Understanding Elevated GGT Levels After Biliary Obstruction Treatment
Abnormal GGT levels in blood tests? Last August, I was hospitalized due to obstructive jaundice caused by sludge blocking the bile duct. The sludge has been cleared from the bile duct, but there is still a small amount of sludge in the gallbladder. I am currently taking medicatio...
Dr. Chen Shidian Reply:
If there is no history of alcohol consumption or fatty liver, it may still be related to bile sludge. The first recommendation should still be to perform cholecystectomy to prevent recurrence; if surgery is not performed, regular follow-up visits are necessary.[Read More] Understanding Elevated GGT Levels After Biliary Obstruction Treatment
Understanding Fatty Liver and Kidney Stones: Dietary Insights and Management
Abdominal ultrasound Hello Doctor: Last year, due to abdominal pain, I was examined and found to have kidney stones and moderate fatty liver. Over the past year, my weight has been stable at 92 kg (height 166 cm), and I have been controlling my diet for about a year. I believe I ...
Dr. Lin Minghui Reply:
The patient has moderate obesity with a BMI of 33.3, and there are kidney stones present with minimal changes observed in the follow-up ultrasound. The abdominal ultrasound shows slight changes in non-fatty areas and multiple small right-sided kidney stones. It is recommended to ...[Read More] Understanding Fatty Liver and Kidney Stones: Dietary Insights and Management
Should You Rush for a Checkup with Slightly Elevated Total Bilirubin?
Is it necessary to urgently return for a follow-up if the total bilirubin level is 0.01 above the normal range but all other indices are normal? Hello, Director! I have a bit of gallstones and mild fatty liver, with no other liver or gallbladder issues. Therefore, I need to under...
Dr. Chen Shidian Reply:
No problem / No need for a follow-up appointment in the short term.[Read More] Should You Rush for a Checkup with Slightly Elevated Total Bilirubin?
Understanding Your CT Report: Insights on Abdominal Findings and Concerns
Interpretation of CT Report Hello Dr. Chen, could you please help me understand the meaning of this report? It seems to mention thickening of the stomach wall; what does that mean? Is the issue serious? Could it be something concerning? I'm a bit worried about some liver and...
Dr. Chen Shidian Reply:
In simple terms, aside from some abnormal fluid accumulation around the gallbladder, there are no significant findings, and further assessment will be based on the clinical physician's judgment (such as whether there is any abdominal pain...).[Read More] Understanding Your CT Report: Insights on Abdominal Findings and Concerns
Do You Need a Follow-Up for Fatty Liver Diagnosis?
Does fatty liver require follow-up visits? Yesterday, during an abdominal ultrasound, the doctor found fatty liver and recommended a blood test. I went for the blood test that same day and just received the report showing AST 33 and ALT 104. Since the doctor did not specifically ...
Dr. Chen Shidian Reply:
Follow-up visits can assess metabolic status and cardiovascular risk while actively promoting healthy weight loss.[Read More] Do You Need a Follow-Up for Fatty Liver Diagnosis?
Understanding Abnormal Liver Indices: Causes and Follow-Up
Abnormal liver function tests? Hello, doctor. I am not currently taking any medications, but I have an issue with being overweight (BMI: 31). Recently, I have experienced mild edema in my lower extremities. Two days ago, I had a blood test, and the kidney values were as follows: ...
Dr. Lin Minghui Reply:
Elevated serum albumin levels can be referred to as hyperproteinemia. Clinically, this is often less significant and may be due to good nutrition or dehydration, which leads to a decreased plasma water content. Hypoglobulinemia refers to low levels of globulins, which are serum p...[Read More] Understanding Abnormal Liver Indices: Causes and Follow-Up
Can Liver High Echogenic Tumors Suddenly Appear? Understanding Rapid Growth
Can a hepatic hyperechoic tumor suddenly develop? Hello Doctor, I have been undergoing abdominal ultrasounds as part of my health check-ups (I have a 0.6 cm hyperechoic tumor that is being monitored). This time, there was a 10-month gap since my last check-up, but I suddenly foun...
