Understanding the Risks of Reactivation in Chronic Hepatitis B Carriers
Questions about asymptomatic carriers? Hello Dr. Tsai, I have been a carrier of hepatitis B since I was in my specialty training. I found out during a health check at work when I was about 27 years old that my HBeAg was negative. I have also had two or three HBV viral load tests,...
Dr. Cai Anshun Reply:
Hello: (1) The activation of hepatitis B virus is usually associated with a decline in immune function, such as excessive fatigue, or the use of corticosteroids, immunosuppressants, undergoing chemotherapy, alcohol consumption, etc. In some cases, the activation may occur for unk...[Read More] Understanding the Risks of Reactivation in Chronic Hepatitis B Carriers
Understanding Chronic Hepatitis B: Key Questions and Concerns
Could you please provide more details about the issue related to hepatitis B? Hello Doctor, I have a few questions regarding hepatitis B. I am 37 years old, and there is a high likelihood that my hepatitis B was transmitted vertically from my mother. 1. I have undergone two HBV...
Dr. Cai Anshun Reply:
Hello: (1) Based on your description, the e-antigen has been negative for over a decade. The e-antigen indicates the replicative activity of the virus; essentially, "e-antigen negative chronic hepatitis" refers to the detection of a negative e-antigen. (2) Mild hepatiti...[Read More] Understanding Chronic Hepatitis B: Key Questions and Concerns
Understanding Your Liver and Cholesterol Test Results: Key Insights
Laboratory Report Hello Doctor, the examination results from 11/06 are as follows: Fasting Blood Sugar: 126 Hemoglobin A1c: 6.8 Triglycerides: 87 Total Cholesterol: 198 LDL: 154 HDL: 38 Creatinine: 1.0 BUN: 19 Direct Bilirubin: 0.1 Total Bilirubin: 0.6 Alkal...
Dr. Chen Qifeng Reply:
Hello, 1. Liver function tests and ultrasound interpretation should take into account the history of alcohol consumption and hepatitis to provide a comprehensive assessment. 2. Total cholesterol levels are not high, but LDL is elevated and HDL is low, indicating poor dietary s...[Read More] Understanding Your Liver and Cholesterol Test Results: Key Insights
Understanding Hepatitis B and C Testing After Fatty Liver Diagnosis
Hepatitis B and C testing? Hello Doctor: A year ago, our school arranged for us to undergo a health check, and my HBsAg was negative and HBsAb was negative. However, I recently went to the hospital for an ultrasound examination, and the doctor said I have mild fatty liver and rou...
Dr. Chen Shidian Reply:
Hello, Miss: Hepatitis B has likely been ruled out, and Hepatitis C can be tested again. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Hepatitis B and C Testing After Fatty Liver Diagnosis
Understanding Elevated Liver Enzymes: Is It Hepatitis?
Elevated liver enzymes? Hello doctor, my SGOT is 105 and SGPT is 102. My liver enzymes seem to be significantly elevated. I had a health check-up over a month ago, and I just received the results last week. Could this indicate hepatitis?
Dr. Cai Anshun Reply:
Hello: Elevated levels of GOT/GPT indicate liver inflammation; however, the underlying cause may require further investigation, including tests for hepatitis B, hepatitis C, fatty liver disease, alcoholic liver disease, or excessive use of herbal medicine, among others. Please co...[Read More] Understanding Elevated Liver Enzymes: Is It Hepatitis?
Understanding Elevated SGPT Levels: Implications for Liver Health and Pregnancy
Elevated SGPT (Serum Glutamate Today, I told my obstetrician about my liver enzyme results, and the doctor said that an SGPT level of 108 is indeed high and may indicate an underlying liver issue, possibly hepatitis C or hepatitis B. If it is one of these two, will it affect the ...
Dr. Chen Qifeng Reply:
Hello, it is important to first confirm whether the mother has hepatitis B or hepatitis C. If not, the likelihood of fatty liver disease is highest. Only hepatitis B can affect the baby, but there is also a risk of transmission through contamination with the mother's blood d...[Read More] Understanding Elevated SGPT Levels: Implications for Liver Health and Pregnancy
Understanding Fatty Liver: Can It Really Elevate Liver Enzymes to 200?
Please provide the content you would like me to translate into English? Hello Dr. Tsai: I would like to provide the following information for your reference: 1. SGOT: 79 (normal range: 8-38 U/L) SGPT: 214 (normal range: 4-40 U/L) Ultrasound examination: Moderate fatty l...
