Pancreatitis, Internal Medicine FAQ

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Understanding Abdominal Heat: Symptoms, Causes, and Treatment Options

Abdominal heat flow Hello, Doctor. About a week ago, I experienced a warm sensation in the middle-left area of my abdomen (slight warmth and mild pain when pressed). I have noticed an increase in flatulence and burping. Four days ago, I visited a doctor who prescribed medication ...


Dr. Xie Rongyuan Reply:
Hello: The gastroscopy examination showed no issues, but taking stomach medication from the pharmacy has improved your condition. It is recommended that if symptoms persist, you should consult a gastroenterologist to identify the underlying problem. Thank you for your message!

[Read More] Understanding Abdominal Heat: Symptoms, Causes, and Treatment Options


Understanding Elevated IgG4 Levels: Causes and Treatment Options

Elevated IgG4 levels? Hello, doctor. For over a year, I have been experiencing unexplained dull pain in my back, and rehabilitation has not shown significant improvement. I have undergone X-rays and tests related to ankylosing spondylitis, all of which returned normal results. Oc...


Dr. Zeng Guosen Reply:
Hello, the IgG4-related disease can cause lymphadenopathy and pancreatitis. It is generally not possible to diagnose solely based on IgG4 levels; lymph node or organ biopsies can provide further assistance in diagnosing the disease. It is recommended to consult a rheumatologist f...

[Read More] Understanding Elevated IgG4 Levels: Causes and Treatment Options


Understanding Low Lipase Levels: What Does a Result of 8 Mean?

Low lipase levels in blood? I just saw that in my previous blood test, the lipase level was marked in red, showing only 8. Could you tell me if there is a problem with this result?


Dr. Hong Yuanbin Reply:
Hello, elevated lipase levels may indicate possible pancreatitis. Conversely, low lipase levels do not necessarily indicate a specific disease; for example, the use of certain medications or being underweight can also lead to low lipase levels. As long as there are no discomforti...

[Read More] Understanding Low Lipase Levels: What Does a Result of 8 Mean?


Understanding Gastrointestinal Discomfort: Causes and Solutions

Gastrointestinal discomfort? Hello Doctor, I have been experiencing a problem where I vomit after eating, regardless of whether I am full or not. This has become more severe over the past two years, to the point where I often cannot control it; there have been instances where I s...


Dr. Xiao Yongxun Reply:
Dear Ms. K: 1. Discomfort in the upper abdomen leading to symptoms such as nausea, stomach pain, vomiting, and bloating may commonly be associated with conditions including gastroesophageal reflux disease (GERD), gastritis, peptic ulcers, duodenal ulcers, cholecystitis, pancreat...

[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions


Understanding Left Upper Abdominal Pain: Causes and Symptoms Explained

Sharp pain in the upper left abdomen? The occasional sharp pain in the upper left abdomen that worsens with breathing and varies in frequency, sometimes occurring infrequently and other times more frequently, and that gradually subsides after a bowel movement, could be attributed...


Dr. Xiao Yongxun Reply:
Dear Mr. Vick: 1. There are many causes of left upper abdominal pain, including acute gastritis, acute pancreatitis, cardiac diseases, pneumonia, lung tumors, intestinal obstruction, constipation, colitis, colorectal cancer, neuralgia, and urinary tract stones, among others. It ...

[Read More] Understanding Left Upper Abdominal Pain: Causes and Symptoms Explained


Understanding Right Kidney Pain: Causes and Concerns for Patients

Kidney problems Hello, Doctor Wu. I would like to ask, around noon today, I experienced pain in my right kidney. It hurts when I squat down and when I get back up. My job involves standing and squatting to pick things up. In mid-February of this year, the clinic conducted blood a...


Dr. Wu Hongjie Reply:
Hello: There are many issues related to lower back pain that can be referenced in the attached document or addressed at a hospital. Wishing you safety from bothersome back pain. In the United States, back pain is the second most common reason for seeking medical attention in inte...

[Read More] Understanding Right Kidney Pain: Causes and Concerns for Patients


Sudden Stomach Pain: Causes, Remedies, and Dietary Tips

Sudden abdominal pain? Doctor, I suddenly felt a burning pain in my stomach after dinner last night. I noticed I gained weight, and it hurt a lot when I lay down to sleep, but it was more tolerable when I was standing. I drank some milk, which helped ease the pain and allowed me ...


Dr. Xiao Yongxun Reply:
Dear Miss Fang: 1. Based on your description, most physicians would likely consider conditions such as gastroesophageal reflux disease (GERD), gastric ulcers, duodenal ulcers, and acute gastritis; of course, gallstones, acute cholecystitis, acute pancreatitis, and other less com...