Dr. Chen Shidian Reply:
Please discuss with the attending physician whether further examinations are necessary. Additionally, contraceptive pills may promote the growth of hemangiomas, so if you are taking them, it is important to discuss discontinuation.[Read More] Can Liver High Echogenic Tumors Suddenly Appear? Understanding Rapid Growth
Understanding the Growth of Liver Calcifications: What You Need to Know
Enlargement of calcified nodules in the liver? I would like to ask the doctor if liver calcifications can increase in size. In my last abdominal ultrasound, the liver calcifications measured 1.4 cm and 0.9 cm, but in this recent examination, they changed to 2.5 cm and 0.8 cm.
Dr. Chen Shidian Reply:
It may be an angular error.[Read More] Understanding the Growth of Liver Calcifications: What You Need to Know
Understanding Grayish-White Stool: Potential Liver and Digestive Issues
Stool that is pale gray or white in color? Hello Doctor: Since last year, my bowel movements have become unusual. Previously, there was only a small corner of my stool that appeared gray, and I didn't pay much attention to it. However, today I noticed that half of my stool i...
Dr. Chen Shidian Reply:
Further observation is recommended. If symptoms persist or if there is weight loss, medical evaluation should be sought.[Read More] Understanding Grayish-White Stool: Potential Liver and Digestive Issues
Understanding Right Upper Abdominal Pain: Causes and Solutions
Right upper quadrant pain? Hello Doctor, I have been experiencing difficulty sleeping until dawn for over a year and a half since 2021 due to high stress, which has led to a decline in my overall health. Recently, I have had recurrent fevers, abdominal pain, acid reflux, and diar...
Dr. Chen Shidian Reply:
A medical examination is sufficient. If the physician's palpation or ultrasound shows no significant abnormalities, local heat application and dietary/emotional adjustments can be recommended.[Read More] Understanding Right Upper Abdominal Pain: Causes and Solutions
Understanding Liver Nodules and Calcifications: Are They the Same?
Liver lesions and calcifications? Hello, doctor. I would like to ask if hepatic nodular hyperplasia and calcifications in the liver are the same thing? If the fetal protein level is elevated at 17 and there are calcifications in the liver without hepatitis B or C, could this pote...
Dr. Chen Shidian Reply:
Nodules and calcifications should be considered different/unrelated. Elevated fetal protein levels are assessed by a gastroenterologist who monitors changes in values and conducts follow-up with ultrasound, computed tomography, or magnetic resonance imaging.[Read More] Understanding Liver Nodules and Calcifications: Are They the Same?
Understanding the Growth of Liver Calcifications: What You Need to Know
Enlargement of calcified lesions in the liver? I would like to ask the doctor if liver calcifications can increase in size. During the last abdominal ultrasound, the liver calcifications measured 1.4 cm and 0.9 cm, but in this recent examination, they changed to 2.5 cm and 0.8 cm...
Dr. Chen Shidian Reply:
It may be an angular error.[Read More] Understanding the Growth of Liver Calcifications: What You Need to Know
Understanding Upper Abdominal Pain Near Ribs: Causes and Next Steps
Sharp pain in the upper left and right abdomen near the ribs? Hello, currently I am experiencing sharp pain in the upper left and right abdomen near the rib cage. The pain points are quite symmetrical and at a similar height. I usually feel it more when sitting, while standing an...
Dr. Lin Minghui Reply:
If you have gallstones, it is important to maintain a regular diet and avoid greasy foods. Complications from gallstones can sometimes lead to post-meal bloating and pain in the right upper abdomen. If you experience sharp pain in the upper abdomen and are concerned about potenti...[Read More] Understanding Upper Abdominal Pain Near Ribs: Causes and Next Steps
Understanding Gallbladder Issues: Ultrasound vs. CT Scan Accuracy
Gallbladder issues Hello Doctor, during a health check, an abdominal ultrasound indicated a suspected 2 cm mass in the gallbladder, along with a 0.6 cm gallbladder polyp and some stones. I was advised to go to a larger hospital for further examination. Subsequently, I underwent a...
