Understanding Fatty Liver: Causes, Risks, and Dietary Solutions
Fatty liver disease issues? Hello Doctor, I have abnormal liver enzyme levels from a blood test: GOT=30 and GPT=52 (with normal values being below 40). My previous blood tests were normal, and this time it is abnormal. The doctor arranged for me to have an ultrasound, which indic...
Dr. Chen Shidian Reply:
Severe fatty liver disease (high liver fat content) can lead to liver inflammation (i.e., steatohepatitis), and over time (over several decades), there is a risk of cirrhosis (which can be assessed through out-of-pocket fibrosis markers) and an increased likelihood of developing ...[Read More] Understanding Fatty Liver: Causes, Risks, and Dietary Solutions
Understanding Right Lower Abdominal Pain: Causes and Next Steps
Right lower abdominal pain? Hello Dr. Lin: About a year ago, I started feeling a slight, intermittent pain or a sensation of foreign body in the lower right abdomen (approximately 15 cm to the right of the navel). This year, I underwent gastroscopy, colonoscopy, and abdominal ult...
Dr. Lin Minghui Reply:
Hello, a 51-year-old male is experiencing intermittent pain in the right lower abdomen. He has undergone gastroscopy and abdominal ultrasound, which revealed polyps in the colon. The ultrasound also indicated moderate fatty liver and abnormal liver enzymes (GOT, GPT), suggesting ...[Read More] Understanding Right Lower Abdominal Pain: Causes and Next Steps
Understanding CT Reports of Liver Tumors: Key Insights and Next Steps
Liver Tumor CT Report I apologize for the inconvenience. My mother recently had an ultrasound that revealed a 2.5 cm hypoechoic nodule and moderate fatty liver, with no evidence of hepatitis B or C. However, my father has a history of biliary tract cancer. Subsequently, she under...
Dr. Chen Shidian Reply:
Ultrasound may have individual variations, but a CT scan can often provide a definitive diagnosis, so please rest assured. However, it is still important to monitor for any changes.[Read More] Understanding CT Reports of Liver Tumors: Key Insights and Next Steps
Understanding Gastrointestinal Issues: The Impact of Autonomic Nervous System Imbalance
Gastrointestinal issues and concerns related to autonomic nervous system imbalance? Hello doctor, I used to have a habit of eating late-night snacks and going to bed immediately after, which led to issues with chest tightness. At the time, I didn't know what the problem was....
Dr. Cai Anshun Reply:
Hello: Most cases of gastric cancer do not present symptoms and usually only show symptoms in the middle to late stages. If you are experiencing persistent discomfort in your stomach, it is advisable to first examine your diet and lifestyle: tea (black tea/green tea/milk tea), co...[Read More] Understanding Gastrointestinal Issues: The Impact of Autonomic Nervous System Imbalance
Understanding Drug-Induced GERD: Risks and Long-Term Consequences
Medication-induced gastroesophageal reflux disease (GERD) Past Medical History: 1. Stress ulcer (lesser curvature of the stomach) 2. Irritable bowel syndrome Q: If [Grade A esophagitis] and [non-H. pylori gastritis] are ignored for a long time, could the consequences lead to eso...
Dr. Chen Shidian Reply:
It is still mild, and lifestyle and dietary adjustments are recommended, along with short-term medication treatment if necessary.[Read More] Understanding Drug-Induced GERD: Risks and Long-Term Consequences
Understanding Liver Pain and Yellowing Eyes After Alcohol Abuse
Dull pain in the liver area and yellowing of the sclera? Hello! I have been a long-term alcoholic for about 7 to 8 years, starting with red wine, then whiskey, and later consuming approximately 250 to 300 cc of 58% sorghum liquor each night (I have a habit of drinking until I fal...
Dr. Chen Shidian Reply:
It would still be reassuring to go to the hospital for an ultrasound examination.[Read More] Understanding Liver Pain and Yellowing Eyes After Alcohol Abuse
Understanding Abnormal Liver Function Tests: SGOT and SGPT Insights
Liver function tests (LFTs) Hello Doctor: Recent health check reports indicate abnormal liver function with SGOT: 45 U/L and SGPT: 45 U/L. What could be the issue or what recommendations do you have? Is there a need for immediate medical attention, re-examination, or treatment? T...
