Liver, Gastroenterology and Hepatology FAQ

Understanding Liver Nodules: Concerns and Next Steps for Patients

Questions about liver nodules? I recently had a health check-up and found the following results: 1. A 1.3 cm liver cyst in segment 8. 2. A hyperechoic nodule in the liver measuring 1.1 x 1.3 cm in segments 7 and 8. 3. Hypoechoic nodules in the liver measuring 2.8 x 2.1 cm in segm...

Dr. Chen Shidian Reply:
Hello, please bring the copied images to a medium or large hospital's gastroenterology department for further examination and confirmation. Changhua Hospital cares about your health. Chen Shidian.

Understanding Elevated G-GT Levels: Causes and Management Tips

Elevated G-GT levels? Hello Doctor, I previously had a blood test related to my liver, and the first time my G-GT level was 67, while both GOT and GPT were within normal ranges. About a month later, I had another blood test for follow-up, and I found that my G-GT level dropped to...

Dr. Chen Qifeng Reply:
Fatty liver can be managed with normal GOT and GPT levels. If rGT is elevated, the general recommendation is to reduce oil and sugar intake, limit alcohol consumption, and increase physical activity. Follow-up should be done every 4 to 6 months.

Understanding Persistent Stomach Pain: Causes and Dietary Guidance

Abdominal distension and pain? Hello: I have been experiencing stomach discomfort and pain for four days, feeling bloated with no appetite at all. Fasting and taking antacids have been ineffective, and I feel particularly uncomfortable upon waking up. I have consulted a doctor, b...

Dr. Chen Shidian Reply:
Hello, Miss. You may consider undergoing a (painless) gastroscopy and liver function tests. Changhua Hospital cares about your health. Chen Shidian.

Understanding Elevated Liver Enzymes: Causes and Hepatitis B Connection

Liver problems and liver enzyme levels? Hello doctor, my mother recently had a liver examination. She has hepatitis B, and due to her age, her condition has deteriorated significantly. However, the normal liver enzyme levels should be below 40, and my mother's level is 46. C...

Dr. Chen Shidian Reply:
Hello, please discuss the reasons with your physician and continue to follow up with Changhua Hospital regarding your health. Chen Shidian.

Understanding Gallbladder Polyps and Liver Hemangiomas: Monitoring Guidelines

Gallbladder polyps and hepatic hemangiomas? Hello, doctor. During my employee health check last year, I was found to have a gallbladder polyp measuring up to 0.33 cm and a hepatic hemangioma (size not specified). In this year's check-up (at a different hospital), the gallbla...

Dr. Chen Shidian Reply:
Hello, Miss. It should be within the margin of error, so there is no need to worry. The two values are unlikely to increase significantly; annual follow-up is sufficient. Changhua Hospital cares about your health. Chen Shidian.

Understanding Elevated Bilirubin Levels: Causes and Implications

The first occurrence of total bilirubin (1.8 mg/dL) and direct bilirubin (0.8 mg/dL) is elevated? I have been taking medication for lowering blood sugar for a long time. My fasting blood sugar is 121 mg/dL, and my HbA1c is 6.5%. My average blood pressure is 130/78 mmHg. Aside fro...

Dr. Lin Minghui Reply:
Total bilirubin and direct bilirubin levels are elevated, indicating liver function abnormalities. It is necessary to check for hepatitis or gallbladder and biliary tract diseases. Causes of hepatitis include viral infections, alcohol consumption, medications, and fatty liver dis...

Can Gallstones and Fatty Liver Cause Chest and Shoulder Pain?

Can gallstones and fatty liver cause pain in the epigastric region or upper abdomen, right shoulder pain, and discomfort in the back? Hello, Director Chen. I apologize for interrupting you during your busy schedule. I am 36 years old, have never smoked or consumed alcohol, and my...

Dr. Chen Shidian Reply:
Hello, sir. While the chances of related opportunities may not be significant, if you have been troubled for a long time, you might consider laparoscopic cholecystectomy to prevent future occurrences of gallstones. Changhua Hospital cares about your health. Sincerely, Chen Shidia...

Can Gallstones and Fatty Liver Cause Upper Abdominal Pain and Discomfort?

Can gallstones and fatty liver cause pain in the epigastric region or upper abdomen, right shoulder pain, and back discomfort? Hello Dr. Chen, I apologize for interrupting you during your busy schedule. I am 36 years old, have never smoked or consumed alcohol, and my blood tests ...

Dr. Chen Qifeng Reply:
In general, fatty liver is less likely to present with pain symptoms. As for gallstones, treatment should be pursued whenever there are symptoms, regardless of their size or quantity. In terms of location, the pain may be due to the gallstones, but based on your description of th...

Understanding Elevated SGPT Levels: Causes and Next Steps for Liver Health

Health check (SGPT) Hello, doctor. My height is 183 cm and my weight is 631 kg. Currently, my physical examination shows an SGPT level of 44, which is above the normal range. Do I need further testing? 2. What could cause this elevated level?

Dr. Chen Shidian Reply:
Hello, sir. Nowadays, many young people have fatty liver disease, and other potential issues may require a visit to a gastroenterologist for further evaluation. Changhua Hospital cares about your health. Chen Shidian.

Understanding Liver and Spleen Issues: Seeking Answers for Chronic Fatigue

I apologize for the trouble, doctor? Hello, doctor! I had an ultrasound that showed an enlarged spleen, a rough surface on the liver, and a portal vein measuring 1.15 cm. There is also a hyperechoic nodule in segment 5 of the liver, which is currently being monitored. I have a hi...

Dr. Cai Anshun Reply:
Hello: If you have not seen a hematologist, you can consult a hematology specialist to investigate the causes of anemia and splenomegaly. Changhua Hospital cares about your health. Dr. Tsai An-shun.

