Hepatic, Gastroenterology and Hepatology FAQ - Page 2

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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 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 CT Reports of Liver Tumors: Key Insights and Next Steps

Liver Tumor CT Report I apologize for the inconvenience. My mother recently had an ultrasound that revealed a 2.5 cm hypoechoic nodule and moderate fatty liver, with no evidence of hepatitis B or C. However, my father has a history of biliary tract cancer. Subsequently, she under...


Dr. Chen Shidian Reply:
Ultrasound may have individual variations, but a CT scan can often provide a definitive diagnosis, so please rest assured. However, it is still important to monitor for any changes.

[Read More] Understanding CT Reports of Liver Tumors: Key Insights and Next Steps


Occasional Upper Abdominal Pain: Causes and Concerns Explained

Occasional pain in the upper abdomen? Hello, doctor. Recently, I have been experiencing a vague pain in the upper middle abdomen for the past few days. The pain is not very pronounced and tends to occur only with certain movements or when I walk briefly. I previously had a fibrom...


Dr. Lin Minghui Reply:
Hello, a 26-year-old female is experiencing occasional pain in the upper abdomen/mid-upper abdomen, which sometimes worsens with movement. The fibroid removal is likely unrelated. She also has issues with gastrointestinal bloating and gastroesophageal reflux. It is advised to pay...

[Read More] Occasional Upper Abdominal Pain: Causes and Concerns Explained


Understanding Liver Nodules: Insights for Concerned Families

Hepatic adenoma Hello Doctor, my mother is 60 years old. She was diagnosed with stage 1A gastric cancer in August 2018 and underwent surgical treatment. Since then, she has been undergoing annual check-ups. In July 2020, an abdominal CT scan revealed a small nodule in the liver. ...


Dr. Chen Shidian Reply:
Please follow up or refer the imaging to a radiologist to determine if additional examinations are needed.

[Read More] Understanding Liver Nodules: Insights for Concerned Families


Can Finasteride Affect Liver Hemangiomas? Understanding Risks and Symptoms

The impact of medication on hepatic hemangiomas? Hello, doctor. I would like to ask if it is safe to take Finasteride or similar medications like Rogaine if I have a hepatic hemangioma? I often feel a tight sensation near my lower right rib, as if something is pressing against it...


Dr. Chen Shidian Reply:
There is currently no confirmed literature evidence. Hemangiomas typically do not present with symptoms; if discomfort occurs, a medical examination is recommended.

[Read More] Can Finasteride Affect Liver Hemangiomas? Understanding Risks and Symptoms


Understanding Long-Term Bloating: When to Seek Medical Advice

Chronic bloating Hello Doctor, I am 23 years old and have been experiencing bloating and pain on the left side of my abdomen near the navel for the past four years. Sometimes I also have pain in the upper left abdomen. I visited a major hospital for examination, and during an ult...


Dr. Lin Minghui Reply:
Hello, A 23-year-old female presents with abdominal bloating, left upper abdominal pain, and a history of esophageal reflux with gastric mucosal erosion. In addition to gastrointestinal disorders, differential diagnoses should also consider liver, gallbladder, and pancreatic di...

[Read More] Understanding Long-Term Bloating: When to Seek Medical Advice


Understanding Long-term Bloating: When to Seek Medical Attention

Chronic bloating Hello doctor, I am 23 years old. Four years ago, I started experiencing bloating and pain on the left side of my abdomen near the navel, and sometimes pain in the upper left abdomen. I went to a large hospital for examination, and during an ultrasound, a hepatic ...


Dr. Lin Minghui Reply:
Hello: A 23-year-old female presents with abdominal bloating, left upper quadrant pain, and a history of esophageal reflux with gastric erosion. In addition to gastrointestinal disorders, differential diagnoses should also consider liver, gallbladder, and pancreatic diseases. The...

[Read More] Understanding Long-term Bloating: When to Seek Medical Attention


Understanding Liver and Kidney Health: When to Seek Medical Attention

Liver and kidney related? Hello Doctor, I am 23 years old. For the past few years, I have been experiencing bloating and pain near my left side next to the navel. I went to a large hospital for examination, and during an abdominal ultrasound, a hepatic hemangioma was found, which...


Dr. Chen Shidian Reply:
It is likely not jaundice; it is just bloating. You can first adjust your diet or consult a clinic for evaluation.

[Read More] Understanding Liver and Kidney Health: When to Seek Medical Attention


Understanding Intermittent Abdominal Pain: Causes and Concerns

Intermittent sharp pain in the abdomen at an unspecified location? Hello, Doctor. Recently, for the past two months, I have been experiencing intermittent sharp pains in my abdomen. Initially, the pain was located near the right upper quadrant close to the rib cage and in the rig...


Dr. Lin Minghui Reply:
Hello, neuropathic pain, gastroenteritis, gallbladder, and biliary pancreatic diseases are all possibilities. Hepatic hemangiomas generally do not cause pain. Gastrointestinal bloating and acid reflux may occur. It is recommended to limit foods that can trigger gastric acid, such...

[Read More] Understanding Intermittent Abdominal Pain: Causes and Concerns


Can Patients with Liver Hemangiomas Safely Supplement with Isoflavones?

Hello, is it safe to supplement with isoflavones if I have a hepatic hemangioma? Hello, can I take isoflavones if I have a hepatic hemangioma?


Dr. Chen Shidian Reply:
→ Currently, there are no comprehensive studies confirming whether it is possible.

[Read More] Can Patients with Liver Hemangiomas Safely Supplement with Isoflavones?


