Managing Gallstones: Non-Surgical Options and Concerns About Pancreatic Duct Size
Gallstone issues? Dear Doctor, my mother is 65 years old and has been experiencing abdominal pain for a long time, so she went to the hospital for an ultrasound and a colonoscopy. The results showed that she has some gallstones, but it's not very serious. Additionally, the p...
Dr. Chen Shidian Reply:
If gallstones cause pain in the right upper abdomen, surgical treatment is still recommended. Additionally, if gallstones lead to bile duct obstruction, it may also result in acute pancreatitis. Chronic pancreatitis or tumors can cause dilation of the pancreatic duct. Furthermore...[Read More] Managing Gallstones: Non-Surgical Options and Concerns About Pancreatic Duct Size
Are Gallstone Medications Linked to Skin Allergies and Redness?
Is there a connection between medication for gallstones and skin allergies causing redness and swelling? Hello, I was diagnosed with acute cholecystitis due to gallstones in February 2019, which led to acute pancreatitis. I was hospitalized and received intravenous antibiotics, a...
Dr. Chen Shidian Reply:
I'm sorry, I don't have experience with that medication. Gallstones do not affect the skin.[Read More] Are Gallstone Medications Linked to Skin Allergies and Redness?
Managing Low Pancreatic Function and Triglycerides: Dietary Considerations
Pancreatic insufficiency and low triglycerides? Hello, I have a cyst on my pancreas. Recently, during a check-up, my doctor found that my triglyceride level is only 33. The doctor prescribed me pancrelipase enteric-coated microgranules and ursodeoxycholic acid. I would like to kn...
Dr. Lin Minghui Reply:
Hello! The presence of pancreatic cysts does not necessarily correlate with pancreatic insufficiency or low triglyceride levels. Whether consuming 15cc of oil alone is beneficial or harmful should be advised based on clinical conditions. It is recommended for individuals with gal...[Read More] Managing Low Pancreatic Function and Triglycerides: Dietary Considerations
Managing Rapid Gastric Motility and Pain After Dinner: Tips for Recovery
Within 7 days, there were 2 instances of rapid gastric motility after dinner at night? Hello, doctor. I have been recovering from gastritis and recently experienced severe stabbing pain in my stomach after dinner (braised pork rice). This has led me to visit the emergency room tw...
Dr. Lin Minghui Reply:
Hello! Does drinking water help with back pain? The causes of back pain may include muscular or neurological issues, and prolonged inactivity from lying down for too long can lead to discomfort in the back. Peptic ulcers, gastritis, and pancreatitis can also cause pain that radia...[Read More] Managing Rapid Gastric Motility and Pain After Dinner: Tips for Recovery
Understanding Kidney Pain: Impact of Lifestyle and Hydration
Kidney problems I used to work out regularly, but one summer I spent almost all my time lying in bed and hardly moving. Out of boredom, I ended up masturbating almost every day. After that summer, when I resumed exercising, I started experiencing pain in the lower back on both si...
Dr. Lin Minghui Reply:
Hello! Does drinking water help with back pain? The causes of back pain may include muscular or neurological issues, and prolonged lying down without movement can lead to discomfort in the back. Peptic ulcers, gastritis, and pancreatitis can also cause pain that radiates from the...[Read More] Understanding Kidney Pain: Impact of Lifestyle and Hydration
Understanding Pain Under the Ribs: Liver or Gallbladder Issues?
Pain in the inner lower area of the left and right ribs? Hello, due to work-related socializing, I occasionally drink alcohol. Around the end of last year, I started to notice a soreness under the left and right ribs after drinking. My medical history includes mild gastritis, spe...
Dr. Lin Minghui Reply:
Hello, a 40-year-old male is experiencing soreness in the inner area below the left and right ribs after drinking alcohol. The pain slightly improves when taking B vitamins or clam extract. An ultrasound shows fatty liver, with no significant gallstones or biliary issues. Long-te...[Read More] Understanding Pain Under the Ribs: Liver or Gallbladder Issues?
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 Gastrointestinal Issues: Causes of Abdominal Pain and Diarrhea
Gastrointestinal issues Abdominal pain and diarrhea lasting for several days, with watery stools, along with burping every ten minutes, loss of appetite, sudden sharp pain in the left abdominal area after eating, and persistent sweating may indicate several potential issues. Thes...
