Understanding Elevated Bilirubin and Cholesterol Levels: Next Steps for Diagnosis
Elevated levels of total bilirubin, direct bilirubin, and total cholesterol? Hello, doctor. I recently completed a health check-up, and the results that exceeded the normal range include total bilirubin at 2.88, direct bilirubin at 0.57, total cholesterol at 246, and urine showin...
Dr. Chen Shidian Reply:
Abnormal values (with normal ultrasound) are likely due to individual constitution and do not pose a long-term health risk; monitoring is sufficient. Cholesterol can be managed through diet and medication. Pain management can be addressed by consulting a pain specialist or a fami...[Read More] Understanding Elevated Bilirubin and Cholesterol Levels: Next Steps for Diagnosis
Understanding IBS: Why Travel Relieves Diarrhea and Abdominal Pain
Recurrent abdominal pain, flatulence, and diarrhea? Hello, doctor. At the end of April, I experienced discomfort in my stomach, so I underwent an upper gastrointestinal endoscopy and a colonoscopy in May. The results showed that there were no issues with the colon, but there was ...
Dr. Cai Jinji Reply:
Hello Mr. Jack: It may be advisable to discuss with your physician whether to first evaluate the situation regarding the original gastroscopy, colonoscopy, and CT scan. Dr. Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.[Read More] Understanding IBS: Why Travel Relieves Diarrhea and Abdominal Pain
Understanding Bowel Movements and Gas: Is It Irritable Bowel Syndrome?
I have been experiencing intestinal peristalsis and issues with flatulence over the past few days? Hello, doctor. I previously asked some questions regarding gastroesophageal reflux, fresh blood on toilet paper after bowel movements, and abdominal tenderness upon palpation. Curre...
Dr. Chen Shidian Reply:
Fruits and vegetables/dietary fiber can promote peristalsis/bowel movements/gas expulsion, so please adjust the intake accordingly.[Read More] Understanding Bowel Movements and Gas: Is It Irritable Bowel Syndrome?
Understanding IBS: Is Stress the Cause of Your Chronic Diarrhea?
Irritable Bowel Syndrome (IBS) Diagnosis Issues Hello Dr. Chen, I have been experiencing long-term constipation for six months, primarily characterized by diarrhea, mostly yellow in color. In May, due to gastrointestinal discomfort, I underwent a series of tests. The gastroscopy ...
Dr. Chen Shidian Reply:
If the abnormal intestinal motility is solely caused by diet or lifestyle, adjustments can be made. However, if symptoms persist after making these changes, it is advisable to seek medical attention for further management.[Read More] Understanding IBS: Is Stress the Cause of Your Chronic Diarrhea?
Understanding Chronic Abdominal Discomfort: Constipation or IBS?
Chronic recurrent abdominal discomfort? Hello Doctor, I have been experiencing constipation issues (about every 3-4 days or longer for a bowel movement). A year or two ago, I suddenly noticed a slight dull pain around my lower abdomen near the navel. I still have bowel movements ...
Dr. Cai Anshun Reply:
Hello: Constipation can lead to fecal impaction or irritable bowel syndrome. Even if you have soft stools every 3-4 days, it is still recommended to develop a daily bowel movement habit and to ensure adequate hydration and intake of fruits and vegetables. Changhua Hospital cares ...[Read More] Understanding Chronic Abdominal Discomfort: Constipation or IBS?
Understanding Persistent Candida in the Esophagus: Causes and Concerns
Esophageal candidiasis? Dr. Chen: Hello, I have intestinal metaplasia in my stomach, so I undergo annual gastroscopy for monitoring. However, each time I find that there is Candida in my esophagus. Although the doctor has prescribed Fluconazole, it still appears every year. My at...
Dr. Chen Shidian Reply:
Related to personal immunity, blood sugar, peristalsis, and gastric acid, they are mostly harmless, but it is still advisable to understand the causes and seek treatment as necessary.[Read More] Understanding Persistent Candida in the Esophagus: Causes and Concerns
Left Upper Abdominal Pain: Is It Organ or Nerve Related?
Pain in the left upper abdomen with tenderness upon palpation? Hello, there is localized pain in the left upper abdomen (about 9 cm from the navel) when pressing on the abdomen, with a width of approximately three fingers. It feels dull when not pressed, but it hurts when pressur...
