Health Checkup Report Consultation
Hello, Doctor.
I recently checked my medical records from the National Health Insurance Administration and noticed that my previous examination included an abdominal CT scan.
The uploaded medical report contains a section that states FINDINGS: 1.
Only one small high-density material about 0.8 cm (series 2 image 54) in the small intestine is seen.
Does this indicate the presence of a foreign body in the small intestine? Additionally, I would like to ask about my health check report from last May, which showed liver enzyme levels: GOT 15, GPT 19, and GGT 24.
They seem to be within the normal range but are on the lower side.
Does this suggest that my liver function is poorer and that I need to pay special attention to it?
Mr. Chen, 20~29 year old female. Ask Date: 2017/07/13
Dr. Chen Taicheng reply Family Medicine
● The results of the abdominal CT scan are difficult to interpret.
If you have consumed certain health foods, nutritional supplements, calcium tablets, antacids, or anti-diarrheal medications, these could lead to similar findings.
While there is a possibility of a small intestine tumor, it is extremely low.
Please discuss the imaging results further with the physician who performed your examination.
● A low liver enzyme level does not indicate poor liver function; it signifies normal liver function.
Wishing you good health, Dr.
Chen Tai-Cheng, Family Medicine, Taoyuan Hospital.
Reply Date: 2017/07/13
More Info
Understanding your health check report, particularly regarding liver function and CT findings, is crucial for maintaining overall health. Based on the information you've provided, let's break down your concerns regarding the abdominal CT findings and liver function tests.
CT Findings
The CT report indicates that there is a small high-density material about 0.8 cm in the small intestine. This finding could represent several possibilities, including a benign condition such as a fecalith (a hardened piece of stool), a small polyp, or even a foreign body. However, it does not necessarily indicate the presence of an "obstruction" or "foreign object" unless accompanied by other symptoms or findings. It is essential to discuss this finding with your healthcare provider, who may recommend follow-up imaging or further evaluation to determine the nature of this high-density material.
Liver Function Tests
Regarding your liver function tests from May, the values you provided—GOT (AST) 15, GPT (ALT) 19, and GGT 24—are indeed within the normal range, albeit on the lower end. Generally, liver function tests measure the enzymes produced by the liver and can indicate how well the liver is functioning or if there is any liver damage.
1. Low Enzyme Levels: Low levels of liver enzymes like GOT and GPT are usually not a cause for concern. They do not typically indicate poor liver function; rather, they can suggest that the liver is functioning well. However, it is essential to consider these values in the context of your overall health and any symptoms you may be experiencing.
2. Monitoring Liver Health: While your liver enzyme levels are normal, it is still important to maintain a healthy lifestyle to support liver health. This includes:
- Diet: Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins while avoiding excessive fats, sugars, and processed foods.
- Exercise: Regular physical activity can help maintain a healthy weight and reduce the risk of fatty liver disease.
- Avoiding Alcohol: Limiting alcohol intake is crucial, as excessive consumption can lead to liver damage over time.
- Regular Check-ups: Continue to have regular check-ups and liver function tests as recommended by your healthcare provider, especially if you have risk factors for liver disease.
3. Further Evaluation: If you have any symptoms such as fatigue, jaundice (yellowing of the skin or eyes), or abdominal pain, it would be prudent to discuss these with your doctor. They may recommend additional tests, such as imaging studies or more specific blood tests, to further evaluate liver function and rule out any potential issues.
Conclusion
In summary, while the CT finding of a small high-density material in the small intestine warrants further investigation, your liver function tests indicate that your liver is functioning within normal parameters. Maintaining a healthy lifestyle and having regular follow-ups with your healthcare provider will be key in monitoring your liver health and addressing any concerns that may arise. If you have any further questions or symptoms, do not hesitate to reach out to your healthcare provider for personalized advice and management.
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