Understanding Liver Ultrasound Results: Is Surface Hardening a Sign of Cirrhosis?
The ultrasound of the liver shows surface sclerosis? Dear Dr. Liang: Recently, my brother has been experiencing fatigue, nausea upon waking up in the morning, and dizziness. His sclera sometimes appears yellowish. He visited the Veterans General Hospital, where the doctor perform...
Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello: If there is jaundice (yellowing of the eyes and skin), further investigation is necessary to determine the cause (such as issues with the bile ducts, gallbladder, liver, etc.) in order to treat the underlying condition. Additionally, the diagnosis of cirrhosis must be conf...[Read More] Understanding Liver Ultrasound Results: Is Surface Hardening a Sign of Cirrhosis?
Understanding SGPT Levels: What Does a 74 Mean for Liver Health?
Serum Glutamate Pyruvate Transaminase (SGPT) The recent labor check showed an SGPT (ALT) level of 74. Could this indicate hepatitis? What symptoms should I be aware of? Thank you.
Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, the normal range for SGPT (ALT) in healthy individuals is approximately 35-40 IU/L (there may be slight variations depending on the testing facility). When there is a mild elevation, it is important to consider whether there is a history of hepatitis, obesity, high lipid l...[Read More] Understanding SGPT Levels: What Does a 74 Mean for Liver Health?
Understanding the Impact of Gallbladder Removal on Health and Diet
Cholecystectomy My wife had her gallbladder completely removed about a year ago due to gallstones. What effects might this have on her body? Are there any specific areas she should pay special attention to in the future?
Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, the gallbladder primarily serves as a storage place for bile. After surgical removal, it does not have a significant impact on the body. However, due to the loss of storage function, it is advisable to avoid consuming excessive amounts of high-fat foods, as this may lead t...[Read More] Understanding the Impact of Gallbladder Removal on Health and Diet
Chronic Appendicitis: Symptoms, Diagnosis, and Treatment Options
Chronic appendicitis? Three weeks ago, I underwent an upper gastrointestinal endoscopy, which revealed some inflammation in my stomach and the presence of Helicobacter pylori. After that, I took a one-week course of a "triple therapy" to eradicate the bacteria. A few da...
Dr. Liang Jiade reply Gastroenterology and Hepatology
Based on your description, the pain upon pressing the lower right abdomen is likely due to localized abnormal intestinal peristalsis. It is also possible that it is caused by the use of antibacterial antibiotics, which typically resolves in a short period. The chronic appendiciti...[Read More] Chronic Appendicitis: Symptoms, Diagnosis, and Treatment Options
Understanding Colorectal Cancer Stages, Treatments, and Survival Rates
Colorectal cancer 1. Is colorectal cancer staged? 2. How is each stage treated? 3. What are the cure rates for each stage? 4. What is the incidence rate?
Dr. Liang Jiade reply Gastroenterology and Hepatology
1. Colorectal cancer staging has several classifications, with the most common being the Duke staging system, which divides it into four stages: Stage A is confined to the mucosal layer of the bowel, Stage B indicates that the tumor has penetrated deeper into the bowel wall, Stag...[Read More] Understanding Colorectal Cancer Stages, Treatments, and Survival Rates
Understanding Liver Cysts: Treatment Options and Safety for Seniors
Liver cysts Dear Dr. Liang, My father is 75 years old and has three cysts in his liver measuring 1.5 cm, 2 cm, and 3 cm. After a liver biopsy, there are concerns about potential lesions. The doctor has suggested either transarterial embolization or alcohol injection. I am worrie...
Dr. Liang Jiade reply Gastroenterology and Hepatology
Multiple tumors have been found in the liver. If a liver biopsy confirms hepatocellular carcinoma or other malignant tumors, further imaging studies are necessary to determine the size, number, and location of the tumors, which will help decide the appropriate treatment approach....[Read More] Understanding Liver Cysts: Treatment Options and Safety for Seniors
Understanding Early Symptoms of Hepatitis C and Its Differences from Other Types
What are the early symptoms of hepatitis C? How does it differ from other types of hepatitis? Will it be cured after treatment? My grandfather was diagnosed with hepatitis C, and my mother also found out she has it through blood donation. I haven't been tested, but I'm ...
Dr. Liang Jiade reply Gastroenterology and Hepatology
Hepatitis C infection often presents with mild symptoms, similar to those of a common cold, such as fatigue and joint pain. After infection, the majority of individuals will develop chronic hepatitis. At this stage, there are usually no significant clinical symptoms. Hepatitis C ...[Read More] Understanding Early Symptoms of Hepatitis C and Its Differences from Other Types
Understanding Liver Biopsy: Steps, Risks, and Alternatives
Liver biopsy procedures, risks, and other considerations? What are the steps involved in a liver biopsy? For example, blood tests, whether surgery is required, etc. Additionally, what are the associated risks? Is there a greater risk for individuals with normal liver function? Ar...
Dr. Liang Jiade reply Gastroenterology and Hepatology
1. Before performing a liver biopsy, it is essential to assess for any bleeding tendencies and the presence of ascites. Typically, the physician will check platelet counts and coagulation times beforehand. 2. A liver biopsy is considered an invasive procedure, and the risks inc...[Read More] Understanding Liver Biopsy: Steps, Risks, and Alternatives
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding In June, I frequently experienced rectal bleeding, but it stopped after about a week. In July, I underwent a full-body check-up and was diagnosed with superficial gastritis and tested positive for Helicobacter pylori. After that, I occasionally experienced rectal ...
Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello: The pattern of rectal bleeding (bright red blood or black stools, frequency, volume, chronic or acute) and whether the stools themselves are mixed with blood can help differentiate between upper and lower gastrointestinal bleeding. Your upper gastrointestinal endoscopy res...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help