Understanding Fatty Liver: High GPT and R-GT Levels Explained
Please provide the content you would like me to translate into English? Hello Doctor: I would like to provide the following information for your reference: 1. Height: 171 cm, Weight: 82 kg. Liver function tests: - GOT: 78 (reference value 0-40) - GPT: 200 (reference value 0-...
Dr. Yang Zhichao Reply:
Hello Mr. Chang, based on the information you provided, your liver enzyme levels indicate signs of hepatitis. In Taiwan, common causes include hepatitis B/C infections, alcoholic hepatitis, and fatty liver disease. However, based on the information provided, hepatitis B/C infecti...[Read More] Understanding Fatty Liver: High GPT and R-GT Levels Explained
What to Do When Cystic Liver Infection Surgery Fails: A Guide
What should be done if there are no results after surgery and drainage for polycystic liver disease? Hello doctor, my mother is 72 years old. Two years ago, she underwent surgery for a bacterial infection in her liver cysts and had her gallbladder removed. She was hospitalized a ...
Dr. Lin Minghui Reply:
Hello: 1. The elevated bilirubin levels can be caused by infections, liver issues, or bile duct obstructions. 2. The standard treatment for liver cyst infections involves drainage or aspiration combined with antibiotics, and sometimes the treatment duration may be extended. It...[Read More] What to Do When Cystic Liver Infection Surgery Fails: A Guide
Understanding Pancreatic Issues: Risks and Options for Surgery
Hello, doctor. I would like to ask some questions about the pancreas? Two years ago, I experienced pain in my right upper abdomen and underwent numerous tests at a hospital in China. Eventually, I had a small bowel endoscopy, which led to a diagnosis of acute pancreatitis confirm...
Dr. Chen Shidian Reply:
Hello Mr. Li Dawei: Several senior physicians have suggested that you should consider (after reviewing the actual data) consulting a surgeon regarding surgical-related issues (you may want to inquire at two medical centers), as this involves surgical equipment and individual skil...[Read More] Understanding Pancreatic Issues: Risks and Options for Surgery
Understanding Elevated Liver and Pancreatic Enzyme Levels: Causes and Treatments
Health check values Recent blood tests revealed elevated levels in the following parameters: - AMY (Amylase): 103.000 U/L (normal range: 0-100) - TG (Triglycerides): 137.000 mg/dL (normal range: 50-150) - TC (Total Cholesterol): 213.000 mg/dL (normal range: 50-200) - T-B (Total...
Dr. Chen Qifeng Reply:
Hello: Elevated amylase levels are significant only in the presence of abdominal pain. Elevated total and direct bilirubin levels should primarily raise suspicion for biliary tract disorders, and it is recommended to perform an abdominal ultrasound. If the results are normal and ...[Read More] Understanding Elevated Liver and Pancreatic Enzyme Levels: Causes and Treatments
Understanding Elevated Amylase and Bilirubin Levels: What You Need to Know
Health check-up value inquiry 2 Hello, doctor. I am the one from the previous message regarding elevated amylase and total bilirubin levels. I later underwent an abdominal ultrasound examination of the liver, gallbladder, kidneys, spleen, and part of the pancreas, and there were ...
Dr. Chen Qifeng Reply:
Hello: 1. Amylase can be monitored. 2. Sometimes the use of certain medications or exposure to chemical agents can also cause elevated bilirubin levels; follow-up is sufficient, and there are currently no treatment recommendations. Wishing you safety and health. Sincerely, Dr. Ch...[Read More] Understanding Elevated Amylase and Bilirubin Levels: What You Need to Know
Understanding Complications in Liver Cancer Patients: A Case Study
Grandma has liver cancer and was admitted to the intensive care unit due to a urinary tract infection? Hello! My grandmother was diagnosed with stage II liver cancer at the end of June this year (she has a history of hepatitis C, diabetes <controlled with medication>, and h...
Dr. Lin Minghui Reply:
Hello: My grandmother has diabetes and chronic hepatitis C, and after undergoing embolization treatment for liver cancer, if the liver function of chronic hepatitis patients deteriorates, possible manifestations include the onset or worsening of jaundice, low serum albumin levels...[Read More] Understanding Complications in Liver Cancer Patients: A Case Study
Managing Elevated Viral Load and Liver Enzymes in Hepatitis B Patients
Viral load, GOT, and GPT levels surge? Dear Director, I have hepatitis B and previously underwent treatment with "Interferon" and "Lamivudine" for three years. Since the treatment period covered by health insurance has ended, I have stopped taking the medicat...
