Understanding Hepatitis C Treatment Options and Liver Health Supplements
Questions about Hepatitis C? I currently have hepatitis C and I regularly monitor my condition every six months, with normal results. I would like to know if I can receive treatment to cure it, and if so, can I use heparin? How many treatments are covered by the National Health I...
Dr. Lin Minghui Reply:
Hello, 1. The treatment for hepatitis C currently primarily involves long-acting interferon and ribavirin to eliminate the hepatitis C virus. Patients must have the hepatitis C virus present and not have severe cirrhosis to be eligible for treatment. 2. Currently, the National...[Read More] Understanding Hepatitis C Treatment Options and Liver Health Supplements
Understanding Mold Ingestion: Myths and Facts About Gastrointestinal Health
Regarding the ingestion of mold (2) Hello Dr. Chen: I am the person inquiring about "ingesting mold." Thank you very much for your previous response. In your earlier reply, you mentioned that ingesting mold does not cause gastrointestinal infections. I understand that, ...
Dr. Chen Qifeng Reply:
Hello, generally speaking, the ability of fungi to survive and even cause disease within the body's organs is related to the host's immune system. Only individuals with severely compromised immunity, such as those with AIDS, cancer patients, or those using immunosuppres...[Read More] Understanding Mold Ingestion: Myths and Facts About Gastrointestinal Health
Understanding Left Lower Abdomen and Back Pain: Possible Causes and Solutions
Pain from the lower left abdomen to the left lower back? In the past week or two, I have been experiencing aching pain in the lower left abdomen and left lower back, approximately two fingerbreadths above the pelvis. The pain lasts about 20 minutes and occurs around 3 to 4 times ...
Dr. Chen Qifeng Reply:
Hello: First, it is important to understand if there are accompanying symptoms. If there is constipation or diarrhea, it may indicate gastrointestinal issues; if there is dysuria or increased urinary frequency, it may suggest a urinary tract problem; if there is vaginal bleeding ...[Read More] Understanding Left Lower Abdomen and Back Pain: Possible Causes and Solutions
Long-Term Use of Naisan: Risks and Effects on Stomach Health
Long-term use issues of Naisilin? Hello Dr. Chen, three years ago I injured my back and took anti-inflammatory medication for six months, after which my stomach has not been well. Over two years ago, due to increased stress, I underwent an endoscopy that revealed gastric inflamma...
Dr. Chen Qifeng Reply:
Hello: 1. It is recommended to use Nizatidine only after a diagnosis is confirmed via gastroscopy. 2. Side effects may include leukopenia and achlorhydria, but these are very rare, and there is little impact on the kidneys. 3. It can be taken as needed. Wishing you peace an...[Read More] Long-Term Use of Naisan: Risks and Effects on Stomach Health
Understanding Edema After Antacid Use: A Patient's Dilemma
Consultation: Unexplained edema after taking antacids? Hello Dr. Chen, 1. Around mid-May, my mother sought medical attention for stomach pain (no endoscopy was performed), and the doctor prescribed medication (I don't remember the name). After taking the medication for a f...
Dr. Chen Qifeng Reply:
Hello: There are many causes of edema, including diseases of the heart, liver, and kidneys, as well as circulatory issues. Medications can also be a contributing factor. Besides using Ranitidine or Pantoprazole, are there any other medications being used? If these medications are...[Read More] Understanding Edema After Antacid Use: A Patient's Dilemma
Understanding Nexium for Superficial Ulcers: Duration and Side Effects
Medications for Peptic Ulcers Hello, doctor. A few days ago, I underwent an endoscopy and found a small red spot approximately 0.5 cm. The biopsy pathology report indicated superficial ulcer. The doctor prescribed Nexium 40 mg to be taken once daily for three months. I would like...
Dr. Chen Qifeng Reply:
Hello: The treatment course for gastric ulcers typically lasts 4 to 6 weeks. Depending on the improvement of symptoms, it may be extended to 3 to 4 months if necessary. Generally, Nexium rarely causes serious side effects; however, some individuals may experience abdominal pain, ...[Read More] Understanding Nexium for Superficial Ulcers: Duration and Side Effects
Post-Appendectomy Care: Managing Abdominal Pain and Discomfort
Postoperative Care After Appendectomy for Peritonitis Hello Doctor, last March I underwent surgery for acute appendicitis that progressed to peritonitis due to a lack of urgent treatment while I was in the United States. Since the surgery, I have frequently experienced abdominal ...
