Should My 67-Year-Old Father Have His Gallbladder Removed?
Should the gallbladder be removed? Hello, doctor: My father is 67 years old and has diabetes. He was hospitalized for 11 days due to cholecystitis. The hospital performed drainage and used endoscopy to remove stones from the common bile duct. After his blood tests and bowel movem...
Dr. Lin Minghui Reply:
Hello, A 67-year-old male with diabetes, gallstones, and cholecystitis has undergone endoscopic stone removal and drainage for common bile duct stones. To assess the patient's clinical condition, it is generally noted that patients with a history of gallstones and cholecys...[Read More] Should My 67-Year-Old Father Have His Gallbladder Removed?
Post-Treatment Care for Helicobacter Pylori Infection: What to Expect
Follow-up treatment after the diagnosis of Helicobacter pylori infection? In July, I experienced stomach pain and went to a clinic for an ultrasound, where they suggested it might be related to gallstones and prescribed medication for me to rest at home. Later, I went to the hosp...
Dr. Lin Minghui Reply:
Hello Ms. Chang, Helicobacter pylori is associated with chronic gastritis, gastric ulcers, and gastric cancer. The standard treatment regimen typically involves ulcer medications combined with 2 to 3 different antibiotics, administered either concurrently or sequentially for 10...[Read More] Post-Treatment Care for Helicobacter Pylori Infection: What to Expect
Understanding Gallstones: When Surgery Becomes Necessary
Cholecystectomy (gallbladder surgery) I have discovered that I have gallstones for over three years. Initially, the pain was unbearable, and even medication did not alleviate it. However, the doctor believed that surgery was not necessary. Later, the pain subsided, but during a r...
Dr. Chen Shidian Reply:
Hello: Chronic cholecystitis can lead to atrophy, which increases the risk of developing gallbladder cancer. Therefore, most physicians recommend surgical removal. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Gallstones: When Surgery Becomes Necessary
Understanding Gallstones: When Surgery Becomes Necessary
Cholecystectomy (gallbladder surgery) I have discovered that I have gallstones for over three years. Initially, the pain was unbearable, and even medication did not alleviate it. However, my doctor believed that surgery was not necessary at that time. Later, the pain subsided, bu...
Dr. Chen Shidian Reply:
Hello: Chronic cholecystitis can lead to atrophy, which increases the risk of malignant transformation into gallbladder cancer. Therefore, most physicians recommend surgical removal. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Gallstones: When Surgery Becomes Necessary
Understanding Gallstones: When Surgery Becomes Necessary
Cholecystectomy (gallbladder surgery) I have been aware of my gallstones for over three years. Initially, the pain was unbearable, and even medication did not alleviate it. However, my doctor believed surgery was not necessary at that time. Eventually, the pain subsided, but duri...
Dr. Chen Shidian Reply:
Hello: Chronic cholecystitis can lead to atrophy, which increases the risk of carcinogenesis into gallbladder cancer. Therefore, most physicians recommend surgical removal. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Gallstones: When Surgery Becomes Necessary
Understanding Gallstones: When Surgery Becomes Necessary
Gallbladder surgery for gallstones? I have discovered that I have gallstones for over three years. Initially, the pain was unbearable, and even medication did not alleviate it. However, my doctor believed surgery was not necessary at that time. Later, the pain subsided. Recently,...
Dr. Chen Shidian Reply:
Hello: Chronic cholecystitis can lead to atrophy, which increases the risk of carcinogenesis into gallbladder cancer. Therefore, most physicians recommend surgical removal. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Gallstones: When Surgery Becomes Necessary
Understanding Gallstones: When Surgery Becomes Necessary
Gallbladder surgery for gallstones? I have discovered that I have gallstones for over three years. Initially, the pain was unbearable, and even medication did not relieve it, but the doctor believed surgery was not necessary. Later, the pain subsided. However, during a recent fol...
Dr. Chen Shidian Reply:
Hello: Chronic cholecystitis can lead to atrophy, which increases the risk of malignant transformation into gallbladder cancer. Therefore, most physicians recommend surgical removal. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Gallstones: When Surgery Becomes Necessary
Understanding Gallstones: When Surgery Becomes Necessary
Cholecystectomy (gallbladder surgery) I have discovered that I have gallstones for over three years. Initially, the pain was unbearable, and even medication did not alleviate it, but the doctor believed surgery was unnecessary. Later, the pain subsided. However, during a recent f...
Dr. Chen Shidian Reply:
Hello: Chronic cholecystitis can lead to atrophy, which increases the risk of malignant transformation into gallbladder cancer. Therefore, most physicians recommend surgical removal. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Gallstones: When Surgery Becomes Necessary
Managing Gallbladder Surgery Risks in Patients with Heart Conditions
Cholecystectomy Hello, Director. Thank you for your response today regarding the following: "Issues with heart valves need to be evaluated and managed by both cardiology and cardiac surgery to prevent long-term cardiac dysfunction. Once the heart is stable, gallbladder surge...
