I would like to inquire about abdominal ultrasound examination?
Hello Doctor,
I am a carrier of hepatitis B and regularly go to the hospital for abdominal ultrasound examinations.
My last check-up was around mid-September of last year, and I was originally scheduled to return for follow-up in early April this year.
However, considering the current development of the pandemic, I am concerned about the risk of infection, so I am thinking of postponing it until around August in the summer.
Yet, I am also worried that delaying the examination for too long might lead to liver issues during this period.
If I maintain a normal diet and lifestyle, should I be less worried? Or do you recommend that I still go in April? Thank you very much for taking the time to respond.
Niming, 30~39 year old female. Ask Date: 2020/03/08
Dr. Chen Shidian reply Gastroenterology and Hepatology
You should discuss with your doctor when it would be appropriate to schedule the examination.
Reply Date: 2020/03/08
More Info
When considering whether to delay your abdominal ultrasound due to COVID-19 concerns, it is essential to weigh the risks of potential exposure to the virus against the necessity of monitoring your liver health, especially as a hepatitis B carrier. Regular monitoring through abdominal ultrasounds is crucial for individuals with chronic liver conditions, as it helps detect any changes that may indicate complications, such as liver cirrhosis or hepatocellular carcinoma.
Given that your last ultrasound was in September of the previous year, and you were scheduled for another in April, it is understandable to be concerned about the timing of your next appointment. The pandemic has indeed made many patients hesitant to seek medical care, but it is important to prioritize your health, particularly when dealing with a chronic condition like hepatitis B.
If you maintain a normal diet and lifestyle, it may help mitigate some risks to your liver health, but it does not eliminate the need for regular monitoring. Hepatitis B can lead to progressive liver disease, and any delays in monitoring could potentially result in missing early signs of complications. Therefore, while a healthy lifestyle is beneficial, it should not replace the need for regular medical evaluations.
In terms of the COVID-19 situation, many healthcare facilities have implemented strict safety protocols to minimize the risk of virus transmission. This includes screening patients for symptoms, enforcing mask-wearing, and ensuring social distancing in waiting areas. If you are particularly concerned about exposure, you might consider reaching out to your healthcare provider to discuss the safety measures in place at their facility. They may also be able to provide you with options for telehealth consultations, where you can discuss your concerns and the necessity of the ultrasound without needing to visit in person.
Ultimately, the decision to delay your ultrasound should be made in consultation with your healthcare provider. They can assess your individual risk factors, the current state of your liver health, and the potential consequences of postponing the ultrasound. If they believe that the benefits of having the ultrasound in April outweigh the risks of COVID-19 exposure, they may recommend proceeding with the appointment. Conversely, if they assess that your liver condition is stable and can afford a slight delay, they might support your decision to wait until summer.
In summary, while it is natural to be concerned about COVID-19, your liver health should remain a priority. Regular monitoring is essential for managing chronic conditions like hepatitis B. Consult with your healthcare provider to make an informed decision that balances your health needs with your concerns about the pandemic. Remember, delaying necessary medical care could lead to more significant health issues down the line, so it is crucial to stay proactive about your health.
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