Understanding Your Fatty Liver Diagnosis: Severity Levels Explained
What stage of fatty liver disease do I have? Hello doctor, I recently had an abdominal ultrasound, and the report described the liver as "Liver: Bright echogenicity of liver parenchyma. Fatty liver is considered." Based on this description alone, can we determine whethe...
Dr. Cai Anshun Reply:
Hello: This term only refers to fatty liver, without distinguishing between mild, moderate, or severe cases. You can return for a follow-up consultation to ask the doctor for more details. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Your Fatty Liver Diagnosis: Severity Levels Explained
Protecting Your Liver and Kidneys While Taking Long-Term Medications
How to protect the liver and kidneys during long-term medication use? Hello Doctor: I am a 19-year-old patient with ankylosing spondylitis, and I have been experiencing symptoms for over two years. For the past year, I have been managing my condition with Celecoxib (a non-steroid...
Dr. Chen Shidian Reply:
Maintain a normal diet, avoid using unverified remedies, and have regular blood tests.[Read More] Protecting Your Liver and Kidneys While Taking Long-Term Medications
Understanding Tumor Diagnosis: Navigating Liver Health Concerns
Informed of having a tumor? Hello Doctor, I discovered a 1.6 cm hypoechoic lesion in my liver during a health check on November 29 (no hepatitis B, but no antibodies; hepatitis C is negative, and blood tests are normal). I scheduled an appointment on March 8 and had an abdominal ...
Dr. Chen Shidian Reply:
Appointment rescheduling/early follow-up visit.[Read More] Understanding Tumor Diagnosis: Navigating Liver Health Concerns
Understanding Elevated Total and Direct Bilirubin Levels: What to Do Next?
Total bilirubin, direct bilirubin in red text? Hello Doctor, I had a blood test this week, and the results showed total bilirubin at 1.52 mg/dL (reference range 0.1-1.2), direct bilirubin at 0.66 mg/dL (reference range ≤0.3), while the other values such as A/G ratio, sGOT, sGPT, ...
Dr. Chen Shidian Reply:
It is mostly a matter of genetic predisposition; regular blood tests each year are sufficient for monitoring.[Read More] Understanding Elevated Total and Direct Bilirubin Levels: What to Do Next?
Understanding Colon Cancer Spread: Diet and Treatment Options
The speed of colorectal cancer metastasis and diet? Hello Doctor: My mother was diagnosed with stage 4 colorectal cancer before the Lunar New Year, which has already metastasized to the liver. The tumor is located near the bladder, and there are three lesions in the liver, each a...
Dr. Cai Jinji Reply:
Dear Mr. Hsiao, Due to the unique circumstances of each case, it is advisable to refer to the report images and individual health conditions. It is recommended to follow the guidance of the current physician for clearer insights. Director Cai Jin-ji, Department of Hepatobilia...[Read More] Understanding Colon Cancer Spread: Diet and Treatment Options
Understanding Elevated Liver Enzymes: When to Seek Medical Attention
Examination Report I would like to inquire about the health check I underwent during my military service, where my GOT was 52 and GPT was 109. I later had a follow-up test with a GPT of 86. I would like to know the possible reasons for these abnormalities and whether I need to go...
Dr. Chen Shidian Reply:
It is recommended to consult a gastroenterologist.[Read More] Understanding Elevated Liver Enzymes: When to Seek Medical Attention
Understanding Liver Cancer Diagnosis: Key Insights and Follow-Up Care
Diagnosis of Liver Cancer Hello Doctor: I have been a carrier of hepatitis B since childhood. During a health check-up, it was found that my liver GOT and GPT levels were elevated. I went to a gastroenterology clinic for blood tests and discovered that my AFP level was 166, which...
