Understanding Fatty Liver: Is It Linked to Cirrhosis or Hepatitis?
I have fatty liver disease? I was diagnosed with severe fatty liver during a recent health check-up. Does this mean I have cirrhosis or hepatitis? Can appropriate exercise help eliminate it? I've been experiencing bloating and frequent burping lately; is this related?
Dr. Lin Minghui Reply:
Hello, cirrhosis indicates severe liver fibrosis, which may impair liver function. In severe cases, symptoms such as jaundice, ascites, hepatic encephalopathy, and esophageal variceal bleeding may occur. Fatty liver disease is characterized by the accumulation of triglycerides in...[Read More] Understanding Fatty Liver: Is It Linked to Cirrhosis or Hepatitis?
Understanding Digestive Issues: From Irregular Bowel Movements to Stress
Frequent episodes of diarrhea? I have been observing my condition for a while, but my bowel movements are always unstable; sometimes they are normal, and other times I have diarrhea. After prioritizing my health, I researched online and came across information about colorectal ca...
Dr. Cai Anshun Reply:
Hello: Please pay attention to your dietary habits by reducing oil and avoiding刺激性 foods, and manage your mental stress appropriately. The issues identified through ultrasound (gallbladder polyps, left renal cyst, kidney stones, and fatty liver) are likely unrelated to the diarrh...[Read More] Understanding Digestive Issues: From Irregular Bowel Movements to Stress
Understanding Your Fatty Liver Diagnosis: Severity Levels Explained
What stage of fatty liver disease do I have? Hello doctor, I recently had an abdominal ultrasound, and the report described the liver as "Liver: Bright echogenicity of liver parenchyma. Fatty liver is considered." Based on this description alone, can we determine whethe...
Dr. Cai Anshun Reply:
Hello: This term only refers to fatty liver, without distinguishing between mild, moderate, or severe cases. You can return for a follow-up consultation to ask the doctor for more details. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Your Fatty Liver Diagnosis: Severity Levels Explained
Understanding Liver Cancer Diagnosis: Key Insights and Follow-Up Care
Diagnosis of Liver Cancer Hello Doctor: I have been a carrier of hepatitis B since childhood. During a health check-up, it was found that my liver GOT and GPT levels were elevated. I went to a gastroenterology clinic for blood tests and discovered that my AFP level was 166, which...
Dr. Chen Shidian Reply:
It is recommended to discuss the follow-up plan with the attending physician based on the current examination data.[Read More] Understanding Liver Cancer Diagnosis: Key Insights and Follow-Up Care
Understanding Your Ultrasound Report: Insights on Fatty Liver Diagnosis
Examination report issues? Hello Doctor, I had an abdominal ultrasound last month, and the doctor mentioned that everything was normal at the time. However, after checking the National Health Insurance app, it indicated fatty liver. The report is as follows: Sonar Findings: - L...
Dr. Chen Shidian Reply:
For mild fatty liver, if overweight, implement a diet and weight loss plan.[Read More] Understanding Your Ultrasound Report: Insights on Fatty Liver Diagnosis
Understanding Liver Cirrhosis and Biliary Issues: Treatment Options
Cirrhosis and bile issues? Hello, Director: I have been undergoing blood tests for monitoring at the Hepatobiliary and Gastroenterology Department of a hospital in Zhongli for a long time. A few years ago, my GGT level was found to be over 300, and the doctor has been prescribing...
Dr. Lin Minghui Reply:
Hello, a 54-year-old male has a medical history indicating that he has liver cirrhosis, which is attributed to chronic hepatitis. The causes of cirrhosis can include viral hepatitis such as hepatitis B and C, alcoholic liver disease, autoimmune conditions, cardiac issues, biliary...[Read More] Understanding Liver Cirrhosis and Biliary Issues: Treatment Options
Understanding Abdominal Discomfort: Fatty Liver and Gallbladder Issues
Physical discomfort? I have fatty liver disease and multiple gallbladder polyps, the largest being 0.52 cm, as well as a 1.50 cm cyst on my left kidney and a 0.52 cm kidney stone. This morning, I chose to eat cereal for breakfast to improve my health, but since then, I have felt ...
