply:
Hello Ms. Sally, 1. Gallbladder polyps smaller than 0.5 cm may not be visible due to angle and intestinal gas interference. 2. Polyps that have not increased in size only require follow-up every 1-2 years. 3. The definitive treatment for gallbladder polyps is still cholecyste...[Read More] Understanding Gallbladder Polyps: Concerns and Treatment Options