Understanding Liver Tumor Diagnosis: Next Steps and Evaluation Methods
Liver tumor differentiation Hello Doctor, I would like to ask, if a check-up reveals a tumor approximately 2 centimeters in size, and the type is still unclear, should I follow up with a hepatobiliary specialist or a surgeon? Additionally, the doctor mentioned to observe for thre...
Dr. Cai Anshun Reply:
Hello: You can visit the gastroenterology and hepatobiliary department. If you are considered low risk (without hepatitis B/C, family history, or past history of tumors), you can follow your physician's recommendation for a three-month follow-up. If there are any changes, a ...[Read More] Understanding Liver Tumor Diagnosis: Next Steps and Evaluation Methods
Understanding Stage 4 Gallbladder Cancer: Key Questions and Insights
Questions about Stage IV Gallbladder Cancer Hello, Doctor: My relative was diagnosed with stage IV gallbladder cancer in early October. Currently, the gallbladder and tumor have been removed (the tumor was small), and part of the liver and nearby lymph nodes were also excised to ...
Dr. Chen Qifeng Reply:
1. Yes. 2. It is stage IV. 3. A biopsy of the lesion should be performed during surgery for pathological examination.[Read More] Understanding Stage 4 Gallbladder Cancer: Key Questions and Insights
Understanding Gastrointestinal Issues: Symptoms, Causes, and Solutions
Gastrointestinal issues I have been coughing up yellow phlegm for two weeks. On Thursday, October 11, I visited the ENT department at Zhongxiao Hospital. The doctor took an X-ray and diagnosed me with mild pneumonia. Since everyone in my household has been coughing for nearly a m...
Dr. Cai Anshun Reply:
Hello: 1. It may initially be a side effect of erythromycin. 2. Antibiotics can kill the normal flora in the intestines, allowing certain suppressed bacterial species, such as Clostridium difficile, to overgrow and cause pseudomembranous colitis. 3. Inflammation can also lead to ...[Read More] Understanding Gastrointestinal Issues: Symptoms, Causes, and Solutions
Post-Appendectomy Pain: Understanding Discomfort and Concerns
Postoperative pain after appendectomy? Hello Doctor, I underwent laparoscopic appendectomy on September 11, with three small incisions located at my belly button, lower right abdomen, and lower abdomen. After being discharged on September 14, I started experiencing pain in my upp...
Dr. Cai Jinji Reply:
Hello, since the description is a bit abstract, could you please find time to see a gastroenterologist for evaluation to better determine the issue, and then proceed with further examinations?[Read More] Post-Appendectomy Pain: Understanding Discomfort and Concerns
Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Management
Irritable Bowel Syndrome (IBS) Hello Doctor, I previously had blood in my stool. I underwent a colonoscopy in April, which did not reveal any issues. Later, I started experiencing pain in my lower left abdomen and the urge to use the bathroom. Sometimes my stools were loose and m...
Dr. Lin Minghui Reply:
Hello: You are experiencing abnormal bowel movements and lower abdominal pain. A colonoscopy was normal, raising suspicion of irritable bowel syndrome. It is recommended to pay attention to your diet, reduce fatty foods, and maintain a positive mood. The presence of fat in your s...[Read More] Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Management
Gallbladder Issues: Is Surgery Necessary for Patients with Liver Concerns?
Gallbladder issues Last week, I had a follow-up examination, and my ALKP level was 379, with a normal range being 320. The doctor mentioned that the ultrasound showed a lot of gallstones and thickening of the gallbladder wall, and recommended cholecystectomy. Given my current con...
Dr. Chen Shidian Reply:
Hello, if there is no improvement with monitoring, it is recommended to proceed with excision to prevent potential future changes. Changhua Hospital cares about your health. Chen Shidian[Read More] Gallbladder Issues: Is Surgery Necessary for Patients with Liver Concerns?
Understanding Fatty Liver in Children: Concerns and Solutions
Liver issues? Hello, doctor: I have a son who is currently in the fifth grade. The school arranged for a blood test, and it was found that he has fatty liver disease. His liver enzyme levels have not improved, and even after taking liver-protective medication from the hospital, t...
Dr. Chen Shidian Reply:
Hello, please visit the Hepatobiliary outpatient clinic at the hospital to confirm the cause and treatment direction. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Fatty Liver in Children: Concerns and Solutions
Understanding Elevated GPT Levels: Causes and Next Steps for Liver Health
Elevated liver enzymes? Hello Doctor: I have regular health check-ups, but my GPT levels have consistently been abnormal, ranging from 50 to 80, while my GOT levels are normal. An ultrasound examination showed mild fatty liver. There are no other abnormalities, and I do not drink...
Dr. Cai Anshun Reply:
Hello: 1. Based solely on the ultrasound results, fatty liver can potentially lead to liver inflammation. 2. It is recommended to maintain a light diet, control weight, engage in moderate exercise, and avoid using unproven remedies. Changhua Hospital cares about your health. Dr. ...[Read More] Understanding Elevated GPT Levels: Causes and Next Steps for Liver Health
Understanding Liver Hypoechoic Nodules: Causes and Risk Factors Explained
Hypoechoic liver nodule Hello Doctor: My boyfriend, who is 29 years old and works a fixed night shift, was found to have a hypoechoic nodule measuring 0.7 cm in the liver (S5) during a health check ultrasound at his company. I am very worried after reading articles online about h...