Dr. Chen Shidian Reply:
Ultrasound is sufficient; however, gastroscopy may also be considered.[Read More] Left Upper Abdominal Pain: Is It Organ or Nerve Related?
Understanding Your Gastrointestinal Health: Risks and Follow-Up Care
Issues related to gastrointestinal endoscopy? First of all, thank you very much for your response, Doctor. I still have some concerns regarding my previous question that I would like to clarify. You mentioned that my colonoscopy and gastroscopy results were normal, which is good ...
Dr. Chen Shidian Reply:
It has been calculated since the last examination date. Additionally, further weight loss can also reduce the risk of cancer.[Read More] Understanding Your Gastrointestinal Health: Risks and Follow-Up Care
Understanding Gastrointestinal Concerns: Anxiety, Fatigue, and Cancer Risks
Gastrointestinal issues consultation? Hello Doctor, I am a 41-year-old male, 172 cm tall and weighing 80 kg. I have been suffering from anxiety disorder, obsessive-compulsive disorder, and hypochondriasis for over ten years. I have long-term issues with fatigue and poor sleep qua...
Dr. Chen Shidian Reply:
First of all, it's understandable to have concerns. However, based on the information you provided, your colonoscopy and gastroscopy results are normal, which is good news and indicates no cancer risk in the short term (1-3 years). It is advisable to collaborate with a menta...[Read More] Understanding Gastrointestinal Concerns: Anxiety, Fatigue, and Cancer Risks
Can I Drink Vitamin C Effervescent Tablets with Acid Reflux?
Can I take vitamin C effervescent tablets if I have gastroesophageal reflux disease (GERD)? I have undergone a gastroscopy and there was slight mucosal abrasion. Biopsy and Helicobacter pylori tests were normal, but I occasionally feel a mild sensation of something stuck in my th...
Dr. Luo Yining Reply:
Caffeinated beverages, whole milk, and sweets can exacerbate symptoms of gastroesophageal reflux disease (GERD), so it is advisable to avoid drinking milk tea. If you want to supplement with vitamin C, it is recommended to take effervescent tablets after meals.[Read More] Can I Drink Vitamin C Effervescent Tablets with Acid Reflux?
Understanding Your Gastroscopy Report: Benign or Malignant Findings?
Gastrointestinal Endoscopy Report Content Doctor, I had a gastroscopy a few days ago, and I would like to understand the report I found on the National Health Insurance app. Is it benign or malignant? SNOMED: 63000-A-M76800 DX: Stomach, body, biopsy - Fundic gland polyp GRO...
Dr. Hu Guozheng Reply:
Hello, it is not advisable to interpret pathology reports in isolation, as this may overlook other issues. It is important to evaluate them in conjunction with the findings from biopsies and endoscopies. Please return for a follow-up appointment to discuss the examination results...[Read More] Understanding Your Gastroscopy Report: Benign or Malignant Findings?
Struggling with Constipation: When to Seek Help and Treatment Options
Bowel movements less than once a month? Hello Dr. Chen, My wife is experiencing dysautonomia, which has led to difficulty in bowel movements. She may not have a bowel movement for an entire month. Although she is taking medication, it seems like food is not passing through her s...
Dr. Chen Shidian Reply:
It is recommended to continue using laxatives as needed, and to increase the intake of fruits and vegetables, stay hydrated, and avoid prolonged sitting after meals by taking a walk.[Read More] Struggling with Constipation: When to Seek Help and Treatment Options
Understanding Esophageal Issues: Causes and Solutions for Discomfort
Esophageal issues? In early March, I experienced severe stomach pain and subsequently underwent gastroscopy, ultrasound, blood tests, X-rays, and an electrocardiogram at a major hospital. The reports indicated that there were no significant issues. During this time, I visited the...
Dr. Yang Zhichao Reply:
Hello Ms. Betty, based on your description, it seems more like it is caused by gastroesophageal reflux. I recommend that you try to improve your symptoms through lifestyle and dietary changes, along with medication management. Thank you for your inquiry.[Read More] Understanding Esophageal Issues: Causes and Solutions for Discomfort
Understanding Gastritis: Symptoms, Treatment, and Dietary Tips
Gastritis, decreased appetite, weight loss, nausea, and loss of appetite? Recently, I have been experiencing loss of appetite, nausea, and vomiting, with a decreased food intake (feeling full after eating a little), weight loss, stomach pain, and constipation. These symptoms have...
