Understanding Ultrasound Shadows: Are They Signs of Liver Cancer?
Ultrasound shadowing Hello, I would like to ask about a shadow measuring 1.64 cm in size found in the S5/S6 region during an ultrasound examination in May. The doctor arranged for a CT scan, but nothing was visible. In September, a follow-up ultrasound showed that the shadow had ...
Dr. Chen Shidian Reply:
Further confirmation of the diagnosis should be done in collaboration with a specialized hepatocellular carcinoma physician.[Read More] Understanding Ultrasound Shadows: Are They Signs of Liver Cancer?
Understanding Palmar Erythema: Is It a Sign of Liver Disease?
Palmar erythema Is the erythema in the size of a palm on the thenar eminence indicative of palmar erythema?
Dr. Cai Anshun Reply:
Hello: The likelihood of allergies is higher. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Palmar Erythema: Is It a Sign of Liver Disease?
Understanding Elevated AFP Levels: What You Need to Know
Regarding health check-up reports? Hello, doctor. I would like to ask about the alpha-fetoprotein (AFP) level showing a red value of 1.9. What does this mean? What should I pay attention to, and do I need to go to the hospital for further examination?
Dr. Chen Shidian Reply:
Liver cancer index, normal.[Read More] Understanding Elevated AFP Levels: What You Need to Know
Understanding Liver Hemangiomas: Diagnosis and Growth Rate Insights
Please ask questions regarding hepatic hemangiomas? 1. The dynamic liver triphasic imaging protocol refers to a specialized computed tomography (CT) imaging technique used to evaluate liver lesions. This protocol involves obtaining images of the liver at three different phases af...
Dr. Zhang Kebin Reply:
Hello Mrs. Hong! It is advisable to consult your attending physician regarding the report. The development of hepatic hemangiomas varies depending on individual health conditions. Generally, after the initial discovery, a follow-up should be conducted three months later. If there...[Read More] Understanding Liver Hemangiomas: Diagnosis and Growth Rate Insights
Can You Take Probiotics While Using Belarck for Liver Issues?
If you are using Belarck, can you still take probiotics? Hello, my family member is in their 60s and has hepatitis. After evaluation by a physician, they are currently using Baraclude (entecavir). However, they have recently been experiencing persistent diarrhea and unformed stoo...
Dr. Chen Shidian Reply:
Probiotics can be taken.[Read More] Can You Take Probiotics While Using Belarck for Liver Issues?
Chronic Gastritis or Ulcer? Seeking Answers After Months of Treatment
If gastritis has not improved after more than four months, could it be a chronic ulcer? Should I change clinics? Hello Dr. Chen, my questions are as follows: My illness history: On the evening of April 20, I ate a large bowl of beef noodles and drank iced asparagus juice, which l...
Dr. Chen Shidian Reply:
It is likely a case of impaired gastrointestinal motility, and there is no need to worry excessively. I have no objections to changing doctors.[Read More] Chronic Gastritis or Ulcer? Seeking Answers After Months of Treatment
Understanding Right Lower Abdominal Discomfort: Diverticulitis Insights
Please provide the content you would like to have translated into English? Dear Dr. Tsai, Thank you very much for your response and guidance in article #185848. My previous inquiry was regarding a feeling of fullness and occasional sharp pain in my lower right abdomen, which has...
Dr. Cai Anshun Reply:
Hello: 1. In terms of location, diverticulitis is also one of the differential diagnoses. 2. Feces can potentially get trapped in the diverticula of the colon. 3. If feces are trapped in the diverticulum and are tightly lodged, it may lead to diverticulitis. Drinking plenty of wa...[Read More] Understanding Right Lower Abdominal Discomfort: Diverticulitis Insights
Understanding Digestive Issues: Gas, Constipation, and Concerns About Colon Cancer
Bowel-related issues? Hello, doctor. I have a history of bloating and constipation. Over the past 2 to 3 weeks, my bloating has become severe enough that I have little appetite, and my stools have become much thinner, about the thickness of my thumb. Occasionally, I experience di...