Unexplained Weight Loss Despite Normal Appetite: A Gastroenterology Concern

Weight Issues ~ Weight Continues to Decrease Despite Normal Diet Hello, Doctor. My current health status is as follows: On December 3, 2020, I underwent an upper gastrointestinal endoscopy. The attending physician explained that I have gastritis and mild ulcers, but my esophagus ...


Dr. Chen Shidian Reply:
Please discuss with the attending physician regarding the current data (hemangioma of the liver should only be monitored) and the management/consultation for weight loss.

[Read More] Unexplained Weight Loss Despite Normal Appetite: A Gastroenterology Concern


Understanding Liver Nodules: What You Need to Know After Your Ultrasound

Three liver nodules? Hello, I had a health check-up in August this year, and the ultrasound revealed three hypoechoic nodules in my liver (1.44 cm in segment 2, 0.97 cm in segment 4, and 1.64 cm in segment 7), along with mild fatty liver. My AFP levels are normal, and I have anti...


Dr. Lin Minghui Reply:
Hello, a 26-year-old male underwent a health check and was found to have fatty liver and three hypoechoic liver nodules measuring less than 2 cm, with a family history of liver cancer. The differential diagnosis for liver nodules is extensive, including benign hepatic steatosis, ...

[Read More] Understanding Liver Nodules: What You Need to Know After Your Ultrasound


Understanding Bile Duct Dilation: What You Need to Know About Diagnosis and Monitoring

Bile duct dilation Hello Doctor, my mother was previously cured of Hepatitis C (age 65) and has been undergoing follow-up every six months. In February of this year, an ultrasound examination revealed mild dilation of the bile duct (0.9 cm), but blood tests were normal. A CT scan...


Dr. Chen Shidian Reply:
It may be an error, but it would be advisable to conduct a follow-up to compare ultrasound and biliary indices earlier (in 3 months).

[Read More] Understanding Bile Duct Dilation: What You Need to Know About Diagnosis and Monitoring


Can I Dive or Lift Weights with a Liver Hemangioma?

Hepatic hemangioma Hello, doctor. I have been diagnosed with a 2 cm hepatic hemangioma. Can I engage in activities such as diving and weight training? Is there a risk that increased abdominal pressure could cause it to rupture? If diving is permitted, are there any depth restrict...


Dr. Chen Shidian Reply:
Currently, there are no relevant studies or recommendations. Theoretically, there should be no impact, but monitoring is necessary, initially for six months, and then annually thereafter.

[Read More] Can I Dive or Lift Weights with a Liver Hemangioma?


Can I Dive or Lift Weights with a Liver Hemangioma?

Hepatic hemangioma Hello, doctor. I have been diagnosed with a 2 cm hepatic hemangioma. Can I engage in diving and weight training? Is there a risk that increased abdominal pressure could cause it to rupture? If diving is permitted, are there any depth restrictions? Thank you. 🙏


Dr. Chen Shidian Reply:
Currently, there are no relevant studies or recommendations. Theoretically, there should be no impact, but monitoring is necessary: initially for six months, and then annually thereafter.

[Read More] Can I Dive or Lift Weights with a Liver Hemangioma?


Understanding Your Doctor's Recommendation for a CT Scan After Ultrasound

After the ultrasound, the doctor asked me to undergo a CT scan, which made me a bit anxious? I previously had acute pancreatitis and have been following up with my doctor. During my last visit, the doctor requested a CT scan after I completed an ultrasound, which made me a bit wo...


Dr. Cai Anshun Reply:
Hello: Diagnosis: Hypoechoic change in the pancreas, nature? This likely indicates the presence of a hypoechoic shadow in the pancreatic region, so a CT scan is necessary to confirm if there are any issues. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Your Doctor's Recommendation for a CT Scan After Ultrasound


Understanding Liver Hemangiomas: Diagnosis, Monitoring, and Concerns

Hepatic hemangioma issues? In August 2018, an abdominal ultrasound at the clinic revealed a 2.2 cm liver tumor, mild fatty liver, and a 0.4 cm gallbladder polyp. Tests for hepatitis B and C were conducted, and both liver function tests and alpha-fetoprotein (cancer marker) were n...


Dr. Chen Shidian Reply:
1. Rarely increases. 2. Not often missed. 3. Common artifacts; please cooperate with follow-up.

[Read More] Understanding Liver Hemangiomas: Diagnosis, Monitoring, and Concerns


Understanding Portal Vein Congestion: Implications and Next Steps

Portal vein congestion and swelling? Hello, I recently had a simple health check-up, and the report indicated "portal vein congestion and dilation (diameter 2 cm) without splenomegaly." What does "portal vein congestion and dilation (diameter 2 cm)" mean? What...


Dr. Lin Minghui Reply:
Hello, the portal vein supplies blood flow to the liver cells. Causes of portal vein enlargement include chronic hepatitis, hepatic fibrosis, cirrhosis, or certain diseases and surgeries that can lead to thrombosis or embolism within the portal vein. Portal hypertension typically...

[Read More] Understanding Portal Vein Congestion: Implications and Next Steps


Can I Choose Nasal Endoscopy After Previous Nose Surgery?

Nasogastric endoscopy Hello, doctor. I would like to ask, I had an upper gastrointestinal endoscopy through my mouth over two years ago because my nose was too narrow for the procedure at that time, as I had not yet undergone minimally invasive surgery for my deviated septum and ...


Dr. Cai Anshun Reply:
Hello: 1. If the nasal passages are not narrowed due to surgery, it is still possible to proceed with the surgery. 2. If it is a newly discovered condition, close monitoring is recommended. If it has been monitored multiple times and is stable, an annual check-up is sufficient. C...

[Read More] Can I Choose Nasal Endoscopy After Previous Nose Surgery?


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