Understanding Digestive Issues: Could Your Symptoms Indicate Pancreatic Problems?
Bowel-related issues and pancreatic problems? Doctor, I would like to ask a question. On January 3rd, due to the cold weather and strong winds that evening, I might have caught a chill, which led to a fever of about 37.8 degrees Celsius. On my way home, I bought some ready-to-eat...
Dr. Chen Shidian Reply:
The described process pertains to enteritis, which involves a light diet and seeking medical attention for medication management as necessary, while monitoring for changes. Rapid testing may also be considered.[Read More] Understanding Digestive Issues: Could Your Symptoms Indicate Pancreatic Problems?
Understanding Black Residues in Stool: When to Worry?
Bowel issues Hello, I ate chrysanthemum greens the day before yesterday. Could that cause black residue in my stool? My stool is normally yellow, thick, and long, but there is a black strip and a flat black piece embedded in it. I had a colonoscopy and gastroscopy in March and Ap...
Dr. Chen Shidian Reply:
It is normal for the color of digested vegetables to appear darker; there is no need to worry about it.[Read More] Understanding Black Residues in Stool: When to Worry?
Understanding the Link Between Fecal Occult Blood and Elevated CEA Levels
Fecal occult blood and its correlation with CEA levels? Hello doctor, my father, a long-time smoker, had a blood test yesterday that showed a CEA level of 9.4. The doctor advised him to quickly schedule a colonoscopy, but we have to wait two weeks for the results. In July, he had...
Dr. Chen Shidian Reply:
It's a matter of perspective, and there is no definitive answer (there should be no colorectal cancer, but polyps cannot be ruled out). If concerned, a colonoscopy should be performed, but lung cancer is also a possibility; the important thing is to quit smoking.[Read More] Understanding the Link Between Fecal Occult Blood and Elevated CEA Levels
Understanding Liver Nodules: What You Need to Know After Imaging Tests
Questions about liver nodules? Three months prior to the company health check, I was following up on a 0.5 cm gallbladder polyp at a gastroenterology clinic, and no other issues were found. During the company health check, it was noted that the gallbladder polyp had increased to ...
Dr. Chen Shidian Reply:
1. Follow-up for gallbladder polyps once a year. 2. For liver nodules, follow-up should be determined based on the physician's imaging report, but it can be done in 3 months.[Read More] Understanding Liver Nodules: What You Need to Know After Imaging Tests
Understanding Gallbladder Polyps and GERD: Symptoms and Management
Gallbladder polyps / Gastroesophageal reflux disease (GERD) Hello Doctor, I have been experiencing long-term gastroesophageal reflux issues, and in the past few weeks, I have started to feel bloated and have stomach acid discomfort. I returned for a follow-up appointment, and alt...
Dr. Lin Minghui Reply:
Regarding gallbladder polyps, a size of 0.37 cm (3.7 mm) is considered a small polyp, and it is recommended to monitor the size and characteristics of the polyp. Polyps larger than 1 cm have a higher risk of malignancy. Small polyps less than 0.5 cm are unlikely to cause symptoms...[Read More] Understanding Gallbladder Polyps and GERD: Symptoms and Management
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 Gallbladder Polyps: Growth Concerns and Next Steps
Gallbladder polyp enlargement? Hello, doctor. During my company's health check-up last November, an abdominal ultrasound revealed multiple gallbladder polyps, with the largest measuring 0.3 cm. This year, the ultrasound showed the largest polyp measuring 0.38 cm, indicating ...
Dr. Lin Minghui Reply:
Hello: A polyp measuring 0.3 cm has changed to 0.38 cm, which is roughly equivalent to 3-4 mm; both are considered small polyps, and follow-up is recommended. During abdominal ultrasound examinations, the measurement of the polyp may vary due to angle issues. A change from 0.3 cm...[Read More] Understanding Gallbladder Polyps: Growth Concerns and Next Steps
Understanding Yellow and Black Stool: GERD and Potential Concerns
Stool that is yellow with black streaks and gastroesophageal reflux? Hello doctor, two months ago I underwent an upper gastrointestinal endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gas...
Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.[Read More] Understanding Yellow and Black Stool: GERD and Potential Concerns
Understanding Yellow Stool with Black Spots: GERD and Potential Concerns
Stool that is yellow with black streaks and gastroesophageal reflux disease (GERD)? Hello doctor, two months ago I underwent an endoscopy which diagnosed me with gastroesophageal reflux disease and Barrett's esophagus, but I do not have Helicobacter pylori or any gastric ulc...
Dr. Chen Shidian Reply:
It is unlikely to be related to colorectal cancer; further observation is sufficient.[Read More] Understanding Yellow Stool with Black Spots: GERD and Potential Concerns
Managing Gallbladder Polyps: Pain and Next Steps Explained
Health check-up revealed polyps and pain? Hello Dr. Chen, I apologize for the interruption. I had an ultrasound during my health check and found that I have a 4.2 cm polyp in my gallbladder. I would like to ask Dr. Chen what my next steps should be. Also, could you please clarify...
Dr. Chen Shidian Reply:
1. Lesions larger than 1 cm (especially those that continue to grow) may be considered for excision. 2. They should not be painful. 3. Polyps and stones can sometimes be difficult to distinguish completely. 4. Continuous monitoring and discussion with the attending physician are ...[Read More] Managing Gallbladder Polyps: Pain and Next Steps Explained
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 Blood in Stool: Hemorrhoids or Colon Cancer Concerns?