Dr. Chen Shidian Reply:
Hello Mr. Yang, please enhance your follow-up and apply for medication control at the appropriate time as instructed. If you are willing to deviate from the regulations and pay out of pocket for medication, you may use Huilituo for treatment. Interferon is also another option, bu...[Read More] Managing Elevated Viral Load and Liver Enzymes in Hepatitis B Patients
Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Total bilirubin (T) slightly elevated issue? Hello Doctor, I recently visited a weight loss clinic where the doctor arranged for me to undergo blood tests and an abdominal ultrasound. The abdominal ultrasound showed normal results except for moderate to severe fatty liver, and th...
Dr. Lin Minghui Reply:
1. There are many common causes of elevated total bilirubin, including hepatitis (alcoholic, viral, autoimmune, or drug-induced), hemolytic anemia, biliary diseases, infections, sepsis, malignancies, Gilbert's syndrome, primary biliary cholangitis, and primary sclerosing cho...[Read More] Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Understanding Abnormal Liver and Urine Test Results: What You Need to Know
Request for advice on health check-up results? Two weeks ago, I underwent a health check-up, and the results showed some issues. I would like the doctor to take a look at the main problems related to liver function and urinalysis. In the liver function tests, there are two abnorm...
Dr. Chen Qifeng Reply:
Hello: According to the report, liver function is generally normal. The data on globulin and albumin does not indicate any liver function abnormalities. As for the structure, a liver ultrasound examination is necessary. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, De...[Read More] Understanding Abnormal Liver and Urine Test Results: What You Need to Know
Managing Concurrent Hepatitis A and B: High Bilirubin and Vomiting Solutions
The patient is a carrier of hepatitis B and has recently contracted hepatitis A, resulting in a bilirubin level elevated to 15? Dear Dr. Yang, my current health issue is that I am a carrier of Hepatitis B and have recently contracted Hepatitis A, which has caused my bilirubin lev...
Dr. Yang Zhichao Reply:
Dear Ms. A, Your infection is treatable; however, your bilirubin level is quite high at 15, which may be contributing to your nausea and vomiting. I recommend that you consult your clinician for some antiemetic medication to help alleviate your symptoms. If your bilirubin level ...[Read More] Managing Concurrent Hepatitis A and B: High Bilirubin and Vomiting Solutions
Understanding Elevated Liver Enzymes: What You Need to Know
Concerns about health check-ups? Hello Doctor: I just completed my annual health check-up this month, and my GOT (AST) and GPT (ALT) levels are both above the standard values, with GOT at 42 and GPT at 86. Additionally, my total bilirubin is 1.2. What aspects should I pay attenti...
Dr. Chen Shidian Reply:
Hello Jason: Please bring your health check-up report to the Department of Hepatobiliary and Gastroenterology for further evaluation of the elevated indices and treatment. Changhua Hospital cares about your health~~~~[Read More] Understanding Elevated Liver Enzymes: What You Need to Know
Understanding Liver Ultrasound: Is It Enough for a Complete Assessment?
Liver examination..? I went for a liver examination, and the doctor only arranged for an abdominal ultrasound. The results were normal, and no other tests were scheduled. The doctor said that if the ultrasound showed no issues, it can be confirmed that there are no problems with ...
Dr. Cai Anshun Reply:
Hello: The examination of the liver and gallbladder refers to blood tests (liver function tests, bilirubin levels) and abdominal ultrasound, which can rule out the majority of liver and gallbladder diseases. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Liver Ultrasound: Is It Enough for a Complete Assessment?
Differences Between ERCP and MRCP: What You Need to Know
What are the differences between ERCP and MRCP examinations? I have been experiencing pain in my right upper abdomen for 3 to 4 years. I have undergone abdominal ultrasound, CT scan, MRI, MRCP, gastroscopy, colonoscopy, small bowel endoscopy, capsule endoscopy, and endoscopic ult...
Dr. Yang Zhichao Reply:
Hello Mr./Ms. Peter, ERCP (Endoscopic Retrograde Cholangiopancreatography) is an invasive procedure. It involves inserting an endoscope, similar to a gastroscope, through the mouth into the duodenal ampulla. A thin catheter is then used to inject contrast dye into the openings ...[Read More] Differences Between ERCP and MRCP: What You Need to Know
When is ERCP Recommended for Abdominal Pain and Pancreatic Cysts?
What are the indications for using ERCP? I have been experiencing pain in my upper right abdomen for 3 to 4 years. I have undergone gastroscopy, colonoscopy, CT scans, MRI, and ultrasound, which only showed fatty liver. My bowel movements are normal, and blood tests indicate norm...
