Understanding the Risks of Hepatitis in Families with Liver Disease History
A GPT index exceeding 1000 may indicate a severe liver condition, such as acute hepatitis. It is important to consult a healthcare professional for proper evaluation and diagnosis? Hello Doctor: My family has a history of liver disease that has persisted for four generations. Alm...
Dr. Li Xuanshu Reply:
1. Indeed, if the hepatitis is caused by fatty liver, the use of干安 (干安 is likely a medication name, please provide the English name for accurate translation) would be ineffective. 2. Is your E antigen positive or negative? Do you have E antibodies? If your E antigen is positive,...[Read More] Understanding the Risks of Hepatitis in Families with Liver Disease History
Understanding Chronic Hepatitis B: Key Questions and Concerns
Am I considered a severe carrier of hepatitis B? Hello Doctor: First, I would like to share my family's medical history: My mother was once your patient and passed away at 55 due to severe jaundice, ascites, and cirrhosis caused by hepatitis B. My grandmother also died from ...
Dr. Xu Jinchuan Reply:
Hello! 1. To qualify for health insurance coverage, you need to have an e-antigen report. I'm not sure if you have been tested for this, as well as for Hepatitis C and Hepatitis D. Since your GPT level is above 200, if the e-antigen is positive and Hepatitis C and D infectio...[Read More] Understanding Chronic Hepatitis B: Key Questions and Concerns
Can Hair Loss Treatments Like Finasteride Affect My Hepatitis B?
Hepatitis B and medications for treating male pattern baldness? Hello, doctor. I have hepatitis B and am currently under regular follow-up at a provincial hospital. My current condition includes fatty liver, but everything else is normal. I would like to ask if it is appropriate ...
Dr. Lin Minghui Reply:
Hello Linus, regarding medications like Linopirdine and Boscalid, literature reports associated side effects include impacts on sexual function, effects on PSA (Prostate-Specific Antigen) levels, and cases of elevated liver enzymes, particularly in patients who consume alcohol, a...[Read More] Can Hair Loss Treatments Like Finasteride Affect My Hepatitis B?
Understanding Liver Function Changes: Is It Early Cirrhosis?
Cirrhosis Dear Dr. Chen, Here are my liver function test results from the past six months: - September 5, 1996: GOT: 47, GPT: 629 - October 25, 1996: GOT: 43, GPT: 60 - January 28, 1997: GOT: 20, GPT: 33, AFP: 3.28, TBIL: 0.99 - March 6, 1997: GOT: 21, GPT: 30 I have undergone...
Dr. Chen Shidian Reply:
Dear Miss Hsiao-Wen, As long as you confirm that there is no hepatitis B or C, adjust your diet, control your weight, avoid taking medications that can harm the liver, and have your liver function checked every three months, you should be fine. Changhua Hospital cares about you...[Read More] Understanding Liver Function Changes: Is It Early Cirrhosis?
Understanding Abnormal Liver Function: Causes, Risks, and Solutions
Liver dysfunction Hello Doctor, I recently had a health checkup at school and found that my liver function is somewhat problematic with GOT at 39 and GPT at 90. My family has a history of liver diseases, and I also tend to stay up late. 1. I would like to ask if there are medic...
Dr. Lin Minghui Reply:
Hello, Student Lin. 1. When liver function is abnormal, it is important to identify the cause and provide targeted treatment rather than simply controlling the values with medication. In cases of viral hepatitis, types B and C can easily become chronic and require monitoring. C...[Read More] Understanding Abnormal Liver Function: Causes, Risks, and Solutions
Is Reishi Mushroom Effective for Fatty Liver? Expert Insights and Check-Up Recommendations
Is reishi mushroom effective for treating fatty liver disease? Hello, my father has liver issues and I've heard that reishi mushrooms are effective. I would like to seek professional advice on this matter. Additionally, could you please tell me how often a 50-year-old person...
Dr. Chen Shidian Reply:
Dear Mr. Huang Chih-Chieh, 1. There is no evidence that reishi mushroom can treat fatty liver disease. 2. The primary step in managing fatty liver disease is to rule out hepatitis B/C, alcoholic liver disease, and drug-induced liver injury. After that, the focus should be on con...[Read More] Is Reishi Mushroom Effective for Fatty Liver? Expert Insights and Check-Up Recommendations
Understanding Liver Health: Addressing Abdominal Discomfort and Concerns
Regarding issues related to the "liver" and "abdominal discomfort." Hello, Dr. Hsu. I would like to ask you a few questions and provide some context first. For the past four to five days, I have been experiencing some discomfort in the upper abdomen, particula...
