Could My Symptoms Indicate a Possible Pancreatic Tumor?
Is there a possibility of pancreatic tumor? Hello Doctor, I am 29 years old and here is my situation. Recently, on a night in November, I felt a dull ache and bloating in my right abdomen. For several days, I have had a slight sensation in my right upper abdomen, but it is not as...
Dr. Chen Qifeng Reply:
Your symptoms can be explained by gallstones. If the doctor has diagnosed you with no pancreatic tumor and multiple tests have shown the same results, there is no need to worry too much.[Read More] Could My Symptoms Indicate a Possible Pancreatic Tumor?
Understanding Elevated G-GT Levels: Causes and Management Tips
Elevated G-GT levels? Hello Doctor, I previously had a blood test related to my liver, and the first time my G-GT level was 67, while both GOT and GPT were within normal ranges. About a month later, I had another blood test for follow-up, and I found that my G-GT level dropped to...
Dr. Chen Qifeng Reply:
Fatty liver can be managed with normal GOT and GPT levels. If rGT is elevated, the general recommendation is to reduce oil and sugar intake, limit alcohol consumption, and increase physical activity. Follow-up should be done every 4 to 6 months.[Read More] Understanding Elevated G-GT Levels: Causes and Management Tips
Understanding Elevated Bilirubin Levels: Causes and Implications
The first occurrence of total bilirubin (1.8 mg/dL) and direct bilirubin (0.8 mg/dL) is elevated? I have been taking medication for lowering blood sugar for a long time. My fasting blood sugar is 121 mg/dL, and my HbA1c is 6.5%. My average blood pressure is 130/78 mmHg. Aside fro...
Dr. Lin Minghui Reply:
Total bilirubin and direct bilirubin levels are elevated, indicating liver function abnormalities. It is necessary to check for hepatitis or gallbladder and biliary tract diseases. Causes of hepatitis include viral infections, alcohol consumption, medications, and fatty liver dis...[Read More] Understanding Elevated Bilirubin Levels: Causes and Implications
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?
Can Gallstones and Fatty Liver Cause Upper Abdominal Pain and Discomfort?
Can gallstones and fatty liver cause pain in the epigastric region or upper abdomen, right shoulder pain, and back discomfort? Hello Dr. Chen, I apologize for interrupting you during your busy schedule. I am 36 years old, have never smoked or consumed alcohol, and my blood tests ...
Dr. Chen Qifeng Reply:
In general, fatty liver is less likely to present with pain symptoms. As for gallstones, treatment should be pursued whenever there are symptoms, regardless of their size or quantity. In terms of location, the pain may be due to the gallstones, but based on your description of th...[Read More] Can Gallstones and Fatty Liver Cause Upper Abdominal Pain and Discomfort?
Understanding Elevated SGPT Levels: Causes and Next Steps for Liver Health
Health check (SGPT) Hello, doctor. My height is 183 cm and my weight is 631 kg. Currently, my physical examination shows an SGPT level of 44, which is above the normal range. Do I need further testing? 2. What could cause this elevated level?
Dr. Chen Shidian Reply:
Hello, sir. Nowadays, many young people have fatty liver disease, and other potential issues may require a visit to a gastroenterologist for further evaluation. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Elevated SGPT Levels: Causes and Next Steps for Liver Health
High SGPT and SGOT Levels in a 16-Year-Old: What to Do Next?
A 16-year-old with elevated SGPT (ALT) and SGOT (AST) levels? Hello, doctor. My son is in his first year of high school, and during a school health check, his SGPT was 78 and SGOT was 77. He is 170 cm tall and weighs 76.5 kg, giving him a BMI of 26.38. Both Hepatitis B tests came...
Dr. Chen Shidian Reply:
Hello, Miss. You can schedule an appointment with the Pediatric Gastroenterology and Hepatology department, as it is often related to fatty liver, but we need to confirm this. Changhua Hospital cares about your health. Chen Shidian.[Read More] High SGPT and SGOT Levels in a 16-Year-Old: What to Do Next?
Understanding Spider Angiomas and Their Relation to Liver Tumors
1.3 cm liver tumor with spider angiomas? Hello Director Chen, the health check revealed mild fatty liver and a 1.4 cm liver tumor. The ultrasound could not determine whether it is benign or malignant. There is no evidence of hepatitis B, and hepatitis C is pending testing. Additi...
