Fatty liver, Gastroenterology and Hepatology FAQ - Page 16

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Understanding Fatty Liver: Key Questions About Diagnosis and Management

Fatty liver disease Hello Doctor: In October of last year (93rd year), my health check report showed liver function indices SGOT: 42, SGPT: 98, HBsAg: negative, HBsAb: positive. A nearby clinic's scanning physician indicated that I have mild fatty liver. Since then, I have b...


Dr. Yuan Hongdao Reply:
Hello, abnormal liver function tests can be caused by several factors, including hepatitis B and C, as well as fatty liver disease. Other potential causes include medications, alcohol consumption, biliary issues, autoimmune hepatitis, and hereditary metabolic disorders. I would l...

[Read More] Understanding Fatty Liver: Key Questions About Diagnosis and Management


Can Fatty Liver Disease Disappear Over Time?

Can fatty liver disease disappear? Hello Doctor: Is it possible for fatty liver to disappear after being diagnosed five years ago? Thank you.


Dr. Chen Jianhong Reply:
Hello! It is certainly possible; as long as you reduce sugar and oil intake and increase physical activity, fatty liver can improve.

[Read More] Can Fatty Liver Disease Disappear Over Time?


Understanding Elevated GPT Levels: Concerns for Military Service

The GPT index is too high? Hello, Doctor: Recently, my military physical examination report showed that my GPT (ALT) level is 67, which is elevated. Will this pose a problem if I participate in physical training in the military? Three years ago, I applied for a non-commissioned o...


Dr. Li Xuanshu Reply:
Hello! Currently, it is not possible to predict whether your exercise routine will affect your liver enzymes. However, since you do not have hepatitis B or C, and considering your age, it is possible that you may have fatty liver disease. I wonder if you tend to be overweight or ...

[Read More] Understanding Elevated GPT Levels: Concerns for Military Service


Understanding GOT and GPT Levels: Impact of Arthritis Medications

Issues related to GOT and GPT? Last December during my health check, my GOT was 18 and GPT was 18. Recently, after taking medication for arthritis, my GOT increased to 42 and GPT to 81. Will stopping the medication lower these levels back to their original values?


Dr. Chen Zhiping Reply:
Hello, there are many causes of abnormal liver function, with common ones including chronic hepatitis B, hepatitis C, fatty liver disease, alcohol abuse, medications, and other viral hepatitis or autoimmune diseases. Mr. Wang's liver function has recently shown abnormalities...

[Read More] Understanding GOT and GPT Levels: Impact of Arthritis Medications


Should You Consider a Biopsy for Liver Tumors? Expert Insights

Should a puncture be performed...? Dear Dr. Chen, I have some questions and would like to hear your thoughts. Thank you for your patient explanations! Patient history: Hepatitis C + Fatty Liver - 2003-10-16: 80 / 187 / 5.07 - 2004-12-13: 74 / 156 / 4.32 - 2005-03-14: 65 / 137 /...


Dr. Chen Zhiping Reply:
Response: Hello, I have limited experience with the diagnosis of Focal Nodular Hyperplasia (FNH) and can only provide information based on literature. 1. Most cases of FNH can be diagnosed through imaging studies without the need for histological confirmation. However, if imagi...

[Read More] Should You Consider a Biopsy for Liver Tumors? Expert Insights


Understanding Liver Function Tests: High GPT Levels and Health Tips

Liver function A few days ago, I had a blood test, and my results were as follows: GOP 25, GPT 46, ALK 127, R-GT 62.9, with the rest being normal. I would like to know why my GOP is normal but my GPT is elevated. I couldn't find similar Q&A, so what could be the possible...


Dr. Chen Zhiping Reply:
Hello, (1) GPT primarily exists within liver cells, and abnormal GPT levels (usually standard value <40) indicate liver cell damage. Common causes in Taiwan include viral hepatitis (chronic hepatitis B, chronic hepatitis C), fatty liver, medications, and alcohol consumption. R...

[Read More] Understanding Liver Function Tests: High GPT Levels and Health Tips


Understanding ALT Levels: Myths, Symptoms, and Recovery Tips

Serum alanine aminotransferase (ALT) Is "serum transaminase (ALT)" commonly referred to as "blood oil," and can it easily cause numbness in the hands and feet? How can I help it return to normal? Thank you.


Dr. Chen Zhiping Reply:
Hello, ALT is an indicator of liver inflammation, not "blood lipids," and it does not cause numbness in the hands and feet. If abnormal, you should seek medical evaluation to determine the cause of the liver inflammation, such as hepatitis B, hepatitis C, fatty liver, e...

