Does Liver Fibrosis Always Indicate Previous Fatty Liver Disease?
Liver fibrosis Does liver fibrosis necessarily indicate a history of fatty liver disease?
Dr. Chen Shidian Reply:
Not necessarily. Liver fibrosis can be caused by various diseases or factors, including fatty liver disease, alcohol abuse, viral infections, and autoimmune diseases. Fatty liver disease is one of the common causes of liver fibrosis, but fibrosis can also arise from other reasons...[Read More] Does Liver Fibrosis Always Indicate Previous Fatty Liver Disease?
Understanding Stool and Urine Color Changes: When to Seek Help
Issues with Stool Color Hello, I currently have one gallstone and moderate fatty liver. Recently, I've noticed that my urine and stool are both very yellow in the morning. I initially thought it might be jaundice; my urine has a slight tea color, and my stool is a golden yel...
Dr. Chen Shidian Reply:
Slightly concentrated urine in the morning is still considered normal.[Read More] Understanding Stool and Urine Color Changes: When to Seek Help
Understanding Liver Health: Addressing Concerns About Fatty Liver and Tumors
Suspected liver cancer? Hello doctor, my mother has moderate fatty liver and does not have hepatitis B or C. Previously, she had an ultrasound, and the doctor ordered a CT scan, which indicated a suspicion of liver cancer. Blood tests were also conducted, and later the CT scan sh...
Dr. Chen Shidian Reply:
Suspicion of liver cancer should be based on preliminary abnormalities, which can be used as a reason to apply for further imaging studies under health insurance. The results confirmed that there is no liver cancer, so there is no need to worry. A splenic hemangioma is benign and...[Read More] Understanding Liver Health: Addressing Concerns About Fatty Liver and Tumors
Why Did My Liver Tumor Shrink? Understanding Changes in Liver Health
Why do liver tumors shrink? In early November 2022, a company health check revealed that I have mild fatty liver. In mid-November 2022, a hospital examination found a liver tumor measuring 1.5 x 1.0 cm (hypoechoic). The doctor immediately arranged for an abdominal MRI (with contr...
Dr. Hu Guozheng Reply:
Hello, patients with chronic hepatitis B, hepatitis C, and cirrhosis are at high risk for liver cancer and require regular monitoring. If there is a suspected liver tumor on abdominal ultrasound, further confirmation should be done through computed tomography (CT), magnetic reson...[Read More] Why Did My Liver Tumor Shrink? Understanding Changes in Liver Health
Does Moderate Fatty Liver Increase the Risk of Liver Cancer?
Can moderate fatty liver lead to liver cancer? Hello, doctor. I would like to ask a few questions. I have moderate fatty liver, no hepatitis B or C, and no cirrhosis. I undergo ultrasound and blood tests every three months. My cholesterol level is 205 and triglycerides are 211, w...
Dr. Cai Jinji Reply:
Hello Ms. A: 1. I cannot answer this question without seeing the report and images; I recommend consulting your physician. 2. Lipomas can also occur in the liver, but they are relatively rare. 3.4. It would be best to ask your physician for clarification. 5. Fatty liver disease c...[Read More] Does Moderate Fatty Liver Increase the Risk of Liver Cancer?
Understanding Liver Health: Fatty Liver, Tumors, and Cancer Concerns
Liver problems Hello doctor, I am asking on behalf of my mother. My mother is 60 years old and has moderate fatty liver disease. She has been undergoing regular ultrasound examinations every three months for the past few years. The doctor mentioned that there is a shadow on her l...
Dr. Chen Shidian Reply:
The preliminary diagnosis on the examination report is not accurate and will depend on the results of the CT scan. The examination is unrelated to ophthalmic surgery.[Read More] Understanding Liver Health: Fatty Liver, Tumors, and Cancer Concerns
Understanding Mild Liver Fibrosis: Should You Seek Further Evaluation?
Mild hepatic parenchymal fibrosis I would like to ask the doctor about the abdominal ultrasound examination during a health check-up, which revealed mild hepatic parenchymal fibrosis, but liver function tests are normal. Should I go for a follow-up outpatient examination? Is fibr...