[Read More] Sudden Stomach Pain: Causes, Remedies, and Dietary Tips


Understanding Elevated CEA Levels: Should You Be Concerned?

The CEA level is 17.78? Hello Doctor, five years ago I was hospitalized due to duodenal obstruction and was found to have a 4.5 cm benign cyst in the tail of the pancreas. I underwent surgery to remove the affected part of the pancreas that same year, and I was hospitalized for 3...


Dr. Xie Rongyuan Reply:
Hello: An elevated CEA (Carcinoembryonic Antigen) level can occur in various malignancies such as colorectal cancer, lung adenocarcinoma, breast cancer, cervical cancer, ovarian cancer, gastric cancer, and pancreatic cancer. Additionally, other non-malignant conditions like chron...

[Read More] Understanding Elevated CEA Levels: Should You Be Concerned?


High Ketones in Urine: What Further Tests Are Needed?

High ketone bodies in urine? Hello Dr. Hsiao, I recently had two urine ketone tests in April and mid-July, both showing positive results. I also regularly monitor my blood glucose and hemoglobin A1c levels, which are normal. Previously, I underwent an ERCP due to bile duct stones...


Dr. Xiao Yongxun Reply:
Dear Miss Lin: The increase of ketones in the urine, unless caused by high blood sugar leading to diabetic ketoacidosis, is generally due to prolonged fasting or starvation, which triggers the breakdown of fats and results in an increase of ketones in the blood and urine. Of cour...

[Read More] High Ketones in Urine: What Further Tests Are Needed?


Understanding Chest Pain: When to Seek Medical Attention

Chest pain Recently, I have experienced occasional chest pain, a condition that hasn't occurred for a long time. The most severe episode happened during my middle school years when I suddenly felt chest pain and difficulty breathing while asleep. I quickly drank some water, ...


Dr. Xiao Yongxun Reply:
Dear Miss Anonymous: 1. There are many causes of chest pain, which can originate from superficial chest wall issues (such as shingles, costochondritis, shoulder arthritis, spinal nerve compression, breast lesions, etc.) or from deeper organ-related pain (such as angina, myocard...

[Read More] Understanding Chest Pain: When to Seek Medical Attention


Understanding Blood Sugar Management: Key Indicators and Medication Options

Blood sugar issues Dear Dr. Hsiao, I have been concerned about my blood sugar levels since my health check in 2004, when my fasting blood glucose was 100. I only started medication in 2015, but my weight has decreased from my usual 38 kg to the current 34 kg. For the past ten ye...


Dr. Xiao Yongxun Reply:
1. For a 65-year-old diabetic patient, a fasting blood glucose level of 155 mg/dL, a postprandial blood glucose level of 169 mg/dL two hours after eating, and a hemoglobin A1c level of 6.6% indicate relatively good control. Each of these values carries individual significance, an...

[Read More] Understanding Blood Sugar Management: Key Indicators and Medication Options


Understanding Diabetes: Can Pancreatitis Cause High Blood Sugar?

Diabetes Consultation Doctor, there are many causes of diabetes. I heard that pancreatitis can also lead to diabetes. If blood glucose and hemoglobin A1c levels are both very high, can we directly conclude that it is type 2 diabetes? Does this mean it cannot be caused by pancreat...


Dr. Li Zhiyao Reply:
Hello: Diabetes caused by pancreatitis is mostly due to chronic pancreatitis resulting from alcohol abuse, which then leads to diabetes. If you do not have this condition, the likelihood of having type 2 diabetes is the highest. If you have any questions, please consult a special...

[Read More] Understanding Diabetes: Can Pancreatitis Cause High Blood Sugar?


Severe Abdominal Pain: Seeking Answers for Ongoing Discomfort

Severe abdominal pain? Hello, I would like to ask about my mother's abdominal pain that has lasted for over a month. She has visited multiple hospitals and undergone various tests, including X-rays, gynecological exams, CT scans, blood tests, gastroscopy, colonoscopy, and ev...


Dr. Xiao Yongxun Reply:
In general, abdominal pain lasting more than several weeks or months (3-6 months) is referred to as chronic abdominal pain or recurrent abdominal pain. There are many potential causes, with common conditions including: 1. Gastrointestinal diseases: peptic ulcers, gastroesophageal...

[Read More] Severe Abdominal Pain: Seeking Answers for Ongoing Discomfort


Understanding Elevated IgG and IgG-4 Levels: Causes and Solutions

Elevated levels of IgG and IgG4 immunoglobulins? Hello Doctor: My father had blood tests in the pancreatic department showing elevated levels of IgG: 1910 and IgG-4: 238. The pancreatic specialist advised us to consult a rheumatologist to determine the cause of the elevated globu...


