Understanding Liver Tumor Treatment Options for Elderly Patients
Liver tumor treatment Dear Director Chen, My father is 85 years old and has been drinking alcohol since his youth, but he has never reached the level of alcoholism. His daily routine has been normal. In early July, he was hospitalized due to abdominal pain, and a CT scan reveale...
Dr. Chen Shidian Reply:
Hello, sir: 1. If cholangiocarcinoma has metastasized or invaded the gallbladder, the prognosis is poor. 2. Electrocautery is used for treating solitary small tumors; however, this patient is not suitable for electrocautery due to tumor invasion of the gallbladder and hepatic ...[Read More] Understanding Liver Tumor Treatment Options for Elderly Patients
Can Liver Cirrhosis Cause Excessive Salivation and Fatigue?
Does cirrhosis cause drooling? I would like to ask the doctor about my father, who has been suffering from chronic liver cirrhosis. Recently, he has noticed that he feels weaker when walking, is more easily fatigued, feels more sleepy, and has been experiencing involuntary drooli...
Dr. Chen Qifeng Reply:
Hello: Moderate to severe liver cirrhosis can sometimes lead to complications such as hepatic encephalopathy, where patients may experience fatigue, drowsiness, or altered consciousness. If there is drooling due to altered consciousness, it is important to return for an evaluatio...[Read More] Can Liver Cirrhosis Cause Excessive Salivation and Fatigue?
Understanding Liver Roughness and Hemangiomas: Causes and Concerns
Rough liver parenchyma and hemangioma? Dear Dr. Tsai: During my last visit to the hospital for an ultrasound, the doctor mentioned that I have coarse liver and a vascular tumor issue. There is no hepatitis B, and my alpha-fetoprotein levels are normal. I am unsure about the cause...
Dr. Cai Anshun Reply:
Hello: The term "coarse liver" typically refers to "hepatic parenchymal disease." On ultrasound, the liver appears coarser than the spleen, indicating hepatic parenchymal disease, which is essentially liver fibrosis. The causes may include chronic inflammation...[Read More] Understanding Liver Roughness and Hemangiomas: Causes and Concerns
Understanding Complications in Liver Cancer Patients: A Case Study
Grandma has liver cancer and was admitted to the intensive care unit due to a urinary tract infection? Hello! My grandmother was diagnosed with stage II liver cancer at the end of June this year (she has a history of hepatitis C, diabetes <controlled with medication>, and h...
Dr. Lin Minghui Reply:
Hello: My grandmother has diabetes and chronic hepatitis C, and after undergoing embolization treatment for liver cancer, if the liver function of chronic hepatitis patients deteriorates, possible manifestations include the onset or worsening of jaundice, low serum albumin levels...[Read More] Understanding Complications in Liver Cancer Patients: A Case Study
Do You Need to Fast for Liver Ultrasound When Monitoring Hemangioma?
Liver examination Hello Dr. Chen, I would like to ask you about my hepatic hemangioma measuring 0.8 cm. I want to know if I need to fast before undergoing an ultrasound examination of my liver for follow-up.
Dr. Chen Qifeng Reply:
Hello: An abdominal ultrasound is typically performed fasting to observe the gallbladder and pancreas. However, if the focus is solely on the liver, it can be done without fasting. Wishing you good health, Dr. Chen Chih-Feng, Taoyuan Hospital.[Read More] Do You Need to Fast for Liver Ultrasound When Monitoring Hemangioma?
Understanding Liver Aneurysms: Treatment Options and Recommendations
Hepatic artery aneurysm Doctor, I have a question: I have a liver artery aneurysm that is about 2 centimeters in size. I do not have hepatitis B or C. What treatment do I need to undergo?
Dr. Chen Shidian Reply:
Hepatic adenomas rarely present as aneurysms, but are more commonly associated with hemangiomas (caused by microvascular proliferation). The former requires vascular imaging treatment, while the latter only needs annual follow-up. Changhua Hospital cares about your health. Dr. Ch...[Read More] Understanding Liver Aneurysms: Treatment Options and Recommendations
Understanding a 0.9 cm Liver Hemangioma: Concerns and Care
Suspected 0.9 cm hepatic hemangioma? Hello Dr. Chen: I recently went to a small hospital for a health check-up and found a suspected 0.9 cm hemangioma on my liver. They advised me to return to my primary care physician for follow-up in six months. I would like to ask you if this ...
