Post-Appendectomy Concerns: Understanding Abdominal Discomfort and Adhesions
It has been two months since the appendectomy? Hello Dr. Lin, I have some health concerns that I would like to discuss with you. On August 3rd, I underwent an appendectomy at Min-Sheng Hospital on Jingguo Road in Taoyuan and was hospitalized for four days. After being discharge...
Dr. Lin Minghui Reply:
It has been 2.5 months since the appendectomy, and there is still an intermittent feeling of swelling in the right abdomen, raising concerns about adhesions. Wound healing naturally requires time, and preventing adhesions should be considered both during and after surgery. After ...[Read More] Post-Appendectomy Concerns: Understanding Abdominal Discomfort and Adhesions
Understanding Mild Liver Fibrosis: Should You Seek Further Evaluation?
Mild hepatic parenchymal fibrosis I would like to ask the doctor about the abdominal ultrasound examination during a health check-up, which revealed mild hepatic parenchymal fibrosis, but liver function tests are normal. Should I go for a follow-up outpatient examination? Is fibr...
Dr. Lin Minghui Reply:
Regarding liver parenchymal lesions, follow-up is recommended. Is liver fibrosis reversible? Identifying the cause of fibrosis is essential for targeted treatment. Conditions such as viral hepatitis (hepatitis B, C, D), alcoholic or metabolic liver disease, autoimmune hepatitis, ...[Read More] Understanding Mild Liver Fibrosis: Should You Seek Further Evaluation?
Post-Surgery Concerns: Managing Pain After Bile Duct Stone Removal
Surgical removal of common bile duct stones? Hello, Doctor. I have a history of liver transplantation. I would like to ask you about my situation: I was hospitalized on October 4th due to abdominal pain without fever and had a drainage tube inserted to drain bile. On October 31st...
Dr. Chen Shidian Reply:
The diet should be low in fat and easy to digest. For wound symptoms, please consult the surgical team. ~ Also, I am "he."[Read More] Post-Surgery Concerns: Managing Pain After Bile Duct Stone Removal
Understanding Abdominal Ultrasound Results: Key Insights for Liver and Kidney Health
Abdominal ultrasound Hello, my mother underwent an ultrasound examination, and the results were unclear. The interpretation of the imaging report on the National Health Insurance app is difficult to understand, so I would like to inquire about any important points to note. Thank ...
Dr. Chen Shidian Reply:
Pay attention to the aging/degradation of the kidneys; it is advisable to have a blood test for kidney function assessment.[Read More] Understanding Abdominal Ultrasound Results: Key Insights for Liver and Kidney Health
Understanding Blood in Stool: Causes and Concerns in Gastroenterology
Blood in the stool? In the past three months, I have had five bowel movements with a drop of blood at the end. When wiping after a bowel movement, there is fresh red blood about the size of a ten-dollar coin mixed with the stool. I have been experiencing diarrhea continuously for...
Dr. Chen Shidian Reply:
All examinations should be complete; continuous monitoring and medication management are sufficient.[Read More] Understanding Blood in Stool: Causes and Concerns in Gastroenterology
Understanding Total Bilirubin Levels: Is 1.3 mg/dL a Cause for Concern?
Total bilirubin 1.3? Hello, Dr. Lin! My total bilirubin level is 1.3, which is slightly above the normal value of 1.2, but my GOT level is 14 and GPT level is 8, both of which are normal. Is this related to anemia? My hemoglobin level is 10.6. Thank you for taking the time to res...
Dr. Lin Minghui Reply:
Hello: Elevated total bilirubin can be primarily due to increased direct bilirubin or increased indirect bilirubin. Possible causes of elevated direct bilirubin include liver diseases and hepatobiliary disorders. If the elevation is primarily in indirect bilirubin, it may be due ...[Read More] Understanding Total Bilirubin Levels: Is 1.3 mg/dL a Cause for Concern?
