Understanding Colonic Descensus: Treatment Options and Dietary Tips
Colonic prolapse I have been experiencing mild pain in my upper right abdomen for the past six months. Recently, I arranged for a colon X-ray examination, and the doctor said that I have a prolapsed colon, which appears in an M shape, while it should normally be in a U shape. The...
Dr. Chen Qifeng Reply:
Hello: Right upper quadrant pain may be associated with the liver, gallbladder, duodenum, and colon. If necessary, abdominal ultrasound and urgent gastroscopy should be performed. Colonic prolapse generally leads to bowel dysfunction, and if there are symptoms of constipation and...[Read More] Understanding Colonic Descensus: Treatment Options and Dietary Tips
Traveling by Plane with Esophageal Arteriosclerosis in Advanced Liver Cancer
Can a person with esophageal arteriosclerosis caused by liver cancer fly on an airplane? Doctor: Hello, my father is currently in the terminal stage of liver cancer and is undergoing ongoing treatment. He also has complications from esophageal arteriosclerosis and has experienced...
Dr. Chen Shidian Reply:
Hello, Miss: If there is bleeding from esophageal varices, the primary treatment is endoscopic ligation (rather than embolization). However, there is still a possibility of bleeding (especially when abdominal pressure increases), so international travel is not recommended, and me...[Read More] Traveling by Plane with Esophageal Arteriosclerosis in Advanced Liver Cancer
Understanding Fatty Liver: High GPT and R-GT Levels Explained
Please provide the content you would like me to translate into English? Hello Doctor: I would like to provide the following information for your reference: 1. Height: 171 cm, Weight: 82 kg. Liver function tests: - GOT: 78 (reference value 0-40) - GPT: 200 (reference value 0-...
Dr. Yang Zhichao Reply:
Hello Mr. Chang, based on the information you provided, your liver enzyme levels indicate signs of hepatitis. In Taiwan, common causes include hepatitis B/C infections, alcoholic hepatitis, and fatty liver disease. However, based on the information provided, hepatitis B/C infecti...[Read More] Understanding Fatty Liver: High GPT and R-GT Levels Explained
Understanding Elevated Liver Function Tests and Fatty Liver Connection
Liver function issues? Hello Dr. Chen, I would like to provide you with the following health examination report for your reference: 1. GPT (Serum Alanine Aminotransferase) 180 (normal range: 4-44 U/L) 2. GOT (Aspartate Aminotransferase) 83 (normal range: 8-38 U/L) 3. r-GT...
Dr. Chen Shidian Reply:
Dear Mr. Chang: The information provided is still insufficient for a determination, so please visit the gastroenterology outpatient clinic. Changhua Hospital cares about your health. Sincerely, Chen Shih-Tien.[Read More] Understanding Elevated Liver Function Tests and Fatty Liver Connection
Understanding Fatty Liver: High Liver Enzyme Levels Explained
Fatty liver disease issues? Hello Doctor: My height is 171 cm and my weight is 82 kg. Currently, my blood test results are as follows: 1. GPT: 180 (normal range: 4-44 U/L) 2. GOT: 83 (normal range: 8-38 U/L) 3. R-GT: 134 (normal range: 6-73 U/L) 4. MCV: 101.5 (normal range: 80-10...
Dr. Chen Qifeng Reply:
Hello: If there is no hepatitis B and no alcohol abuse, it may be related to fatty liver. The R-GT levels in fatty liver can also potentially double. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Department of Gastroenterology, Taoyuan General Hospital, Ministry of ...[Read More] Understanding Fatty Liver: High Liver Enzyme Levels Explained
Understanding Edema After Antacid Use: A Patient's Dilemma
Consultation: Unexplained edema after taking antacids? Hello Dr. Chen, 1. Around mid-May, my mother sought medical attention for stomach pain (no endoscopy was performed), and the doctor prescribed medication (I don't remember the name). After taking the medication for a f...
Dr. Chen Qifeng Reply:
Hello: There are many causes of edema, including diseases of the heart, liver, and kidneys, as well as circulatory issues. Medications can also be a contributing factor. Besides using Ranitidine or Pantoprazole, are there any other medications being used? If these medications are...[Read More] Understanding Edema After Antacid Use: A Patient's Dilemma
What to Do When Cystic Liver Infection Surgery Fails: A Guide
What should be done if there are no results after surgery and drainage for polycystic liver disease? Hello doctor, my mother is 72 years old. Two years ago, she underwent surgery for a bacterial infection in her liver cysts and had her gallbladder removed. She was hospitalized a ...