Dr. Chen Shidian Reply:
Hello Lin, hepatic hemangiomas occur in about 1 in 10 individuals in the general population. They are quite common and usually do not change in size, so there is no need for concern. Just regular monitoring is sufficient. Changhua Hospital cares about your health. Dr. Chen Shidia...[Read More] Understanding a 0.9 cm Liver Hemangioma: Concerns and Care
Feeling Tired After 8 Hours of Sleep: Is It a Liver Issue?
Feeling tired due to lack of sleep? I have been sleeping for almost 8 hours every day (from 11 PM to a little after 6 AM), but I still feel very tired and often yawn. Could this indicate a problem with my liver?
Dr. Cai Anshun Reply:
Hello: It is important to pay attention to sleep quality (whether the environment is noisy, if there is snoring, or even sleep apnea, and whether there are occurrences of nocturia, etc.). As for liver issues, they are often caused by insufficient sleep leading to liver inflammati...[Read More] Feeling Tired After 8 Hours of Sleep: Is It a Liver Issue?
Understanding Liver Hemangiomas: Should You Seek a Second Opinion?
Hepatic hemangioma Hello Doctor: In February, I visited the emergency room due to discomfort and unexpectedly discovered a 4 cm hepatic hemangioma. Since I was unfamiliar with this condition and did not know any doctors, I randomly consulted a hepatobiliary specialist at a large ...
Dr. Chen Shidian Reply:
Hello Isa, please rest assured. The CT scan is quite accurate, but it is essential to follow up on time. If you are still concerned, a fine needle aspiration biopsy can be performed for pathological examination. However, this is generally not necessary. Changhua Hospital cares ab...[Read More] Understanding Liver Hemangiomas: Should You Seek a Second Opinion?
Oral vs. Rectal: Which Chinese Medicine Cold Remedy Works Faster?
I'm sorry, but I need more context or specific content to translate. Please provide the Which method of administration for traditional Chinese medicine cold remedies is better or faster for absorption: oral or rectal administration? Which method do doctors recommend?
Dr. Lin Minghui Reply:
Dear Wen, Hello! The advantages of drug absorption via the rectum primarily include the proximity of the lesion to the rectum, the ability to bypass the destructive effects of strong gastric acids, and the avoidance of hepatic metabolism that can degrade the drug's efficacy...[Read More] Oral vs. Rectal: Which Chinese Medicine Cold Remedy Works Faster?
Managing Cholestatic Liver Cirrhosis Due to Bile Duct Stones
Biliary stone-induced cholestatic liver cirrhosis? The patient is a 51-year-old female. Her current condition includes intrahepatic bile duct and gallbladder stones, along with obstructive biliary cirrhosis (with over 75% fibrosis in the left liver and a 20% enlargement of the ri...
Dr. Chen Shidian Reply:
Hello Minjhang, your issue is more complex and requires imaging assessment. Therefore, please discuss your medical plan with your gastroenterologist. Changhua Hospital cares about your health. Dr. Chen Shidian.[Read More] Managing Cholestatic Liver Cirrhosis Due to Bile Duct Stones
Understanding Abdominal Pain: Is It Gastric or Hepatic Issues?
Abdominal pain or stomach pain? Hello, doctor: Recently, I have been experiencing pain in the lower part of my chest, slightly to one side, and sometimes it hurts when I press on it. Could this be a stomach issue or a liver/gallbladder issue? Is it possible that this could be sto...
Dr. Chen Qifeng Reply:
Hello: Generally speaking, the nerves of the internal organs are not intricately connected, making it difficult to determine which organ is affected based solely on the location of pain. Therefore, discomfort in the upper abdomen, particularly on the right side, could indicate is...[Read More] Understanding Abdominal Pain: Is It Gastric or Hepatic Issues?
Understanding Unidentified Liver Tumors: Risks and Insights for Patients
A tumor of unclear origin on the surface of the liver? Hello Dr. Chen, I would like to ask about my father (61 years old). He recently underwent examinations and was diagnosed with fatty liver, and a 1.2 cm tumor was found on the surface of his liver. However, both ultrasound an...
Dr. Chen Qifeng Reply:
Hello: Based on the information above, there is a high possibility of a hepatic lipoma, hepatic cyst, or hepatic hemangioma. These are likely benign tumors, as they are often not spherical, which may result in some discrepancies when measured from different angles. It is recommen...[Read More] Understanding Unidentified Liver Tumors: Risks and Insights for Patients
Understanding Unidentified Liver Lesions in Fatty Liver Patients
An unknown foreign object has developed on the surface of the liver? Hello Dr. Lee, I would like to ask about my father who is 61 years old. He was recently diagnosed with fatty liver (with normal liver enzymes), but there is a 1 cm unidentified mass on the surface of his liver. ...
