Understanding Esophagitis and Fatty Liver: Risks and Prevention
Esophagitis and fatty liver disease? Hello, I recently had an endoscopy, and the doctor indicated that I have esophagitis. I don't feel any discomfort, but the doctor mentioned that individuals with esophagitis have a higher risk of developing esophageal tumors compared to t...
Dr. Chen Qifeng Reply:
Hello: 1. Reflux esophagitis is associated with esophageal cancer, but its relationship is influenced by the severity and duration of esophagitis, as well as factors such as ethnicity (less common in Eastern populations) and individual constitution, requiring further follow-up. E...[Read More] Understanding Esophagitis and Fatty Liver: Risks and Prevention
Persistent Left Rib Pain: Understanding Gastrointestinal Issues and Next Steps
Left rib..? I have been experiencing lower abdominal pain and a persistent pressure sensation, along with sharp pain and discomfort in the area below my left rib cage for over a year. Despite undergoing liver and gallbladder ultrasound, which showed no issues, I still have interm...
Dr. Cai Anshun Reply:
Hello: You have likely seen many doctors and undergone various examinations. There are two additional conditions that should be considered: (1) Costochondritis: This condition is commonly located at the junction of the ribs and costal cartilage, typically presenting with well-def...[Read More] Persistent Left Rib Pain: Understanding Gastrointestinal Issues and Next Steps
Best Liver Supplements for Chronic Hepatitis B Carriers: A Guide
Hepatitis B carrier Hello Dr. Chen: My husband is currently 34 years old and is a carrier of hepatitis B. Recently, he has been experiencing symptoms such as shoulder and neck pain, fatigue, bad breath, lower back pain, memory decline, and dark yellow urine due to work-related st...
Dr. Chen Shidian Reply:
Hello, the efficacy of Xu Lingqi has not been confirmed; it is merely a food product. The price varies based on individual choices, but it is harmless. It is most important to first return for a check-up before deciding whether to use any medication. Changhua Hospital cares about...[Read More] Best Liver Supplements for Chronic Hepatitis B Carriers: A Guide
Understanding Persistent Abdominal Pain: Is It a Gastrointestinal Issue?
What is the problem? I have been experiencing lower abdominal pain and back pain for over a year, along with frequent, unpredictable pain and numbness throughout my body, a burning sensation all over, skin twitching, a sensation of something crawling on my skin, and a burning fee...
Dr. Cai Anshun Reply:
Hello: Based on the symptoms of irritable bowel syndrome, the symptoms you described, such as generalized intermittent pain, generalized intermittent numbness, a burning sensation throughout the body, skin twitching, a sensation of something crawling on the skin, a burning sensat...[Read More] Understanding Persistent Abdominal Pain: Is It a Gastrointestinal Issue?
Effective Weight Loss Strategies for Liver and Kidney Health
I have some questions? Hello! I recently want to lose weight. My height is 173 cm and my weight is 94.2 kg. In a recent school health check, my obesity index was rated with 2 stars. I have many questions, so please bear with me... Thank you! Here are my questions: I really want...
Dr. Chen Shidian Reply:
Hello: 1. Regardless of the method, rapid weight loss is generally not recommended. 2. Rapid weight loss can lead to the rapid accumulation of fat in the liver, worsening fatty liver disease. For kidney health, it is advised to avoid excessive salt intake, drink water in moderati...[Read More] Effective Weight Loss Strategies for Liver and Kidney Health
Understanding Right Lower Abdominal Pain: Causes and Diagnosis
Right lower abdominal pain? Hello, Dr. Chen. I would like to ask you about some recent health issues. I've been experiencing intermittent pain in my lower right abdomen, located roughly on the right side of my belly, which usually lasts about an hour and is tolerable. Howeve...
Dr. Chen Shidian Reply:
Hello David, 1. Please check for any right kidney/ureter stones. 2. A stool occult blood test should be performed. 3. If symptoms persist, a non-invasive colonoscopy or related examinations should be conducted, as determined by a specialist. 4. Ultrasound can visualize the l...[Read More] Understanding Right Lower Abdominal Pain: Causes and Diagnosis
Chronic Abdominal Pain: Understanding Symptoms and Seeking the Right Care
Long-term issues..? Doctor, I apologize for the previous message not being detailed enough. I'm bothering you again. I have been experiencing long-term abdominal pain in my thighs and abdomen (the pain is cramping, bloating, and colicky). The pain starts from my lower back o...
