Understanding Frequent Stomach Cramps: Causes and Solutions
High frequency of stomach cramps occurred on 5/15, 5/17, and 5/21? Hello, Doctor. I have experienced stomach cramps on May 15, May 17, and May 21. I went to the emergency room at Far Eastern Memorial Hospital for the first two incidents. The third time occurred in the morning, so...
Dr. Lin Minghui Reply:
Hello! A 48-year-old male has been experiencing stomach cramps. A gastroscopy performed on May 9 revealed gastritis. In addition to taking medication as prescribed, it is important to pay attention to diet by reducing the intake of sweets and coffee. Furthermore, it is advisable ...[Read More] Understanding Frequent Stomach Cramps: Causes and Solutions
Understanding Your Doctor's Recommendation for a CT Scan After Ultrasound
After the ultrasound, the doctor asked me to undergo a CT scan, which made me a bit anxious? I previously had acute pancreatitis and have been following up with my doctor. During my last visit, the doctor requested a CT scan after I completed an ultrasound, which made me a bit wo...
Dr. Cai Anshun Reply:
Hello: Diagnosis: Hypoechoic change in the pancreas, nature? This likely indicates the presence of a hypoechoic shadow in the pancreatic region, so a CT scan is necessary to confirm if there are any issues. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Your Doctor's Recommendation for a CT Scan After Ultrasound
Understanding Greasy Stool: Is It a Sign of Pancreatic Issues?
A long-term feeling of greasy stools that are unformed may indicate a problem with the pancreas? Hello Doctor: I have been experiencing a greasy feeling in my stool for about one to two years. The front part of the stool is formed, but the latter part is like a muddy, ice cream c...
Dr. Cai Jinji Reply:
Dear Miss Sandy: If you have been feeling unwell for an extended period, it is advisable to consult your physician or seek a second opinion to evaluate the underlying reasons for your condition. This will help in providing the appropriate treatment. Wishing you a speedy recovery,...[Read More] Understanding Greasy Stool: Is It a Sign of Pancreatic Issues?
Occasional Left Upper Abdominal Pain: Causes and Concerns Explained
Occasional sharp or cramping pain in the upper left abdomen? Since yesterday, I have been experiencing occasional sharp or cramping pain in the upper left abdomen near the rib cage, with varying intervals. I had an abdominal ultrasound two months ago, which showed mild fatty live...
Dr. Chen Shidian Reply:
Further observation is recommended. If symptoms worsen or there is significant weight loss, consider further examination.[Read More] Occasional Left Upper Abdominal Pain: Causes and Concerns Explained
Persistent Left Upper Abdominal Pressure: Causes and Solutions
There has been a persistent sensation of a foreign body and pressure in the left upper abdomen and under the rib cage for nearly two months? Hello Dr. Chen, I have been troubled by a sensation of pressure and tightness from a foreign body in my left upper abdomen for quite some t...
Dr. Chen Shidian Reply:
Cancer and other causes can be ruled out, so please rest assured. If necessary, medication can be used to control the symptoms.[Read More] Persistent Left Upper Abdominal Pressure: Causes and Solutions
Understanding Upper Abdominal Pain: Is It Related to the Pancreas?
There is a dull pain located 3 centimeters above the left side of the navel? Hello doctor, last night I felt a dull pain in my lower back and couldn't sleep well. This morning, I woke up with a slight dull pain about 3 centimeters from my navel. I have a history of gastroeso...
Dr. Chen Shidian Reply:
Further observation of the conditions before and after the episodes (including the timing, location, duration, and dietary correlations) is recommended. If episodes recur, a visit to the gastroenterology clinic for evaluation and treatment is advised.[Read More] Understanding Upper Abdominal Pain: Is It Related to the Pancreas?
Understanding CA72-4 Tumor Marker Levels and Their Implications for Stomach Health
CA72-4 tumor marker I would like to ask the doctor, if the CA72-4 tumor marker is as high as 41.16, does it indicate that there is a problem with the stomach? Is it possible that it could be stomach cancer?
