Understanding Liver Function Abnormalities: Cholesterol and Other Causes
Liver dysfunction As per your inquiry, GPT is 90, GOT is 95, total cholesterol is 209, and low-density lipoprotein (LDL) cholesterol is 136. Six months ago, an abdominal ultrasound showed that fatty liver had resolved. At that time, you weighed 67 kg, and now you weigh 73 kg, whi...
Dr. Chen Shidian Reply:
Weight gain can significantly affect fatty liver disease. Cholesterol levels do not necessarily impact fatty liver. Additionally, be cautious with the use of lipid-lowering medications, as they may cause an increase in liver function tests in a small number of individuals.[Read More] Understanding Liver Function Abnormalities: Cholesterol and Other Causes
Understanding Elevated SGPT: Fatty Liver and Hepatitis Concerns
Elevated SGPT (Serum Glutamate Pyruvate Transamin Hello, I recently had a blood test at the clinic and found that my GOT level is normal at 39 U/L, while my GPT level is abnormal at 111 U/L. On the same day, I also had an ultrasound that revealed fatty liver. My body fat percenta...
Dr. Chen Shidian Reply:
It is likely that the abnormal liver function is caused by fatty liver, but it is still recommended to rule out the possibility of hepatitis B or C. Additionally, blood lipids are not necessarily proportional to the severity of fatty liver. It is important to reduce starch intake...[Read More] Understanding Elevated SGPT: Fatty Liver and Hepatitis Concerns
Persistent Abdominal Discomfort: When to Seek Further Medical Evaluation
There is a persistent sensation in the stomach? Hello Doctor: I have been experiencing long-term issues with my stools not being formed. Recently, I have been on a weight loss regimen, running daily and eating less. For the past month, I have felt a persistent bloating sensation ...
Dr. Chen Shidian Reply:
If symptoms persist and the initial medication is ineffective, further examinations such as gastroscopy and/or ultrasound, as well as fecal occult blood testing, may be warranted.[Read More] Persistent Abdominal Discomfort: When to Seek Further Medical Evaluation
Understanding Gastrointestinal Issues: Symptoms and Concerns for Young Adults
Gastrointestinal issues Hello Doctor: I am 19 years old and have been experiencing long-term gastrointestinal discomfort since I was about 16. I have visited multiple clinics, and over a year ago, I underwent an endoscopy at a municipal hospital, but no issues were found. However...
Dr. Chen Shidian Reply:
If the endoscopic examination shows no significant findings and the weight is normal, it is likely a motility issue, specifically irritable bowel syndrome (IBS). You should discuss medication and lifestyle adjustments with your physician.[Read More] Understanding Gastrointestinal Issues: Symptoms and Concerns for Young Adults
Understanding Your Stomach Issues: When to Seek Medical Attention
Gastric issues? Recently, my stomach seems to be slightly off, and I'm not sure if it's just psychological. If I wait until I experience significant weight loss, anemia, or unbearable pain before seeing a doctor for an endoscopy, will it be too late, such as in the case...
Dr. Cai Anshun Reply:
Hello: 1. Cancer markers cannot be used to diagnose the presence or absence of cancer. 2. If the clinical physician assesses that it is necessary, an endoscopy is recommended. 3. Ultrasound can only visualize the pancreas under optimal bowel gas conditions, so it is not the best ...[Read More] Understanding Your Stomach Issues: When to Seek Medical Attention
Understanding Stomach Discomfort: When to Seek Medical Attention
Stomach discomfort? I have been feeling a bit uncomfortable in my upper abdomen for the past few days, and I'm not sure if it's related to the left-sided hernia surgery I had at the end of February. Recently, I haven't felt unwell, but I do experience some abdomina...
Dr. Cai Anshun Reply:
Hello: For some individuals, bowel function may temporarily change after surgery, which can be adjusted through lifestyle and dietary habits. If there is no significant weight gain or loss, there is generally no need for excessive concern. However, if the situation does not impro...[Read More] Understanding Stomach Discomfort: When to Seek Medical Attention
Can I Dive or Lift Weights with a Liver Hemangioma?