Dr. Lin Minghui Reply:
The gastroscopy examination shows mild inflammation. However, it is important to identify the underlying cause of gastritis, which could be due to improper diet, infections, medications, chemicals, allergies, alcohol consumption, stress, or immune responses. Symptomatic treatment...[Read More] Understanding Gastritis: Symptoms, Treatment, and Dietary Tips
Understanding False Negative Results in Fecal Occult Blood Tests
Negative occult blood issue Recently, I had a fecal occult blood test that showed visible blood, but the results came back negative. 1. Could this be due to hemorrhoids or anal fissures, and how can it be negative if blood is visible? I have also been experiencing frequent left a...
Dr. Lin Minghui Reply:
(1) Regarding fecal occult blood sampling, the general purpose of the occult blood test is to detect blood that is not visible to the naked eye. The most common causes of visible blood after a bowel movement are hemorrhoids and anal fissures. If there is significant bleeding, it ...[Read More] Understanding False Negative Results in Fecal Occult Blood Tests
Understanding Negative Fecal Occult Blood Tests: Causes and Next Steps
Hemorrhage in stool with negative fecal occult blood test? Recently, I had a fecal occult blood test that showed visible blood, but the results came back negative. 1. Could this be due to hemorrhoids or anal fissures, and how can it be negative if there is visible blood? I have a...
Dr. Hu Guozheng Reply:
It is recommended to discuss further treatment or examinations with your attending physician. Thank you.[Read More] Understanding Negative Fecal Occult Blood Tests: Causes and Next Steps
Understanding the Causes of Bad Breath: A Comprehensive Inquiry
The main cause of bad breath is..? Hello Dr. Hu: I am the questioner of #206772. Following your response, I have additional questions today. 1. I have consulted multiple otolaryngologists, but none have addressed my concern regarding the "sour and foul taste of saliva in t...
Dr. Hu Guozheng Reply:
Online consultations cannot replace in-person diagnoses. Your concerns should be addressed through an outpatient evaluation. Please actively consult your physician during your visit regarding any questions you may have. It is recommended to seek care at a regional hospital or hig...[Read More] Understanding the Causes of Bad Breath: A Comprehensive Inquiry
Understanding Your Gastrointestinal Biopsy Results: Chronic Gastritis and Carcinoid Tumor Explained
Gastrointestinal biopsy and colonoscopy? GASTROSCOPY REPORT PATHOLOGICAL DIAGNOSIS: Stomach, antrum; biopsy: Chronic gastritis without Helicobacter infection. GROSS FINDING: The specimen is a piece of tissue, measuring 0.2 x 0.2 x 0.1 cm in size. It is tan. All are embedded i...
Dr. Chen Shidian Reply:
Gastric biopsy: within normal limits. Colon biopsy: Carcinoid tumor (a slightly malignant benign tumor) → follow-up appointment to discuss with the attending physician.[Read More] Understanding Your Gastrointestinal Biopsy Results: Chronic Gastritis and Carcinoid Tumor Explained
Understanding Left Lower Abdominal Pain and Bloating: Causes and Concerns
Bloating, with dull pain and discomfort in the lower left abdomen? Hello, doctor. In recent years, I have occasionally experienced a dull pain in the lower left abdomen, near the pelvic area. This occurs regardless of whether I have eaten or not. I tend to have a lot of gas, so i...
Dr. Lin Minghui Reply:
Please cherish our online medical resources. When asking the same question, please specify only one physician or nutritionist. Gas can be present throughout the abdomen and is not necessarily limited to one side. It is recommended to have a comfortable dining environment, maintai...[Read More] Understanding Left Lower Abdominal Pain and Bloating: Causes and Concerns
Understanding Throat Pain After Gastroscopy: Causes and Concerns
Throat issues This afternoon, after undergoing an upper gastrointestinal endoscopy at Chang Gung Memorial Hospital in Taoyuan, I initially thought the throat anesthesia hadn't worn off yet. However, now that it's evening and 12 hours have passed, swallowing saliva, drin...
Dr. Lin Minghui Reply:
Esophagogastroduodenoscopy (EGD) is an invasive procedure that can cause anxiety, nausea, vomiting, and gastroesophageal reflux, which may lead to mucosal injury at the sites of esophageal and gastrointestinal narrowing. Common symptoms of esophageal injury include chest pain, an...[Read More] Understanding Throat Pain After Gastroscopy: Causes and Concerns