Dr. Cai Anshun Reply:
Hello: Whether it is a postoperative complication or which examination should be performed can only be determined through a medical diagnosis. Additionally, ultrasound can only visualize solid organs such as the liver, gallbladder, spleen, and kidneys. It cannot detect adhesions ...[Read More] Post-Appendectomy Care: Managing Abdominal Pain and Discomfort
Understanding Unexplained Kidney Pain: When Tests Show Normal Results
The kidneys may sometimes experience sharp pain, and although imaging of the kidneys was performed (during which pain was also present), the results were normal? I have been experiencing this for several months now, and it tends to occur more frequently in the morning. The pain i...
Dr. Cai Anshun Reply:
Hello: Typically, pain from kidney inflammation is associated with flank tenderness (frank knocking pain), so it would be helpful to clarify which specific area you are referring to regarding the right kidney. In medicine, visceral inflammatory pain is often not precisely localiz...[Read More] Understanding Unexplained Kidney Pain: When Tests Show Normal Results
Understanding Elevated Liver and Pancreatic Enzyme Levels: Causes and Treatments
Health check values Recent blood tests revealed elevated levels in the following parameters: - AMY (Amylase): 103.000 U/L (normal range: 0-100) - TG (Triglycerides): 137.000 mg/dL (normal range: 50-150) - TC (Total Cholesterol): 213.000 mg/dL (normal range: 50-200) - T-B (Total...
Dr. Chen Qifeng Reply:
Hello: Elevated amylase levels are significant only in the presence of abdominal pain. Elevated total and direct bilirubin levels should primarily raise suspicion for biliary tract disorders, and it is recommended to perform an abdominal ultrasound. If the results are normal and ...[Read More] Understanding Elevated Liver and Pancreatic Enzyme Levels: Causes and Treatments
Understanding Elevated Amylase and Bilirubin Levels: What You Need to Know
Health check-up value inquiry 2 Hello, doctor. I am the one from the previous message regarding elevated amylase and total bilirubin levels. I later underwent an abdominal ultrasound examination of the liver, gallbladder, kidneys, spleen, and part of the pancreas, and there were ...
Dr. Chen Qifeng Reply:
Hello: 1. Amylase can be monitored. 2. Sometimes the use of certain medications or exposure to chemical agents can also cause elevated bilirubin levels; follow-up is sufficient, and there are currently no treatment recommendations. Wishing you safety and health. Sincerely, Dr. Ch...[Read More] Understanding Elevated Amylase and Bilirubin Levels: What You Need to Know
Post-Surgery Recovery: Understanding Delayed Bowel Function in Seniors
Please consult a doctor? My grandfather, who is 70 years old, underwent surgery for adhesive intestinal obstruction (fortunately, his intestines did not necrose). However, it has been two weeks since the surgery, and he still cannot eat or drink, resulting in significant weight l...
Dr. Cai Anshun Reply:
Hello: Recovery after surgery is influenced by various factors such as age, the function of the heart, kidneys, liver, and lungs, as well as chronic medical history (including diabetes and hypertension), immune status, and overall nutritional condition. It is not possible to dete...[Read More] Post-Surgery Recovery: Understanding Delayed Bowel Function in Seniors
Understanding Abnormal Fetal Protein Levels: Next Steps for Evaluation
Abnormal fetal protein levels Hello! I am a carrier of hepatitis B and have been regularly undergoing blood tests and ultrasound examinations. In my recent adult health check-up, my blood test results showed GOT at 28 and GPT at 37, but the alpha-fetoprotein screening result was ...
Dr. Chen Shidian Reply:
Hello Tiantian, please discuss the examination details (such as CT scans) with your physician or closely monitor the changes in your values. Changhua Hospital cares about your health. Dr. Chen Shidian.[Read More] Understanding Abnormal Fetal Protein Levels: Next Steps for Evaluation
Understanding Liver and Kidney Metabolism: Key Considerations for Medications
Hepatorenal metabolism Hello, Dr. Lin. 1. When the functions of the stomach, liver, and kidneys are impaired, what precautions should be taken when using Western medications? 2. Does insulin injection undergo metabolism by the liver and kidneys?
Dr. Lin Minghui Reply:
Hello: 1. Most medications are metabolized by the liver or kidneys. When liver or kidney function is compromised, medication dosages need to be reduced, and one should refer to the usage guidelines for various medications. 2. When gastrointestinal function is poor, caution should...[Read More] Understanding Liver and Kidney Metabolism: Key Considerations for Medications
Understanding Abdominal Ultrasound: What It Reveals About Your Organs
Examination methods If the abdominal ultrasound examination during a health check-up shows no issues, does that mean that the liver, gallbladder, spleen, pancreas, and kidneys are all normal?