Dr. Yang Zhichao Reply:
Hello, Miss Anonymous. If your symptoms do not improve with medication, you may want to discuss with your doctor the possibility of scheduling a colonoscopy. The likelihood of colorectal cancer is low, so you shouldn't be too concerned. If the examination shows no issues, it...[Read More] Understanding Digestive Issues: Gas, Constipation, and Concerns About Colon Cancer
Understanding Liver Metastasis from Colorectal Cancer: MRI Insights
Colonoscopy Hello, Doctor. I just want to know if liver metastasis from colorectal cancer would still show lymphadenopathy or the primary colorectal tumor on MRI, right? (Since if it has already metastasized from the colon to the liver, the radiologist should definitely be able t...
Dr. Chen Shidian Reply:
It varies, as there are significant individual differences. Please discuss with your attending physician.[Read More] Understanding Liver Metastasis from Colorectal Cancer: MRI Insights
Understanding Pancreatic Cysts and Liver Hemangiomas: What You Need to Know
Pancreatic cysts and hepatic hemangioma? Due to the abdominal X-ray report indicating an opaque nodule, I recently went to the hospital for further examination. An abdominal ultrasound revealed: 1. Fatty liver, 2. A small cyst on the pancreas, and 3. A hemangioma in the liver. Th...
Dr. Lin Minghui Reply:
Hello: There are no symptoms, and blood tests are normal. The doctor recommends regular follow-up every three to six months. Essentially, there is a hepatic hemangioma and a simple cyst in the pancreas, both of which are benign lesions. The number and size of these lesions are un...[Read More] Understanding Pancreatic Cysts and Liver Hemangiomas: What You Need to Know
Understanding Colorectal Cancer Risks and MRI Limitations
Colorectal cancer MRI Doctor, I had a full-body MRI last year, and there is a liver nodule about 1 cm in size. I underwent a colonoscopy six and a half years ago. I have noticed some white mucus in my stool, and recently I've been experiencing significant gastrointestinal di...
Dr. Chen Shidian Reply:
Colorectal cancer screening only requires a fecal occult blood test, so there is no need to worry too much. Liver nodules can be monitored with ultrasound.[Read More] Understanding Colorectal Cancer Risks and MRI Limitations
Understanding MRI Detection of Colorectal Cancer Stages and Liver Metastasis
Colorectal cancer MRI 1. In general, at what stage of colorectal cancer can it typically be detected on an MRI? 2. Regarding the differences in imaging, should liver metastases from colorectal cancer appear significantly different from liver nodules on an MRI? (If it is metastati...
Dr. Chen Shidian Reply:
MRI is primarily used to assess advanced metastatic disease, lymphatic liver nodules, and liver metastases, but there is overlap in their evaluation; therefore, biopsy is still necessary when needed.[Read More] Understanding MRI Detection of Colorectal Cancer Stages and Liver Metastasis
Persistent Throat Sensation and Abdominal Discomfort: Causes and Solutions
Persistent sensation of a foreign body in the throat, accompanied by gastrointestinal discomfort and pain? I have been experiencing a sensation of a foreign body in my throat for an extended period since the beginning of the year, along with a feeling of gas rising. Earlier this ...
Dr. Cai Anshun Reply:
Hello: If you haven't seen an otolaryngologist or an endocrinologist (thyroid specialist), it would be a good idea to do so. However, the likelihood of experiencing a sensation of a foreign body in the throat due to gastroesophageal reflux is relatively high. In addition to ...[Read More] Persistent Throat Sensation and Abdominal Discomfort: Causes and Solutions
Understanding Fatty Liver: Risks of Fibrosis with Normal Liver Enzymes
Fatty liver disease issues? Hello doctor, I would like to ask if, in cases of moderate to severe fatty liver disease, where blood tests show normal liver enzymes and there is no evidence of hepatitis B, will the liver continue to undergo fibrosis? Or is there a possibility, but i...