Dr. Chen Shidian Reply:
It is recommended to discuss the follow-up plan with the attending physician based on the current examination data.[Read More] Understanding Liver Cancer Diagnosis: Key Insights and Follow-Up Care
Understanding Gastroesophageal Reflux: Questions and Insights for Patients
Gastroesophageal reflux disease (GERD) Hello doctor, I have a few questions regarding gastroesophageal reflux disease (GERD). 1. I underwent endoscopy at two different hospitals. Each time I went to Taipei Medical University, they said I have mild gastroesophageal reflux. Howev...
Dr. Zhang Kebin Reply:
Hello! The physician will provide appropriate treatment based on your symptoms and examination results. If you still have concerns, you may consult your attending physician or seek care at another medical facility. Thank you![Read More] Understanding Gastroesophageal Reflux: Questions and Insights for Patients
Understanding Your Ultrasound Report: Insights on Fatty Liver Diagnosis
Examination report issues? Hello Doctor, I had an abdominal ultrasound last month, and the doctor mentioned that everything was normal at the time. However, after checking the National Health Insurance app, it indicated fatty liver. The report is as follows: Sonar Findings: - L...
Dr. Chen Shidian Reply:
For mild fatty liver, if overweight, implement a diet and weight loss plan.[Read More] Understanding Your Ultrasound Report: Insights on Fatty Liver Diagnosis
Understanding Gastrointestinal Issues: Symptoms and Solutions
Gastrointestinal issues Hello, about a year or two ago, I started experiencing abdominal pain before having a bowel movement, which often leads to belching. My stool is generally loose and may contain food remnants. In recent months, due to changes at work, I have been under sign...
Dr. Cai Anshun Reply:
Hello, you may need to examine your dietary habits and mental stress to see if there are areas for improvement. We cannot rule out the possibility of irritable bowel syndrome. If there is no improvement, you should consult a gastroenterologist to rule out any underlying organ iss...[Read More] Understanding Gastrointestinal Issues: Symptoms and Solutions
Does Taking Taik Gastric Medicine Affect Blood Test Results?
Does taking Teku Gastrol affect blood test results? Hello, doctor. Recently, during a gastroscopy, I was diagnosed with Grade B gastroesophageal reflux disease (GERD). The clinic physician prescribed me 30 mg of Tegoprazan to be taken once daily before bedtime for a duration of t...
Dr. Chen Shidian Reply:
It will not have an impact.[Read More] Does Taking Taik Gastric Medicine Affect Blood Test Results?
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 Gastritis: Causes, Symptoms, and Dietary Tips for Relief
Gastrointestinal discomfort Two days ago, after suddenly feeling full, I experienced severe pain above my navel that lasted all night, preventing me from sleeping. Later, I took an over-the-counter medication called "Zhi Ni Kui," and I unknowingly fell asleep. The next ...
Dr. Lin Minghui Reply:
Hello, a 33-year-old female. Recurrent abdominal pain occurs after meals, lasting 10-20 minutes each time. There has been improvement with medication for ulcers and gastroesophageal reflux at night. Gastroscopy and ultrasound examinations show gastritis. Dietary recommendations f...[Read More] Understanding Gastritis: Causes, Symptoms, and Dietary Tips for Relief
Understanding Abdominal Discomfort: Fatty Liver and Gallbladder Issues
Physical discomfort? I have fatty liver disease and multiple gallbladder polyps, the largest being 0.52 cm, as well as a 1.50 cm cyst on my left kidney and a 0.52 cm kidney stone. This morning, I chose to eat cereal for breakfast to improve my health, but since then, I have felt ...
Dr. Cai Anshun Reply:
Hello: Based on the distribution of organs in the upper left abdomen, it is more likely to be related to gastric discomfort. Additionally, the junction of the transverse colon and descending colon, the left kidney, and the pancreas could also be involved. If the pain worsens, ple...[Read More] Understanding Abdominal Discomfort: Fatty Liver and Gallbladder Issues
Understanding Upper Abdominal Pain: When to Seek Medical Attention
Upper abdominal discomfort? About three days ago, I started experiencing pain when pressing on a specific point in the upper right part of my abdomen (it doesn't hurt when not pressed). Initially, the tenderness would subside after a few minutes of pressure, and pressing the...
