Understanding Elevated Jaundice Levels in Liver Cirrhosis Patients
Abnormal bilirubin levels? Hello doctor, my father went to the hospital last week for an examination and was found to have cirrhosis with a bilirubin level of 18. The attending physician mentioned that the normal value is 1.1, but after a series of tests, no bile duct obstruction...
Dr. Yuan Hongdao Reply:
Hello, a bilirubin level of 18 may indicate possible causes such as bile duct obstruction, hepatitis (viral, alcoholic, drug-induced, autoimmune), tumors, sepsis, or hereditary diseases, among others. If none of these conditions are present and it is determined to be solely due t...[Read More] Understanding Elevated Jaundice Levels in Liver Cirrhosis Patients
Understanding Jaundice After Biliary Dilation: What to Expect
Biliary dilation causing jaundice? Dear Dr. Hsu, My husband recently underwent an endoscopic retrograde cholangiopancreatography (ERCP) for biliary stricture. After the first procedure, he experienced biliary obstruction due to an improper size of the stent, which led to symptom...
Dr. Xu Jinchuan Reply:
Hello! Your husband is experiencing bile duct narrowing, which can lead to bile retention and inflammation. It is necessary to use drainage to alleviate this condition, and the letter mentioned that ERCP is the treatment method. Although a larger drainage tube was successfully pl...[Read More] Understanding Jaundice After Biliary Dilation: What to Expect
Understanding Total Bilirubin Levels: Causes, Concerns, and Care Tips
Total bilirubin Dear Doctor, I received my blood test results from my physical examination and I have some questions. My total bilirubin (T-bil) level is elevated at 1.26 mg/dL, while the normal range is 0.2 to 1.2 mg/dL. My direct bilirubin (D-bil) level is also high at 0.40 m...
Dr. Yuan Hongdao Reply:
Reply: Hello, 1. The causes of elevated bilirubin levels include liver diseases, biliary obstruction, hemolysis, medications, sepsis, autoimmune diseases, and primary biliary cirrhosis. There may also be a congenital deficiency of enzymes in the liver that process bilirubin. ...[Read More] Understanding Total Bilirubin Levels: Causes, Concerns, and Care Tips
Understanding Persistently Elevated Liver Enzymes: Causes and Insights
Liver enzyme levels have consistently been elevated? Hello Doctor: I am 26 years old, and I have had normal health check-ups before university. However, since my university entrance examination, my liver enzymes GPT and GOT have been slightly elevated above normal values. Since t...
Dr. Chen Zhiping Reply:
Hello, the common reasons for elevated AST (GOT) and ALT (GPT) levels include hepatitis B and C, drug-induced fatty liver, and autoimmune diseases. A small portion of cases may have unknown causes not related to the currently known hepatitis viruses (A, B, C, D, E). If the liver ...[Read More] Understanding Persistently Elevated Liver Enzymes: Causes and Insights
Understanding Liver Function Tests: Interpreting GOT, GPT, and Bilirubin Levels
I'm not sure what it means? Hello: My liver enzyme levels were originally very high, but for some reason, in my most recent blood test, the values decreased. My GOT was 48, and I forgot the GPT value. This time, only one tube of blood was drawn, whereas in the past, three tu...
Dr. Chen Zhiping Reply:
Hello, may I ask if you are a hepatitis B patient or have any other type of hepatitis? Generally speaking, in cases of chronic hepatitis, liver enzyme levels (GOT and GPT) can fluctuate; they may be high at times and low at others, and they will not remain constant. Typically, fo...[Read More] Understanding Liver Function Tests: Interpreting GOT, GPT, and Bilirubin Levels
Understanding Drug-Induced Hepatitis: Treatment Options and Risks
My father developed fulminant hepatitis after taking anti-tuberculosis medication! Hello Dr. Hsu, my father does not have hepatitis B, but the doctor is now recommending treatment with Zeffix (at his own expense) because his ALT was previously over 1000. Is it necessary for him t...
Dr. Xu Jinchuan Reply:
Hello! 1. Your first question is unclear. If there is no hepatitis B, why is there a need to take Gan An Neng? Is there some information missing? 2. Plasma exchange therapy is only a temporary measure to replace the liver's function of clearing bilirubin and other harmful su...[Read More] Understanding Drug-Induced Hepatitis: Treatment Options and Risks
Understanding Acute Hepatitis: A Guide for Families Facing Liver Challenges
Please provide information about fulminant hepatitis? My father is currently 60 years old and has autoimmune disease and is a carrier of hepatitis B. Two years ago, he experienced polymyositis due to autoimmune issues and has been on long-term steroid treatment (three pills). He ...