Dr. Cai Anshun Reply:
Hello: Nonalcoholic steatohepatitis (NASH) can cause inflammation that may exceed 200. In addition to medication, it is essential to control caloric intake and increase physical activity. As for autoimmune hepatitis, blood tests are required to confirm the presence of specific au...[Read More] Understanding Fatty Liver: Can It Really Elevate Liver Enzymes to 200?
How to Lower GOT and GPT Levels: Tips for Liver Health
GOT 48, GPT 71? Hello Dr. Chen, my liver enzyme levels are GOT 48 and GPT 71. I do not have hepatitis B or C. I am being treated at Asia University Hospital. I previously took medication for hyperthyroidism for about a year, but I am now well and no longer need to take it. My uri...
Dr. Chen Qifeng Reply:
Hello, aside from hepatitis B and C, another cause of abnormal liver function is fatty liver... Of course, there are also other less common causes. Therefore, it is essential to rely on abdominal ultrasound and some blood tests for diagnosis. If it is indeed fatty liver, the meta...[Read More] How to Lower GOT and GPT Levels: Tips for Liver Health
Understanding Hepatitis B Monitoring: Key Questions and Insights
Hepatitis B testing issues? Hello Doctor, I am a carrier of Hepatitis B with e-antibody, and my viral load has been measured at a maximum of 300. I have been undergoing regular follow-up examinations. Previously, my liver enzyme levels (GPT) fluctuated frequently, reaching a maxi...
Dr. Chen Shidian Reply:
Hello Mr. Huang: (1) Nodules smaller than 1 cm are often difficult to characterize and are generally referred to as nodules. Regular follow-up is recommended. (2) Alpha-fetoprotein (AFP) levels may fluctuate slightly. If there is a continuous increase, caution is advised. (3) The...[Read More] Understanding Hepatitis B Monitoring: Key Questions and Insights
Chronic Diarrhea and Abdominal Pain: Causes and Solutions Explained
Persistent diarrhea? Hello, doctor... I have been suffering from chronic diarrhea and abdominal pain for a long time. In early February 2015, I underwent a comprehensive health check-up, which included stool tests, endoscopy, abdominal ultrasound, and blood tests. They informed m...
Dr. Chen Qifeng Reply:
Hello, the diagnosis should be irritable bowel syndrome (IBS). It is recommended to follow a low-fat, low-dairy, and non-irritating gentle diet, manage stress and anxiety, and seek medical treatment with medication if necessary. Sincerely, Dr. Chi-Feng Chen, Attending Physician, ...[Read More] Chronic Diarrhea and Abdominal Pain: Causes and Solutions Explained
Understanding Liver Health: Prescription Medications and Fatty Liver Treatment
Please provide the content you would like me to translate into English? Hello, Doctor: 1. May I ask if the hospital has prescription medications for Livin (肝利能)? (http://www.fda.gov.tw/MLMS/H0001D.aspx?Type=Lic&LicId=01045845) 2. I would like to inquire, the medication inf...
Dr. Yang Zhichao Reply:
Dear Mr. Chang, whether each hospital has this medication depends on their inventory, so it is necessary to inquire. Additionally, the first step in treating fatty liver is lifestyle management, which includes increasing physical activity and dietary control to maintain a healthy...[Read More] Understanding Liver Health: Prescription Medications and Fatty Liver Treatment
Understanding Hepatitis B Antibodies and Related Gastrointestinal Issues
Regarding Hepatitis B antibodies Dr. Tsai: If the hepatitis B antibodies are no longer present, is it advisable to receive three booster doses of the vaccine, even though my liver enzymes are abnormal due to fatty liver? Additionally, I occasionally experience acid reflux while s...
Dr. Cai Anshun Reply:
Hello: The contraindication for receiving the hepatitis B vaccine is a history of severe allergic reactions to the vaccine or any of its components. However, if there is a high fever or an acute moderate to severe illness, vaccination should be postponed until improvement occurs....[Read More] Understanding Hepatitis B Antibodies and Related Gastrointestinal Issues
Understanding Liver Health: Efficacy of Liverall and Other Treatments for Fatty Liver
Please provide the content you would like me to translate into English? Hello, Doctor! Recently, during a health check-up, my liver function index was tested (normal range: 33-55) and the result came out to be 177. After visiting the outpatient clinic, hepatitis B and C were rule...