Dr. Lin Minghui Reply:
Regarding liver parenchymal lesions, follow-up is recommended. Is liver fibrosis reversible? Identifying the cause of fibrosis is essential for targeted treatment. Conditions such as viral hepatitis (hepatitis B, C, D), alcoholic or metabolic liver disease, autoimmune hepatitis, ...[Read More] Understanding Mild Liver Fibrosis: Should You Seek Further Evaluation?
Understanding Abdominal Ultrasound Results: Key Insights for Liver and Kidney Health
Abdominal ultrasound Hello, my mother underwent an ultrasound examination, and the results were unclear. The interpretation of the imaging report on the National Health Insurance app is difficult to understand, so I would like to inquire about any important points to note. Thank ...
Dr. Chen Shidian Reply:
Pay attention to the aging/degradation of the kidneys; it is advisable to have a blood test for kidney function assessment.[Read More] Understanding Abdominal Ultrasound Results: Key Insights for Liver and Kidney Health
Persistent Left Lower Abdominal Pain: Seeking Answers for a Child's Discomfort
Left lower abdominal pain for more than a month? Left lower abdominal pain, persistent hiccups throughout the day. After several visits to a small clinic without improvement, I ended up in the emergency room and was hospitalized for four days. Initially, I experienced low blood p...
Dr. Chen Shidian Reply:
Discuss more with a pediatric gastroenterologist.[Read More] Persistent Left Lower Abdominal Pain: Seeking Answers for a Child's Discomfort
Understanding Upper Right Abdominal Discomfort: Possible Causes and Next Steps
Regarding the issue of upper abdominal discomfort and numbness? Hello, doctor. Recently, I've been experiencing a dull, tingling sensation in my right upper abdomen, which also radiates to my back. I visited a gastroenterologist, suspecting a gallbladder issue, but I had a C...
Dr. Chen Shidian Reply:
There is no need for further ultrasound. If liver and gallbladder function tests, as well as inflammatory markers, are normal, then we will proceed with observation.[Read More] Understanding Upper Right Abdominal Discomfort: Possible Causes and Next Steps
Understanding Elevated AST and ALT Levels in Hepatitis B Patients
The reference value for enS-GOT (AST) is 0-32, and the test result value is 38? Hello: I am a carrier of hepatitis B. My blood test report shows that the enS-GOT (AST) reference value is (0-32) and my result is 38. The AST/SGOT liver enzyme reference value is (10-42) and my resul...
Dr. Chen Shidian Reply:
There is an abnormal increase; please cooperate with the gastroenterologist for ongoing monitoring of changes, and avoid obesity/fatty liver as well as herbal medicine/alcohol.[Read More] Understanding Elevated AST and ALT Levels in Hepatitis B Patients
Chronic Gastritis or Ulcer? Seeking Answers After Months of Treatment
If gastritis has not improved after more than four months, could it be a chronic ulcer? Should I change clinics? Hello Dr. Chen, my questions are as follows: My illness history: On the evening of April 20, I ate a large bowl of beef noodles and drank iced asparagus juice, which l...
Dr. Chen Shidian Reply:
It is likely a case of impaired gastrointestinal motility, and there is no need to worry excessively. I have no objections to changing doctors.[Read More] Chronic Gastritis or Ulcer? Seeking Answers After Months of Treatment
Understanding Pancreatic Cysts and Liver Hemangiomas: What You Need to Know
Pancreatic cysts and hepatic hemangioma? Due to the abdominal X-ray report indicating an opaque nodule, I recently went to the hospital for further examination. An abdominal ultrasound revealed: 1. Fatty liver, 2. A small cyst on the pancreas, and 3. A hemangioma in the liver. Th...
