Chronic Diarrhea: Causes, Concerns, and When to Seek Help
Persistent diarrhea Hello doctor, I have been experiencing chronic diarrhea for over a month, often occurring after meals, with stools that are soft or mushy. My appetite has decreased somewhat, but I can still eat. I'm not sure if this is related to the hot weather or if it...
Dr. Cai Jinji Reply:
Dear Mr. Anonymous: It is recommended that you seek medical examination to determine your condition, which will allow for further diagnosis and treatment. Dr. Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.[Read More] Chronic Diarrhea: Causes, Concerns, and When to Seek Help
Understanding Immunoelectrophoresis Results: Concerns About Liver Cirrhosis
Hello, doctor. I would like to inquire about the immunoelectrophoresis findings that suggest liver cirrhosis? A few days ago, I underwent an immunofixation electrophoresis test at my own expense due to personal reasons, and the results are as follows: total protein 7 g/dL, albumi...
Dr. Chen Shidian Reply:
It is recommended to consult an immunologist.[Read More] Understanding Immunoelectrophoresis Results: Concerns About Liver Cirrhosis
Best Supplements for Fatty Liver and Gallbladder Polyps: What to Consider
For individuals with fatty liver and gallbladder polyps, liver health supplements that may be beneficial include milk thistle, artichoke extract, and omega-3 fatty acids. However, it is essential to consult with a healthcare professional before starting any new supplements to ens...
Dr. Chen Shidian Reply:
The primary strategies for managing fatty liver are weight loss and exercise, while liver-protective medications have limited efficacy (though they are not harmful). The components of artichoke extracts are all similar, showing no significant differences.[Read More] Best Supplements for Fatty Liver and Gallbladder Polyps: What to Consider
Morning Abdominal Discomfort: Understanding Causes and Solutions
Morning abdominal "pain" issue? Hello doctor, I have been experiencing abdominal discomfort for a long time (about 3-4 years). Often, when I wake up in the morning, I feel pain around the area approximately three fingerbreadths to the left of my navel. This pain is not ...
Dr. Chen Shidian Reply:
There should be no major issues with the gastrointestinal tract, and it can be monitored further. The likelihood of neuropathic pain is also low.[Read More] Morning Abdominal Discomfort: Understanding Causes and Solutions
Understanding Upper Abdominal Pain: Is It Related to the Pancreas?
Upper abdominal pain, abdominal ultrasound concerns? Hello Doctor, over the past year, I have occasionally experienced pain in the upper abdomen, particularly in the left upper quadrant. There is usually a specific point that is painful when pressed, and sometimes it seems to be ...
Dr. Cai Anshun Reply:
Hello: Pain in the upper left abdomen is more commonly associated with issues related to gastric acid. Pancreatic problems are less likely unless there is a history of long-term alcohol consumption or hypertriglyceridemia. If the symptoms persist, it is advisable to consult a gas...[Read More] Understanding Upper Abdominal Pain: Is It Related to the Pancreas?
Understanding Right Upper Abdominal Discomfort: Causes and Solutions
Occasional discomfort in the right upper abdomen? Hello Doctor, I have been experiencing occasional discomfort in my upper right abdomen for the past 3 to 4 months. The discomfort is located approximately at the junction of the upper right abdomen and the rib cage, and it feels l...
Dr. Chen Shidian Reply:
Some individuals may experience similar discomfort, which could be related to peristaltic digestion. Dietary adjustments and medication can help manage the symptoms, and long-term follow-up will likely lead to improvement, so please rest assured.[Read More] Understanding Right Upper Abdominal Discomfort: Causes and Solutions
Understanding Chronic Morning Abdominal Pain: Possible Causes and Solutions
Long-term abdominal pain upon waking up in the morning? Hello Doctor, I have been experiencing abdominal discomfort for a long time (about 3-4 years). I often feel pain in the area about three fingerbreadths to the left of my navel when I wake up in the morning. This pain is not ...