Dr. Chen Shidian Reply:
You may have some gastroenteritis; please stick to a light diet and seek medical attention again.[Read More] Understanding Gastrointestinal Issues: Causes of Abdominal Pain and Diarrhea
Does Antibiotic Use for Cold Affect Elevated r-GT Levels in Fatty Liver?
Does taking antibiotics for a cold affect elevated r-GT levels? Hello: My husband has alcoholic fatty liver disease (he is quite thin). When it was severe, many of his liver function tests were elevated, with triglycerides reaching 4000, which led to pancreatitis. After seeking m...
Dr. Chen Qifeng Reply:
There are many reasons for an elevated rGT index, including fatty liver, alcoholic liver disease, drug-induced hepatitis, and biliary tract diseases. Therefore, it is essential to assess the actual situation to clarify the underlying cause.[Read More] Does Antibiotic Use for Cold Affect Elevated r-GT Levels in Fatty Liver?
Understanding Gallbladder Surgery: Managing Complications and Recovery
Cholecystectomy Consultation Hello Dr. Chen, I would like to ask about my father, who is 78 years old and was hospitalized due to pancreatitis caused by gallstones (with inflammatory markers over 2000). Since he was unwilling to undergo surgery, the doctor opted for percutaneou...
Dr. Chen Qifeng Reply:
Currently, there are a few options: 1. Observation. We can wait until the bile drainage decreases before removing the tube. The normal stool color (rather than grayish-white) indicates that the bile duct is patent. 2. If the drainage volume does not decrease, we may consider perf...[Read More] Understanding Gallbladder Surgery: Managing Complications and Recovery
Post-Treatment Care for Helicobacter Pylori Infection: What to Expect
Follow-up treatment after the diagnosis of Helicobacter pylori infection? In July, I experienced stomach pain and went to a clinic for an ultrasound, where they suggested it might be related to gallstones and prescribed medication for me to rest at home. Later, I went to the hosp...
Dr. Lin Minghui Reply:
Hello Ms. Chang, Helicobacter pylori is associated with chronic gastritis, gastric ulcers, and gastric cancer. The standard treatment regimen typically involves ulcer medications combined with 2 to 3 different antibiotics, administered either concurrently or sequentially for 10...[Read More] Post-Treatment Care for Helicobacter Pylori Infection: What to Expect
Understanding Elevated Lipase Levels: Causes and Next Steps for Diagnosis
Elevated lipase levels? I do not have a habit of drinking alcohol or smoking. I have diabetes and do not take medication, with my glycated hemoglobin consistently around 6.6. About six months ago, I experienced severe abdominal pain and vomiting, and a doctor diagnosed me with pa...
Dr. Cai Anshun Reply:
Hello: Elevated lipase levels can be associated with pancreatitis, abdominal pain caused by gallstones, visceral perforation, intestinal obstruction, pancreatic pseudocyst, and peritonitis. Additionally, autoimmune pancreatitis is also a possibility. You may want to discuss this ...[Read More] Understanding Elevated Lipase Levels: Causes and Next Steps for Diagnosis
Managing Pancreatitis Caused by Gallstones and Bile Duct Stones
Gallstones and bile duct stones can lead to pancreatitis? Hello doctor, I would like to inquire about the issue of pancreatitis caused by gallstones and bile duct stones. My family member went to the hospital for a check-up on March 23 due to discomfort, and the doctor diagnosed ...
Dr. Chen Shidian Reply:
Hello, Miss. It is necessary to assess each case individually, so please communicate more with your attending physician. Changhua Hospital cares about your health. Chen Shidian.[Read More] Managing Pancreatitis Caused by Gallstones and Bile Duct Stones
Understanding Abdominal Discomfort: Insights into Gastrointestinal Issues
Abdominal issues? Hello Doctor, at the end of October, I went to the emergency room due to discomfort in my back and slight cold sweats. Since it was after dinner time and I needed to take medication, I bought a small snack to eat. However, before taking the medication, I started...
