Spleen, Gastroenterology and Hepatology FAQ

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Understanding Abdominal Ultrasound Results: What You Need to Know

Issues related to abdominal ultrasound? About a year ago, I visited a hospital's hepatobiliary and gastroenterology department due to stomach discomfort. The doctor arranged for an ultrasound and endoscopy. During the follow-up appointment, the doctor only mentioned that I h...


Dr. Chen Shidian Reply:
There should be no special findings, but please monitor for any signs of hepatitis B or liver function.

[Read More] Understanding Abdominal Ultrasound Results: What You Need to Know


Understanding Upper Abdominal Pain: Is It Related to the Pancreas?

Upper abdominal pain, abdominal ultrasound concerns? Hello Doctor, over the past year, I have occasionally experienced pain in the upper abdomen, particularly in the left upper quadrant. There is usually a specific point that is painful when pressed, and sometimes it seems to be ...


Dr. Cai Anshun Reply:
Hello: Pain in the upper left abdomen is more commonly associated with issues related to gastric acid. Pancreatic problems are less likely unless there is a history of long-term alcohol consumption or hypertriglyceridemia. If the symptoms persist, it is advisable to consult a gas...

[Read More] Understanding Upper Abdominal Pain: Is It Related to the Pancreas?


Understanding Fatty Liver and Kidney Stones: Dietary Insights and Management

Abdominal ultrasound Hello Doctor: Last year, due to abdominal pain, I was examined and found to have kidney stones and moderate fatty liver. Over the past year, my weight has been stable at 92 kg (height 166 cm), and I have been controlling my diet for about a year. I believe I ...


Dr. Lin Minghui Reply:
The patient has moderate obesity with a BMI of 33.3, and there are kidney stones present with minimal changes observed in the follow-up ultrasound. The abdominal ultrasound shows slight changes in non-fatty areas and multiple small right-sided kidney stones. It is recommended to ...

[Read More] Understanding Fatty Liver and Kidney Stones: Dietary Insights and Management


Understanding Gallbladder Issues: Ultrasound vs. CT Scan Accuracy

Gallbladder issues Hello Doctor, during a health check, an abdominal ultrasound indicated a suspected 2 cm mass in the gallbladder, along with a 0.6 cm gallbladder polyp and some stones. I was advised to go to a larger hospital for further examination. Subsequently, I underwent a...


Dr. Hu Guozheng Reply:
I recommend that you go to a major hospital for further examination. Later, I went to the major hospital for a CT scan, and the results seem to show no abnormalities. Please return for a follow-up appointment so that the attending physician can interpret the report, and then proc...

[Read More] Understanding Gallbladder Issues: Ultrasound vs. CT Scan Accuracy


Understanding Ultrasound Findings in Liver and Gallbladder Health

Ultrasound Interpretation 1. Liver: (1) INCREASED ECHOGENICITY (2) ONE FOCAL SPARING AREA (3.3X1.6CM) IN THE RIGHT LOBE (3) TWO CALCIFIED AREAS (2.5CM, 0.8CM) IN THE RIGHT LOBE 2. IHD: NO DILATATION 3. CBD: NO DILATATION 4. GB: SMALL POLYPS 5. PV system: NO ENLARGEMENT 6. Pancrea...


Dr. Chen Shidian Reply:
Small polyps are not abnormal, and their angle can influence their appearance. Localized areas without fat are a common ultrasound finding and are not considered abnormal.

[Read More] Understanding Ultrasound Findings in Liver and Gallbladder Health


Understanding Elevated Fetal Protein Levels: Next Steps for Liver Health

The fetal protein index is elevated? In September of this year, I underwent a comprehensive physical examination with the following results: GOT/31, GPT/61.8, R-GT/66, AFP/13.3. Based on the report, I was advised to go to the hospital for further evaluation. In early October, the...


Dr. Chen Shidian Reply:
It is recommended to discuss further with the attending physician, including screening for testicular cancer.

[Read More] Understanding Elevated Fetal Protein Levels: Next Steps for Liver Health


Understanding Mixed Echo Lesions in the Spleen: What You Need to Know

What is a mixed sound lesion of the spleen? I recently went to the hospital for a check-up and had an abdominal ultrasound. The report indicated a suspected mixed echogenic lesion in the spleen measuring 3.4 cm. I haven't had this in previous years, and I don't have any...


Dr. Lin Minghui Reply:
Hello: It is recommended to arrange for further examinations, such as a computed tomography (CT) scan, to check for any splenic tumors and their characteristics. Possible causes of splenic tumors include: #benign hemangiomas #inflammatory abscesses (which may present with fever a...

[Read More] Understanding Mixed Echo Lesions in the Spleen: What You Need to Know


Understanding Your Abdominal Ultrasound Results: Liver and Gallbladder Insights

Abdominal ultrasound examination? Hello Dr. Chen, I had an abdominal ultrasound examination yesterday, and I translated the findings myself. I found several issues!!! The liver size is normal, but the parenchyma is heterogeneous, the surface is smooth, and the vascular system is ...


Dr. Chen Shidian Reply:
If there is no hepatitis B/C or pain, monitoring is sufficient.

[Read More] Understanding Your Abdominal Ultrasound Results: Liver and Gallbladder Insights


Understanding Cystic Lesions in the Upper Abdomen: When to Consult a Gastroenterologist

Chest CT shows a cyst in the upper abdomen? Hello, doctor. I just had a chest CT, and I saw a statement in the report that says: "Two cystic mass-like lesions in the upper abdomen (Se2 Im122) up to 11 cm. Suggest abdominal CT with contrast for further evaluation." Howev...