Dr. Xu Jinchuan Reply:
Hello! The symptoms mentioned in the letter are not related to the liver. Since you do not have hepatitis B, it is likely that you do not have hepatitis C either (I'm not sure if you have been tested?). The probability of developing liver cancer is very low; however, if you ...[Read More] Understanding Liver Health: Addressing Abdominal Discomfort and Concerns
Managing Fatty Liver: Concerns and Lifestyle Changes for Health
Fatty liver has persisted for one to two years? Hello doctor, my father is 49 years old. The doctor diagnosed him with fatty liver, but said that medication is not necessary yet since the condition is not severe. However, for the past two years, his liver tests have consistently ...
Dr. Chen Shidian Reply:
Hello Mr. A-Jie: The treatment prescription for fatty liver is "weight loss," so please focus on dietary and exercise control. Additionally, there are no very effective medications for fatty liver, and it rarely progresses to cirrhosis, but it is important to be aware t...[Read More] Managing Fatty Liver: Concerns and Lifestyle Changes for Health
Improving Liver Function: Addressing Yellowing Skin and Thyroid Health
Yellowing of the hands and slight yellowing of the face? Hello, I would like to ask how to improve poor liver function? My hands are yellowish, but I do not have jaundice. Additionally, will taking medication for hypothyroidism help restore normal function, and what are the chanc...
Dr. Lin Minghui Reply:
1. Poor liver function requires identifying the underlying cause and treating it accordingly to improve the condition. Common causes include chronic viral hepatitis, chronic hepatitis B, hepatitis C, fatty liver, alcohol-related issues, biliary problems, endocrine disorders (such...[Read More] Improving Liver Function: Addressing Yellowing Skin and Thyroid Health
Essential Guidelines for Hepatitis B Carriers: Health Checks and Vaccination Insights
What precautions should carriers of hepatitis B take? Is there government assistance for testing? 1. I am 39 years old and was diagnosed as a carrier of Hepatitis B during childbirth in 1980. My two children received immunoglobulin within 24 hours of birth. From 1980 to 1995, my ...
Dr. Lin Minghui Reply:
Hello: Q1: If immunoglobulin is administered within 24 hours after a child's birth, HBeAg may be positive, and there could be a diminished viral replication capacity. Liver function should be monitored, as it may change. Q2: It is advisable to first test for antigens and ...[Read More] Essential Guidelines for Hepatitis B Carriers: Health Checks and Vaccination Insights
Understanding Liver Function Tests: What Do Your GOT and GPT Levels Mean?
Liver function tests Hello, doctor: I would like to ask you a question. I recently had my liver function tests, and my AST (GOT) level is 39 U/L, while my ALT (GPT) level is 69 U/L.
Dr. Chen Shidian Reply:
Hello, Lai Wenzheng: Please visit the Gastroenterology and Hepatology outpatient clinic to determine the cause of your condition (such as Hepatitis B, Hepatitis C, or fatty liver, etc.). Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Liver Function Tests: What Do Your GOT and GPT Levels Mean?
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:
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
Managing Abnormal Liver Function Tests: What Should You Do Next?
How should abnormal liver function tests be managed? Hello Dr. Chen: My husband had a liver function test through a blood test six months ago, which showed SGOT/AST: 25 (the report indicates normal values are 12-33), SGPT/ALT: 38 (the report indicates normal values are 5-35), and...
Dr. Chen Shidian Reply:
Hello Ms. Chen: If you do not have hepatitis B or C, it is likely that fatty liver is the culprit (or drug-induced liver injury). Since your liver enzyme levels are close to normal, there is no need for medication; you just need to consult a gastroenterologist to identify the cau...[Read More] Managing Abnormal Liver Function Tests: What Should You Do Next?
Understanding the Timing and Efficacy of Liver Treatment with Hepatitis B
Liver An can treat issues? Hello, I am a carrier of hepatitis B and have been undergoing regular follow-up examinations every six months for the past eight years. Over these eight years, my GOT and GPT levels have fluctuated. For the past three years, ultrasound examinations have...