Dr. Lin Minghui Reply:
Hello, the CA72-4 tumor marker is not very specific or sensitive in clinical practice. Unlike colorectal cancer, which is tested with CEA, or pancreatic cancer, which uses CA 19-9 as a better tumor marker, there is currently no good tumor marker for gastric cancer. However, if CA...[Read More] Understanding CA72-4 Tumor Marker Levels and Their Implications for Stomach Health
Understanding Fatty Pancreas: Insights from Abdominal Ultrasound
Fatty pancreas under ultrasound? Hello Doctor: The recent abdominal ultrasound report mentioned: 1. Liver mildly increased brightness (Fatty liver mild) 2. Increased brightness of pancreas. It was previously mentioned that increased brightness of the liver indicates that the live...
Dr. Cai Anshun Reply:
Hello: Increased brightness of the pancreas indicates that the pancreas is encased in fat, which necessitates attention to weight management and monitoring for potential excessive alcohol consumption. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Fatty Pancreas: Insights from Abdominal Ultrasound
Understanding Pancreatic Cysts: Symptoms, Diagnosis, and Follow-Up Care
Pancreatic pseudocyst Hello Doctor Chen: I have been experiencing a sensation of a foreign body in my right abdomen for 3-4 years. Sometimes, I also have abdominal pain that radiates to my back (the area is not fixed). My blood test showed a slightly elevated bilirubin level (1.6...
Dr. Chen Qifeng Reply:
Pancreatic cysts are generally not a major concern, while liver nodules need to be evaluated based on their characteristics. Typically, ultrasound examinations do not specifically emphasize the relationship between height and pancreatic size, but rather observe whether there is a...[Read More] Understanding Pancreatic Cysts: Symptoms, Diagnosis, and Follow-Up Care
Understanding Pancreatic Health: Symptoms and Recommended Tests
Is it possible for the pancreas to develop a disease? Hello, doctor. Recently, I have suddenly experienced a loss of appetite, slight abdominal bloating, and occasional nausea. After seeing the early symptoms of pancreatic cancer, I became very anxious. Additionally, I have been ...
Dr. Chen Qifeng Reply:
The priority for examining the pancreas is primarily through abdominal ultrasound.[Read More] Understanding Pancreatic Health: Symptoms and Recommended Tests
Understanding Elevated Total Bilirubin: Causes and Implications
Elevated total bilirubin? Hello doctor, the company's health check report shows a total bilirubin level of 2.8 mg/dL and a direct bilirubin level of 0.2 mg/dL, which is elevated. The abdominal ultrasound is normal, with mild fatty liver and a 0.4 cm stone in the right kidney...
Dr. Chen Qifeng Reply:
If there are no hematological disorders, it may be a congenital bile metabolism disorder.[Read More] Understanding Elevated Total Bilirubin: Causes and Implications
Is a Standard Abdominal MRI Enough to Check for Pancreatic Issues?
Abdominal MRI examination of the pancreas? Hello, doctor: I would like to ask if, during a health check-up, I want to perform an abdominal MRI to check if there are any abnormalities in the pancreas (without needing to differentiate between benign or malignant tumors or assess th...
Dr. Chen Qifeng Reply:
It is necessary to administer a contrast agent.[Read More] Is a Standard Abdominal MRI Enough to Check for Pancreatic Issues?
Understanding Abdominal Ultrasound Reports: Key Insights on Liver and Pancreas Health
Abdominal Ultrasound Report Abdominal ultrasound report content: Echo pattern: abnormal, heterogeneous parenchyma Pancreas: negative, head and tail is blocked Spleen: negative Sonar Diagnosis: Parenchymal liver disease score: 5 I would like to ask what these items repr...
Dr. Cai Jinji Reply:
Hello, it is recommended that a physician explain it to you personally to avoid misunderstandings or further questions that may arise from a simple literal translation.[Read More] Understanding Abdominal Ultrasound Reports: Key Insights on Liver and Pancreas Health
Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Management
Irritable Bowel Syndrome (IBS) Hello Doctor, I previously had blood in my stool. I underwent a colonoscopy in April, which did not reveal any issues. Later, I started experiencing pain in my lower left abdomen and the urge to use the bathroom. Sometimes my stools were loose and m...