Dr. Cai Anshun Reply:
Hello: It is advisable to first undergo an upper gastrointestinal endoscopy to rule out any gastric issues. Additionally, please avoid tea (black tea/green tea/milk tea), coffee, chocolate, sweets, spicy foods, fried foods, high-fat, and high-protein foods. Changhua Hospital care...[Read More] Understanding Chronic Morning Abdominal Pain: Possible Causes and Solutions
Understanding Right Upper Abdomen Pain: Causes and Next Steps
Pain under the right rib cage in the upper abdomen? Hello, doctor. I occasionally experience pain in the area just below the right rib cage. The pain is localized and typically lasts for about 1 to 2 weeks each time it occurs, but it tends to recur every few months. The pain beco...
Dr. Hu Guozheng Reply:
Hello, it is recommended to visit a pain management clinic. Thank you.[Read More] Understanding Right Upper Abdomen Pain: Causes and Next Steps
Understanding Abnormal Liver Enzymes: A Guide for Hepatitis B Carriers
Abnormal liver function tests? Hello, Deputy Director: I am a carrier of hepatitis B and have been undergoing regular follow-ups every six months. I also have fatty liver and have not been taking antiviral medication. My ALT (GPT) levels have fluctuated around 40-45 for a long ti...
Dr. Chen Shidian Reply:
It is advisable to measure the hepatitis B virus load and assess the discussion on whether to initiate antiviral treatment for viral control (not a cure).[Read More] Understanding Abnormal Liver Enzymes: A Guide for Hepatitis B Carriers
Understanding Your Gastrointestinal Symptoms: Cancer or IBS?
Is it cancer or irritable bowel syndrome? Hello, doctor. At the end of May last year, I experienced frequent bloating and constipation due to excessive milk consumption. I recently completed a gastrointestinal endoscopy and endoscopic ultrasound of the pancreas, during which six ...
Dr. Cai Anshun Reply:
Hello: 1. The theoretical probability is very low, unless the bowel preparation is inadequate, which may affect the interpretation of the results. 2. If there are six polyps and all are hyperplastic polyps, the recommendation in foreign countries is to follow up in 3-5 years. How...[Read More] Understanding Your Gastrointestinal Symptoms: Cancer or IBS?
Understanding Fatty Liver and Low-Echo Nodules: What You Need to Know
Fatty liver with hypoechoic liver nodules? Hello Doctor, I have been experiencing elevated serum glutamate-pyruvate transaminase (SGPT) levels for a long time. My last test showed a level of 57 (normal is 35), so I have been regularly monitoring my liver condition every six month...
Dr. Chen Shidian Reply:
Further imaging studies are required for confirmation.[Read More] Understanding Fatty Liver and Low-Echo Nodules: What You Need to Know
Understanding Elevated GGT Levels After Biliary Obstruction Treatment
Abnormal GGT levels in blood tests? Last August, I was hospitalized due to obstructive jaundice caused by sludge blocking the bile duct. The sludge has been cleared from the bile duct, but there is still a small amount of sludge in the gallbladder. I am currently taking medicatio...
Dr. Chen Shidian Reply:
If there is no history of alcohol consumption or fatty liver, it may still be related to bile sludge. The first recommendation should still be to perform cholecystectomy to prevent recurrence; if surgery is not performed, regular follow-up visits are necessary.[Read More] Understanding Elevated GGT Levels After Biliary Obstruction Treatment
Understanding Fatty Liver and Kidney Stones: Dietary Insights and Management
Abdominal ultrasound Hello Doctor: Last year, due to abdominal pain, I was examined and found to have kidney stones and moderate fatty liver. Over the past year, my weight has been stable at 92 kg (height 166 cm), and I have been controlling my diet for about a year. I believe I ...
Dr. Lin Minghui Reply:
The patient has moderate obesity with a BMI of 33.3, and there are kidney stones present with minimal changes observed in the follow-up ultrasound. The abdominal ultrasound shows slight changes in non-fatty areas and multiple small right-sided kidney stones. It is recommended to ...[Read More] Understanding Fatty Liver and Kidney Stones: Dietary Insights and Management
Should You Rush for a Checkup with Slightly Elevated Total Bilirubin?