Dr. Lin Minghui Reply:
Hello: There are no symptoms, and blood tests are normal. The doctor recommends regular follow-up every three to six months. Essentially, there is a hepatic hemangioma and a simple cyst in the pancreas, both of which are benign lesions. The number and size of these lesions are un...[Read More] Understanding Pancreatic Cysts and Liver Hemangiomas: What You Need to Know
Understanding Fatty Liver: Risks of Fibrosis with Normal Liver Enzymes
Fatty liver disease issues? Hello doctor, I would like to ask if, in cases of moderate to severe fatty liver disease, where blood tests show normal liver enzymes and there is no evidence of hepatitis B, will the liver continue to undergo fibrosis? Or is there a possibility, but i...
Dr. Chen Shidian Reply:
There is still a chance, but the risk of developing diabetes is high in 10 years. Please focus on losing weight.[Read More] Understanding Fatty Liver: Risks of Fibrosis with Normal Liver Enzymes
Understanding Fatty Liver: Key Questions and Management Strategies
Fatty liver disease issues? Hello Doctor, last September when I had my blood drawn, my liver function was abnormal with GOT at 30 and GPT at 52. During the ultrasound examination, the doctor mentioned that I had severe fatty liver (I think I heard the doctor mention cell death, b...
Dr. Chen Shidian Reply:
As long as the BMI is maintained within the normal range and liver function is normal, that is sufficient.[Read More] Understanding Fatty Liver: Key Questions and Management Strategies
Understanding Abdominal X-Ray Findings: Right Lower Quadrant Concerns
Abdominal X-ray report: Right lower abdomen? Hello, doctor: I would like to ask about an abdominal X-ray that shows a non-transparent nodule in the right abdominal area. What could this indicate? During the abdominal ultrasound, it was mentioned that it is close to the edge of fa...
Dr. Chen Shidian Reply:
To review the imaging, you can return to the gastroenterology outpatient clinic at the same hospital.[Read More] Understanding Abdominal X-Ray Findings: Right Lower Quadrant Concerns
Understanding Liver Shadows: What Changes in Size Mean for Your Health
Liver shadow? Hello Doctor: I have a history of hepatitis C and mild liver fibrosis. Nine years ago, I underwent a year of treatment with interferon and ribavirin, successfully overcoming chronic hepatitis, and no hepatitis C virus has been detected in my body since. I have been ...
Dr. Chen Shidian Reply:
Let's discuss after the CT scan to ensure safety. Even after severe fibrosis in cured hepatitis C (especially in those with diabetes), there remains a small risk of developing liver cancer.[Read More] Understanding Liver Shadows: What Changes in Size Mean for Your Health
Understanding Pancreatic Issues: Symptoms and When to Seek Help
Pancreatic issues Hello, Doctor. During my sophomore year of high school, I suddenly felt discomfort in my upper abdomen, which I wasn't sure was stomach pain (it felt more like a pressure pain). I went to the emergency room, where blood tests showed a white blood cell count...
Dr. Chen Shidian Reply:
It is not pancreatitis; a follow-up visit is necessary.[Read More] Understanding Pancreatic Issues: Symptoms and When to Seek Help
Understanding Hypoechoic Nodules and Mild Fatty Liver: What You Need to Know
Hypoechoic liver nodule / Mild fatty liver disease Hello doctor, I recently had a routine health check-up, and after an abdominal ultrasound, a nodule (2.02 cm) was found in the right lobe of my liver (a hypoechoic nodule). I have mild fatty liver, and my AFP and AST levels are n...
Dr. Chen Shidian Reply:
Need to discuss with the attending physician.[Read More] Understanding Hypoechoic Nodules and Mild Fatty Liver: What You Need to Know
Understanding Fatty Liver: Is It the Same as Cirrhosis or Hepatitis?
I have fatty liver disease? I was diagnosed with severe fatty liver during a recent health check-up. Does this mean I have cirrhosis or hepatitis? Can appropriate exercise help eliminate this condition? I've been experiencing bloating and frequent burping lately; is this rel...
Dr. Lin Minghui Reply:
Hello, cirrhosis indicates severe liver fibrosis, which may lead to impaired liver function. In severe cases, symptoms may include jaundice, ascites, hepatic encephalopathy, and bleeding from esophageal varices. Fatty liver disease is characterized by the accumulation of triglyce...[Read More] Understanding Fatty Liver: Is It the Same as Cirrhosis or Hepatitis?