Low GPT/LDH Levels and Gallbladder Polyps: What You Need to Know
GPT/LDH levels are low, gallbladder polyp: 0.3/0.38 cm? Hello Dr. Chen, in the past two years, my company's health check reports show: GPT: 7 (normal range 10-40 U/L) and LDH: 91 (normal range 106-207 U/L), with both values remaining the same over the two years. An abdominal...
Dr. Chen Shidian Reply:
Annual follow-up is sufficient.[Read More] Low GPT/LDH Levels and Gallbladder Polyps: What You Need to Know
Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Elevated total bilirubin? Hello Dr. Tsai! Recently, I have been experiencing a dull pain in my upper right abdomen, and I'm unsure if it is nerve or muscle pain, so I went to the hospital for an examination. The test results are as follows: Creatinine "1.13" mg/dL,...
Dr. Cai Anshun Reply:
Hello: The total bilirubin level of "1.8" mg/dL is elevated, and the AST level is "46" U/L, which is also elevated, while the ALT level is "29" U/L. This may be related to alcohol and medication (herbal medicine) intake, so it would be advisable to c...[Read More] Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Persistent Left Lower Abdominal Pain: Seeking Answers for a Child's Discomfort
Left lower abdominal pain for more than a month? Left lower abdominal pain, persistent hiccups throughout the day. After several visits to a small clinic without improvement, I ended up in the emergency room and was hospitalized for four days. Initially, I experienced low blood p...
Dr. Chen Shidian Reply:
Discuss more with a pediatric gastroenterologist.[Read More] Persistent Left Lower Abdominal Pain: Seeking Answers for a Child's Discomfort
Chronic Fatigue: When to See a Doctor for Liver Health Concerns
Feeling particularly fatigued every day? I feel particularly fatigued every day, and it feels like I haven't slept at all when I wake up. During my health check-up, my SGOT result was 12, with a reference range of 15-37 U/L. Should I see a doctor for this?
Dr. Chen Shidian Reply:
GOT12 does not experience fatigue. If symptoms persist or worsen, a consultation with a metabolic specialist is recommended to diagnose the underlying cause.[Read More] Chronic Fatigue: When to See a Doctor for Liver Health Concerns
Understanding Gallbladder Polyps: Do You Need Surgery?
Gallbladder polyp Hello, doctor. Last week, after undergoing an ultrasound examination, I found in my health record that there are few hyperechoic foci without acoustic shadow in the gallbladder wall, with a maximum size of 4.6 mm. The conclusion also states: 3. Stomach distensio...
Dr. Chen Shidian Reply:
Surgical removal is considered only for lesions larger than 1 centimeter. Follow-up can be done every 1 to 2 years.[Read More] Understanding Gallbladder Polyps: Do You Need Surgery?
Understanding Mild Liver Fibrosis: Key Considerations for Patients
Mild hepatic parenchymal fibrosis The health check shows mild hepatic parenchymal fibrosis, but liver function is normal, and there is no hepatitis B or C. What should the physician pay attention to?
Dr. Cai Anshun Reply:
Hello: If you do not have hepatitis B or C, and you do not have a habit of excessive drinking, misuse of medications, or other unhealthy lifestyle habits, there is no need to worry too much; this is a normal change that comes with aging. Changhua Hospital cares about your health....[Read More] Understanding Mild Liver Fibrosis: Key Considerations for Patients
Rapid Growth of Liver Tumors: Understanding Risks and Next Steps
Liver tumors (two lesions) grew from 2.9 cm to 6.9 cm within three months? Hello Dr. Chen, my wife (37 years old) had a health check-up in mid-August, and an ultrasound revealed two tumors in her liver, each approximately 2.9 cm. The CA 19-9 level was elevated, around 80. Later, ...
Dr. Chen Shidian Reply:
Await imaging report; fine needle aspiration biopsy may be necessary.[Read More] Rapid Growth of Liver Tumors: Understanding Risks and Next Steps
Understanding Upper Right Abdominal Discomfort: Possible Causes and Next Steps
Regarding the issue of upper abdominal discomfort and numbness? Hello, doctor. Recently, I've been experiencing a dull, tingling sensation in my right upper abdomen, which also radiates to my back. I visited a gastroenterologist, suspecting a gallbladder issue, but I had a C...
