Understanding Upper Right Abdominal Discomfort During Exercise
Mild discomfort in the right upper abdomen? Hello, doctor. I have been experiencing the following symptoms for about a year. I have consulted with specialists in hepatobiliary and gastroenterology, as well as orthopedics. The pain is located in the upper right abdomen, just below...
Dr. Chen Shidian Reply:
Hello, sir. May I ask for your advice on rehabilitation and sports medicine from a professional physician at Changhua Hospital? We care about your health. Chen Shidian.[Read More] Understanding Upper Right Abdominal Discomfort During Exercise
Understanding Persistent Right Lower Abdominal Pain: Possible Causes and Next Steps
Intermittent pain in the lower right abdomen for several months? Hello, doctor. I have been experiencing intermittent pain in my lower right abdomen since June. It started on the night of June 10th with sudden severe pain in the lower right abdomen, but it coincided with the four...
Dr. Chen Qifeng Reply:
Right lower abdominal pain, based on anatomical location, should consider either gynecological conditions or issues related to the colon. If there are no gynecological problems, then it is likely a gastrointestinal obstruction. However, gastrointestinal issues are not solely stru...[Read More] Understanding Persistent Right Lower Abdominal Pain: Possible Causes and Next Steps
Understanding Coarse Echo Patterns in Liver Ultrasound: Key Insights for Patients
coarse echogenicity pattern Hello Doctor, the patient is an 89-year-old female who does not consume alcohol, and her blood biochemistry results are normal. The abdominal ultrasound follow-up for the past two years has yielded the following report. I have questions regarding the &...
Dr. Chen Shidian Reply:
Hello, sir. In ultrasound terminology, we use "coarse echo," while "fibrosis" is used in pathological sections. Although the terms are similar, they should not be used interchangeably, as this could lead to significant discrepancies. Based on the report, it do...[Read More] Understanding Coarse Echo Patterns in Liver Ultrasound: Key Insights for Patients
Understanding Gastrointestinal Discomfort: Symptoms and Solutions
Gastrointestinal discomfort About two weeks ago, I started experiencing gastrointestinal discomfort with the following symptoms: my stomach occasionally makes strange noises, which I rarely experienced before. It's not the sound of hunger, as it occurs even after I've e...
Dr. Chen Qifeng Reply:
Based on the symptoms, it appears to be a gastrointestinal issue, and abdominal ultrasound examination does not provide significant diagnostic value for gastrointestinal problems. It is recommended to take gastrointestinal medications along with a diet low in oil and dairy. If th...[Read More] Understanding Gastrointestinal Discomfort: Symptoms and Solutions
Should I Transfer to a Major Hospital for My Stomach Ulcer Concerns?
Do I need to transfer to a larger hospital for a gastric ulcer? Hello Doctor, I have a history of duodenal ulcers and took medication for six months. For six to seven years, I have not experienced any ulcer flare-ups, but I often have bloating and stomach pain. Starting from Janu...
Dr. Cai Anshun Reply:
Hello: You can return to the original hospital for a consultation to check for any other associated issues. If necessary, you may also request a referral from the original hospital and attach the reports to avoid duplicate examinations. Changhua Hospital cares about your health. ...[Read More] Should I Transfer to a Major Hospital for My Stomach Ulcer Concerns?
Which Specialist to Consult for Fluid Between Kidneys and Muscles?
There are blisters between the kidneys and muscles? I have reviewed a lot of information and consulted with some doctors I know, but I am still unsure which specialty to visit. Previously, I went to Taipei City Hospital for an examination, and during an abdominal ultrasound, the ...
Dr. Cai Anshun Reply:
Hello: You can visit the gastroenterology or nephrology department again to check if the cyst is still present. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Which Specialist to Consult for Fluid Between Kidneys and Muscles?
Should I Undergo Further Health Checks for My Ongoing Symptoms?