Dr. Cai Anshun Reply:
Hello: 1. I have reviewed your related article <a href="https://adoctor.tw/article/25933">#25933</a> and have also conducted several tests, all of which returned normal results. Since a diagnosis cannot be made through consultation alone, I recommend that yo...[Read More] Chronic Abdominal Pain: Understanding Symptoms and Seeking the Right Care
Chronic Abdominal Pain and Back Discomfort: Understanding IBS and Next Steps
Chronic issues I have been experiencing long-term pain in my lower abdomen and almost daily discomfort in my lower back and upper back, including pressure and cramping sensations, for over a year now. Initially, it was just abdominal pain, but then it progressed to daily discomfo...
Dr. Chen Qifeng Reply:
Hello: Irritable bowel syndrome generally does not cause lower back discomfort. The examinations are mostly complete, and it is recommended to adjust diet and medication. An ultrasound examination of the liver, gallbladder, pancreas, spleen, and kidneys should be performed, and i...[Read More] Chronic Abdominal Pain and Back Discomfort: Understanding IBS and Next Steps
Understanding the Differences Between Abdominal X-rays and Ultrasounds
Abdominal issues? Hello doctor, I have a question. 1. What is the difference between an abdominal X-ray and an abdominal ultrasound? Are they checking the same things? 2. If I have already had an abdominal ultrasound, do I still need to have an abdominal X-ray? (Why did my attend...
Dr. Cai Anshun Reply:
Hello: Abdominal X-ray: primarily used to assess the distribution of intestinal gas; it can also reveal some calcifications (such as certain gallstones and kidney stones), the normal distribution of soft tissues, the normal outlines of solid organs, as well as the vertebrae and p...[Read More] Understanding the Differences Between Abdominal X-rays and Ultrasounds
Understanding the Significance of Stool Color in Gastrointestinal Health
Stool color Long-term pain in the lower abdomen on both sides, extending to the pubic area, occurs almost daily with symptoms of bloating, cramping, sharp pain, and aching. Additionally, there is daily discomfort and cramping in the lower back. The doctor diagnosed it as irritabl...
Dr. Cai Anshun Reply:
Hello: The color of stool is influenced by many factors, and it is difficult to directly determine the cause based solely on stool color. If the issue persists, it is recommended to seek medical attention promptly to identify the cause. Changhua Hospital cares about your health. ...[Read More] Understanding the Significance of Stool Color in Gastrointestinal Health
Understanding MRI: Safety, Effects, and Accuracy for Liver Imaging
Questions about Magnetic Resonance Imaging (MRI) Hello Dr. Chen, I would like to ask the following questions: 1. I am scheduled to undergo an MRI soon, and a gadolinium-based contrast agent (Gd-DTPA) will be injected intravenously. Are there any potential harms or side effect...
Dr. Chen Qifeng Reply:
Hello: 1. In patients with renal insufficiency, the injection of Gd-DTPA may cause certain side effects. 2. Generally speaking, magnetic resonance imaging (MRI) does not pose significant risks to the body. 3. For liver examinations, both MRI and computed tomography (CT) scans are...[Read More] Understanding MRI: Safety, Effects, and Accuracy for Liver Imaging
Understanding Irritable Bowel Syndrome: Symptoms and Concerns
Gastroenterology issues Long-term pain in the lower abdomen on both sides, reaching down to the pubic area, occurs almost daily with symptoms including bloating, cramping, sharp pain, stabbing pain, and aching pain. Additionally, there is daily soreness and cramping in the lower ...
Dr. Chen Qifeng Reply:
Hello: Discomfort in the lower abdominal pelvic area requires the exclusion of gynecological diseases. Additionally, individuals with a history of abdominal surgery may experience discomfort due to intestinal adhesions. If diagnosed with irritable bowel syndrome (IBS), management...[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Concerns
Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Management
Irritable Bowel Syndrome (IBS) Definition of Irritable Bowel Syndrome (IBS): It is characterized by abdominal pain or discomfort occurring at least three days per month in the last three months, along with two or more of the following symptoms: (1) relief of symptoms after defeca...
Dr. Cai Anshun Reply:
Hello: For questions regarding a definitive diagnosis, you should discuss them with your attending physician. I often tell my patients that gastrointestinal functional issues are often influenced by psychological factors. Medications only alleviate discomfort symptoms and do not ...[Read More] Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Management
Understanding Liver Ultrasound: Is It Enough for a Complete Assessment?
