Right Upper Abdomen Pain: Causes and Concerns for Young Adults
Pain upon palpation in the right upper quadrant? Hello doctor, there is pain when pressing about two fingerbreadths to the right of my navel, and then another two fingerbreadths to the right. I am 20 years old and do not have a habit of drinking alcohol or smoking. However, I hav...
Dr. Lin Minghui Reply:
Hello: Right upper quadrant pain differential diagnoses include gastrointestinal diseases and liver, gallbladder, and pancreatic disorders. A detailed medical history, physical examination, and imaging studies are recommended to aid in diagnosis and treatment. Best regards, Dr. L...[Read More] Right Upper Abdomen Pain: Causes and Concerns for Young Adults
Understanding Upper Abdominal Discomfort: Possible Causes and Solutions
Discomfort in the upper abdomen? A month ago, I felt a lump at the intersection of my ribs in the middle and at the bottom of my rib cage. It felt like there was a hard, swollen tube in the middle of my ribs. Later, I noticed that below my ribs, there was a swollen area that felt...
Dr. Lin Minghui Reply:
Hello: Nausea, abdominal bloating, and discomfort in the upper abdomen. Differential diagnoses include gastric issues, liver, gallbladder, and pancreatic diseases. It is recommended that if discomfort persists, long-term use of traditional Chinese medicine should be monitored for...[Read More] Understanding Upper Abdominal Discomfort: Possible Causes and Solutions
Pain Relief and Steroid Use for Hepatitis B Carriers: What to Avoid
Precautions for Hepatitis B Dear Doctor, as a carrier of Hepatitis B, which types of pain relievers and steroids should be avoided? Thank you.
Dr. Lin Minghui Reply:
Hello: Pain relievers can be categorized into addictive pain medications such as morphine and non-addictive pain medications (1. Non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, 2. Acetaminophen, commonly known by the brand name Tylenol, 3. Steroids, etc.). Proper use...[Read More] Pain Relief and Steroid Use for Hepatitis B Carriers: What to Avoid
Can Weight Loss and Silymarin Help Improve Fatty Liver Disease?
Fatty liver disease issues? 1. Can weight loss improve fatty liver disease? If fatty liver has caused an increase in liver enzymes, is medication necessary for treatment? 2. Additionally, is the medication SILYMARIN effective for treating fatty liver disease? Can it be prescrib...
Dr. Chen Shidian Reply:
Hello, Lai. 1. Fatty liver, if excluding the presence of hepatitis B/C or alcoholic liver disease, is primarily caused by fat accumulation. Weight loss should be the main focus. 2. Currently, the effectiveness of medications is limited, but they can reduce some damage. 3. If ...[Read More] Can Weight Loss and Silymarin Help Improve Fatty Liver Disease?
Understanding Abdominal Discomfort in Teens: Causes and Solutions
Stomach discomfort? Hello Doctor, I am an 18-year-old high school student. Last week, I suddenly felt discomfort in my abdomen and went to the clinic. I took medication for three days, but it hasn't helped much. My symptoms include mild pain in the upper abdomen, overall fat...
Dr. Chen Qifeng Reply:
Hello: Based on the symptoms, they are all non-specific symptoms. You need to visit a gastroenterology clinic for treatment to further clarify whether the issue is related to the gastrointestinal tract or the liver and gallbladder. Wishing you good health. Sincerely, Dr. Chi-Feng...[Read More] Understanding Abdominal Discomfort in Teens: Causes and Solutions
Understanding Elevated Liver Enzymes: Treatment Options and Recovery
Elevated liver enzymes? The blood test results show GOT levels of 326, 276, and 247, and GPT levels of 452, 496, and 408, indicating elevated liver enzymes. The viral test results exceed the standard limits. What treatment options are available, and is complete recovery possible?
Dr. Chen Shidian Reply:
Hello Miss Lin, please visit the Hepatobiliary Specialty Clinic for an evaluation by a professional physician. Changhua Hospital cares about your health. Dr. Chen Shih-Tien.[Read More] Understanding Elevated Liver Enzymes: Treatment Options and Recovery
Can Fatty Liver Disease Be Reversed with Diet and Exercise?
The issue of fatty liver disease? Hello Dr. Chen: I have mild fatty liver. Can I improve my condition with increased exercise and dietary control? Is it possible for fatty liver to completely resolve and heal? I have seen reports indicating that fatty liver can potentially lead t...