Hepatic hemangioma Hello, doctor. I have been diagnosed with a 2 cm hepatic hemangioma. Can I engage in activities such as diving and weight training? Is there a risk that increased abdominal pressure could cause it to rupture? If diving is permitted, are there any depth restrict...
Dr. Chen Shidian Reply:
Currently, there are no relevant studies or recommendations. Theoretically, there should be no impact, but monitoring is necessary, initially for six months, and then annually thereafter.[Read More] Can I Dive or Lift Weights with a Liver Hemangioma?
Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Concerns
Gastrointestinal issues Hello Dr. Chen: I have been experiencing abdominal discomfort for half a month. I visited a gastroenterologist at a large hospital, and the doctor suggested that I might have irritable bowel syndrome (IBS). He also mentioned that if I was concerned, I coul...
Dr. Chen Shidian Reply:
The manifestations of irritable bowel syndrome (IBS) can be further evaluated by performing a stool occult blood test to rule out other possibilities. Also, please try not to be too anxious![Read More] Understanding Irritable Bowel Syndrome: Symptoms, Diagnosis, and Concerns
Can I Dive or Lift Weights with a Liver Hemangioma?
Hepatic hemangioma Hello, doctor. I have been diagnosed with a 2 cm hepatic hemangioma. Can I engage in diving and weight training? Is there a risk that increased abdominal pressure could cause it to rupture? If diving is permitted, are there any depth restrictions? Thank you. 🙏
Dr. Chen Shidian Reply:
Currently, there are no relevant studies or recommendations. Theoretically, there should be no impact, but monitoring is necessary: initially for six months, and then annually thereafter.[Read More] Can I Dive or Lift Weights with a Liver Hemangioma?
Blood in Stool: What to Do When You Notice Blood After Bowel Movements
Blood in the stool? If you have had a stool test that came back normal but notice a small amount of blood on the toilet paper after wiping, it is advisable to monitor the situation. Minor bleeding can sometimes occur due to hemorrhoids or anal fissures. However, if the bleeding p...
Dr. Chen Shidian Reply:
It is recommended to primarily use water for cleansing after bowel movements. If toilet paper is necessary for wiping, avoid vigorous rubbing to reduce the risk of minor bleeding from the anal vessels. If needed, an anoscopy or other examinations may be considered.[Read More] Blood in Stool: What to Do When You Notice Blood After Bowel Movements
Loose Stools and Weight Loss: Understanding Digestive Issues
Loose stools + continuous weight loss? I have been experiencing loose stools for two consecutive months, where the stool disperses immediately upon flushing. I consulted a doctor who suggested that I might have eaten something that caused this, and after taking medication, it was...
Dr. Lin Minghui Reply:
Hello! A 21-year-old female presents with loose stools and ongoing weight loss. Despite medication improving her condition, she continues to experience good appetite and indigestion, leading to further weight reduction. It is advisable to consult with internal medicine, family me...[Read More] Loose Stools and Weight Loss: Understanding Digestive Issues
Managing Duodenal Ulcers: Symptoms, Treatment, and Dietary Tips
Duodenal ulcer medication is ineffective, along with other symptoms? Hello Doctor, I am currently 19 years old. In February, I suddenly experienced severe stomach burning, and it wasn't until the end of February that I underwent an endoscopy, which revealed a mild duodenal u...
Dr. Chen Shidian Reply:
It is recommended to first consult a psychiatrist to manage anxiety and tension, and to use medications from the gastroenterology department as needed. A normal diet is acceptable, with the exception of avoiding刺激性食物 (irritating foods), and there should be no significant restrict...[Read More] Managing Duodenal Ulcers: Symptoms, Treatment, and Dietary Tips
Is Low Cholesterol and Triglycerides a Sign of Pancreatic Cancer?
Is there any basis for this statement? Recently, I came across a physician citing a study from the United States indicating that a decrease in triglycerides and cholesterol could be a precursor to pancreatic cancer. Is there any basis for this? According to the citation: In May o...
Dr. Chen Shidian Reply:
Further research is needed.[Read More] Is Low Cholesterol and Triglycerides a Sign of Pancreatic Cancer?
Understanding Digestive Issues: Insights on Bowel Movements After Gastroenteritis
Bowel issues Hello Doctor, I had a bout of gastroenteritis some time ago, and I experienced mild abdominal pain afterward. Recently, after having a barbecue with friends, I had another episode of gastroenteritis. However, after recovering this time, the abdominal pain has not rec...