Dr. Cai Anshun Reply:
Hello: It is not recommended to take over-the-counter medications during an outbreak of hepatitis until the cause is determined. The doctor will provide appropriate treatment, and it is advised not to rely on folk remedies or take medications indiscriminately. The treatment for f...[Read More] Understanding Liver Health: Efficacy of Liverall and Other Treatments for Fatty Liver
Managing Gastroesophageal Reflux and Irritable Bowel Syndrome Symptoms
Gastroesophageal reflux disease (GERD) combined with irritable bowel syndrome (IBS)? Hello doctor, I have been experiencing diarrhea at times and sometimes only having a bowel movement every two days (usually I go 1-2 times a day). I feel bloated after eating, my appetite has dec...
Dr. Yang Zhichao Reply:
Dear Mr./Ms. K空, The symptoms you described are indeed indicative of irritable bowel syndrome (IBS) and gastroesophageal reflux disease (GERD). However, if the fecal occult blood test shows a positive result, it is still recommended to arrange for a colonoscopy, as ulcerative co...[Read More] Managing Gastroesophageal Reflux and Irritable Bowel Syndrome Symptoms
Blood During Bowel Movements: Understanding Causes Beyond Hemorrhoids
There is some fresh blood when wiping after a bowel movement. I have seen a doctor, but they said I do not have hemorrhoids? Hello, doctor. Recently, I've noticed a small amount of bright red blood when wiping after a bowel movement. I went to see a doctor, who performed a d...
Dr. Chen Qifeng Reply:
Hello, sometimes internal hemorrhoids cannot be detected through a digital rectal examination, and ultrasound cannot check for colorectal cancer. Generally, to screen for colorectal cancer, one must undergo a colorectal examination, such as a colonoscopy or a barium enema. Based ...[Read More] Blood During Bowel Movements: Understanding Causes Beyond Hemorrhoids
Understanding Hepatitis B Antibodies: Vaccine Response and Risks
Regarding Hepatitis B antibodies Hello, Dr. Tsai. I would like to ask you a question. I received the hepatitis B vaccine when I was young, but I remember that during a health check in fifth grade, I tested negative for antibodies. About three years ago, I went to a family medicin...
Dr. Cai Anshun Reply:
Hello: Adolescents are often found to have lost their hepatitis B antibodies during health check-ups. This occurs because the immune memory generated by the hepatitis B vaccine administered at birth gradually fades due to the immune system not being stimulated by viral antigens o...[Read More] Understanding Hepatitis B Antibodies: Vaccine Response and Risks
How Long Should I Wait After Quitting Alcohol for Accurate Liver Tests?
The liver is currently in an inflammatory state? I am a patient with liver inflammation (elevated GOT and GPT levels) and have a long history of smoking and drinking alcohol. I have stopped drinking alcohol for about three months. How long should I wait before getting tested for ...
Dr. Chen Qifeng Reply:
Hello: There are many causes of abnormal liver function, and further tests are needed to differentiate between viral hepatitis, alcoholic hepatitis, or fatty liver disease, among others. Wishing you safety and health. Sincerely, Dr. Chen Chi-Feng, Gastroenterology Department, Tao...[Read More] How Long Should I Wait After Quitting Alcohol for Accurate Liver Tests?
Understanding Elevated r-GT Levels: Causes and Next Steps for Patients
Elevated levels of r-GT (gamma-glutamyl transferase) index? Hello Doctor, my sGOT and sGPT levels are normal, and my liver cancer screening results are also normal. However, my r-GT levels are slightly elevated, exceeding the reference values in the test report. An abdominal ultr...
Dr. Chen Shidian Reply:
Hello, sir: 1. Elevated rGT levels in some individuals may be of unknown origin, but it is still recommended to monitor for 6-12 months. 2. For individuals with no hepatitis B surface antigen and no antibodies, if they are not healthcare workers or do not have close relatives wit...[Read More] Understanding Elevated r-GT Levels: Causes and Next Steps for Patients
Understanding Abnormal Liver Enzymes: Causes and Next Steps
Regarding abnormal liver enzyme levels? Hello Doctor, At the end of February, my school conducted a health check, and the results showed abnormal liver enzyme levels, with GOT at 38 and GPT at 92. In April, I had a follow-up blood test, and my GOT decreased to 82. The healthcar...
Dr. Chen Shidian Reply:
Hello, Miss: The effectiveness of medication for fatty liver is not very good; long-term control of diet and weight is necessary for improvement. Please continue to make an effort and follow up. If there is no family history of hepatitis B or if you are not involved in the health...[Read More] Understanding Abnormal Liver Enzymes: Causes and Next Steps
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