Should I undergo further comprehensive health screening? Hello, doctor. I have been experiencing fatigue and dizziness for the past two months, so I would like to ask a question. On August 12, 2017, I drank quite a bit of alcohol for my birthday, and after returning home, I start...
Dr. Cai Anshun Reply:
Hello: The possible side effects of Propafenone (心利正) listed in the package insert include dizziness, drowsiness, dry mouth, headache, gastrointestinal discomfort, diarrhea, constipation, vomiting, and decreased appetite. However, these may not necessarily be caused by the medica...[Read More] Should I Undergo Further Health Checks for My Ongoing Symptoms?
Managing GERD with PPIs: Concerns During Menstrual Cycle
Gastroesophageal reflux disease (GERD) + Proton pump inhibitors (PPIs) + Menstrual period? Hello Doctor, I understand the concept from the article regarding gastroesophageal reflux disease (GERD) patients and routine endoscopy. Five years ago, I had an endoscopy that confirmed ...
Dr. Chen Qifeng Reply:
1. Gastroesophageal reflux disease (GERD) is a condition that can easily recur and varies in severity. Appropriate pharmacological treatment is recommended, with proton pump inhibitors (PPIs) being the first-line choice. Some individuals may experience constipation or bloating af...[Read More] Managing GERD with PPIs: Concerns During Menstrual Cycle
Understanding Abdominal Pain: Insights into Gastrointestinal Issues
Abdominal issues? About two months ago, I started experiencing nausea, abdominal pain, bloating, excessive stomach acid, and an inability to burp, so I went to the hospital for a check-up. After undergoing an endoscopy, the doctor said there were no issues with my stomach, but I ...
Dr. Cai Anshun Reply:
Hello: Abdominal ultrasound: liver, gallbladder, spleen, and kidneys; the pancreas can only be visualized when there is minimal intestinal gas. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Abdominal Pain: Insights into Gastrointestinal Issues
Understanding Gastrointestinal Issues: Symptoms, Diagnosis, and Treatment
Gastrointestinal issues Hello Doctor: Recently, I have been experiencing severe bloating and pain in the upper left abdomen. I visited a gastroenterologist who performed an ultrasound on my pancreas and kidneys, both of which were normal. The doctor mentioned that there is air pr...
Dr. Cai Anshun Reply:
Hello: Please pay attention to your diet and bowel movements, as they may be related to your symptoms. If medication does not improve your condition, it is necessary to undergo an endoscopy to check for gastrointestinal issues. Changhua Hospital cares about your health. Dr. Tsai ...[Read More] Understanding Gastrointestinal Issues: Symptoms, Diagnosis, and Treatment
Understanding Abdominal Pain Around the Belly Button: Causes and Tests
Pain around the abdomen and waist? Hello doctor, recently I've been experiencing a dull pain around my navel that feels hard when pressed, and it hurts. The pain seems to move around; for instance, pressing one area might hurt, but after a while, that area feels fine, and pr...
Dr. Cai Anshun Reply:
Hello: The area around the navel may be related to the gastrointestinal tract, with a higher likelihood involving the pancreas. You should consult a gastroenterologist, and the specific tests to be performed should be determined by the clinical physician. Changhua Hospital cares ...[Read More] Understanding Abdominal Pain Around the Belly Button: Causes and Tests
Understanding Elevated Total Bilirubin Levels in Chronic Hepatitis B Carriers
A carrier of hepatitis B would like to inquire about the issue of elevated total bilirubin (TBIL 2.1 mg/dL)? Hello Dr. Chen, I am 40 years old and a carrier of Hepatitis B. I would like to inquire about the issue of elevated total bilirubin (TBIL 2.1 mg/dL). I have been regularl...
Dr. Chen Shidian Reply:
Hello, sir. It is likely that your elevated bilirubin levels are due to your individual bilirubin metabolism, which poses no harm to your health. Changhua Hospital cares about your well-being. Chen Shidian.[Read More] Understanding Elevated Total Bilirubin Levels in Chronic Hepatitis B Carriers
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 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
Do Gallstones Affect Kidney Health? Understanding Your Symptoms
Do gallstones affect the kidneys? Hello Doctor: I previously had hepatitis C, and my most recent examination revealed gallstones! I also have two cysts on my kidneys! Recently, I have been feeling constantly tired, and my colorectal cancer marker levels have increased from 12 to ...