Dr. Chen Qifeng Reply:
Hello: There are many causes of fatty liver. Excluding alcoholic, hepatitis C, and drug-induced factors, most others are related to metabolism and diet. Fatty liver may progress to fibrosis and cirrhosis, but the likelihood is very low. Wishing you health, Dr. Chen Chih-Feng, Tao...[Read More] Can Fatty Liver Disease Be Reversed with Diet and Exercise?
Understanding Left Upper Abdominal Pain: Causes and Next Steps
Left upper abdominal distension and pain? For nearly two months, I have been experiencing a bloating and dull pain in the area of my stomach (I'm not sure if it's the stomach), specifically about one to two centimeters below the xiphoid process, near the lower edge of t...
Dr. Chen Qifeng Reply:
Hello: It is recommended to undergo an abdominal ultrasound examination to check for any abnormalities in the gallbladder, liver, pancreas, and other organs. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Understanding Left Upper Abdominal Pain: Causes and Next Steps
Understanding Liver and Kidney Metabolism: Key Considerations for Medications
Hepatorenal metabolism Hello, Dr. Lin. 1. When the functions of the stomach, liver, and kidneys are impaired, what precautions should be taken when using Western medications? 2. Does insulin injection undergo metabolism by the liver and kidneys?
Dr. Lin Minghui Reply:
Hello: 1. Most medications are metabolized by the liver or kidneys. When liver or kidney function is compromised, medication dosages need to be reduced, and one should refer to the usage guidelines for various medications. 2. When gastrointestinal function is poor, caution should...[Read More] Understanding Liver and Kidney Metabolism: Key Considerations for Medications
Understanding Upper Left Abdominal Pain: Causes and Concerns
Abdominal issues? Hello Dr. Chen: I have been experiencing a dull pain in my upper left abdomen for over a month. I went to a gastroenterologist for an ultrasound examination, which showed no issues. The doctor also conducted blood tests and a urinalysis, all of which were normal...
Dr. Chen Shidian Reply:
Hello Jimmy, if you are still uncomfortable despite taking medication, it is advisable to undergo an endoscopy to rule out a gastric ulcer. Additionally, please pay attention to your diet and posture. Changhua Hospital cares about your health. Dr. Chen Shidian.[Read More] Understanding Upper Left Abdominal Pain: Causes and Concerns
Understanding Abnormal Liver and Urine Test Results: What You Need to Know
Request for advice on health check-up results? Two weeks ago, I underwent a health check-up, and the results showed some issues. I would like the doctor to take a look at the main problems related to liver function and urinalysis. In the liver function tests, there are two abnorm...
Dr. Chen Qifeng Reply:
Hello: According to the report, liver function is generally normal. The data on globulin and albumin does not indicate any liver function abnormalities. As for the structure, a liver ultrasound examination is necessary. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, De...[Read More] Understanding Abnormal Liver and Urine Test Results: What You Need to Know
Understanding a 0.9 cm Liver Hemangioma: Concerns and Care
Suspected 0.9 cm hepatic hemangioma? Hello Dr. Chen: I recently went to a small hospital for a health check-up and found a suspected 0.9 cm hemangioma on my liver. They advised me to return to my primary care physician for follow-up in six months. I would like to ask you if this ...
Dr. Chen Shidian Reply:
Hello Lin, hepatic hemangiomas occur in about 1 in 10 individuals in the general population. They are quite common and usually do not change in size, so there is no need for concern. Just regular monitoring is sufficient. Changhua Hospital cares about your health. Dr. Chen Shidia...[Read More] Understanding a 0.9 cm Liver Hemangioma: Concerns and Care
Chronic Constipation: Seeking Relief and Effective Treatment Options
Severe constipation Hello: I have had severe constipation since childhood, with bowel movements occurring only once or twice a month. Often, I experience several days of abdominal pain followed by diarrhea, creating a cycle. About four to five years ago, I took traditional Chines...
Dr. Cai Anshun Reply:
Hello: 1. Regarding the bloating you mentioned, in addition to constipation causing gas accumulation and pressure in the left upper abdomen, it is also important to consider the possibility of newly developed gastric ulcers or duodenal ulcers. 2. The medication prescribed before ...[Read More] Chronic Constipation: Seeking Relief and Effective Treatment Options
Understanding Left Upper Abdominal Discomfort: Causes and Concerns
Left upper abdominal discomfort? Hello, Doctor: I apologize for bothering you again. I have been experiencing discomfort and pain in my upper left abdomen, which prompted me to return for a follow-up examination. However, the doctor still suspects that the discomfort is caused by...