Dr. Cai Anshun Reply:
Hello: That location may correspond to the gastroesophageal junction. Please pay attention to any symptoms of gastroesophageal reflux. It is recommended to follow a light diet and avoid caffeinated beverages. Fatty liver or mild liver inflammation typically does not present with ...[Read More] Understanding Upper Abdominal Pain: When to Seek Medical Attention
Understanding Hepatitis B: Key Insights for Family Health Management
Regarding Hepatitis B? Hello Doctor: Recently, my mother (70 years old) underwent a health check-up, and the ultrasound revealed signs of liver degeneration. She has also had a clinic health examination and an upper gastrointestinal endoscopy, which showed the presence of Helicob...
Dr. Lin Minghui Reply:
Hello: HBsAg (+) *243.300 indicates a carrier of Hepatitis B, who requires regular monitoring every six months, including blood tests and abdominal ultrasounds. Hepatitis B is a high-risk factor for liver cirrhosis and liver cancer. If taking dietary supplements and traditional C...[Read More] Understanding Hepatitis B: Key Insights for Family Health Management
Understanding Right Lower Abdominal Pain: Causes and Diagnostic Approaches
Right-sided abdominal pain inquiry? Hello Dr. Tsai, I would like to ask you a more detailed question. I appreciate your response. Last year, I experienced discomfort about 3 to 4 times in the same area (right lower abdomen to the pelvic region, with soreness, bloating, and a feel...
Dr. Cai Anshun Reply:
Hello: To diagnose Crohn's disease, an endoscopy with biopsy is necessary to confirm the diagnosis. Whether it is Crohn's disease also requires the clinical judgment of a physician, who will arrange for further examinations. It cannot be diagnosed solely by CT or MRI. C...[Read More] Understanding Right Lower Abdominal Pain: Causes and Diagnostic Approaches
Can Liver Tumors Grow Rapidly? Understanding Ultrasound Findings
Ultrasound reveals a suspected liver tumor? I underwent an abdominal CT scan on December 2nd of last year (2021), which did not indicate any liver masses. However, during an abdominal ultrasound at another hospital on January 20th of this year (2022), two suspected liver tumors w...
Dr. Cai Anshun Reply:
Hello: In terms of accuracy, the results of the CT scan should be considered. The high and low echoes observed in ultrasound can be affected by factors such as intestinal gas and fatty liver, so there is no need to worry too much at this point. You may want to consult your hepato...[Read More] Can Liver Tumors Grow Rapidly? Understanding Ultrasound Findings
Persistent Blood in Stool: When to Consider Small Bowel Endoscopy?
Persistent bloody stools with no identifiable bleeding source on examination: Is a small bowel endoscopy necessary? Symptoms: First episode of bloody stool from January 9 to January 11. Patient: 68-year-old female with a history of mild gastric ulcer and elevated cholesterol. Tre...
Dr. Chen Shidian Reply:
It should not be related to the liver. It is necessary to work with a gastroenterologist and take some time for a thorough examination. Small bowel endoscopy and angiography are both considerations.[Read More] Persistent Blood in Stool: When to Consider Small Bowel Endoscopy?
Understanding Liver, Gallbladder, and Pancreas Tests for Digestive Issues
Eating too much oily food can lead to diarrhea (check the liver, gallbladder, and pancreas systems)? Hello, doctor. Thank you for your response. You mentioned that we can check the liver, gallbladder, and pancreas system. Is this a standard examination available at all gastroente...
Dr. Cai Anshun Reply:
Hello: You can visit the Gastroenterology and Hepatology department, where the physician will assess and arrange appropriate examinations. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Liver, Gallbladder, and Pancreas Tests for Digestive Issues