Dr. Chen Shidian Reply:
Hello, sir. It is not appropriate to make such a judgment. It is advisable to conduct a follow-up with ultrasound first, and if necessary, a CT scan can be performed. Changhua Hospital cares about your health.[Read More] Understanding Spider Angiomas and Their Relation to Liver Tumors
Understanding Gastrointestinal and Liver Health: When to Seek Further Testing
Gastrointestinal, liver, and kidney? Hello Doctor, I have been experiencing some discomfort in my stomach for the past two weeks. It feels bloated and sometimes a bit painful. I recently had a cold, and my doctor mentioned that it might be related to that. However, I have noticed...
Dr. Chen Shidian Reply:
Hello, if you are experiencing persistent discomfort in the upper abdomen, you may consider undergoing an upper gastrointestinal endoscopy. There doesn't seem to be any urgency regarding other issues, so you can continue to monitor your condition. Changhua Hospital cares abo...[Read More] Understanding Gastrointestinal and Liver Health: When to Seek Further Testing
Understanding a 1cm Liver Tumor: Next Steps and Concerns
A liver tumor measuring one centimeter in size? Hello, doctor. During my health check last year, I was diagnosed with mild fatty liver. This year, during a follow-up ultrasound, the fatty liver was no longer present, but a one-centimeter tumor was found. The ultrasound physician ...
Dr. Chen Shidian Reply:
Hello, sir. Patients without hepatitis B or C are unlikely to have liver cancer, so it may be a benign lesion. Please discuss this with a gastroenterologist. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding a 1cm Liver Tumor: Next Steps and Concerns
Understanding Peritonitis: Causes, Symptoms, and Diagnosis
Issues related to peritonitis? Hello, on the evening of August 23rd (Tuesday), I ate some stale clam soup, and the next morning I started experiencing diarrhea, which continued daily until August 28th (Sunday), when it became milder. Around August 25th or 26th, I noticed sharp pa...
Dr. Cai Anshun Reply:
Hello: 1. The pain in your stomach may be due to gastritis, which can cause discomfort. 2. Severe intestinal inflammation can potentially affect the visceral peritoneum. If you are experiencing intestinal perforation, it can lead to inflammation of the entire abdominal cavity,...[Read More] Understanding Peritonitis: Causes, Symptoms, and Diagnosis
Persistent Stomach Pain and Weight Loss: When to Seek Further Medical Help
Persistent stomach discomfort for two weeks with weight loss? Hello, Doctor. Two weeks ago, I started experiencing bloating in my stomach, accompanied by a persistent dull pain that occurs throughout the day, regardless of whether I've eaten. I feel like there's gas ris...
Dr. Cai Anshun Reply:
Hello: You can start by taking Nexium and temporarily discontinue mosapride to see if there is any improvement. If there is still no improvement, you can return to your original physician for a discussion and medication adjustment. There is no need to change doctors just because ...[Read More] Persistent Stomach Pain and Weight Loss: When to Seek Further Medical Help
Understanding Elevated Liver Enzymes: Causes and Concerns
Elevated liver enzymes? Hello doctor, my past lifestyle habits include staying up late, irregular eating, and not exercising much. About a month ago, I suddenly experienced discomfort in my abdomen, along with frequent diarrhea or loose stools... (sometimes the solid stool appear...
Dr. Chen Shidian Reply:
Hello, sir. 1. Gastritis does not cause abnormal liver function. You can continue to monitor the changes in hepatitis through treatment. 2. Additionally, medications may also cause hepatitis, so please discuss your medications with your physician. Changhua Hospital cares abo...[Read More] Understanding Elevated Liver Enzymes: Causes and Concerns
Post-Meal Hunger: Understanding Unusual Digestive Symptoms and Solutions
Postprandial hunger sensation? Hello Doctor: Three weeks ago, after lunch, I suddenly experienced a problem where I felt hungry shortly after eating (similar to a hunger sensation without bowel sounds). If I eat too quickly, the hunger sensation can even appear halfway through th...