Dr. Chen Qifeng Reply:
1. Gallstones are not related to the kidneys; if gallstones dislodge, they move to the intestines, while if kidney stones dislodge, they move to the urinary tract. 2. An elevation in CEA levels should first rule out the influence of smoking. The organs to be investigated, in addi...[Read More] Do Gallstones Affect Kidney Health? Understanding Your Symptoms
Left Side Abdominal Pain: Is It Kidney Stones or Gallstones?
Pain and discomfort under the left rib cage can be associated with either kidney stones or gallstones. However, kidney stones typically cause pain in the flank area, which is located on the side of the body between the ribs and the hip. In contrast, gallstones usually lead to pai...
Dr. Chen Qifeng Reply:
The gallbladder is located in the right upper abdomen, so your issue is likely not related to the gallbladder. The most common cause of pain in the left upper abdomen is the stomach, so an upper gastrointestinal endoscopy is recommended. Other less common causes may include the p...[Read More] Left Side Abdominal Pain: Is It Kidney Stones or Gallstones?
Can Stomach Ulcers Cause Back Pain? Understanding Your Symptoms
Can a stomach ulcer cause back pain? I went to a large hospital and was diagnosed with a gastric ulcer. I would like to ask about a urinary tract infection I had on Saturday. I went to the hospital to get medication, and the doctor prescribed Cefuroxime and Diclofenac. After taki...
Dr. Cai Jinji Reply:
Back pain can have many causes, depending on the location of the pain and associated symptoms, such as issues related to the spine, pancreas, or kidneys. It is recommended to consult a specialized physician at a hospital for diagnosis and treatment.[Read More] Can Stomach Ulcers Cause Back Pain? Understanding Your Symptoms
Understanding Duodenal Ulcers: Treatment Challenges and Kidney Concerns
Duodenal ulcer issues? Since being diagnosed with a duodenal ulcer without Helicobacter pylori in April of this year, I have been on ulcer medication for six months and have undergone two endoscopies (the second still showed the ulcer). I have also switched medications three time...
Dr. Cai Jinji Reply:
It is advisable to consult your treating physician for a clearer understanding of your condition.[Read More] Understanding Duodenal Ulcers: Treatment Challenges and Kidney Concerns
Can High Doses of Amoxicillin Effectively Eradicate H. Pylori?
Can medications for Helicobacter pylori eradicate the bacteria? Hello Dr. Tsai: Following up on the previous question, I underwent a breath test for Helicobacter pylori at a teaching hospital, and the results indicated that it was not eradicated. Therefore, the physician has requ...
Dr. Cai Anshun Reply:
Hello: Amoxicillin is metabolized by the kidneys, and if kidney function is normal, it should not affect future liver or kidney function. The success of treatment may depend on the drug concentration; increasing the dosage is intended to enhance therapeutic levels. Additionally, ...[Read More] Can High Doses of Amoxicillin Effectively Eradicate H. Pylori?
Understanding Right Abdominal Bloating: Causes and Next Steps
Right-sided abdominal distension, dry mouth, and halitosis? Hello Doctor, I am 19 years old and have been experiencing bloating on the right side of my abdomen for the past three weeks. I have visited both a small clinic and a large hospital, where I underwent an ultrasound. They...
Dr. Cai Anshun Reply:
Hello: The upper right abdomen approximately contains the liver, gallbladder, pylorus of the stomach, duodenum, kidneys, and the hepatic flexure of the colon. If the ultrasound examination shows no issues, it can rule out kidney stones, gallstones, and liver masses (but cannot ex...[Read More] Understanding Right Abdominal Bloating: Causes and Next Steps