Dr. Chen Qifeng Reply:
Hello: First of all, it's important to note that neuropathic pain can occur anywhere, as nerves are present throughout the body. Generally speaking, pain in the stomach and duodenum is often experienced when fasting, while gallbladder pain typically occurs after meals. If th...[Read More] Understanding Left Upper Abdominal Discomfort: Causes and Concerns
Understanding Abdominal Pain and Movable Mass: A Gastrointestinal Concern
Pain on palpation of the left side of the abdomen with a movable mass? Hello Dr. Chen: My husband is 38 years old, 183 cm tall, and weighs about 68-72 kg, with a medium build and a habit of exercising (cycling and hiking). He has had gastrointestinal issues for many years. About ...
Dr. Chen Shidian Reply:
Hello Winnie the Pooh, 1. Currently, there are no accurate diagnostic criteria for breath odor, which is mostly related to oral hygiene. 2. For other gastrointestinal symptoms, please consult a gastroenterologist for an in-person examination and diagnosis. An endoscopy is not ...[Read More] Understanding Abdominal Pain and Movable Mass: A Gastrointestinal Concern
Left Abdominal Discomfort: Understanding Possible Gastrointestinal Issues
Discomfort in the left abdomen? Hello, I visited a doctor at the end of January due to stomach pain. After undergoing an abdominal ultrasound and endoscopy, the doctor diagnosed me with mild esophagitis and carditis, as well as moderate fatty liver. I am currently being treated w...
Dr. Chen Qifeng Reply:
Hello: Discomfort in the stomach can also manifest as discomfort in the left upper abdomen. If the pain is in the right lower abdomen, it may indicate a problem with the colon. Conditions such as colonic bloating, poor function, or constipation can also affect discomfort in the l...[Read More] Left Abdominal Discomfort: Understanding Possible Gastrointestinal Issues
Post-Laparoscopic Cholecystectomy: Liver Function and Dietary Tips
Laparoscopic cholecystectomy has been performed to remove the gallbladder due to gallstones? Recently, I underwent laparoscopic cholecystectomy due to gallstones. I understand that the liver will still produce bile for digestion, but without the gallbladder for storage, I need to...
Dr. Chen Qifeng Reply:
Hello: The secretion of bile is primarily the function of the liver; however, since the storage part of the bile has been removed, it does not increase the burden on the liver. In addition to maintaining a low-fat diet, it is important to monitor for symptoms such as abdominal bl...[Read More] Post-Laparoscopic Cholecystectomy: Liver Function and Dietary Tips
Unconscious Sleep After Dinner: Is It a Sign of Underlying Health Issues?
Falling asleep quickly and unconsciously after a meal? I often fall asleep suddenly while lying down to watch TV after dinner (this has been happening for a while). Could this be a symptom of some condition? During a previous health check, it was noted that my red blood cell coun...
Dr. Chen Qifeng Reply:
Hello: Relevant liver function and kidney function tests can be conducted. As for thalassemia, it is classified into major and minor types, with the minor type often characterized by smaller red blood cells and generally having minimal impact. Wishing you health, Dr. Chi-Feng Che...[Read More] Unconscious Sleep After Dinner: Is It a Sign of Underlying Health Issues?
Understanding GERD: A Young Adult's Struggle with Symptoms and Treatment
Gastroesophageal reflux is very bothersome? Honestly, over the past six months, I've felt quite hopeless about this condition. I'm only 24 years old and have been dealing with gastroesophageal reflux disease (GERD) since last year. In August of last year, I underwent an...
Dr. Lin Minghui Reply:
Hello: 1. Gastroesophageal reflux disease (GERD) may not always correlate between endoscopic findings and clinical symptoms; for instance, endoscopic grading may be A or B while symptoms are severe, and some may have endoscopic grades C or D but exhibit mild symptoms. 2. GERD...[Read More] Understanding GERD: A Young Adult's Struggle with Symptoms and Treatment
Understanding GERD: Treatment Challenges and Patient Concerns
Issues in the treatment of gastroesophageal reflux disease (GERD) To be honest, I have felt quite hopeless about this condition over the past six months. I am only 24 years old and have been dealing with gastroesophageal reflux disease (GERD) since last year. In August of last ye...
Dr. Chen Qifeng Reply:
Hello: Gastroesophageal reflux disease (GERD) is a condition that is prone to recurrence, especially in individuals with a hiatal hernia. In addition to pharmacological treatment, the following lifestyle and dietary recommendations are suggested: minimize smoking and alcohol cons...[Read More] Understanding GERD: Treatment Challenges and Patient Concerns