[Read More] Understanding ALT Levels: Myths, Symptoms, and Recovery Tips


Understanding Liver Function Tests: What You Need to Know for Accurate Results

Liver function tests (LFTs) Hello, Doctor. I have been serving in the Coast Guard for about five years. Due to work-related issues, I have been experiencing irregular sleep patterns. I read in the newspaper that there were patients whose liver function tests showed normal results...


Dr. Chen Zhiping Reply:
Reply: Hello, 1. A general liver function test includes blood tests and ultrasound examinations. 2. The liver enzymes commonly referred to are AST (GOT) and ALT (GPT). When AST and ALT levels are elevated, it is important to investigate the underlying causes. Common causes in ...

[Read More] Understanding Liver Function Tests: What You Need to Know for Accurate Results


Understanding Elevated Liver Enzymes: Causes and Dietary Impact

Liver issues? Hello! I had a health check-up at the hospital last week, and the results indicated that my liver enzymes are elevated. What could be the possible reasons for this? Are there dietary factors or other issues that might contribute to elevated liver enzyme levels?


Dr. Chen Zhiping Reply:
Reply: Hello, 1. Elevated liver enzymes generally refer to high levels of GOT (AST) and GPT (ALT). Common causes in Taiwan include hepatitis B, hepatitis C, fatty liver disease, and drug or alcohol abuse. Additionally, other conditions such as viral hepatitis, autoimmune issues...

[Read More] Understanding Elevated Liver Enzymes: Causes and Dietary Impact


Should You Take Tenofovir for HBsAg Positive, e Negative Mutant Hepatitis B?

Should I take Tenofovir if I am HBsAg positive and have an e-negative mutant type? Hello! I am a long-term carrier of hepatitis B. Over the past year, my liver enzyme levels have been elevated, with GOT ranging from 40 to 80 and GPT from 80 to 180. I have been undergoing regular ...


Dr. Chen Zhiping Reply:
Reply: Hello, 1. For hepatitis B carriers with elevated liver enzymes, it is important to first investigate the underlying causes of liver function elevation. Hepatitis B virus, alcohol abuse, fatty liver, and medications can all contribute to increased enzyme levels. 2. The ...

[Read More] Should You Take Tenofovir for HBsAg Positive, e Negative Mutant Hepatitis B?


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 Hepatitis B: Risks, Vaccination, and Health Monitoring

Hepatitis B carrier (1) Doctor, my boyfriend is a carrier of hepatitis B. I have had deep kisses and sexual intercourse with him, but I was vaccinated against hepatitis B when I was a child. Later, I had my antibody levels checked, and the doctor recommended another vaccination f...


Dr. Chen Zhiping Reply:
Reply: Hello, (1) Hepatitis B can be transmitted through unprotected sexual intercourse. Although the transmission rate between spouses is not high, it is best to have antibodies to reduce the risk of infection. (2) A. Fatty liver can be classified by severity through ultrasound....

[Read More] Understanding Hepatitis B: Risks, Vaccination, and Health Monitoring


Understanding Liver MRI Interpretations: Key Questions for Your Doctor

How can I inquire about the interpretation of a liver MRI? Dear Dr. Chen, Thank you for your previous candid and detailed responses to my questions on November 16 regarding "liver tumors" and December 29 about "cells that look different from the surrounding ones.&...


Dr. Chen Zhiping Reply:
Hello, if you wish to have your case reviewed by a more experienced specialist, I recommend visiting the hepatobiliary department at a medical center, such as Professor Yang Pei-Ming or Professor Huang Kuan-Tang at National Taiwan University, or Professor Wu Chao-Ching at Taipei ...

[Read More] Understanding Liver MRI Interpretations: Key Questions for Your Doctor


Managing High Liver Enzymes in Chronic Hepatitis B Patients: Treatment Options

The disappearance of the E antigen and persistently elevated liver enzymes? Hello Dr. Hsu: I am a patient with hepatitis B, without hepatitis C, and I do not drink alcohol. I have been receiving liver protection medication from the hospital for the past five to six years, but my ...


Dr. Xu Jinchuan Reply:
Hello lbkth888! 1. Your condition can be considered for treatment with long-acting interferon, which has shown good results. However, as you mentioned, your e-antigen is negative, indicating that you are a patient with a mutated strain of hepatitis B. In this situation, the e-a...

