Understanding Fatty Liver: Causes, Risks, and Treatment Options
Fatty liver disease issues? Doctor: Hello! I recently had a blood test and found that my liver enzymes were elevated (normal range 0-55), with my value being 57. I later went to the hospital for further examination and discovered that I have fatty liver disease. Can you tell me i...
Dr. Cai Anshun Reply:
Hello: Hazards: (1) Fatty liver, which refers to the accumulation of fat in the liver, particularly triglycerides; (2) Fatty liver disease, which indicates fat accumulation in the liver leading to inflammation; (3) Fatty liver fibrosis/fatty liver cirrhosis, where prolonged fat a...[Read More] Understanding Fatty Liver: Causes, Risks, and Treatment Options
How Often Should You Monitor Liver Health and Uric Acid Levels?
How often should follow-up examinations be conducted? First of all, thank you, Dr. Tsai, for your previous response. Last month's blood test results showed: 1. SGPT 71 (reference range 4-44) 2. Triglycerides 132 (50-130) 3. Uric acid 11.6 (3.6-8). These three values are elev...
Dr. Cai Anshun Reply:
Hello: 1. Last year, liver function tests were normal, but this year the liver index is 71. It is unclear how it fluctuated throughout the year; it may have been higher at some point and has recently decreased, or it could currently be at its peak. It is recommended to monitor ...[Read More] How Often Should You Monitor Liver Health and Uric Acid Levels?
Can Fatty Liver and High Uric Acid Levels Be Reversed?
Fatty liver and high uric acid? Hello Dr. Tsai, I would like to consult you regarding issues related to fatty liver and uric acid. Last month, my blood test results showed: 1. SGPT 71 (reference range 4-44) 2. Triglycerides 132 (50-130) 3. Uric acid 11.6 (3.6-8). These three val...
Dr. Cai Anshun Reply:
Hello: (1) Liver function in fatty liver disease may be normal or elevated, which is referred to as steatohepatitis. Both fatty liver and steatohepatitis are reversible conditions. However, prolonged steatohepatitis that does not resolve can eventually lead to cirrhosis, which is...[Read More] Can Fatty Liver and High Uric Acid Levels Be Reversed?
Effective Weight Loss Strategies for Liver and Kidney Health
I have some questions? Hello! I recently want to lose weight. My height is 173 cm and my weight is 94.2 kg. In a recent school health check, my obesity index was rated with 2 stars. I have many questions, so please bear with me... Thank you! Here are my questions: I really want...
Dr. Chen Shidian Reply:
Hello: 1. Regardless of the method, rapid weight loss is generally not recommended. 2. Rapid weight loss can lead to the rapid accumulation of fat in the liver, worsening fatty liver disease. For kidney health, it is advised to avoid excessive salt intake, drink water in moderati...[Read More] Effective Weight Loss Strategies for Liver and Kidney Health
Understanding Gastrointestinal Issues: Constipation, Diarrhea, and More
Gastrointestinal bowel issues? Hello Doctor: Recently, for about two months, I have been experiencing alternating symptoms of constipation and diarrhea. Although there are several days without a bowel movement, when I do go, it does not feel like the hard stools I used to have du...
Dr. Chen Qifeng Reply:
Hello: 1. The colon requires further examination; please consult a gastroenterologist or a colorectal surgeon. 2. If the lymph nodes in the groin are painful, it is more likely to be inflammation; if not painful, further investigation is needed. Inguinal hernias are generally not...[Read More] Understanding Gastrointestinal Issues: Constipation, Diarrhea, and More
Understanding Gastrointestinal Issues: When to Seek Further Testing
Gastroenterology issues Hello Doctor, I have been experiencing intermittent abdominal pain for over a year now. The pain is characterized as cramping, bloating, colicky, and sharp, accompanied by a feeling of pressure and discomfort in both my lower back and abdomen. Recently, I ...
Dr. Cai Anshun Reply:
Hello: If you have concerns that require further examination, it may be necessary to discuss this with your attending physician. The physician arranges tests after taking a history and conducting a physical examination to confirm the accuracy of the diagnostic judgment made durin...[Read More] Understanding Gastrointestinal Issues: When to Seek Further Testing
Understanding Abdominal Discomfort: Alternating Diarrhea and Constipation
Abdominal discomfort with alternating diarrhea and constipation? Hello, Doctor. I have had poor dietary habits and been overweight. Since February, I have suddenly experienced left abdominal pain (which seems to be cramping pain), and then gastrointestinal issues began. Initially...
