Can Weight Loss and Diet Reverse Severe Fatty Liver Disease?
Fatty liver disease issues? Hello, Doctor. Recently, I went to the hospital for a check-up and an abdominal ultrasound at the family medicine department. The family medicine doctor said that the gastroenterologist indicated I have significant fatty liver (severe fatty liver). My ...
Dr. Yang Zhichao Reply:
Dear Ms. Chen, Hello. Fatty liver can indeed be improved through dietary changes and regular exercise. The liver accumulates fat, and when this fat oxidizes over time, it can lead to inflammation, resulting in elevated liver enzymes. Given that you weigh over 100 kilograms, it i...[Read More] Can Weight Loss and Diet Reverse Severe Fatty Liver Disease?
Understanding Elevated Liver Enzymes: Causes and Concerns
Elevated liver enzymes indicating inflammation? Hello, doctor. I went to the family medicine clinic last week for a blood test, and today the report came back. My blood sugar, cholesterol, and triglycerides are all normal, but my liver enzymes are elevated. The family medicine do...
Dr. Cai Anshun Reply:
Hello: An ALT level of 60 (with a standard range of 7-42) indicates a liver condition that is not considered severe. However, it may be caused by fatty liver or insufficient sleep. Once the underlying cause is identified, further measures can be taken to improve the situation, wh...[Read More] Understanding Elevated Liver Enzymes: Causes and Concerns
Understanding Sudden Hunger and Digestive Issues: When to Seek Help
Gastrointestinal issues Actually, I haven't really noticed if there is a pattern to these symptoms, but I find it strange that sometimes I go from not feeling hungry at all one moment to suddenly feeling extremely hungry the next moment. I'm so hungry that I need to eat...
Dr. Lin Minghui Reply:
Frequent hunger that is relieved after eating, abdominal pain that improves after bowel movements, and susceptibility to bloating may indicate irritable bowel syndrome (IBS). It is recommended to pay attention to dietary habits, maintain regular meal times, avoid overly sweet and...[Read More] Understanding Sudden Hunger and Digestive Issues: When to Seek Help
Understanding Weight Loss and Stomach Pain: Possible Causes and Solutions
Stomach pain and weight loss? At the end of March, I went to the hospital's family medicine department due to severe bloating and abdominal pain. A urinalysis and stool occult blood test were performed because the doctor suspected a urinary tract infection, but the tests sho...
Dr. Chen Qifeng Reply:
It is recommended to consult a gastroenterologist. If necessary, undergo an upper gastrointestinal endoscopy.[Read More] Understanding Weight Loss and Stomach Pain: Possible Causes and Solutions
Understanding Nocturnal Abdominal Pain: Causes and Concerns
Frequent abdominal pain during the night or early morning? Hello Doctor: In the past three months, I have experienced abdominal pain 6 to 7 times. The pain is located in the upper abdomen, specifically in the triangular area inside the rib cage on the left side (near the stomach)...
Dr. Cai Anshun Reply:
Hello: If you experience pain in the left side of the epigastric area, especially when lying down to rest, it may be worth considering the possibility of gastroesophageal reflux disease (GERD). Be mindful to avoid irritating foods and beverages (such as tea and coffee), do not li...[Read More] Understanding Nocturnal Abdominal Pain: Causes and Concerns
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 Chest Discomfort: Possible Causes and Solutions
Does the xiphoid process contract? Hello, Dr. Lin. I have a stent in my heart, and I experienced the following symptoms once two years before the procedure, which were quite severe. I was scared and went to the emergency room where multiple tests were conducted, but no cause was ...
Dr. Lin Minghui Reply:
The pain at the xiphoid process may occur suddenly and be cramp-like. If there are no abnormalities found in cardiology and endoscopy, there is no need for excessive concern. Some cases may involve gastroesophageal reflux, where the endoscopy appears normal but there is a reactio...[Read More] Understanding Chest Discomfort: Possible Causes and Solutions
Is It Diarrhea or Gastroenteritis? Understanding Your Symptoms
Is this diarrhea or gastroenteritis? Hello Doctor: I experience stomach pain within 5-10 minutes after every meal, followed by diarrhea. This has been ongoing for two weeks. My diet has been very light, so it's unlikely that I have food poisoning. My menstrual period coincid...
Dr. Chen Shidian Reply:
Hello, your symptoms are likely indicative of Irritable Bowel Syndrome (IBS), which is characterized by increased intestinal motility. You may take gastrointestinal medication before meals to alleviate the symptoms, and it is advisable to reduce the intake of dairy and fatty food...[Read More] Is It Diarrhea or Gastroenteritis? Understanding Your Symptoms
Understanding Left Chest Pain: Possible Causes and Solutions
Pain in the left lower chest area related to the stomach? Hello, doctor. I am inquiring on behalf of my mother, who is 55 years old. Three months ago, she experienced discomfort in her stomach and underwent an endoscopy, which revealed mild gastric ulcers. After taking medication...
Dr. Lin Minghui Reply:
Pain in the left lower chest related to gastroesophageal issues may include differential diagnoses such as esophageal and gastrointestinal diseases, neuropathic pain, pancreatic disorders, colonic conditions, and thoracic diseases. If symptoms do not improve, continued medical ev...[Read More] Understanding Left Chest Pain: Possible Causes and Solutions
Could Your Breathing Issues Be a Sign of GERD Recurrence?