Dr. Chen Zhiping Reply:
Hello, currently your father's condition seems to be characterized by ongoing liver function failure, with persistent jaundice and abnormal coagulation function, showing no significant improvement. The current treatments (such as diuretics, plasma transfusions, and ammonia r...[Read More] Understanding Acute Hepatitis: A Guide for Families Facing Liver Challenges
Managing Hepatitis B Treatment: Concerns About Medication Effects and Digestive Health
Hello, how can I assist you today? Hello Doctor, 1. I am undergoing treatment for hepatitis B, and my doctor has prescribed me Hepa-Merz, Prometin, Topaal, Kascoal, and Canlin. I am concerned whether taking these medications for a long time could harm other organs. I am particu...
Dr. Su Baojia Reply:
1. The medication you are taking has minimal effects on the stomach and kidneys. 2. If you are still experiencing bloating after three months of medication, it may be due to incomplete recovery of the liver or possibly an issue with the stomach. You should consult a gastroenterol...[Read More] Managing Hepatitis B Treatment: Concerns About Medication Effects and Digestive Health
Understanding Cirrhosis: Symptoms, Dietary Tips, and Supplements
Cirrhosis My father has been suffering from liver cirrhosis for many years, and it has been under control. However, recently I noticed that his face has become dark, and I'm unsure why this is happening. Additionally, how can he prevent complications from the disease? What f...
Dr. Chen Jianhong Reply:
Hello! The letter mentions whether "darkening of the face" is related to liver cirrhosis. Based on the information in the letter, it is not possible to assess this; darkening of the face is not necessarily related to liver cirrhosis. I wonder if your father has had his ...[Read More] Understanding Cirrhosis: Symptoms, Dietary Tips, and Supplements
How to Help Your Child Recover from Acute Hepatitis: A Guide for Concerned Parents
Worried mother My daughter was diagnosed with acute hepatitis in May of this year. Currently, her liver enzymes are at 175.110 and her bilirubin level is at 11.7, which has remained stable for about two months. What should I do to help normalize her liver enzymes and bilirubin le...
Dr. Chen Zhiping Reply:
Hello, in addition to bilirubin levels and liver enzyme levels, the prothrombin time is also an important parameter for assessing liver function. May I ask how old your daughter is and what type of hepatitis she has? Sometimes, bilirubin levels can remain elevated for an extended...[Read More] How to Help Your Child Recover from Acute Hepatitis: A Guide for Concerned Parents
Understanding Your Liver Health: Interpreting Bilirubin and Platelet Levels
Am I experiencing liver abnormalities? Hello Dr. Chen: I would like to ask you about a recent health check I underwent at the health center. In the report, my total bilirubin level was highlighted in red, measuring 1.2, which exceeds the normal range. Additionally, my platelet co...
Dr. Chen Zhiping Reply:
Hello: The bilirubin level is slightly elevated. If there is no right upper abdominal pain and liver enzymes (GOT, GPT) are normal, it may be due to other reasons such as hemolysis or congenital bilirubin metabolism disorders. You should consult a hepatologist for further examina...[Read More] Understanding Your Liver Health: Interpreting Bilirubin and Platelet Levels
Understanding Uncertain Liver Nodules: What You Need to Know
There are unknown nodules in the liver. After the CT scan, the doctor is also unable to determine whether they are benign or malignant. I am very scared? There are unknown nodules in the liver. After the CT scan, the doctor was also unable to determine whether they are benign or ...
Dr. Xu Jinchuan Reply:
Hello, Beitou resident! Your question has already been logged in our discussion forum, and we understand that the tests you have undergone so far have not provided you with a clear answer. We do not oppose your decision to seek a detailed evaluation from another hepatobiliary spe...[Read More] Understanding Uncertain Liver Nodules: What You Need to Know
Understanding Unexplained Yellowing of the Face: Causes and Solutions
The sclera is not yellow, but the face appears very yellow? Hello, doctor. I have been noticing that since the first year of high school, my complexion has been yellower than that of others. I consulted a traditional Chinese medicine doctor who said there was no jaundice (the whi...
Dr. Su Baojia Reply:
If your complexion appears more yellow, you should undergo liver function tests to check if your bilirubin levels are elevated. It is advisable to consult a hepatologist to investigate the underlying cause.[Read More] Understanding Unexplained Yellowing of the Face: Causes and Solutions
Understanding Hepatitis B: Risks, Treatments, and Myths Explained
Hepatitis I am 29 years old and recently discovered that I am a carrier of hepatitis B, with a positive HBeAg. My liver function tests are normal; total bilirubin is 1.3 mg/dL, direct bilirubin is 0.3 mg/dL, and an ultrasound showed a rough texture of the liver. The lab technicia...