Dr. Cai Anshun Reply:
Hello: According to your description, being overweight and having poor dietary habits, along with discomfort in the left abdomen, if it is in the upper left abdomen, may indicate gastric issues. The limited abdominal space, if occupied by intra-abdominal fat, can compress the nor...[Read More] Understanding Abdominal Discomfort: Alternating Diarrhea and Constipation
Understanding Stomach Discomfort: Tips for Managing Bloating and Hunger
Stomach do do! Hello Doctor: I would like to ask a question. I usually have a habit of drinking beverages like green tea or coffee. My first question is: Recently, I often feel a bit uncomfortable in my stomach, experiencing a sensation in Taiwanese called "DO DO," whic...
Dr. Chen Shidian Reply:
Hello, Wu Xiaohua. You may have some gastrointestinal ulcers causing symptoms. It is recommended to start with medication treatment (if necessary, you can opt for a painless gastroscopy at your own expense) to prevent other symptoms. Additionally, please limit your intake of acid...[Read More] Understanding Stomach Discomfort: Tips for Managing Bloating and Hunger
Understanding Chronic Diarrhea with Blood: Causes and Next Steps
Long-term blood in stool? Hello, about two years ago, I started experiencing diarrhea, approximately 3 to 5 times a day, occasionally with a bit of blood. Six months ago, I began having persistent bloody stools (the blood is mostly sprayed out, and the stools are watery), occurri...
Dr. Chen Qifeng Reply:
Hello: It is recommended to proceed with a colonoscopy. Best wishes, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.[Read More] Understanding Chronic Diarrhea with Blood: Causes and Next Steps
Understanding Left Abdominal Distension Near the Belly Button
There is a bulge in the left side of the abdomen near the navel? I feel like the area to the left of my belly button is larger than the right side, but there is no pain, and my bowel movements are normal. When I sit and feel with my hand, it seems like I can touch my intestines, ...
Dr. Yang Zhichao Reply:
Hello Mr./Ms. Pomelo: The human body is not necessarily perfectly symmetrical; variations in fat distribution or muscle orientation can lead to some asymmetry. If you do not experience pain or discomfort, there is no need to worry. However, if you notice weight loss, abdominal di...[Read More] Understanding Left Abdominal Distension Near the Belly Button
Understanding Rapid Weight Loss and Digestive Issues: What Could Be Wrong?
Rapid weight loss, no matter how much I eat, I still lose weight..? My friend has recently been experiencing a strange condition where he has bowel movements half an hour after eating, sometimes going 1 to 2 times after a single meal. In just two weeks, he has lost weight from 53...
Dr. Lin Minghui Reply:
Hello: If there has been intentional weight loss or the use of medication, and there is a short-term weight decrease accompanied by gastrointestinal symptoms, the causes may include gastrointestinal diseases, endocrine disorders, or psychological factors. It is recommended to fol...[Read More] Understanding Rapid Weight Loss and Digestive Issues: What Could Be Wrong?
Effective Strategies to Manage Fast Metabolism and Weight Gain
What methods can be improved for not gaining weight? Hello, doctor. I would like to ask if being unable to gain weight is related to individual body constitution and gastrointestinal absorption issues? A few years ago, I consulted a physician who mentioned that I have poor absorp...
Dr. Cai Jinji Reply:
Hello: There are many reasons why some people do not gain weight, which can be related to digestion, absorption, family history, body constitution, and diseases. It is recommended to consult a physician for diagnosis and treatment. Wishing you peace and happiness.[Read More] Effective Strategies to Manage Fast Metabolism and Weight Gain
Why Can't I Gain Weight? Understanding Gastrointestinal Health Issues
No matter how much I eat, I can't gain weight? Hello, doctor. I am currently about 175 cm tall and weigh only 62 kg. I eat a lot, and I can gain about 1 to 2 kg, but after a few days, I immediately return to my original weight. I would like to ask if this indicates a gastroi...
Dr. Lin Minghui Reply:
Hello: The ability to eat without gaining weight is related to dietary habits, gastrointestinal function, psychological factors, work, stress, and exercise. You may consult general internal medicine, family medicine, gastroenterology, nutrition, or metabolism specialists. Wishing...[Read More] Why Can't I Gain Weight? Understanding Gastrointestinal Health Issues
Understanding Unidentified Liver Lesions in Fatty Liver Patients
An unknown foreign object has developed on the surface of the liver? Hello Dr. Lee, I would like to ask about my father who is 61 years old. He was recently diagnosed with fatty liver (with normal liver enzymes), but there is a 1 cm unidentified mass on the surface of his liver. ...