Dr. Lin Minghui Reply:
Hello: 1. The elevated bilirubin levels can be caused by infections, liver issues, or bile duct obstructions. 2. The standard treatment for liver cyst infections involves drainage or aspiration combined with antibiotics, and sometimes the treatment duration may be extended. It...[Read More] What to Do When Cystic Liver Infection Surgery Fails: A Guide
Understanding 2cm Homogeneous Hypoechoic Nodules in the Liver
Abdominal ultrasound liver issues? What is a 2 cm homogeneous hypoechoic nodule in the liver, doctor?
Dr. Chen Shidian Reply:
Hello: If a homogeneous low-echo nodule of 2 cm is found in the liver, it could potentially be a benign tumor, a malignant tumor, or simply uneven fat distribution. It is recommended to have an evaluation by a hepatobiliary and gastrointestinal specialist to determine the nature ...[Read More] Understanding 2cm Homogeneous Hypoechoic Nodules in the Liver
Understanding Fistulas: Key Questions for Liver and Gastrointestinal Health
Suspected fistula? Thank you, Dr. Chen, for your response. Regarding the small lump from last time, I sent a photo back to Taiwan and was informed that it is a fistula. I would like to ask Dr. Chen: 1. Due to work commitments, I will not be able to return to Taiwan for another ...
Dr. Chen Qifeng Reply:
Hello: Generally, a rectal tube may not necessarily address hemorrhoids simultaneously. As for antibiotics, they can only temporarily suppress the condition, but if the situation is severe, early surgery is necessary. Wishing you safety and health. Dr. Chi-Feng Chen, Gastroentero...[Read More] Understanding Fistulas: Key Questions for Liver and Gastrointestinal Health
Understanding a 2cm Homogeneous Low-Echogenic Nodule in the Liver
An ultrasound examination revealed a 2 cm homogeneous hypoechoic nodule in the liver? Could you please provide more context or details about the medical condition you are inquiring about? Thank you.
Dr. Chen Qifeng Reply:
Hello: The assessment should consider conditions such as hepatitis B, and then evaluate the characteristics of the ultrasound images for further judgment. Wishing you safety and health. Dr. Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health a...[Read More] Understanding a 2cm Homogeneous Low-Echogenic Nodule in the Liver
Signs of Liver Issues: Understanding Red Palms and Health Concerns
Symptoms of liver dysfunction? Hello, research indicates that individuals with liver issues often have reddened palms. I happen to have slightly reddened palms and my soles are also redder than others, but my liver function and abdominal ultrasound results are normal. If the redd...
Dr. Chen Qifeng Reply:
Hello: Indeed, patients with chronic liver disease may exhibit palmar erythema; however, the presence of red palms does not necessarily indicate liver problems. Please continue to monitor the situation. Wishing you safety and health. Sincerely, Dr. Chen Chi-Feng, Gastroenterology...[Read More] Signs of Liver Issues: Understanding Red Palms and Health Concerns
Understanding Nexium for Superficial Ulcers: Duration and Side Effects
Medications for Peptic Ulcers Hello, doctor. A few days ago, I underwent an endoscopy and found a small red spot approximately 0.5 cm. The biopsy pathology report indicated superficial ulcer. The doctor prescribed Nexium 40 mg to be taken once daily for three months. I would like...
Dr. Chen Qifeng Reply:
Hello: The treatment course for gastric ulcers typically lasts 4 to 6 weeks. Depending on the improvement of symptoms, it may be extended to 3 to 4 months if necessary. Generally, Nexium rarely causes serious side effects; however, some individuals may experience abdominal pain, ...[Read More] Understanding Nexium for Superficial Ulcers: Duration and Side Effects
Understanding Cirrhosis: Diagnostic Tools and Options in Taoyuan
Diagnosed with liver cirrhosis? I have been diagnosed with liver cirrhosis by a gastroenterologist. The surface of my liver is very rough, and I have undergone ultrasound examinations for over ten years without any improvement. I recently moved to Taoyuan and would like to know w...
Dr. Chen Qifeng Reply:
Hello: For the follow-up of liver cirrhosis, it is generally recommended to undergo abdominal ultrasound and blood tests every 3 to 6 months. Wishing you safety and health. Sincerely, Dr. Chi-Feng Chen, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health ...[Read More] Understanding Cirrhosis: Diagnostic Tools and Options in Taoyuan
Persistent Hiccups: Causes and Remedies for Stuck Air Bubbles
Persistent hiccups? I used to rarely hiccup, but recently I've been hiccuping more often. Additionally, I feel like I can't get the hiccups out, and there are a lot of small bubbles trapped in my throat, mixed with saliva. This sensation persists for a while, and I keep...
