Understanding Hepatitis B Vaccination: Why Antibodies May Be Low
Vaccine I had a blood test when I was in the fourth grade, and the results indicated "please receive the hepatitis B vaccine." However, I had already received three doses as a child. Why is there still no antibody response? Do I need to get vaccinated again?
Dr. Liu Nanshan reply Gastroenterology and Hepatology
The success rate of hepatitis B vaccination in newborns is greater than 95%. If you are unable to detect antibodies at four years old, it may be due to the antibodies having disappeared or their concentration being too low to detect. It is generally believed that white blood cell...[Read More] Understanding Hepatitis B Vaccination: Why Antibodies May Be Low
Managing Gallstones: What You Need to Know About Treatment Options
What should I do about gallstones? Hello Dr. Liu, I have been experiencing (suspected) stomach pain for many years due to work-related stress and irregular eating habits. About ten years ago, I suddenly had upper abdominal pain that radiated to my back, and each episode lasted at...
Dr. Liu Nanshan reply Gastroenterology and Hepatology
Although upper abdominal pain is more indicative of a gastric or duodenal ulcer, your symptoms radiating to the back suggest that it may be caused by gallstones or cholecystitis. Additionally, duodenal ulcers are more common in younger individuals, so your gastric ulcer is likely...[Read More] Managing Gallstones: What You Need to Know About Treatment Options
Understanding Left Lower Abdominal Pain: Symptoms and Next Steps
Left lower abdominal pain? Hello, doctor. For the past few weeks, I've been experiencing intermittent pain in my lower left abdomen (near the navel), especially after falling asleep, although the pain is within tolerable limits. It occurs about three to four times a day. I h...
Dr. Liu Nanshan reply Gastroenterology and Hepatology
Having irregular bowel movements, with periods of constipation followed by diarrhea, and symptoms that come and go, indeed resembles irritable bowel syndrome (IBS). Another important characteristic of IBS is that abdominal discomfort or pain occurs before bowel movements and impr...[Read More] Understanding Left Lower Abdominal Pain: Symptoms and Next Steps
Can Early Stage Hemorrhoids Be Treated with Outpatient Surgery?
Doctor, can hemorrhoids in the early stage be treated with outpatient surgery? Frequent relapses can be quite bothersome. Is it possible to achieve a permanent solution through outpatient surgery? Do all public hospitals have such facilities (e.g., in Xinying)? Are there any pote...
Dr. Liu Nanshan reply Gastroenterology and Hepatology
In response to your question: The treatment for hemorrhoids must first determine whether it is internal or external hemorrhoid bleeding. Typically, internal hemorrhoid bleeding can be treated with endoscopic ligation, which can be performed on an outpatient basis; external hemorr...[Read More] Can Early Stage Hemorrhoids Be Treated with Outpatient Surgery?