Dr. Chen Shidian Reply:
Hello, sir. You can discuss with the cardiothoracic surgeon regarding the adjustments needed for medications after heart surgery if an emergency cholecystectomy is required. This is to minimize the risks of bleeding and infection. What potential changes may occur during this peri...[Read More] Managing Gallbladder Surgery Risks in Patients with Heart Conditions
Managing Gallstones: Surgical Risks with Heart Valve Issues
Gallbladder surgery Hello, Doctor. Last month, I went to the emergency room due to discomfort in my upper abdomen and was diagnosed with gallstones. I have scheduled surgery for gallbladder removal on January 19. However, during the emergency visit, three electrocardiograms were ...
Dr. Chen Shidian Reply:
Hello, sir. It is essential to have a cardiologist and a cardiac surgeon evaluate and manage your heart valve issue to prevent long-term cardiac dysfunction. Once your heart is stable, you can proceed with gallbladder surgery; however, there is a risk of developing cholecystitis ...[Read More] Managing Gallstones: Surgical Risks with Heart Valve Issues
Gallstones and Fatty Liver: Treatment Options and Dietary Management
Gallstones and fatty liver disease? Hello Doctor: A few days ago, I experienced abdominal pain that radiated to my back after eating barbecue. I visited a gastroenterologist and had an ultrasound today, which revealed that I have multiple gallstones. I had an ultrasound done at t...
Dr. Cai Anshun Reply:
Hello: Gallstones cannot be treated with medication. If pain or acute cholecystitis occurs, surgical treatment is necessary. Rapid weight loss can lead to the excretion of some body fat through the biliary tract, resulting in the rapid formation of biliary system stones. If there...[Read More] Gallstones and Fatty Liver: Treatment Options and Dietary Management
Understanding Shrinking Gallstones: Treatment Options and Risks
Gallbladder atrophy due to gallstones? Hello Doctor: My mother has gallstones and is currently on medication, but she frequently experiences pain symptoms. The doctor has suggested surgery, but my mother is unwilling to undergo it. Recently, she had an examination at the hospital...
Dr. Chen Shidian Reply:
Hello, Miss: Gallbladder atrophy is a phenomenon associated with chronic cholecystitis, which may complicate surgical procedures. Please discuss the necessity of surgery further with your surgeon. Generally speaking, medication for gallstones only alleviates pain symptomatically;...[Read More] Understanding Shrinking Gallstones: Treatment Options and Risks
Understanding Gallbladder Polyps: Treatment and Dietary Implications
Gallbladder polyp Doctor, my health check ultrasound showed a gallbladder polyp measuring 0.3 cm. Do I need any treatment? The health check staff only mentioned that I should continue to monitor it in the future. Is the presence of gallbladder polyps caused by a diet that is too ...
Dr. Lin Minghui Reply:
1) There are various types of gallbladder polyps with different causes, including cholesterol polyps, adenomyomatosis of the gallbladder wall, inflammatory polyps due to cholecystitis, and adenomas associated with gallbladder cancer. 2) Gallbladder polyps are generally asymptomat...[Read More] Understanding Gallbladder Polyps: Treatment and Dietary Implications
Understanding Right Side Abdominal Pain: When to Seek Medical Help
Right abdominal pain? Hello, doctor! Recently, a family member has been experiencing discomfort in the right side of the abdomen, with intermittent pain but no hard lumps... It's been over a day! I would like to ask whether we should go to the emergency room or which departm...
Dr. Cai Anshun Reply:
Hello: Right-sided abdominal pain has several differential diagnoses, but there are certain conditions that are considered emergencies, such as cholecystitis, perforated peptic ulcer, appendicitis, or diverticulitis, among others. If the situation is urgent, it is advisable to go...[Read More] Understanding Right Side Abdominal Pain: When to Seek Medical Help
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?
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
Understanding Gallbladder Surgery: Risks, Recovery, and Dietary Changes
Gallbladder surgery Hello, I have a history of gallstones for 10 years. During the first two years, I experienced pain twice (at that time, it was gallbladder sludge), but since then, I have only occasionally felt bloated in the upper abdomen near the diaphragm. This year, during...
Dr. Yang Zhichao Reply:
Dear Mr. Shen, your gallbladder wall has thickened, which is likely due to chronic inflammation or recurrent inflammation. It is advisable to have a general surgeon evaluate your condition to determine if surgery is necessary. Postoperative complications vary from person to perso...[Read More] Understanding Gallbladder Surgery: Risks, Recovery, and Dietary Changes
Understanding Nausea: Causes and Solutions for Gastrointestinal Issues
Gastrointestinal issues Hello, Dr. Lin. I have two questions: 1. What condition could cause a feeling of nausea upon waking up? 2. Recently, I also experience nausea when using the computer or scrolling on my phone.
Dr. Lin Minghui Reply:
Hello: There are many causes of nausea, including gastrointestinal diseases such as dyspepsia, gastritis, peptic ulcers, gastroesophageal reflux disease, gastric outlet obstruction, and intestinal obstruction. Additionally, acute hepatitis, cholecystitis, pancreatitis, and append...[Read More] Understanding Nausea: Causes and Solutions for Gastrointestinal Issues
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?
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