Dr. Cai Anshun Reply:
Hello: Based on the distribution of organs in the upper left abdomen, it is more likely to be related to gastric discomfort. Additionally, the junction of the transverse colon and descending colon, the left kidney, and the pancreas could also be involved. If the pain worsens, ple...[Read More] Understanding Abdominal Discomfort: Fatty Liver and Gallbladder Issues
Understanding Upper Abdominal Pain: When to Seek Medical Attention
Upper abdominal discomfort? About three days ago, I started experiencing pain when pressing on a specific point in the upper right part of my abdomen (it doesn't hurt when not pressed). Initially, the tenderness would subside after a few minutes of pressure, and pressing the...
Dr. Cai Anshun Reply:
Hello: That location may correspond to the gastroesophageal junction. Please pay attention to any symptoms of gastroesophageal reflux. It is recommended to follow a light diet and avoid caffeinated beverages. Fatty liver or mild liver inflammation typically does not present with ...[Read More] Understanding Upper Abdominal Pain: When to Seek Medical Attention
Can Liver Tumors Grow Rapidly? Understanding Ultrasound Findings
Ultrasound reveals a suspected liver tumor? I underwent an abdominal CT scan on December 2nd of last year (2021), which did not indicate any liver masses. However, during an abdominal ultrasound at another hospital on January 20th of this year (2022), two suspected liver tumors w...
Dr. Cai Anshun Reply:
Hello: In terms of accuracy, the results of the CT scan should be considered. The high and low echoes observed in ultrasound can be affected by factors such as intestinal gas and fatty liver, so there is no need to worry too much at this point. You may want to consult your hepato...[Read More] Can Liver Tumors Grow Rapidly? Understanding Ultrasound Findings
Persistent Blood in Stool: When to Consider Small Bowel Endoscopy?
Persistent bloody stools with no identifiable bleeding source on examination: Is a small bowel endoscopy necessary? Symptoms: First episode of bloody stool from January 9 to January 11. Patient: 68-year-old female with a history of mild gastric ulcer and elevated cholesterol. Tre...
Dr. Chen Shidian Reply:
It should not be related to the liver. It is necessary to work with a gastroenterologist and take some time for a thorough examination. Small bowel endoscopy and angiography are both considerations.[Read More] Persistent Blood in Stool: When to Consider Small Bowel Endoscopy?
Could BNT COVID Vaccine Cause Abnormal ALT Levels in Patients?
Does receiving the BNT COVID-19 vaccine cause abnormal ALT liver enzyme levels? Hello Doctor: I have been diagnosed with autoimmune conditions including Sjögren's syndrome, autoimmune thyroiditis, and vitiligo, and I have been taking the medication Sulfasalazine. Since last ...
Dr. Yang Zhichao Reply:
Hello Miss Yuping: Based on what you mentioned, it should not be related to the vaccine. I believe it is more associated with autoimmune diseases. You may want to discuss this with a rheumatologist.[Read More] Could BNT COVID Vaccine Cause Abnormal ALT Levels in Patients?
Understanding Abdominal Pain: Insights into Gastrointestinal Issues
Abdominal issues? Hello Doctor, I have been experiencing pain in the upper right quadrant of my abdomen for the past six months. I underwent an ultrasound which revealed fatty liver and gallbladder polyps, and an endoscopy indicated mild gastritis. A few weeks later, I suddenly d...
Dr. Cai Anshun Reply:
Hello, your comprehensive examinations are sufficient to diagnose diseases of all abdominal organs. However, functional issues such as abnormal peristalsis, irritable bowel syndrome; metabolic disorders (such as thyroid dysfunction, blood sugar abnormalities; or rarer conditions ...[Read More] Understanding Abdominal Pain: Insights into Gastrointestinal Issues
Persistent Discomfort in the Upper Right Abdomen: Causes and Next Steps
Persistent discomfort in the right upper abdomen? For the past two months, I have been experiencing a tight, burning sensation in the upper right part of my abdomen (approximately from just above the navel to just below the lower rib margin). At the end of last month, I had an ab...