Dr. Chen Shidian Reply:
There is still a chance, but the risk of developing diabetes is high in 10 years. Please focus on losing weight.[Read More] Understanding Fatty Liver: Risks of Fibrosis with Normal Liver Enzymes
Managing Rapidly Growing Liver Cysts: Treatment Options and Concerns
A liver cyst has grown to 3.7 cm over the course of four years? Recently, a health check revealed that a liver cyst has grown from over 1 cm four years ago to now 3.7 cm, located centrally near the bile duct (not connected). The growth rate seems rapid, and it will inevitably nee...
Dr. Lin Minghui Reply:
Simple hepatic cysts (bubbles) generally do not present symptoms and do not require treatment. It is important to determine whether the hepatic cyst is solitary or multiple, and whether it is a simple cyst or a complex cyst. Complex cysts refer to those with thick walls, containi...[Read More] Managing Rapidly Growing Liver Cysts: Treatment Options and Concerns
Understanding Fatty Liver: Key Questions and Management Strategies
Fatty liver disease issues? Hello Doctor, last September when I had my blood drawn, my liver function was abnormal with GOT at 30 and GPT at 52. During the ultrasound examination, the doctor mentioned that I had severe fatty liver (I think I heard the doctor mention cell death, b...
Dr. Chen Shidian Reply:
As long as the BMI is maintained within the normal range and liver function is normal, that is sufficient.[Read More] Understanding Fatty Liver: Key Questions and Management Strategies
Understanding Abdominal X-Ray Findings: Right Lower Quadrant Concerns
Abdominal X-ray report: Right lower abdomen? Hello, doctor: I would like to ask about an abdominal X-ray that shows a non-transparent nodule in the right abdominal area. What could this indicate? During the abdominal ultrasound, it was mentioned that it is close to the edge of fa...
Dr. Chen Shidian Reply:
To review the imaging, you can return to the gastroenterology outpatient clinic at the same hospital.[Read More] Understanding Abdominal X-Ray Findings: Right Lower Quadrant Concerns
Understanding Liver Shadows: What Changes in Size Mean for Your Health
Liver shadow? Hello Doctor: I have a history of hepatitis C and mild liver fibrosis. Nine years ago, I underwent a year of treatment with interferon and ribavirin, successfully overcoming chronic hepatitis, and no hepatitis C virus has been detected in my body since. I have been ...
Dr. Chen Shidian Reply:
Let's discuss after the CT scan to ensure safety. Even after severe fibrosis in cured hepatitis C (especially in those with diabetes), there remains a small risk of developing liver cancer.[Read More] Understanding Liver Shadows: What Changes in Size Mean for Your Health
Understanding Treatment Options for Advanced Colon Cancer with Metastasis
Questions about colorectal cancer treatment? As a child seeking advice for my father: My father, in his seventies, was diagnosed with colon cancer that had metastasized to the liver. After surgically removing the tumor at the junction of the colon and rectum, he began chemotherap...
Dr. Chen Shidian Reply:
Consult an oncologist. You can inquire about the cost and effectiveness of immunotherapy if chemotherapy has failed.[Read More] Understanding Treatment Options for Advanced Colon Cancer with Metastasis
Managing Rapidly Growing Liver Cysts: Treatment Options and Concerns
A liver cyst has grown to 3.7 cm over the course of 4 years? Recently, a health check revealed that a liver cyst has grown from over 1 cm four years ago to now 3.7 cm, located near the bile duct (not connected). The growth rate seems rapid, and it will inevitably need to be addre...
Dr. Chen Shidian Reply:
I apologize, but I have no experience with non-invasive treatment of liver cysts. Most cases are just monitored, and if necessary (greater than 10 centimeters and symptomatic), I would consider referring for surgical (minimally invasive) intervention.[Read More] Managing Rapidly Growing Liver Cysts: Treatment Options and Concerns