Dr. Chen Qifeng Reply:
Hello: ERCP is an invasive procedure with a small risk of causing pancreatitis. If there has been a history of pancreatitis leading to a pancreatic pseudocyst, it is generally not recommended to undergo ERCP, unless absolutely necessary or if the pseudocyst has been resolved. Wis...[Read More] When is ERCP Recommended for Abdominal Pain and Pancreatic Cysts?
Chronic Abdominal Pain: Seeking Answers for Persistent Right Upper Discomfort
Please, doctor, help me with my long-standing abdominal pain? Symptoms: I feel a dull pain in the upper right abdomen all day, whether sitting or standing, as if there is a heavy object pressing down. I can't tolerate it after sitting or standing for too long, and it doesn&#...
Dr. Chen Qifeng Reply:
Hello: 1. For asymptomatic pancreatic pseudocysts, it is recommended to have regular follow-ups to observe if they will resolve on their own. 2. Regarding the right upper quadrant pain, with only elevated ACP and VGT, and multiple tests yielding no definitive results, ERCP could ...[Read More] Chronic Abdominal Pain: Seeking Answers for Persistent Right Upper Discomfort
Understanding Abnormal Blood and Urine Test Results in Liver Health
Regarding blood and urine test results? In the year 2012, a health check-up was conducted, and the results suggested the following follow-up: weight loss (44 kg/160 cm), low white blood cell count, positive urine protein, weakly positive urine ketones, positive urine bilirubin, e...
Dr. Lin Minghui Reply:
Hello: 1. For chronic hepatitis B carriers with abnormal liver function, regular follow-up is necessary. 2. If there are symptoms of jaundice, such as intermittent high indirect bilirubin, it may sometimes be necessary to check for hemolytic anemia, G6PD deficiency, and other con...[Read More] Understanding Abnormal Blood and Urine Test Results in Liver Health
Understanding e-Antigen Negative Hepatitis B: Risks and Treatment Options
Hepatitis B patients who are e-antigen negative? Hello Doctor: In 2006, I tested negative for HBeAg and positive for HBeAb, and I originally thought I was a low viral load hepatitis B patient. However, my recent tests showed GPT=77, GOT=31, AFP=4.5, and HBV DNA=250,000 IU/mL. The...
Dr. Li Yongming Reply:
Hello, you are a very diligent patient. I will first address your questions in order, and then provide the current health insurance regulations and personal recommendations regarding your situation. First, the e antigen in wild-type chronic hepatitis B virus is indeed an indica...[Read More] Understanding e-Antigen Negative Hepatitis B: Risks and Treatment Options
Understanding Bowel Issues: When to Seek Gastroenterology Help
Defecation I have been experiencing constipation for the past two weeks, and there is bleeding from the anus after bowel movements, which is fresh blood (I thought it might be hemorrhoids or anal fissures). However, this morning during a bowel movement, I expelled a deep green, g...
Dr. Chen Qifeng Reply:
Hello: 1. The most common causes of blood in the stool are indeed hemorrhoids or anal fissures. If the symptoms are recurrent or persistent, it is advisable to consult a colorectal surgeon. 2. The color of feces primarily comes from bile, which contains bilirubin and biliverd...[Read More] Understanding Bowel Issues: When to Seek Gastroenterology Help
Should I Immediately Self-Pay for Baraclude Treatment?
Is it necessary to immediately pay out of pocket for Belviq? Dear Dr. Lin, I previously self-paid for Hepa-Merz and did not develop any drug resistance, but after stopping the medication for about a year, I experienced a relapse. Currently, my GOT/GPT levels are (64/101 on Augus...
Dr. Lin Minghui Reply:
Hello: 1. Currently, liver enzyme levels are elevated, and viral load is high, indicating liver inflammation. It is advised to avoid excessive fatigue and to investigate the causes of liver inflammation. Treatment for hepatitis B, including oral antiviral medications or long-ac...[Read More] Should I Immediately Self-Pay for Baraclude Treatment?
Understanding Pancreatic Disorders: Risks of Jaundice and Tumor Concerns
Pancreatic diseases Hello Dr. Chen: I have recently developed jaundice, and my stool is pale gray. After a blood test, my bilirubin level was 24. What are the risks if I do not address this immediately? Additionally, my CT scan shows an irregular mass measuring 2.5 cm on the panc...
Dr. Chen Qifeng Reply:
Hello: Based on the current information, it is suspected that there is a tumor in the head of the pancreas, which is compressing the bile duct and causing obstructive jaundice. Immediate intervention is necessary. Best regards, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of H...[Read More] Understanding Pancreatic Disorders: Risks of Jaundice and Tumor Concerns