[Read More] Managing High Liver Enzymes in Chronic Hepatitis B Patients: Treatment Options


Understanding Gallbladder Polyps: Risks, Diet, and Symptoms Explained

Gallbladder polyp Symptoms: Gallbladder polyp 0.4 cm; GPT 40, GOT 30; mild fatty liver, no hepatitis C, positive for hepatitis B antibodies; blood lipids and blood glucose are normal. Duration: This was discovered during a hospital examination two days ago; an ultrasound six mont...


Dr. Su Baojia Reply:
The examination results indicate that liver function is within the normal range, and there is no evidence of hepatitis B or C. The presence of hepatitis B antibodies suggests that there will be no future infection with the hepatitis B virus. The ultrasound examination uses images...

[Read More] Understanding Gallbladder Polyps: Risks, Diet, and Symptoms Explained


Understanding Abnormal Liver Enzymes: Insights on GOT, GPT, and γ-GT Levels

Drinking alcohol Hello, doctor: After my health check-up, I found out that my GOT is 30, GPT is 76, γ-GT is 80, AFP is 7.6, and CEA is 0.62. I do not have hepatitis B, but I have fatty liver. I would like to ask the doctor why my γ-GT is abnormal even though I do not drink alcoho...


Dr. Xu Jinchuan Reply:
Hello! The enzyme r-GT is present not only in the liver but also in other organs such as the kidneys and spleen. In individuals who consume alcohol regularly, it serves as a reference indicator. Even if you are not currently drinking, a history of regular alcohol consumption can ...

[Read More] Understanding Abnormal Liver Enzymes: Insights on GOT, GPT, and γ-GT Levels


Understanding Elevated ALT Levels: Causes and Normal Ranges Explained

Elevated ALT (alanine aminotransferase Hello, doctor. I recently had a blood test and found that my ALT level is elevated, around 46. I previously went to the hospital and was diagnosed with fatty liver. Could you please tell me if my elevated ALT is due to fatty liver or if ther...


Dr. Xu Jinchuan Reply:
Hello! Fatty liver can potentially cause elevated GPT levels, but there may also be other factors such as hepatitis B, hepatitis C, recent use of specific medications, or alcohol consumption. If none of these factors are present, then it is likely due to fatty liver. It is recomm...

[Read More] Understanding Elevated ALT Levels: Causes and Normal Ranges Explained


Understanding Hepatitis B Carrier Status and Its Implications for Health

Could you please provide more context or complete your question regarding hepatitis B carriers? I previously had two hepatitis B tests six months apart, both showing positive for surface antigen. However, my GOT, GPT, AFP, and abdominal ultrasound results were normal. The doctor ...


Dr. Chen Zhiping Reply:
Reply: Hello, 1. You are confirmed to be a carrier of hepatitis B (chronic hepatitis B), as both surface antigen tests have been positive for more than six months. However, being e-antigen negative indicates that you are a less infectious carrier. 2. If fatty liver is severe,...

[Read More] Understanding Hepatitis B Carrier Status and Its Implications for Health


Understanding Gallbladder Polyps: Risks, Size Guidelines, and Dietary Impact

Gallbladder polyp During a liver ultrasound examination at the hospital, a 0.4 cm polyp was unexpectedly found in the gallbladder. What issues could this cause? At what size should it be removed? What are the possible causes? Can dietary changes help it disappear? Additionally, m...


Dr. Chen Zhiping Reply:
Hello, regarding gallbladder polyps, the exact reason why they develop is currently unexplained, but some individuals do form them. Generally, polyps smaller than 1 centimeter are considered benign. Regular abdominal ultrasounds (approximately every six months to a year) are reco...

[Read More] Understanding Gallbladder Polyps: Risks, Size Guidelines, and Dietary Impact


Understanding Abnormal Normal Cells in Liver Health: Key Questions Answered

What are "normal cells that look different"? Dear Dr. Hsu, I have hepatitis C with fatty liver, and my liver enzyme levels are between 150 and 200. My AFP is about 4. An ultrasound showed a one-centimeter shadow that is round with clear borders. After an MRI, the docto...


Dr. Xu Jinchuan Reply:
Hello! Everything mentioned in your letter is possible, but without your medical history for reference and without seeing your imaging reports, it is difficult to assess and diagnose based on the information provided in your letter. Additionally, the ultrasound report does not co...

[Read More] Understanding Abnormal Normal Cells in Liver Health: Key Questions Answered


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