Rectal bleeding About a month ago, I noticed that my stool was normal yellow and had a typical elongated shape. However, there was some blood on the surface from the middle to the end of the stool. The blood is consistently located on the same side, and I experience some squeezin...
Dr. Yang Zhichao Reply:
Hello Mr. K, regarding your issue of blood in the stool, I recommend that you arrange for a colonoscopy at the hospital to rule out the possibility of polyps or tumors. Thank you for your inquiry.[Read More] Understanding Blood in Stool: Hemorrhoids or Colon Cancer Concerns?
Understanding Esophageal Polyps: Concerns and Treatment Options
Pyloric polyp? Two weeks ago, I underwent an upper gastrointestinal endoscopy at the clinic, where I was diagnosed with a gastric ulcer and gastroesophageal reflux disease (GERD). During the procedure, a 1 cm polyp was removed from the fundus of my stomach, but the doctor mention...
Dr. Hu Guozheng Reply:
Dear Grace, there are many types of gastric polyps, and most of them are benign. The decision to perform a biopsy or removal typically relies on the judgment of the endoscopist. Since a significant number of small benign gastric polyps have an extremely low risk of malignant tran...[Read More] Understanding Esophageal Polyps: Concerns and Treatment Options
Understanding Left Lower Abdominal Pain: Causes and Next Steps
Left lower abdominal distension and pain? Left lower abdominal bloating and pain, unsure if it's related to the urethra or the ovaries, with some slight stabbing pain in the vagina. After a few days, urination has become more difficult, requiring some effort to empty the bla...
Dr. Chen Shidian Reply:
Follow-up visits are recommended, and please monitor for any fever or worsening symptoms. Diverticulitis is often diagnosed through colonoscopy or computed tomography (CT) and may be associated with fever.[Read More] Understanding Left Lower Abdominal Pain: Causes and Next Steps
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 Severe Diarrhea: Causes, Symptoms, and Management Tips
Since yesterday, the diarrhea has been getting progressively worse? Hello, doctor. Recently, I visited a physician due to a feeling of urgency and heaviness in my lower abdomen, which I believe was caused by hemorrhoids. The doctor diagnosed me with irritable bowel syndrome (IBS)...
Dr. Chen Shidian Reply:
Please cooperate with a gastroenterologist to adjust your schedule and take your medication.[Read More] Understanding Severe Diarrhea: Causes, Symptoms, and Management Tips
Understanding Mild Pancreatitis: Symptoms, Diagnosis, and Concerns
Emergency mild pancreatitis Hello Doctor: I would like to ask about my increased frequency of belching and flatulence, along with diarrhea that lasted for a month. I visited a large hospital and consulted a gastroenterologist, and after taking gastrointestinal medication for a mo...
Dr. Hu Guozheng Reply:
Hello Leo, I’m not sure if you have undergone any imaging related to the pancreas. Generally, when it comes to pancreatitis, it is important to understand the underlying cause. However, some causes of pancreatitis may not be easily identifiable and may require monitoring over tim...[Read More] Understanding Mild Pancreatitis: Symptoms, Diagnosis, and Concerns
Understanding Gastrointestinal Issues: Polyp, IBS, or Inflammation?
Polyp? Irritable bowel? Inflammation? Two weeks ago, I noticed that I had to exert more effort when using the restroom, and I was passing gas more frequently. I also felt a lingering urge to have a bowel movement after finishing. A week ago, before seeing the doctor (I had my app...
Dr. Hu Guozheng Reply:
Hello Wang Youxin, your situation sounds like you previously experienced some constipation issues. After medication, your constipation has partially improved, but you are experiencing other symptoms. Firstly, a weight loss of 0.6 kilograms may not have significant clinical implic...[Read More] Understanding Gastrointestinal Issues: Polyp, IBS, or Inflammation?
Understanding Rectal Issues: Could It Be Hemorrhoids?
There is something in the anus? Hello doctor, I have been dealing with chronic anal fissures, so I have to apply medication regularly. However, today while applying the medication, I felt something inside that could be pushed in. When I pulled my finger out, there was some dark s...
Dr. Hu Guozheng Reply:
Hello Mr. Ke, your condition sounds most likely to be hemorrhoids. However, there are occasionally large polyps in the rectum that can present similar symptoms, but they are much less common. Given that you also have an issue with anal fissures, I recommend drinking plenty of wat...[Read More] Understanding Rectal Issues: Could It Be Hemorrhoids?
Understanding Lower Abdominal Pain: When to See a Gastroenterologist
Lower abdominal pain? Since the end of July, I have been experiencing intermittent dull pain in the lower abdomen on both sides. I consulted a gynecologist, and everything seemed fine. The gynecologist then referred me to a gastroenterologist. When I bend down, the pain on both s...
Dr. Lin Minghui Reply:
Common causes of lower abdominal pain are related to gynecological, urological, and gastrointestinal issues. If experiencing stomach pain, it is important to maintain a light and non-irritating diet. A colonoscopy primarily assesses for inflammation, polyps, and tumors for furthe...[Read More] Understanding Lower Abdominal Pain: When to See a Gastroenterologist