Dr. Lin Minghui Reply:
Hello: You are experiencing abnormal bowel movements and lower abdominal pain. A colonoscopy was normal, raising suspicion of irritable bowel syndrome. It is recommended to pay attention to your diet, reduce fatty foods, and maintain a positive mood. The presence of fat in your s...[Read More] Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Management
Understanding Increased Brightness in Pancreas Ultrasound Reports
Abdominal ultrasound report inquiry? Hello Dr. Chen: Due to a benign tumor in my liver, I have been undergoing annual abdominal ultrasounds for monitoring. I reviewed the reports from the past two years and found a description regarding the pancreas that states: "Pancreas In...
Dr. Chen Shidian Reply:
Hello, sir. Yes, there is also fatty pancreas. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Increased Brightness in Pancreas Ultrasound Reports
Understanding Persistent Right Lower Abdominal Pain: Possible Causes and Next Steps
Intermittent pain in the lower right abdomen for several months? Hello, doctor. I have been experiencing intermittent pain in my lower right abdomen since June. It started on the night of June 10th with sudden severe pain in the lower right abdomen, but it coincided with the four...
Dr. Chen Qifeng Reply:
Right lower abdominal pain, based on anatomical location, should consider either gynecological conditions or issues related to the colon. If there are no gynecological problems, then it is likely a gastrointestinal obstruction. However, gastrointestinal issues are not solely stru...[Read More] Understanding Persistent Right Lower Abdominal Pain: Possible Causes and Next Steps
Understanding Left Upper Abdominal Bloating: Causes and Solutions
I often feel bloated in the upper left abdomen? Hello Doctor: For the past few months, I have frequently felt bloated in my upper left abdomen (below the left rib cage). Even after just drinking milk tea for breakfast, I still feel bloated and uncomfortable (I have been prone to ...
Dr. Chen Shidian Reply:
Hello, Miss. For simple gastrointestinal bloating, adjusting your diet and increasing physical activity to assist intestinal motility is sufficient. If you still have concerns, you can undergo a fecal occult blood test to rule out colorectal diseases. Changhua Hospital cares abou...[Read More] Understanding Left Upper Abdominal Bloating: Causes and Solutions
Understanding Pancreatic Echo Brightness: Should You Worry?
Abdominal ultrasound reveals hyperechoic areas in the pancreas? During a routine health check, an abdominal ultrasound revealed a 0.7 cm hyperechoic lesion in the pancreas. It is said that shadows on ultrasound are more concerning, while hyperechoic lesions are generally less wor...
Dr. Chen Shidian Reply:
Hello Mr. Aaron, if there are abnormalities in the pancreatic function, further examination is necessary. Inquiring online is not the correct approach; it is recommended to visit a gastroenterology clinic in person.[Read More] Understanding Pancreatic Echo Brightness: Should You Worry?
Morning Stomach Pain: Understanding GERD and Digestive Issues
Woke up with a stomachache? Hello Doctor, I have been experiencing long-term bloating, diarrhea or constipation, and loss of appetite. A few days ago, I visited a gastroenterologist and had an ultrasound, which showed no abnormalities. However, the doctor informed me that abdomin...
Dr. Cai Anshun Reply:
Hello: 1. Your symptom description is more indicative of gastroesophageal reflux disease (GERD). 2. Eating slowly and thoroughly chewing your food before swallowing can help prevent the issues you mentioned. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Morning Stomach Pain: Understanding GERD and Digestive Issues
Understanding Coarse Echo Patterns in Liver Ultrasound: Key Insights for Patients
coarse echogenicity pattern Hello Doctor, the patient is an 89-year-old female who does not consume alcohol, and her blood biochemistry results are normal. The abdominal ultrasound follow-up for the past two years has yielded the following report. I have questions regarding the &...
Dr. Chen Shidian Reply:
Hello, sir. In ultrasound terminology, we use "coarse echo," while "fibrosis" is used in pathological sections. Although the terms are similar, they should not be used interchangeably, as this could lead to significant discrepancies. Based on the report, it do...[Read More] Understanding Coarse Echo Patterns in Liver Ultrasound: Key Insights for Patients