Dr. Chen Shidian Reply:
Hello, if there is no history of hepatitis B or other illnesses, you can be reassured. However, it is still recommended to have regular follow-ups every 3 to 6 months for comparison. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Liver Hypoechoic Nodules: Causes and Risk Factors Explained
Understanding Increased Brightness in Pancreas Ultrasound Reports
Abdominal ultrasound report inquiry? Hello Dr. Chen: Due to a benign tumor in my liver, I have been undergoing annual abdominal ultrasounds for monitoring. I reviewed the reports from the past two years and found a description regarding the pancreas that states: "Pancreas In...
Dr. Chen Shidian Reply:
Hello, sir. Yes, there is also fatty pancreas. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Increased Brightness in Pancreas Ultrasound Reports
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 Digestive Issues: Gas, Bloating, and Abdominal Pain Explained
Gastroenterology and Hepatology Doctor, my bowel movements are normal, occurring once every one to two days. I experienced constipation two years ago, and an X-ray showed that I had a lot of stool in my abdomen. I took laxatives and then my bowel movements returned to normal. In ...
Dr. Cai Anshun Reply:
Hello: If you have already undergone an endoscopy and have taken medication, it is possible that you may experience symptoms related to adhesions. If there are no significant issues, it may be helpful to adjust your mindset and accept these symptoms, engage in more physical activ...[Read More] Understanding Digestive Issues: Gas, Bloating, and Abdominal Pain Explained
Understanding Esophageal Pain and Digestive Issues: When to Seek Help
Esophageal issues, loss of appetite, gastrointestinal discomfort? Hello Dr. Chen, I have been experiencing esophageal pain during swallowing and a feeling of fullness and discomfort in my stomach for the past two months, which has led to a loss of appetite. A recent endoscopy sh...
Dr. Chen Qifeng Reply:
It is recommended to complete the treatment for esophageal ulcers; if there is no improvement, further evaluation and management should be pursued.[Read More] Understanding Esophageal Pain and Digestive Issues: When to Seek Help
Persistent Stomach Pain and Bitter Taste: When to Seek Further Medical Help
Abdominal distension, bitter taste in the mouth, vomiting, and chest pain? Hello Dr. Chen, I have been experiencing stomach pain for three weeks now, which feels like a dull ache (similar to being punched). I have undergone an endoscopy and consulted a doctor. The results of the ...
Dr. Chen Qifeng Reply:
In addition to completing the antimicrobial treatment, it is recommended to undergo abdominal ultrasound and liver function tests.[Read More] Persistent Stomach Pain and Bitter Taste: When to Seek Further Medical Help
Concerns About Hepatitis B Infection After Unprotected Sex: What You Need to Know
Inquire about the possibility of hepatitis B infection? I'm sorry, doctor. I keep asking you the same question. I had several instances of unprotected sexual intercourse between February and April, and I don't know the partner's medical history. I currently have no...
Dr. Chen Shidian Reply:
Hello: There is no need to worry about repeated inquiries if you have not been infected. Everyone's test results will not be zero; this is a matter of laboratory science and does not require further explanation. If you would like to receive the Hepatitis B vaccine, you can d...[Read More] Concerns About Hepatitis B Infection After Unprotected Sex: What You Need to Know
Understanding Liver Function: High SGPT and SGOT Levels Explained
Is liver function normal? Is an SGPT of 108 and an SGOT of 67 considered high? Does this indicate a liver problem? Additionally, an abdominal ultrasound revealed gallbladder polyps; is there a connection? What should I do next? Thank you.
Dr. Chen Shidian Reply:
Hello: Please cooperate with the gastroenterologist to determine the cause and treatment, and adjust your lifestyle and diet accordingly. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Liver Function: High SGPT and SGOT Levels Explained
Normal Liver Function but 9.8 cm Black Shadow Detected: What Could It Be?
Liver function tests are normal, but a 9.8 cm black shadow has been detected? Hello Doctor: A few days ago during an ultrasound examination, a 9.8 cm black shadow was found on the liver, along with another 3 cm and a 6 cm (which has ruptured). However, blood tests showed normal l...
Dr. Chen Shidian Reply:
Hello, please discuss with your gastroenterologist to differentiate the diagnosis based on imaging details. Changhua Hospital cares about your health. Chen Shidian[Read More] Normal Liver Function but 9.8 cm Black Shadow Detected: What Could It Be?
Understanding Gastrointestinal Issues: Seeking Relief from Ongoing Stomach Pain
Regarding gastrointestinal issues? Hello Doctor, I apologize for bothering you with some questions. I have been experiencing stomach discomfort and pain since around June 20th, which has continued until now. Sometimes the discomfort and pain are quite severe, and I feel nauseous....
Dr. Cai Anshun Reply:
Hello: 1. Ranitidine and Famotidine are both proton pump inhibitors, but they differ in the degree and duration of acid suppression. 2. If symptoms such as stomach discomfort, pain, and nausea are caused by excess stomach acid, taking medication may be helpful. 3. It is recommend...[Read More] Understanding Gastrointestinal Issues: Seeking Relief from Ongoing Stomach Pain
Navigating Nutrition for Liver Cirrhosis and Diabetes Management
Cirrhosis and Diabetes Mellitus Hello, doctor. My mother has cirrhosis and diabetes. Cirrhosis requires increased nutritional intake, while diabetes necessitates dietary control, creating a dilemma regarding her diet. Is it possible to supplement with commercially available B vit...
Dr. Chen Shidian Reply:
Hello, you can consult a professional nutritionist for advice on dietary issues. Vitamin B complex does not violate medical principles and can be used, but its benefits are limited. Changhua Hospital cares about your health. Chen Shidian.[Read More] Navigating Nutrition for Liver Cirrhosis and Diabetes Management