Dr. Chen Shidian Reply:
Hello, sir. The examination results should be clear enough. In addition to dietary control for fatty liver, you may discuss medication (or an endoscopy) with your physician regarding your gastrointestinal symptoms. Changhua Hospital cares about your health. Chen Shih-Dian.[Read More] Post-Meal Hunger: Understanding Unusual Digestive Symptoms and Solutions
Understanding Blood and Urine Test Results: What They Mean for Liver and Gastrointestinal Health
Questions about blood and urine test reports? Recently, my father had blood and urine tests, and the results are as follows: GOT: 69; GPT: 89; urine protein: (+) 30; white blood cells: (+-) 10. What do these numbers mean? What actions should be taken? How can he maintain his heal...
Dr. Lin Minghui Reply:
1. Abnormal liver function requires monitoring and investigation for causes such as fatty liver, chronic viral hepatitis, alcoholic liver disease, drug-induced liver injury, and autoimmune conditions. 2. The presence of proteinuria and inflammation in the urine indicates potentia...[Read More] Understanding Blood and Urine Test Results: What They Mean for Liver and Gastrointestinal Health
Understanding Chronic Hepatitis B: Risks, Diagnosis, and Treatment Options
Hepatitis B issues? Hello, Dr. Tsai, I apologize for bothering you again! I was infected with hepatitis B in my twenties or even earlier, and at that time, the doctor said no treatment was needed. Recently, an ultrasound revealed that my liver is rough, and I have liver fibrosis....
Dr. Cai Anshun Reply:
Hello: (1) Liver roughness/liver fibrosis should be assessed for severity; if it is mild, it is not serious. (2) Aging or fatty liver can lead to liver fibrosis. If there is no hepatitis B virus carrier status, there is no need for excessive concern. (3) As long as immune functio...[Read More] Understanding Chronic Hepatitis B: Risks, Diagnosis, and Treatment Options
Understanding Elevated Bilirubin Levels: Should You Be Concerned?
Bilirubin issues? Hello Doctor, last year I discovered that my total bilirubin was elevated while my direct bilirubin was normal. My indirect bilirubin was 2.2 mg/dL. I went to a clinic for follow-up, and I had several blood tests to check for hemolysis. The doctor suggested it m...
Dr. Cai Anshun Reply:
Hello: (1) Typically, blood tests can only measure total bilirubin and direct bilirubin. Indirect bilirubin is calculated by subtracting the two values. (2) The total bilirubin is 1.75 mg/dL, and the direct bilirubin is 0.54 mg/dL, which indicates direct jaundice. This may be due...[Read More] Understanding Elevated Bilirubin Levels: Should You Be Concerned?
Should You Pay Out-of-Pocket for Hepatitis B Treatment?
Is treatment for hepatitis B out-of-pocket? My liver enzymes have been fluctuating around 50 to 70. Additionally, I have been diagnosed with fatty liver, and during my follow-up appointment two days ago, the doctor mentioned that my fatty liver has worsened. He said that inflamma...
Dr. Chen Shidian Reply:
Hello, Miss. The medication for fatty liver is not very effective. Please manage your weight and diet, and engage in exercise. Also, be aware of any signs of high blood sugar or high cholesterol. Changhua Hospital cares about your health. Chen Shidian.[Read More] Should You Pay Out-of-Pocket for Hepatitis B Treatment?
Understanding Liver Issues: Insights on Rough Liver, Nodules, and Fatigue
Liver problems? Dear Dr. Tsai, I apologize for bothering you again. My liver is rough, and my spleen is slightly enlarged. The surface antigen is negative, the surface antibody is positive, and the core antibody is positive. I have not been vaccinated, and I have developed antib...
Dr. Cai Anshun Reply:
Hello: (1) With aging or fatty liver disease, fibrosis may occur. (2) Liver nodules can be benign or malignant. (3) If you are experiencing fatigue, you should evaluate the quality of your sleep and whether your work is too strenuous; it is not solely related to liver issues. (4)...[Read More] Understanding Liver Issues: Insights on Rough Liver, Nodules, and Fatigue
Understanding Borderline Hepatitis C Results: When to Retest and Follow Up
HCV test values Hello, I had a health check-up on January 25, and I just saw the report today. The report indicates a hepatitis C value of 0.974, with the hospital's reference value being <0.9, and the hepatitis C result is marked as borderline. It is recommended to monit...
Dr. Cai Anshun Reply:
Hello: Your C-reactive protein (CRP) level is classified as low positive. Sometimes, this does not necessarily indicate an infection with hepatitis C. If you are concerned, you can follow up in three months. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Borderline Hepatitis C Results: When to Retest and Follow Up