Is it necessary to urgently return for a follow-up if the total bilirubin level is 0.01 above the normal range but all other indices are normal? Hello, Director! I have a bit of gallstones and mild fatty liver, with no other liver or gallbladder issues. Therefore, I need to under...
Dr. Chen Shidian Reply:
No problem / No need for a follow-up appointment in the short term.[Read More] Should You Rush for a Checkup with Slightly Elevated Total Bilirubin?
Do You Need a Follow-Up for Fatty Liver Diagnosis?
Does fatty liver require follow-up visits? Yesterday, during an abdominal ultrasound, the doctor found fatty liver and recommended a blood test. I went for the blood test that same day and just received the report showing AST 33 and ALT 104. Since the doctor did not specifically ...
Dr. Chen Shidian Reply:
Follow-up visits can assess metabolic status and cardiovascular risk while actively promoting healthy weight loss.[Read More] Do You Need a Follow-Up for Fatty Liver Diagnosis?
Understanding Grayish-White Stool: Potential Liver and Digestive Issues
Stool that is pale gray or white in color? Hello Doctor: Since last year, my bowel movements have become unusual. Previously, there was only a small corner of my stool that appeared gray, and I didn't pay much attention to it. However, today I noticed that half of my stool i...
Dr. Chen Shidian Reply:
Further observation is recommended. If symptoms persist or if there is weight loss, medical evaluation should be sought.[Read More] Understanding Grayish-White Stool: Potential Liver and Digestive Issues
Understanding Upper Abdominal Pain Near Ribs: Causes and Next Steps
Sharp pain in the upper left and right abdomen near the ribs? Hello, currently I am experiencing sharp pain in the upper left and right abdomen near the rib cage. The pain points are quite symmetrical and at a similar height. I usually feel it more when sitting, while standing an...
Dr. Lin Minghui Reply:
If you have gallstones, it is important to maintain a regular diet and avoid greasy foods. Complications from gallstones can sometimes lead to post-meal bloating and pain in the right upper abdomen. If you experience sharp pain in the upper abdomen and are concerned about potenti...[Read More] Understanding Upper Abdominal Pain Near Ribs: Causes and Next Steps
Understanding Ultrasound Findings in Liver and Gallbladder Health
Ultrasound Interpretation 1. Liver: (1) INCREASED ECHOGENICITY (2) ONE FOCAL SPARING AREA (3.3X1.6CM) IN THE RIGHT LOBE (3) TWO CALCIFIED AREAS (2.5CM, 0.8CM) IN THE RIGHT LOBE 2. IHD: NO DILATATION 3. CBD: NO DILATATION 4. GB: SMALL POLYPS 5. PV system: NO ENLARGEMENT 6. Pancrea...
Dr. Chen Shidian Reply:
Small polyps are not abnormal, and their angle can influence their appearance. Localized areas without fat are a common ultrasound finding and are not considered abnormal.[Read More] Understanding Ultrasound Findings in Liver and Gallbladder Health
Understanding the Mystery of Fatty Liver: Normalizing Liver Enzymes
Fatty liver disease issues? I would like to ask, I had a health check-up in July that revealed severe fatty liver. In October, I returned for a follow-up and had blood tests, and the doctor said my liver enzymes were normal. However, I am puzzled because I haven't made any c...
Dr. Chen Shidian Reply:
Please discuss with the hepatobiliary department, and it is still recommended to maintain a normal body weight and limit alcohol consumption.[Read More] Understanding the Mystery of Fatty Liver: Normalizing Liver Enzymes
Understanding Pancreatic Issues from Abdominal Ultrasound Results
Abdominal ultrasound issues - pancreatic problems? Hello Doctor: I had an abdominal ultrasound, and part of the report states: PANCREAS: echogenic pancreas, head/tail: poor resolution, body: normal. During the procedure, the doctor mentioned that the pancreas appeared to be somew...
Dr. Cai Anshun Reply:
Hello: The echogenic pancreas shows poor resolution in the head and tail, while the body appears normal. This means that only the body of the pancreas is visible, and the head and tail are obscured by intestinal gas. Fatty pancreas is similar to fatty liver, which requires weight...[Read More] Understanding Pancreatic Issues from Abdominal Ultrasound Results