Dr. Chen Qifeng Reply:
Hello: An abdominal ultrasound is used to examine the structures, while liver and kidney function should be assessed through blood tests. Best wishes, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.[Read More] Understanding Abdominal Ultrasound: What It Reveals About Your Organs
Is Your Abdomen Asymmetrical? Understanding Gastrointestinal Concerns
Abdominal asymmetry? When pressing on the abdomen, the left side appears significantly larger than the right side, resulting in asymmetry. Is this normal? Stool tests, barium enema, abdominal ultrasound, and gastroscopy all returned normal results.
Dr. Cai Anshun Reply:
Hello: The organs within the abdominal cavity, except for the kidneys, are not symmetrical by nature, and the distribution of intestinal gas is also asymmetrical. Therefore, if the examination results are normal, there is no need to worry too much. Changhua Hospital cares about y...[Read More] Is Your Abdomen Asymmetrical? Understanding Gastrointestinal Concerns
Understanding Fatigue and Nausea: When to Seek Medical Attention
Fatigue and nausea? Hello Doctor: Recently, I have suddenly felt very fatigued and have been experiencing a slight feeling of nausea, though not to the point of vomiting. I also often feel discomfort around my navel. My bowel movements are relatively normal, but I feel very unwel...
Dr. Cai Anshun Reply:
Hello: It is recommended to seek medical attention. A physician's consultation and physical examination should be conducted, along with appropriate tests; self-medication is not advised. Urine and blood tests may indicate a urinary tract infection, urinary stones, or kidney ...[Read More] Understanding Fatigue and Nausea: When to Seek Medical Attention
Do You Need a CT Scan After Normal Abdominal Ultrasound Results?
Ultrasound Issues 2 If the abdominal ultrasound examination of the kidneys, liver, gallbladder, pancreas, and spleen is normal, is it still necessary to request a CT scan from the doctor?
Dr. Cai Anshun Reply:
Hello: Whether to proceed with a CT scan should be determined by the treating physician, based on the necessity of the scan. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Do You Need a CT Scan After Normal Abdominal Ultrasound Results?
Managing Chronic Hepatitis B: Treatment Decisions and Health Concerns
After three years of taking Baraclude, issues related to hepatitis B treatment? Hello Dr. Lin, three years ago I had an acute phase of hepatitis B, with liver enzyme levels exceeding 2000. An ultrasound showed no tumors. After taking Baraclude for a month or two, my liver enzymes...
Dr. Lin Minghui Reply:
Hello: 1. For patients with chronic hepatitis B who exhibit significant inflammation or high levels of viral replication, consideration should be given to pharmacological treatment. Treatment options include antiviral medications or interferon. The interferon treatment regimen ...[Read More] Managing Chronic Hepatitis B: Treatment Decisions and Health Concerns
Can Abdominal Ultrasound Detect Kidney, Liver, Gallbladder, Pancreas, and Spleen Cancers?
Abdominal ultrasound? Abdominal ultrasound can be used to examine the kidneys, liver, gallbladder, pancreas, and spleen. I would like to ask the doctor if abdominal ultrasound can detect cancerous diseases in the kidneys, liver, gallbladder, pancreas, and spleen?
Dr. Cai Anshun Reply:
Hello: During ultrasound examinations of the kidneys, liver, gallbladder, pancreas, and spleen, if different echogenicities are observed in the solid organs without interference from bowel gas, it may indicate the presence of either benign or malignant lesions. Typically, further...[Read More] Can Abdominal Ultrasound Detect Kidney, Liver, Gallbladder, Pancreas, and Spleen Cancers?
Safe Imaging Options for Monitoring Polycystic Liver and Kidney Disease
Please provide me with a specific condition or symptom for which you would like a check-up or treatment recommendation. Thank you? Hello Dr. Tsai, I am 169 cm tall and weigh 75 kg. I do not smoke or drink alcohol, and I have no history of drug allergies. I had allergic rhinitis a...
Dr. Cai Anshun Reply:
Hello: Based on the information you provided, your kidney function (GFR = 69 cc/min) is estimated to be at stage 2 chronic kidney disease (mild decrease in kidney function). If a CT scan is absolutely necessary, it is recommended to use an isotonic contrast agent to minimize the ...[Read More] Safe Imaging Options for Monitoring Polycystic Liver and Kidney Disease