Dr. Chen Shidian Reply:
There is no need for further ultrasound. If liver and gallbladder function tests, as well as inflammatory markers, are normal, then we will proceed with observation.[Read More] Understanding Upper Right Abdominal Discomfort: Possible Causes and Next Steps
Understanding Elevated AST and ALT Levels in Hepatitis B Patients
The reference value for enS-GOT (AST) is 0-32, and the test result value is 38? Hello: I am a carrier of hepatitis B. My blood test report shows that the enS-GOT (AST) reference value is (0-32) and my result is 38. The AST/SGOT liver enzyme reference value is (10-42) and my resul...
Dr. Chen Shidian Reply:
There is an abnormal increase; please cooperate with the gastroenterologist for ongoing monitoring of changes, and avoid obesity/fatty liver as well as herbal medicine/alcohol.[Read More] Understanding Elevated AST and ALT Levels in Hepatitis B Patients
Understanding Your Liver and Gastrointestinal Test Results: What to Know
Continuation of question #187746? Doctor, thank you for your response. I recently had some tests done at the laboratory, and I'm not sure if the blood tests you mentioned were included. Could you please help me check? Thank you. My results are as follows: GOT 15, GPT 19, γ-G...
Dr. Chen Shidian Reply:
I agree with his statement; localized heat therapy can be applied, and attention should be paid to posture while monitoring changes in symptoms.[Read More] Understanding Your Liver and Gastrointestinal Test Results: What to Know
Understanding Occasional Abdominal Pain: When to Seek Further Testing
I would like to inquire about occasional abdominal pain? Hello Dr. Tsai: I have been experiencing occasional abdominal pain for some time now. The pain is located approximately to the right of my navel and feels like a sharp, intense stabbing sensation. During an episode, I can h...
Dr. Cai Anshun Reply:
Hello: It is advisable to first consult a gastroenterologist for evaluation. If necessary, an ultrasound may be arranged to rule out liver, gallbladder, or urinary system issues. However, the area to the right of the navel may involve the stomach, duodenum, or colon, so it is rec...[Read More] Understanding Occasional Abdominal Pain: When to Seek Further Testing
Long-Term Alcohol Consumption: Symptoms of Gastrointestinal Distress and Jaundice
Long-term consumption of wine, high-alcohol beverages, and rice wine can lead to gastrointestinal discomfort, vomiting, and mild jaundice? Hello doctor, this is my first time asking a question here... My boyfriend is 8 years older than me. He has recently quit betel nut after a l...
Dr. Lin Minghui Reply:
Hello: Gastrointestinal discomfort, daily vomiting, slight yellowing of the sclera, lack of appetite, easy fatigue, along with a history of hypertension and heart disease? It is advisable to first check for jaundice and liver or gallbladder diseases. Long-term alcohol consumption...[Read More] Long-Term Alcohol Consumption: Symptoms of Gastrointestinal Distress and Jaundice
Understanding Liver Transplant: Requirements and Considerations
Liver transplantation issues Hello, I would like to understand more about liver transplantation. A family member has liver cirrhosis, and I am considering donating my liver to them. What are the requirements and steps involved?
Dr. Chen Shidian Reply:
First, discuss the necessity and requirements with the liver transplant team contact.[Read More] Understanding Liver Transplant: Requirements and Considerations
Managing Pain During Liver Tumor Radiofrequency Ablation: Options for Seniors
Regarding sedation and analgesia techniques for radiofrequency ablation of liver tumors? Hello, Dr. Chen. My mother is 79 years old and regularly takes medication for high blood pressure and heart rate control. She has undergone five sessions of radiofrequency ablation for liver ...
Dr. Chen Shidian Reply:
It should be intravenous administration of sedatives and analgesics; the patient will be in deep sleep but will still maintain spontaneous respiration and will not require intubation. The anesthesiologist provides a safer option, but it is out-of-pocket.[Read More] Managing Pain During Liver Tumor Radiofrequency Ablation: Options for Seniors