Dr. Chen Shidian Reply:
Hello, ESir: 1. Liver function tests can only be conducted by a hepatologist, and their use is regulated by health insurance (quota system). It is not intended to elaborate on this here. For cases that are not acute or explosive in nature, liver biopsy and viral load assessment s...[Read More] Understanding the Timing and Efficacy of Liver Treatment with Hepatitis B
Feeling Sleepy in Hot Weather: Is It Related to Fatty Liver?
I have been feeling sleepy in the past few days, but it's not due to fatigue? Hello Doctor, Recently the weather has been very hot, and I've been feeling sleepy during the day. I have fatty liver disease, which was confirmed by an ultrasound last May, and I do not hav...
Dr. Yuan Hongdao Reply:
Hello: Fatty liver can cause abnormal liver enzyme levels. Simply paying attention to diet, losing weight, and abstaining from alcohol can improve fatty liver and lower liver enzyme levels. Feeling sleepy should not be attributed to liver dysfunction; sometimes stress, anxiety, a...[Read More] Feeling Sleepy in Hot Weather: Is It Related to Fatty Liver?
Is It the Right Time to Start Taking Liver Medications?
There are concerns about taking Liver An? Hello: I am a carrier of hepatitis B and have been undergoing regular follow-up examinations every six months for the past eight years. Over these eight years, my GOT and GPT levels have fluctuated. For the past three years, ultrasound ex...
Dr. Xu Jinchuan Reply:
Hello! 1. According to the letter, you have moderate fatty liver, which could also be a potential cause of your hepatitis. 2. Additionally, your GPT levels have consistently been elevated, and since your E antigen is positive, the use of Tenofovir could be considered. However, yo...[Read More] Is It the Right Time to Start Taking Liver Medications?
Risks of Untreated Fatty Liver: Symptoms and Treatment Options Explained
Having fatty liver disease without actively participating in treatment can pose risks. If left unmanaged, it may progress to more severe liver conditions, such as non-alcoholic steatohepatitis (NASH), fibrosis, or cirrhosis. Additionally, it can increase the risk of cardiovascula...
Dr. Chen Shidian Reply:
Dear Mr. Baolilong, Fatty liver is primarily caused by insufficient glucose utilization in the liver (insulin resistance). The main approach to management remains exercise and dietary modification to prevent the future onset of diabetes and related complications. The efficacy of...[Read More] Risks of Untreated Fatty Liver: Symptoms and Treatment Options Explained
Long-Term Liver Function Abnormalities: Risks and Management for Hepatitis B Carriers
Chronic liver dysfunction Hello doctor, I would like to ask a question. I am a carrier of hepatitis B and have been undergoing liver examinations every year. For the past 2 to 3 years, my liver function tests have shown slightly elevated levels, ranging from 40 to 65. Both alpha-...
Dr. Xu Jinchuan Reply:
Hello! Although you have inflammation, the degree is relatively mild. Generally, the cause of this inflammation is likely related to your fatty liver, as inflammation caused by the hepatitis B virus typically presents with higher levels. Therefore, you might want to start with we...[Read More] Long-Term Liver Function Abnormalities: Risks and Management for Hepatitis B Carriers
Understanding Unusual Stool Shapes: Causes and Concerns
Abnormal stool shape? Dear Doctor, I have been experiencing frequent abdominal pain over the past two to three months. Sometimes it is in the lower abdomen, other times in the upper abdomen, and occasionally in the right upper quadrant. I underwent an ultrasound and gastroscopy...
Dr. Chen Shidian Reply:
Hello, Wang; due to indigestion (irritable bowel syndrome), you may visit the gastroenterology outpatient clinic to adjust your diet and manage stress. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Unusual Stool Shapes: Causes and Concerns
Understanding High Cholesterol: Medical Insights and Treatment Options
High cholesterol Doctor, may I ask why my liver function and cholesterol levels are slightly elevated even though I control my diet? Is there medical evidence supporting the use of seal oil? How does Western medicine treat cholesterol issues? Thank you.
Dr. Chen Shidian Reply:
Hello Mr. Huang: Elevated liver function tests must first rule out viral hepatitis. If it is merely fatty liver, dietary changes and exercise can be implemented to control blood lipids. A low-cholesterol diet is generally recommended (consider consulting a nutritionist). If there...[Read More] Understanding High Cholesterol: Medical Insights and Treatment Options