Dr. Li Yongming Reply:
In clinical practice, the diagnosis of "fatty liver" refers to the condition where the weight of fat (primarily triglycerides) accumulated in the liver exceeds 5% of the total liver weight, or when more than 10% of liver cells in a liver tissue biopsy exhibit fatty vacu...[Read More] Understanding Unidentified Liver Lesions in Fatty Liver Patients
Understanding Frequent Bowel Movements: Causes and Solutions
I have been wanting to have a bowel movement? Over the past month, I have been having bowel movements more than three times a day. Sometimes the stools are thin and short with some strands, and at times they are shapeless. Shortly after finishing, I still feel the urge to go to t...
Dr. Li Yongming Reply:
Hello, I will answer your inquiry in two parts. First, the gastroscopy has revealed the presence of Helicobacter pylori, so I recommend that you undergo a triple therapy regimen to eradicate the Helicobacter pylori. This bacterium has been shown to be highly associated with gastr...[Read More] Understanding Frequent Bowel Movements: Causes and Solutions
Understanding Changes in Stool Thickness: What You Need to Know
How to distinguish the thickness of stool? Hello Doctor, In the past few weeks, I have noticed that my stools have become very thin, about the size of a 5-cent to 10-cent coin. I had a colonoscopy last October due to this issue, and everything was fine. My diet has been normal ...
Dr. Cai Anshun Reply:
Hello: The shape of stool is influenced by various factors, including total daily fluid intake, the fiber content and moisture levels of fruits and vegetables, as well as the types of food you consume and the time it spends in the intestines, among others. It is difficult to list...[Read More] Understanding Changes in Stool Thickness: What You Need to Know
Understanding Changes in Stool Consistency: When to Seek Medical Advice
The stool is somewhat thin? Hello, Doctor. I have noticed that my stool has been somewhat sticky at times, and although it is formed, it can be quite thin—thinner than a pencil, but about the thickness of my finger at its thickest, which is similar to my thumb. Recently, there ha...
Dr. Cai Anshun Reply:
Hello: It is recommended that you consume more fruits and vegetables, whole grains, and other high-fiber foods, while also maintaining a balanced intake of dairy, eggs, fish, meat, and legumes. Engage in regular physical activity and ensure adequate hydration. If symptoms do not ...[Read More] Understanding Changes in Stool Consistency: When to Seek Medical Advice
Understanding IBS: When to Consider Further Testing and Diagnosis
Irritable Bowel Syndrome Issues 2 Hello, doctor. I have a few questions for you. You mentioned that I should undergo a colon X-ray or colonoscopy, but during my monthly follow-ups, you haven't suggested those tests. You also said that since I am young, have a good appetite, ...
Dr. Chen Qifeng Reply:
Hello: The physician's point is also valid. However, in order to diagnose irritable bowel syndrome (IBS), it is necessary to not only rely on the patient's medical history and the physician's professional judgment but also to conduct further examinations to rule ou...[Read More] Understanding IBS: When to Consider Further Testing and Diagnosis
Understanding Post-Endoscopy Symptoms: When to Seek Further Gastrointestinal Care
Gastroscopy I previously underwent an upper gastrointestinal endoscopy due to Helicobacter pylori, and the doctor indicated that there were no signs of gastric ulcers, but there was some gastritis. I was prescribed proton pump inhibitors, but after taking them for a month and the...
Dr. Chen Qifeng Reply:
Hello: Generally speaking, gastroscopy is a safe procedure with few complications. Symptoms such as nausea, vomiting, and abdominal bloating should not be related to the gastroscopy. As for whether these symptoms are associated with gallstones, further differential diagnosis shou...[Read More] Understanding Post-Endoscopy Symptoms: When to Seek Further Gastrointestinal Care
Signs of Stomach Cancer: What Symptoms to Watch For
Stomach discomfort, concerned about stomach cancer? If you are experiencing discomfort in your stomach and are concerned about stomach cancer, it is important to be aware of the potential warning signs. Common early symptoms of stomach cancer may include: 1. Unexplained weight l...
Dr. Chen Qifeng Reply:
Hello: Stomach cancer often presents no specific symptoms, especially in the early stages, where there may be no discomfort at all. Please arrange for an upper gastrointestinal endoscopy with a gastroenterologist. Wishing you good health. Sincerely, Dr. Chi-Feng Chen, Taoyuan Gen...[Read More] Signs of Stomach Cancer: What Symptoms to Watch For