Dr. Liang Jiade Reply:
Hello, it is recommended to regularly monitor liver function and undergo ultrasound examinations. Your liver function is currently normal. Although HBeAg is positive, antiviral medication treatment is not advised. To date, there is no research or literature in traditional Chinese...[Read More] Understanding Hepatitis B: Risks, Treatments, and Myths Explained
Understanding Liver, Gallbladder, and Gastrointestinal Health Issues
Hepatobiliary and gastrointestinal system issues? Hello Doctor: My father recently underwent a health check-up, and the results are as follows: Carcinoembryonic Antigen (CEA): 6.62 mg/ml (<6.0) Total Bilirubin: 1.1 mg/dl (0.1-1.2) Direct Bilirubin: 0.3 mg/dl (0.0-0.2) Total Pr...
Dr. Zhang Yuting Reply:
May I ask where your father had his health check-up and why he did not explain it clearly to you? Your father is a carrier of hepatitis B and needs regular follow-up treatment in the gastroenterology department. The elevated CEA levels are associated with smoking or adenocarcinom...[Read More] Understanding Liver, Gallbladder, and Gastrointestinal Health Issues
High SGPT Levels with Normal SGOT: Understanding Liver Health Concerns
The SGPT level is elevated, while the SGOT level is normal? Hello Dr. Liang, I recently participated in a company health check-up, and the results for my liver, gallbladder, kidney function, and blood lipids are all normal. However, my SGPT level is two and a half times the maxim...
Dr. Liang Jiade Reply:
Hello, excessive fatigue, prolonged staying up late, medication use, and fatty liver can potentially lead to elevated liver function indices, but other various causes must also be considered. Furthermore, it is necessary to monitor changes in liver function values over time. If t...[Read More] High SGPT Levels with Normal SGOT: Understanding Liver Health Concerns
Can I Transmit Hepatitis B to My Partner During Pregnancy?
Hello, how can I assist you today? Hello, doctor. I have a question to ask... I am a carrier of hepatitis B. My test results are as follows: (SGOT 23.00), (SGPT 31.00), (total bilirubin 0.50), (albumin 4.10), (creatinine 1.00), (AFP 2.0), (HBsAg (+) 554)... The doctor said I am a...
Dr. Cai Junyan Reply:
Hello, gentleman: The transmission risk of hepatitis B through bodily fluids or sexual intercourse is very low. If you are concerned about the possibility of infection, you can receive the hepatitis B vaccine for prevention, although it does not guarantee the production of surfac...[Read More] Can I Transmit Hepatitis B to My Partner During Pregnancy?
Assessing Medical Oversight: A Case Study of Jaundice Diagnosis in Hepatitis B
請提供您想詢問的內容，我將協助您進行翻譯。 I would like to ask how other physicians would diagnose a patient during their first visit on October 12. Does this constitute medical negligence? The patient, Xu Zhanwei, a 23-year-old male senior student, was confirmed to be a carrier of hepatitis B two ye...
Dr. Yang Peizhen Reply:
Hello! First, I must clarify that I am not a member of the Medical Evaluation Committee and do not have the authority to determine whether a physician has committed medical malpractice. Furthermore, I was not present during the consultation between the doctor and the patient, so ...[Read More] Assessing Medical Oversight: A Case Study of Jaundice Diagnosis in Hepatitis B
Understanding Fatty Liver: Concerns About Liver Cancer Risks and Diagnosis
Fatty liver disease Hello Dr. Yang, In March, I experienced occasional sharp pain and discomfort in my right upper abdomen. Given my family history, where my uncle and his two sons passed away due to liver cancer, I was concerned about a hereditary risk for liver cancer. Theref...
Dr. Yang Peizhen Reply:
In response to the questions you raised, my answers are as follows: (1) Although alpha-fetoprotein (AFP) is considered a marker for liver cancer, it specifically pertains to hepatocellular carcinoma (HCC). Approximately two-thirds of small HCC cases have AFP levels within the nor...[Read More] Understanding Fatty Liver: Concerns About Liver Cancer Risks and Diagnosis
Understanding Jaundice: Causes, Symptoms, and Treatment Options
Jaundice What is jaundice? What are the causes of jaundice? How can jaundice be treated to reduce its severity?
Dr. Yang Guojun Reply:
First of all, jaundice does not necessarily indicate liver disease, and liver disease does not always present with jaundice. This is a general understanding. Jaundice is the result of the accumulation of bilirubin in the mucous membranes or skin, and the liver cells are responsib...[Read More] Understanding Jaundice: Causes, Symptoms, and Treatment Options