Dr. Cai Anshun Reply:
Hello, since you have already undergone abdominal ultrasound, gastroscopy, and colonoscopy, most diseases in the right upper abdomen can be diagnosed. You may want to review your dietary habits to see if they are contributing to your gastric discomfort, such as the consumption of...[Read More] Persistent Discomfort in the Upper Right Abdomen: Causes and Next Steps
Understanding Upper Right Abdominal Tightness and Heat Sensation
Tightness and a prickling heat sensation in the upper right abdomen? Recently, I have been experiencing a tight sensation in the upper right abdomen (approximately from above the navel to just below the rib cage) that feels warm at times. This has persisted for about a month and ...
Dr. Chen Shidian Reply:
First, apply local heat therapy and observe. Avoid vigorous exercise or local strain, and return for a follow-up if necessary.[Read More] Understanding Upper Right Abdominal Tightness and Heat Sensation
Understanding White Objects in Stool: When to Seek Medical Advice
Bowel issues Hello, tonight my bowel movement felt very smooth. After flushing, I noticed a white object that looked like a soybean floating in the water. I had a bit of stomach pain and some diarrhea the previous morning, but it went away by the evening. I also ate more for dinn...
Dr. Chen Shidian Reply:
If there are no symptoms, it can be monitored further.[Read More] Understanding White Objects in Stool: When to Seek Medical Advice
Understanding Gastrointestinal Issues: Sleep Problems and Liver Health
Hello, doctor? Hello, Doctor! I have been unable to sleep in July and August this year, only falling asleep around 7 AM the next day. I have a long history of insomnia and irregular sleep patterns, but it was particularly severe this past July and August. In September, while taki...
Dr. Chen Shidian Reply:
1. Fecal occult blood testing can be performed. 2. Eliminate poor dietary habits / weight loss. 3. Medications may be necessary to manage digestive symptoms. 4. Psychological evaluation may be needed for insomnia medication.[Read More] Understanding Gastrointestinal Issues: Sleep Problems and Liver Health
Can Fatty Liver Disease Be Reversed? Understanding Your Health Risks
Fatty liver disease issues? Hello, doctor. During my recent health check-up, my liver enzymes were slightly abnormal. After an ultrasound, I was diagnosed with mild fatty liver disease. I am already planning to lose weight. I would like to know if this condition can be cured. I a...
Dr. Chen Shidian Reply:
Weight loss can lead to a cure.[Read More] Can Fatty Liver Disease Be Reversed? Understanding Your Health Risks
Managing Nausea and GERD: Insights from Gastroenterology
Dry heaving, nausea, gastritis, GERD (Gastroesophageal Reflux Disease) Q: After lying down and getting up, I feel nauseous and need to eat or drink something to alleviate it. Examination: Gastritis (no Helicobacter pylori), excessive gastric acid after 8 hours of NPO, gastroesoph...
Dr. Chen Shidian Reply:
Medication can be discussed with the primary care physician (medications to be taken at bedtime? Some may require out-of-pocket expenses?) along with weight loss, increased physical activity, and dietary adjustments.[Read More] Managing Nausea and GERD: Insights from Gastroenterology
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 Occasional Left Lower Abdominal Pain: Causes and Next Steps
Occasional pain in the lower left abdomen? Hello, I have been experiencing occasional pain in my lower left abdomen for the past two months. I have already undergone a uterine examination with no issues, and a fecal occult blood test showed no abnormalities (as stated by the doct...
Dr. Cai Jinji Reply:
Dear Jochi, Without your other medical reports, it is difficult to assess the possibility of gastrointestinal cancer based on the information you provided and to recommend specific tests. I suggest discussing this with your physician. Sincerely, Director Cai Jinji Departm...[Read More] Understanding Occasional Left Lower Abdominal Pain: Causes and Next Steps