Dr. Chen Shidian Reply:
It seems that the default report text was forgotten to be updated. After undergoing an ultrasound, regular follow-up (approximately once a year) is sufficient.

[Read More] Understanding Cystic Lesions in the Upper Abdomen: When to Consult a Gastroenterologist


Understanding Pancreatic Tumors: Diagnosis, Treatment Options, and Risks

Pancreatic tumor Dear Dr. Lin, In July, my husband underwent a low-dose computed tomography (LDCT) scan originally intended to monitor his lungs, but it unexpectedly revealed a pancreatic tumor approximately 3.2 cm in size with low density. We promptly returned to the thoracic s...


Dr. Lin Minghui Reply:
A cyst in the body of the pancreas larger than three centimeters may sometimes be difficult to identify on imaging. An endoscopic ultrasound (EUS) has been arranged, and it does not communicate with the bile duct. There are no nodules within the tumor, leaning towards a serous cy...

[Read More] Understanding Pancreatic Tumors: Diagnosis, Treatment Options, and Risks


Understanding Your Abdominal Ultrasound Results: Key Insights for Liver Health

Inquiry about abdominal ultrasound results? Hello Doctor, I recently had some tests done, including an ultrasound. The doctor had prescribed medication for my condition. Are there any important points to note regarding the ultrasound results? Thank you. Blood test results: GOT...


Dr. Chen Shidian Reply:
A 0.5 cm lymph node located outside the liver in the abdominal cavity can generally be monitored with follow-up.

[Read More] Understanding Your Abdominal Ultrasound Results: Key Insights for Liver Health


Understanding Mild Bile Duct Dilation: Causes and Follow-Up Care

Ultrasound shows intrahepatic bile duct dilation? In September of last year, an ultrasound during a health check at the hospital showed mild dilatation of the common bile duct, measuring up to 0.8 cm in diameter. In June of this year, a follow-up ultrasound was arranged at the ou...


Dr. Cai Anshun Reply:
You can visit the hospital's hepatology and gastroenterology outpatient clinic for a more detailed explanation.

[Read More] Understanding Mild Bile Duct Dilation: Causes and Follow-Up Care


Understanding Liver Health: Addressing Concerns About Fatty Liver and Tumors

Suspected liver cancer? Hello doctor, my mother has moderate fatty liver and does not have hepatitis B or C. Previously, she had an ultrasound, and the doctor ordered a CT scan, which indicated a suspicion of liver cancer. Blood tests were also conducted, and later the CT scan sh...


Dr. Chen Shidian Reply:
Suspicion of liver cancer should be based on preliminary abnormalities, which can be used as a reason to apply for further imaging studies under health insurance. The results confirmed that there is no liver cancer, so there is no need to worry. A splenic hemangioma is benign and...

[Read More] Understanding Liver Health: Addressing Concerns About Fatty Liver and Tumors


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 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 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 Right Lower Abdominal Discomfort: Diverticulitis Insights

Please provide the content you would like to have translated into English? Dear Dr. Tsai, Thank you very much for your response and guidance in article #185848. My previous inquiry was regarding a feeling of fullness and occasional sharp pain in my lower right abdomen, which has...


Dr. Cai Anshun Reply:
Hello: 1. In terms of location, diverticulitis is also one of the differential diagnoses. 2. Feces can potentially get trapped in the diverticula of the colon. 3. If feces are trapped in the diverticulum and are tightly lodged, it may lead to diverticulitis. Drinking plenty of wa...

[Read More] Understanding Right Lower Abdominal Discomfort: Diverticulitis Insights


Understanding Upper Abdominal Discomfort and Indigestion Issues

Dyspepsia and upper abdominal discomfort? Hello Doctor, thank you for your response a few days ago. I would like to ask a few more questions. I am 27 years old. When standing, I notice that the area under my right rib cage (upper right abdomen) feels more prominent and hard when ...


Dr. Cai Anshun Reply:
Hello: Ultrasound examination of the liver and gallbladder has a high degree of accuracy. If the ultrasound does not reveal any issues, there is generally no need for excessive concern. However, if there are still suspicions of a problem, it is advisable to consult a physician fo...

[Read More] Understanding Upper Abdominal Discomfort and Indigestion Issues


Understanding Persistent Indigestion and Abdominal Discomfort

Dyspepsia with upper abdominal discomfort? Hello, doctor. I have been experiencing recurrent indigestion for over two years, which has led to weight loss. I underwent an endoscopy last year that showed normal results, and the doctor mentioned that my gastrointestinal tract is qui...


Dr. Cai Anshun Reply:
Hello: 1. If you are experiencing anxiety and tension, you may consider trying medication prescribed by your physician. 2. Pay attention to your eating habits; for example, irregular meal times or eating too quickly, and whether you are consuming irritating or hard-to-digest food...

[Read More] Understanding Persistent Indigestion and Abdominal Discomfort


Understanding Persistent Indigestion and Abdominal Discomfort

Dyspepsia and discomfort in the upper abdomen? Hello, doctor. I have been experiencing recurrent indigestion for over two years, which has led to weight loss. I underwent an upper gastrointestinal endoscopy last year, and the results were normal; the doctor mentioned that my gast...


Dr. Cai Anshun Reply:
Hello: 1. If you are experiencing anxiety and tension, you may consider trying medications prescribed by a physician. 2. Pay attention to your eating habits; for example, irregular meal times or eating too quickly, and whether you are consuming irritating or hard-to-digest foods....

[Read More] Understanding Persistent Indigestion and Abdominal Discomfort


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