Dr. Hu Guozheng Reply:
I recommend that you go to a major hospital for further examination. Later, I went to the major hospital for a CT scan, and the results seem to show no abnormalities. Please return for a follow-up appointment so that the attending physician can interpret the report, and then proc...[Read More] Understanding Gallbladder Issues: Ultrasound vs. CT Scan Accuracy
Understanding Ultrasound Findings in Liver and Gallbladder Health
Ultrasound Interpretation 1. Liver: (1) INCREASED ECHOGENICITY (2) ONE FOCAL SPARING AREA (3.3X1.6CM) IN THE RIGHT LOBE (3) TWO CALCIFIED AREAS (2.5CM, 0.8CM) IN THE RIGHT LOBE 2. IHD: NO DILATATION 3. CBD: NO DILATATION 4. GB: SMALL POLYPS 5. PV system: NO ENLARGEMENT 6. Pancrea...
Dr. Chen Shidian Reply:
Small polyps are not abnormal, and their angle can influence their appearance. Localized areas without fat are a common ultrasound finding and are not considered abnormal.[Read More] Understanding Ultrasound Findings in Liver and Gallbladder Health
Can Liver Calcifications Increase in Size? Understanding Your Ultrasound Results
Enlargement of calcified nodules in the liver? I would like to ask the doctor if liver calcifications can increase in size. In my last abdominal ultrasound, the liver calcifications measured 1.4 cm and 0.9 cm, and in this recent examination, they have changed to 2.5 cm and 0.8 cm...
Dr. Chen Shidian Reply:
It may be an angular error.[Read More] Can Liver Calcifications Increase in Size? Understanding Your Ultrasound Results
Intermittent Right Lower Rib Pain: When to Consult a Gastroenterologist?
Intermittent pain in the right lower rib area? Hello Doctor, my father has stage I lung adenocarcinoma and early-stage hypertension (with a systolic blood pressure of about 130). He underwent a right upper lobectomy at the end of December last year, and a follow-up low-dose compu...
Dr. Chen Shidian Reply:
If pain persists after taking gastric medication, a referral to a gastroenterologist may be considered.[Read More] Intermittent Right Lower Rib Pain: When to Consult a Gastroenterologist?
Understanding the Mystery of Fatty Liver: Normalizing Liver Enzymes
Fatty liver disease issues? I would like to ask, I had a health check-up in July that revealed severe fatty liver. In October, I returned for a follow-up and had blood tests, and the doctor said my liver enzymes were normal. However, I am puzzled because I haven't made any c...
Dr. Chen Shidian Reply:
Please discuss with the hepatobiliary department, and it is still recommended to maintain a normal body weight and limit alcohol consumption.[Read More] Understanding the Mystery of Fatty Liver: Normalizing Liver Enzymes
Understanding Pancreatic Issues from Abdominal Ultrasound Results
Abdominal ultrasound issues - pancreatic problems? Hello Doctor: I had an abdominal ultrasound, and part of the report states: PANCREAS: echogenic pancreas, head/tail: poor resolution, body: normal. During the procedure, the doctor mentioned that the pancreas appeared to be somew...
Dr. Cai Anshun Reply:
Hello: The echogenic pancreas shows poor resolution in the head and tail, while the body appears normal. This means that only the body of the pancreas is visible, and the head and tail are obscured by intestinal gas. Fatty pancreas is similar to fatty liver, which requires weight...[Read More] Understanding Pancreatic Issues from Abdominal Ultrasound Results
Can a Six-Month-Old Baby Safely Take One Capsule of Chengda Hepatoprotective?
Can a six-month-old baby eat one of Chengda's liver-protecting pills? The child is currently 8 months old chronologically and 6 months adjusted, weighing 9.3 kg and measuring 69 cm in height. Two months ago, the child experienced hepatitis (elevated liver enzymes, but normal...
Dr. Chen Shidian Reply:
In principle, there are no side effects, but I do not have pediatric experience, so I can consult a neonatologist/pediatrician for further advice.[Read More] Can a Six-Month-Old Baby Safely Take One Capsule of Chengda Hepatoprotective?