High SGPT and SGOT Levels in a 16-Year-Old: What to Do Next?

A 16-year-old with elevated SGPT (ALT) and SGOT (AST) levels? Hello, doctor. My son is in his first year of high school, and during a school health check, his SGPT was 78 and SGOT was 77. He is 170 cm tall and weighs 76.5 kg, giving him a BMI of 26.38. Both Hepatitis B tests came...

Dr. Chen Shidian Reply:
Hello, Miss. You can schedule an appointment with the Pediatric Gastroenterology and Hepatology department, as it is often related to fatty liver, but we need to confirm this. Changhua Hospital cares about your health. Chen Shidian.

Understanding Spider Angiomas and Their Relation to Liver Tumors

1.3 cm liver tumor with spider angiomas? Hello Director Chen, the health check revealed mild fatty liver and a 1.4 cm liver tumor. The ultrasound could not determine whether it is benign or malignant. There is no evidence of hepatitis B, and hepatitis C is pending testing. Additi...

Dr. Chen Shidian Reply:
Hello, sir. It is not appropriate to make such a judgment. It is advisable to conduct a follow-up with ultrasound first, and if necessary, a CT scan can be performed. Changhua Hospital cares about your health.

Understanding Bowel Issues: Insights on Constipation and Thyroid Health

Bowel movement issues Hello, Doctor: (long text) I used to experience constipation, having a bowel movement every three days, until July when I had diarrhea and went to the hospital. I have hyperthyroidism, and recently I have been having normal bowel movements daily, but sometim...

Dr. Cai Jinji Reply:
If you are still concerned or have symptoms, you may consider undergoing a colonoscopy to determine if there are any issues with the colon.

Understanding Gastrointestinal and Liver Health: When to Seek Further Testing

Gastrointestinal, liver, and kidney? Hello Doctor, I have been experiencing some discomfort in my stomach for the past two weeks. It feels bloated and sometimes a bit painful. I recently had a cold, and my doctor mentioned that it might be related to that. However, I have noticed...

Dr. Chen Shidian Reply:
Hello, if you are experiencing persistent discomfort in the upper abdomen, you may consider undergoing an upper gastrointestinal endoscopy. There doesn't seem to be any urgency regarding other issues, so you can continue to monitor your condition. Changhua Hospital cares abo...

Understanding a 1cm Liver Tumor: Next Steps and Concerns

A liver tumor measuring one centimeter in size? Hello, doctor. During my health check last year, I was diagnosed with mild fatty liver. This year, during a follow-up ultrasound, the fatty liver was no longer present, but a one-centimeter tumor was found. The ultrasound physician ...

Dr. Chen Shidian Reply:
Hello, sir. Patients without hepatitis B or C are unlikely to have liver cancer, so it may be a benign lesion. Please discuss this with a gastroenterologist. Changhua Hospital cares about your health. Chen Shidian

Unexplained White Objects in Stool: What Could It Mean?

There are white unidentified objects in the stool, and the stool is clearly bleeding, which does not seem to be related to hemorrhoidal bleeding? Recently, I have noticed unidentified objects in my stool for several days. I searched online for related issues, and most doctors...

Dr. Chen Shidian Reply:
Hello, Miss. Please return to the gastroenterology outpatient clinic to discuss whether a colonoscopy or sigmoidoscopy is necessary. Changhua Hospital cares about your health. Chen Shidian.

Understanding Gastrointestinal Issues: Diarrhea, Fatigue, and More

Regarding gastrointestinal diarrhea and easy fatigue? Hello Doctor, for the past two months, I have noticed that my bowel movements have been inconsistent, with occurrences of thin stools, diarrhea, constipation, and normal bowel movements interspersed. The overall frequency of m...

Dr. Chen Shidian Reply:
Hello, sir. You may have Irritable Bowel Syndrome (IBS). It is advisable to first check for occult blood in the stool, and then adjust medication and diet as necessary. Changhua Hospital cares about your health. Chen Shidian.

Early Stage Liver Cancer: Treatment Options and Considerations

Early-stage liver cancer treatment? Hello Dr. Chen, my father is a carrier of hepatitis B and has gallstones. Last month, an MRI at Asia University Hospital revealed a 1 cm tumor in the hepatic vein. Due to its proximity to blood vessels, it is not suitable for radiofrequency abl...

Dr. Chen Shidian Reply:
Hello, Miss. You can visit Dr. Huang Kai-Wen at National Taiwan University Hospital for a discussion on new treatment options (out-of-pocket). Changhua Hospital cares about your health. Chen Shidian.

Understanding Hepatitis B Test Results: Should You Pay for Further Testing?

Hepatitis B..? Hello Doctor, I did not pass the military service physical examination and was asked to undergo a re-examination. Therefore, I spent 1500 NTD at a clinic for a blood test to check my liver. After the results came out, the doctor said my report was very unreasonable...

Dr. Chen Shidian Reply:
Hello, you can visit a large hospital's gastroenterology department for follow-up examinations. If your ALT levels continue to rise without decreasing, you may also consider having a DNA test covered by health insurance. Changhua Hospital cares about your health. Chen Shidia...

Understanding Gastrointestinal Issues: From Constipation to Treatment Options

Gastrointestinal discomfort? Hello, Doctor: I have a few questions I would like to ask you. Before I got married, I used to have diarrhea after eating, but after marriage, my bowel movements became more regular, and I had natural deliveries. Recently, I experienced abdominal pain...

Dr. Chen Shidian Reply:
Hello, constipation is a common benign issue that can fluctuate and may not completely resolve. It is important to pay attention to diet, hydration, and exercise, but many people still require long-term medication assistance, which typically does not affect overall health. Surger...

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