Dr. Chen Shidian Reply:
Chewing food thoroughly and checking for occult blood in the stool.[Read More] Understanding Digestive Issues: Insights on Bowel Movements After Gastroenteritis
Understanding Long-Term Stool Changes: Dietary Issues or Gastrointestinal Concerns?
Chronic loose stools? Hello doctor, I have noticed that for the past few months, my stools have been more like a lump rather than a formed log, but they are not watery enough to be considered diarrhea. I also feel discomfort during intestinal peristalsis. Could this be related to...
Dr. Chen Shidian Reply:
If there is no weight loss or blood in the stool, it is mostly due to motility disorders (such as irritable bowel syndrome). However, if there are concerns, a stool occult blood test can still be performed.[Read More] Understanding Long-Term Stool Changes: Dietary Issues or Gastrointestinal Concerns?
Loose Stools, Diarrhea, and Weight Loss: Understanding Gastrointestinal Issues
Loose stools or diarrhea and weight loss? Hello Doctor: I was diagnosed with gastroenteritis in mid-March, and since then my stools have often been loose but occasionally formed or even diarrhea (without abdominal pain). Before the gastroenteritis, my bowel habits were irregular,...
Dr. Cai Anshun Reply:
Hello: If the thyroid blood test report is normal compared to the reference values, you can continue to monitor whether your bowel habits will return to normal or if the current condition becomes a new baseline. Dietary adjustments or taking probiotics may help; if there is no im...[Read More] Loose Stools, Diarrhea, and Weight Loss: Understanding Gastrointestinal Issues
Understanding Bowel Issues: Insights from Gastroenterology Experts
Bowel movement issues Hello, doctor. In the past few months, my bowel movements have sometimes been well-formed and other times loose. I considered that it might be related to dietary fiber, and I've been eating high-fiber vegetables and fruits, but there hasn't been an...
Dr. Lin Minghui Reply:
Hello, A 25-year-old male is experiencing bowel issues, with stool consistency varying between well-formed and loose. There is left lower abdominal pain that improves after bowel movements, which may indicate a sensitive gastrointestinal tract, irritable bowel syndrome, or gast...[Read More] Understanding Bowel Issues: Insights from Gastroenterology Experts
Changes in Bowel Habits and Bloating: Understanding Gastrointestinal Issues
Changes in bowel habits and abdominal bloating? I previously did not experience constipation and had regular bowel movements. However, after undergoing a colonoscopy in December last year (with results showing no polyps), I suddenly started having difficulty with bowel movements....
Dr. Lin Minghui Reply:
Hello, the colonoscopy showed no polyps, but you have been experiencing constipation and abdominal bloating recently. Your stools are hard and pellet-like, which is abnormal. It is recommended to increase your fiber intake by consuming more vegetables and fruits, drink adequate w...[Read More] Changes in Bowel Habits and Bloating: Understanding Gastrointestinal Issues
Understanding Right-Sided Bladder Pain and Digestive Issues
Pain in the right side of the bladder? Hello Doctor, I have been experiencing quite a bit of bloating in my gastrointestinal tract lately; some days are better than others. Could this bloating be related to the foods I am eating? My stool has a slightly sour smell; could this ind...
Dr. Chen Shidian Reply:
If there are no symptoms such as blood in the stool, weight loss, worsening pain, or fever, further observation is recommended. Localized heat application is also suggested, along with a balanced diet and moderate exercise.[Read More] Understanding Right-Sided Bladder Pain and Digestive Issues
Should You See a Doctor for Mild Stomach Discomfort?
Stomach discomfort? Recently, my stomach feels a bit uncomfortable and bloated. Should I see a doctor? If I wait until the discomfort becomes more pronounced, will it be too late? (For example, like late-stage stomach cancer, etc.)
Dr. Chen Shidian Reply:
If there is no weight loss or anemia, there is no need to worry at this stage. You can seek treatment at a nearby family medicine clinic, and if there is no improvement, then consider seeing a gastroenterologist for an endoscopy.[Read More] Should You See a Doctor for Mild Stomach Discomfort?