Could the feeling of congestion in the breathing be a recurrence of gastroesophageal reflux disease (GERD)? Hello, Doctor: Over four months ago, I underwent an upper gastrointestinal endoscopy at a major hospital, and the report indicated severe gastric ulcers, duodenal ulcers, a...
Dr. Chen Shidian Reply:
Hello, sir. It is recommended to discuss with your original gastroenterologist whether to continue medication for controlling gastroesophageal reflux. Changhua Hospital cares about your health. Chen Shidian.[Read More] Could Your Breathing Issues Be a Sign of GERD Recurrence?
Understanding Pain Between the Anus and Abdomen: When to Seek Help
There is a sharp pain in the area deep within the anus, extending into the abdominal cavity? As I age, I've started experiencing a sharp pain deep in the rectum, particularly after eating, when sitting suddenly, riding a motorcycle, straining, or during menstruation. This pa...
Dr. Lin Minghui Reply:
Differential diagnoses for deep anal and lower abdominal pain include gynecological, urological, and gastrointestinal issues. It is recommended to first consult a gynecologist, followed by a family medicine physician or general internist, to arrange appropriate examinations.[Read More] Understanding Pain Between the Anus and Abdomen: When to Seek Help
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?
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 Nausea, Abdominal Pain, and Fatigue: Gastrointestinal Issues
Nausea, lower abdominal pain, fatigue? Hello Doctor, I would like to ask about my recent situation. I've been experiencing a lot of work-related stress, and since I wake up in the morning, I've been feeling nauseous. The nausea becomes more severe when I brush my teeth,...
Dr. Cai Anshun Reply:
Hello: Please be aware if the issues are caused by gastritis, gastroesophageal reflux disease (GERD), or problems related to fecal retention/constipation. Additionally, if there is excessive fatigue, it is important to monitor for signs of hepatitis. It is recommended to adjust y...[Read More] Understanding Nausea, Abdominal Pain, and Fatigue: Gastrointestinal Issues
Understanding Right Lower Abdominal Pain: When to Seek Medical Help
Right lower abdominal pain? Hello, doctor. Recently, I've been experiencing a feeling of fullness and mild pain in my lower right abdomen since two trips I took about half a month ago, during which I had to hold my urine. I constantly feel the urge to urinate throughout the ...
Dr. Lin Minghui Reply:
Right lower abdominal pain can be evaluated by general internal medicine, family medicine, gastroenterology, obstetrics and gynecology, or urology for reference. Wishing you good health.[Read More] Understanding Right Lower Abdominal Pain: When to Seek Medical Help
Which Specialist Should You See for Persistent Belching?
Belching issues Hello: I have been experiencing frequent burping lately. If I need to see a doctor, which of the following specialties would be more appropriate: Internal Medicine, Gastroenterology, or Family Medicine?
Dr. Cai Anshun Reply:
Hello: You can consult a gastroenterologist for an evaluation. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Which Specialist Should You See for Persistent Belching?
Understanding Lower Abdominal Pain: When to Seek Medical Help
Sharp pain below the navel? A few days ago, I went out in the morning feeling fine, but when I returned home in the evening, I suddenly experienced a sharp pain in the lower abdomen, just below the navel. The pain was intermittent and lasted for a long time. I initially thought i...
Dr. Yang Zhichao Reply:
Dear Miss Hsuan, your symptoms may indicate the presence of peritonitis. We recommend that you seek evaluation from a gynecologist immediately for further examination. Changhua Hospital is concerned about your health.[Read More] Understanding Lower Abdominal Pain: When to Seek Medical Help
Understanding Gastrointestinal Issues: Symptoms, Causes, and Solutions
Gastrointestinal and bowel issues? I have been experiencing gastrointestinal discomfort for several years. Three years ago, I underwent a colonoscopy and had several polyps removed. About nine months ago, I had a stool occult blood test that came back normal, and an upper endosco...
Dr. Yang Zhichao Reply:
Dear Mr. Cong, You had colorectal polyps a few years ago, and it is recommended that you continue to follow up with a colonoscopy rather than using fecal occult blood tests for monitoring. Your symptoms sound like irritable bowel syndrome (IBS). Gastroenteritis usually resolves...[Read More] Understanding Gastrointestinal Issues: Symptoms, Causes, and Solutions
Swollen Left Lower Abdomen Near Belly Button: Causes and Concerns
The area to the left of the navel feels swollen in the lower abdomen? Hello Doctor: On December 15, I noticed a swelling in the lower left abdomen near the navel while taking a shower. It is noticeably different from the right side, but it does not hurt when pressed, and there is...
Dr. Cai Jinji Reply:
It is recommended to consult a colorectal specialist for further evaluation or examination.[Read More] Swollen Left Lower Abdomen Near Belly Button: Causes and Concerns
Understanding Gastrointestinal Issues: Symptoms, Treatments, and Diet Tips
Gastrointestinal condition Hello Doctor, I have been experiencing significant gastrointestinal discomfort lately, with a feeling of bloating and fullness in my abdomen. My bowel movements have been watery and frequent. The day before yesterday, I visited a doctor due to fever and...
Dr. Cai Anshun Reply:
Hello: The likelihood of acute gastroenteritis is higher, and if accompanied by persistent high fever and abdominal pain in a specific area, it is recommended to consult a gastroenterology specialist. These medications can generally help alleviate your symptoms, and if the acute ...[Read More] Understanding Gastrointestinal Issues: Symptoms, Treatments, and Diet Tips