Dr. Li Yongming Reply:
In clinical practice, the diagnosis of "fatty liver" refers to the condition where the weight of fat (primarily triglycerides) accumulated in the liver exceeds 5% of the total liver weight, or when more than 10% of liver cells in a liver tissue biopsy exhibit fatty vacu...[Read More] Understanding Unidentified Liver Lesions in Fatty Liver Patients
Safe Sleep Medications for Hepatitis C Carriers: A Guide for Seniors
Hepatitis C carriers Hello Doctor: I am inquiring on behalf of a woman in her 60s who is a carrier of hepatitis C and is allergic to Western medications. What type of sedative is suitable for a hepatitis C carrier?
Dr. Chen Qifeng Reply:
Hello: If liver function is normal in patients with hepatitis C, the impact of medication on the liver may not need to be considered, unless there are abnormalities in liver function or if liver function abnormalities occur after medication use. In such cases, it is advisable to ...[Read More] Safe Sleep Medications for Hepatitis C Carriers: A Guide for Seniors
Managing Ascites in Cirrhosis: Finding Relief for Your Loved One
Cirrhosis with refractory ascites? My father has cirrhosis and has to go to the hospital every week to have ascitic fluid drained, with at least 3000 to 4000 cc being removed each time. However, no matter how much fluid is drained, his abdomen remains distended and unchanged in s...
Dr. Chen Shidian Reply:
Hello Miss Yueyue, in the case of end-stage liver cirrhosis (with poor response to diuretics), liver transplantation should be considered for long-term stability. Additionally, a medical center can place a stent in the hepatic blood vessels to reduce hepatic blood flow pressure, ...[Read More] Managing Ascites in Cirrhosis: Finding Relief for Your Loved One
Understanding Growing Liver Hemangiomas: When to Seek Treatment
Hemangioma that grows? Hello Dr. Chen, I undergo a health check-up approximately every two years, which includes an abdominal ultrasound. Over the past sixteen years, I have had about seven check-ups. Four years ago, I was first diagnosed with a hepatic hemangioma measuring about...
Dr. Chen Shidian Reply:
Hello Ms. TATA: A small number of benign hemangiomas may still enlarge (possibly related to female hormones?). It may be considered to perform fine needle aspiration or core needle biopsy to confirm that the cells are normal, although there are some risks involved. Changhua Hospi...[Read More] Understanding Growing Liver Hemangiomas: When to Seek Treatment
Understanding Liver Hemangiomas and Fatty Liver: What You Need to Know
Hepatic hemangioma and fatty liver disease? During a health check-up, an ultrasound examination revealed a hepatic hemangioma. After consulting another clinic, the results showed four hemangiomas (approximately 1 cm each) and fatty liver (weight 50 kg). The doctor mentioned that ...
Dr. Chen Qifeng Reply:
Hello: If it is fatty liver and hemangioma, then indeed, follow up as indicated in <a href="https://adoctor.tw/article/36394">#36394</a>. There are many causes of fatty liver, with common ones including obesity, high blood lipids (triglycerides), poorly cont...[Read More] Understanding Liver Hemangiomas and Fatty Liver: What You Need to Know
Understanding Hepatic Encephalopathy: Causes, Risks, and Recovery Tips
Cirrhotic coma My father is in the early stages of liver cirrhosis and was recently discharged from the hospital due to edema in his legs, which required him to use a cane for walking. After a period of treatment and with the physician's approval, he was discharged to rest a...
Dr. Chen Shidian Reply:
Hello, Miss: In cases of cirrhosis, blood with high ammonia levels cannot be metabolized and detoxified by the liver, leading to circulation throughout the body and brain, which can affect consciousness and even cause coma. Please reduce protein intake (as metabolism produces amm...[Read More] Understanding Hepatic Encephalopathy: Causes, Risks, and Recovery Tips
Can a 1.5 cm Liver Hemangioma Be Treated or Shrink?
Hepatic hemangioma Can a 1.5 cm liver hemangioma be treated or shrink?
Dr. Lin Minghui Reply:
Hello, generally speaking, hepatic hemangiomas are mostly congenital and do not require treatment, as they rarely change in size. Clinical follow-up is sufficient. Best wishes, Dr. Chen Chih-Feng, Taoyuan Hospital, Department of Health.[Read More] Can a 1.5 cm Liver Hemangioma Be Treated or Shrink?