Dr. Chen Qifeng Reply:
Hello: You can arrange for an endoscopy and other examinations in the gastroenterology department. In addition to gastrointestinal issues, conditions affecting the liver, gallbladder, and even the lungs may also cause hiccups. Wishing you peace and good health. Sincerely, Dr. Chi...[Read More] Persistent Hiccups: Causes and Remedies for Stuck Air Bubbles
Understanding Upper Abdominal Bloating: Causes and Solutions
Upper abdominal bloating and pain? Hello Dr. Tsai, I have been experiencing bloating and pain in my upper abdomen (just above the navel) for over a week. Over the past six months, I have intentionally lost about 20 kilograms through exercise without taking any medication. Due to ...
Dr. Cai Anshun Reply:
Hello: Psychiatric medications should be gradually tapered under the supervision of a psychiatrist, rather than abruptly discontinued. As for whether further examinations are necessary, this should be determined after an evaluation by a gastroenterologist. Changhua Hospital cares...[Read More] Understanding Upper Abdominal Bloating: Causes and Solutions
Understanding Persistent Upper Right Abdominal Pain: Causes and Concerns
Causes of persistent mild pain in the right upper abdomen? Hello Doctor: I have been undergoing treatment for gastroesophageal reflux disease, esophageal ulcers, and gastric ulcers for the past year. However, for the past two months, I have been experiencing persistent mild pain ...
Dr. Cai Jinji Reply:
A more detailed clinical history, including report analysis and medication usage, is needed to make a determination. It is recommended to discuss this further with a physician.[Read More] Understanding Persistent Upper Right Abdominal Pain: Causes and Concerns
Understanding Gastrointestinal Symptoms: When to Seek Medical Advice
Hepatobiliary and Gastroenterology Medical Consultation 1. Symptoms (Location, Description): The following includes two blood test reports and symptom descriptions. (1) Blood test report from Taichung Blood Donation Center on March 10, 2012: Cholesterol level was 237 mg/dL. (2) B...
Dr. Lin Minghui Reply:
Hello: 1. The blood test report shows a cholesterol level of 266, indicating high blood lipids. It is recommended to control your diet, exercise, and monitor your condition. Prolonged high blood lipids can lead to cardiovascular diseases, fatty liver, and liver abnormalities, w...[Read More] Understanding Gastrointestinal Symptoms: When to Seek Medical Advice
Understanding Alcoholic Liver Disease Without Alcohol Consumption
Why do people develop alcoholic liver disease without drinking alcohol? Hello Doctor: My blood test report shows two abnormal values. One is serum globulin (GLO) at 3.60, and the other is gamma-glutamyl transferase (r-GT) at 107.0. I am someone who does not consume alcohol at all...
Dr. Chen Qifeng Reply:
Hello: In fact, r-GT not only indicates alcoholic liver disease but is also associated with other conditions of the bile ducts and liver, such as fatty liver, where r-GT may also be elevated. It is recommended to undergo an abdominal ultrasound examination. Wishing you peace and ...[Read More] Understanding Alcoholic Liver Disease Without Alcohol Consumption
Understanding Liver Hemangiomas: Differentiating from Malignant Tumors
Regarding hepatic hemangiomas? Hello, doctor. During my recent annual health check-up, an ultrasound revealed a 1.2 cm hemangioma. I would like to ask how likely it is to misinterpret a hemangioma as a malignant tumor? Thank you!
Dr. Chen Shidian Reply:
Hello Johnny: If you do not have hepatitis B or C, the likelihood of misdiagnosis is extremely low, but further monitoring is still necessary. Changhua Hospital cares about your health.[Read More] Understanding Liver Hemangiomas: Differentiating from Malignant Tumors
Post-Appendectomy Care: Managing Abdominal Pain and Discomfort
Postoperative Care After Appendectomy for Peritonitis Hello Doctor, last March I underwent surgery for acute appendicitis that progressed to peritonitis due to a lack of urgent treatment while I was in the United States. Since the surgery, I have frequently experienced abdominal ...
Dr. Cai Anshun Reply:
Hello: Whether it is a postoperative complication or which examination should be performed can only be determined through a medical diagnosis. Additionally, ultrasound can only visualize solid organs such as the liver, gallbladder, spleen, and kidneys. It cannot detect adhesions ...[Read More] Post-Appendectomy Care: Managing Abdominal Pain and Discomfort