Liver examination..? I went for a liver examination, and the doctor only arranged for an abdominal ultrasound. The results were normal, and no other tests were scheduled. The doctor said that if the ultrasound showed no issues, it can be confirmed that there are no problems with ...
Dr. Cai Anshun Reply:
Hello: The examination of the liver and gallbladder refers to blood tests (liver function tests, bilirubin levels) and abdominal ultrasound, which can rule out the majority of liver and gallbladder diseases. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Liver Ultrasound: Is It Enough for a Complete Assessment?
Understanding Elevated SGPT Levels and Hepatitis B Antibody Testing
Liver dysfunction Hello, Doctor: 1. Regarding my serum glutamate-pyruvate transaminase (SGPT) level, which is 57 (reference range 0-55), if it is only slightly above the normal range by 2, is it likely that this is just a minor elevation in liver enzymes? 2. I have already vi...
Dr. Cai Anshun Reply:
Hello: The antibodies produced by the hepatitis B vaccine are not permanently effective. Research indicates that some individuals who received the hepatitis B vaccine at birth may not have detectable hepatitis B antibodies by adolescence and may even lose immune memory. If antibo...[Read More] Understanding Elevated SGPT Levels and Hepatitis B Antibody Testing
Understanding Elevated SGPT Levels: What You Need to Know
Please provide the content you would like me to translate into English? Hello, I received my health check report today, and one of the tests was for liver function, specifically the alanine aminotransferase (ALT) test. My result was 57 (reference range 0-55), which is abnormal. W...
Dr. Cai Anshun Reply:
Hello: Elevated GPT levels indicate the presence of hepatitis. If there are no physical discomforts, it is recommended to maintain a regular lifestyle, ensure adequate sleep, have a balanced and moderate diet with low fat intake, and reduce the use of unnecessary medications. Aft...[Read More] Understanding Elevated SGPT Levels: What You Need to Know
Understanding Irritable Bowel Syndrome: Symptoms and Diagnosis
Irritable Bowel Syndrome (IBS) Long-term pain in the lower abdomen on both sides, which can radiate to the pubic area. There is a feeling of pressure and discomfort in the lower back while sitting, but it feels better when standing. The abdominal pain does not trigger the urge to...
Dr. Cai Anshun Reply:
Hello: The Rome III criteria define irritable bowel syndrome (IBS) as the occurrence of abdominal pain or discomfort at least three days per month in the last three months, accompanied by two or more of the following symptoms: (1) relief of symptoms after defecation, (2) a change...[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Diagnosis
Understanding Abdominal Pain: When to Seek Gastroenterology Help
Check issue 2? Hello, doctor. I apologize for bothering you again. I have been experiencing intermittent abdominal pain for over a year. Initially, I only had pain in the lower right abdomen, but it later spread to the lower left abdomen, and eventually, I started to feel pain in...
Dr. Cai Anshun Reply:
Hello: Easy bruising of the skin can be attributed to abnormalities in platelets, blood vessels, and coagulation factors. However, external factors must also be ruled out. In addition to abdominal pain, this involves systemic issues, and vasculitis should be considered. It may be...[Read More] Understanding Abdominal Pain: When to Seek Gastroenterology Help
Understanding Chronic Abdominal Pain: When to Consult a Specialist
Abdominal pain issues? I have been experiencing upper and lower abdominal pain for over a year, sometimes radiating to the uterus, pubic area, vagina, and anus. I often feel a sense of pressure and distension in both kidneys, and at times, my entire body is sensitive to touch and...
Dr. Cai Anshun Reply:
Hello: It may be worth considering the opinions of different specialists; however, the key is to be patient with medication and follow-up. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Chronic Abdominal Pain: When to Consult a Specialist
Understanding Abdominal Pain: When to Consider Full Body CT Scans
Examination issues Hello doctor, I have been experiencing intermittent abdominal pain for over a year. Initially, I only had pain in the lower right abdomen, but then it progressed to the lower left abdomen, and eventually, I started feeling pain in both upper quadrants as well. ...
Dr. Cai Anshun Reply:
Hello, please continue to consult your attending physician for treatment and medication adjustments. Functional gastrointestinal issues cannot be detected by a CT scan. A CT scan requires an indication; without an indication, health insurance will not cover the cost. The medical ...[Read More] Understanding Abdominal Pain: When to Consider Full Body CT Scans