Dr. Gao Jiankai Reply:
Hello, thank you for your message. The diagnosis of IgG4-related disease cannot rely solely on the concentrations of IgG and IgG4 in the blood. Since the elevation of IgG and IgG4 can be due to various reasons beyond pancreatitis, it is essential to consider the overall clinical ...

[Read More] Understanding Elevated IgG and IgG-4 Levels: Causes and Solutions


Understanding Nighttime Abdominal Pain: Possible Causes and Solutions

excuse me? Dear Dr. Hsiao, I suddenly experienced intermittent abdominal pain (below the navel) in the middle of the night, which was severe enough to cause a fever, accompanied by symptoms of belching and nausea. I went to the hospital for blood tests, and it seems that my prol...


Dr. Xiao Yongxun Reply:
Hello: In response to your question, here are the details: 1. There are many causes of abdominal pain, including gastrointestinal diseases, biliary diseases, irritable bowel syndrome, chronic pelvic inflammatory disease, endometriosis, mesenteric lymphadenitis, chronic pancreat...

[Read More] Understanding Nighttime Abdominal Pain: Possible Causes and Solutions


Understanding Sudden Blood Sugar Spikes: Possible Causes Beyond Glycosuria

Please provide the content you would like Hello, I would like to ask you: Besides glycosuria, what other diseases could cause a sudden increase in blood glucose levels? A month ago, my fasting blood glucose levels after 8 hours were between 90 and 106, but in the past week, they ...


Dr. Xiao Yongxun Reply:
Hello: The causes of elevated blood sugar include Type 1 diabetes, Type 2 diabetes, congenital disorders, chronic pancreatitis, hemochromatosis, acromegaly, Cushing's syndrome, metabolic tumors, hypothyroidism, pregnancy, and drug-induced factors, among others. Your fasting ...

[Read More] Understanding Sudden Blood Sugar Spikes: Possible Causes Beyond Glycosuria


Understanding Oil Passage During Bowel Movements: Causes and Concerns

Passing oil during flatulence or bowel movements? Hello Doctor: I sometimes experience oily discharge during gas or bowel movements, approximately once every month or two. I have undergone tests for stool and blood at the hospital, and the results were normal. The doctor only adv...


Dr. Cai Yaozhou Reply:
Passing oil during bowel movements can be related to several factors, including the use of weight loss medications and severe chronic pancreatitis, which is rare in Taiwan. Since your stool and blood test results are normal, it is likely related to your diet. If this condition pe...

[Read More] Understanding Oil Passage During Bowel Movements: Causes and Concerns


Managing High Cholesterol: Tips for Daily Life and Treatment

Individuals with hyperlipidemia should pay attention to the following aspects in their daily lives: 1. **Dietary Choices**: Adopt a heart-healthy diet that is low in saturated fats, trans fats, and cholesterol. Focus on consuming fruits, vegetables, whole grains, and lean prote...


Dr. Cai Yaozhou Reply:
Hyperlipidemia can have significant effects on the human body, as lipids can easily deposit in the arterial walls, accelerating the process of atherosclerosis and leading to diseases such as myocardial infarction and stroke. Elevated triglyceride levels can also increase the risk...

[Read More] Managing High Cholesterol: Tips for Daily Life and Treatment


Understanding Intermittent Chest Pain: Causes and Concerns

Why has there been chest pain two to three times in the past month? I have been experiencing unexplained chest pain at times. Could you please tell me what might be causing this? I'm not sure if it's an issue with my thoracic cavity or my heart. This has been happening ...


Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. Chest pain generally refers to pain occurring in the thoracic region and chest cavity. Common diagnoses include skin conditions (such as shingles), chest wall issues (such as costochondritis, shoulder disorders, intercostal injuries, spinal...

[Read More] Understanding Intermittent Chest Pain: Causes and Concerns


Best Alcohol Choices for Chronic Pancreatitis Patients

Diet for Pancreatitis Hello Dr. Yang, I am a chronic pancreatic cancer patient. Due to my job, I often have to socialize, and I try to avoid it as much as possible, but sometimes it's unavoidable to have a few drinks. During these occasions, what type of alcohol should I cho...


Dr. Yang Jun Reply:
Hello: In response to your question, are you referring to chronic pancreatic "cancer" or chronic pancreatic "inflammation"? These are both within the realm of gastroenterology, and it would be advisable to consult a hepatobiliary and gastroenterology specialis...

[Read More] Best Alcohol Choices for Chronic Pancreatitis Patients


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