Dr. Chen Shidian Reply:
Hello, sir. It doesn't seem like pancreatitis, but it would still be advisable to have an abdominal ultrasound to check for any other internal issues. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Abdominal Discomfort: Insights into Gastrointestinal Issues
Understanding Abdominal and Back Pain: When to See a Gastroenterologist
Stomach pain with back pain? Hello Doctor, I had a barbecue lunch the day before yesterday, and after taking a shower that evening, I suddenly felt abdominal pain along with discomfort in my lower back. Later that night, I had two episodes of diarrhea, but the pain in my stomac...
Dr. Cai Anshun Reply:
Hello: Upper abdominal pain that radiates to the back may be indicative of pancreatitis, gastroesophageal reflux disease (GERD), or duodenal ulcers. It is recommended to consult a gastroenterologist to determine the cause. Changhua Hospital cares about your health. Dr. Tsai An-Sh...[Read More] Understanding Abdominal and Back Pain: When to See a Gastroenterologist
Should You Remove a Pancreatic Tumor? Understanding MRI Reports
Is surgical resection necessary for this tumor based on the pancreatic MRI report? Recently, a family member experienced severe abdominal pain (radiating to the back) and underwent an MRI examination, which revealed a tumor in the pancreas. The hospital that performed the MRI sug...
Dr. Chen Qifeng Reply:
It is advisable not to rely solely on the report's content; it is important to consult with a clinical physician for their opinion.[Read More] Should You Remove a Pancreatic Tumor? Understanding MRI Reports
Understanding Right Upper Abdominal Pain and Its Causes
Right upper quadrant pain radiating to the back? Hello, I have had my gallbladder removed. Last year, I experienced mild pain in my lower right rib, and after an ultrasound, the doctor found stones in the bile duct, which led to an ERCP that caused pancreatitis. Recently, the pai...
Dr. Chen Qifeng Reply:
1. If there is enlargement of the pancreatic tail, it should cause pain in the left upper abdomen. 2. There is a possibility of recurrence of bile duct stones, but blood tests are normal, which cannot explain the situation. 3. A PET scan may not be very helpful. 4. If ERCP ...[Read More] Understanding Right Upper Abdominal Pain and Its Causes
Post-Surgery Complications in Children with Biliary Cysts: Insights and Concerns
Postoperative issues in children with choledochal cysts? Hello Dr. Chen, The child underwent laparoscopic total cyst excision of the bile duct, biliary-enteric anastomosis, and liver biopsy due to a choledochal cyst. The underlying cause was identified through abnormal levels of...
Dr. Chen Qifeng Reply:
The risk of developing pancreatitis after the aforementioned surgery is inherently present, primarily depending on the severity assessment. The level of the index is not an indicator of severity. Treatment is mainly supportive.[Read More] Post-Surgery Complications in Children with Biliary Cysts: Insights and Concerns
Can I Get Pregnant After Pancreatitis and Diabetes Diagnosis?
Can I get pregnant if I have been diagnosed with diabetes due to pancreatitis? I am 43 years old and have been trying to conceive. I previously experienced amenorrhea for a year at the age of 23, which led to infertility treatment for a year and subsequent weight gain. My doctor ...
Dr. Chen Qifeng Reply:
Generally speaking, diabetes, pancreatitis, and gallstones are not considered contraindications for pregnancy. However, it is important to discuss the details with your physician. That said, being 43 years old is indeed considered advanced maternal age.[Read More] Can I Get Pregnant After Pancreatitis and Diabetes Diagnosis?
Understanding High Blood Sugar and Pancreatic Enzyme Levels After Pregnancy
Blood glucose and pancreatic function tests are elevated? Hello, I was diagnosed with gestational diabetes in the later stages of my pregnancy and was treated with insulin. A month after giving birth, I experienced acute pancreatitis and was hospitalized for over a week, but the ...
Dr. Lin Minghui Reply:
The causes of acute pancreatitis include alcoholic gallstones, hyperlipidemia, medications, and autoimmune conditions. A light diet is recommended, along with blood sugar control and imaging studies such as abdominal ultrasound or CT scans for monitoring. Wishing you good health.[Read More] Understanding High Blood Sugar and Pancreatic Enzyme Levels After Pregnancy