Dr. Chen Shidian Reply:
Check for hepatitis B and perform an ultrasound. If it is only fatty liver, then lose weight for 1 to 2 months before following up with blood tests.[Read More] Understanding Abnormal Liver Function Tests: SGOT and SGPT Insights
Persistent Right Upper Abdomen Discomfort: Causes and Next Steps
When sitting down, there is a sensation of a foreign object in the right upper abdomen, occasionally accompanied by pain? Hello Doctor, since 2013, I have been experiencing a sensation of a foreign object in my body near the right upper abdomen close to the ribs when sitting down...
Dr. Lin Minghui Reply:
Hello: To manage fatty liver, it is recommended to reduce the intake of greasy foods and sweets, and to avoid alcohol. Do not eat until overly full, as this can hinder digestion. It may be advisable to check for any issues with the bile ducts or pancreas. Wishing you peace, healt...[Read More] Persistent Right Upper Abdomen Discomfort: Causes and Next Steps
Understanding Severe Fatty Liver: Symptoms, Risks, and Next Steps
Fatty liver disease issues? Hello, doctor. Recently, during a health check-up, an ultrasound report indicated that I have severe fatty liver. I am 172 cm tall and weigh 74 kg. I do drink alcohol, but not every day—only on weekends when I go out with friends. Does severe fatty liv...
Dr. Chen Shidian Reply:
It is recommended to schedule an appointment for evaluation to understand the condition, and to limit alcohol consumption and avoid starches.[Read More] Understanding Severe Fatty Liver: Symptoms, Risks, and Next Steps
Understanding Abnormal Liver Function Tests: When to Seek Urgent Care
Liver function index exceeds one thousand? Hello, Doctor: I am a carrier of hepatitis B and have mild fatty liver and gallstones. My long-term follow-up indices have been normal until the past two years, when they started fluctuating. The most recent test on January 5 showed AST ...
Dr. Chen Shidian Reply:
You may schedule an earlier follow-up appointment to discuss.[Read More] Understanding Abnormal Liver Function Tests: When to Seek Urgent Care
Managing Fatty Liver and Gastrointestinal Issues: Your Questions Answered
Inquiry and consultation? Hello Doctor: I had a liver ultrasound today. I have been associated with the hepatobiliary and gastroenterology department since many years ago due to elevated liver enzymes. In my younger days, I often stayed up late and had a penchant for sweet foods ...
Dr. Lin Minghui Reply:
Hello, fatty liver refers to the accumulation of fat in liver cells, which may sometimes cause fluctuations in liver enzyme levels, but typically involves minimal liver fibrosis. Once it progresses to non-alcoholic steatohepatitis (NASH), the liver may exhibit inflammation or fib...[Read More] Managing Fatty Liver and Gastrointestinal Issues: Your Questions Answered
Unexplained Weight Loss Despite Normal Appetite: A Gastroenterology Concern
Weight Issues ~ Weight Continues to Decrease Despite Normal Diet Hello, Doctor. My current health status is as follows: On December 3, 2020, I underwent an upper gastrointestinal endoscopy. The attending physician explained that I have gastritis and mild ulcers, but my esophagus ...
Dr. Chen Shidian Reply:
Please discuss with the attending physician regarding the current data (hemangioma of the liver should only be monitored) and the management/consultation for weight loss.[Read More] Unexplained Weight Loss Despite Normal Appetite: A Gastroenterology Concern
Post-Meal Lower Abdominal Pain: Causes and When to Seek Help
Lower abdominal pain after eating? Hello Doctor: Last week, I experienced a feeling of heaviness and pain in the upper abdomen (just above the navel) after eating, along with bloating and a sensation of heat in the stomach after meals. When fasting, I did not have any particular ...
Dr. Chen Shidian Reply:
It may be gastrointestinal dysfunction or a side effect of medication. Further examinations such as ultrasound or stool occult blood tests can be conducted to rule out other possibilities.[Read More] Post-Meal Lower Abdominal Pain: Causes and When to Seek Help
Understanding Liver Nodules: What You Need to Know After Your Ultrasound
Three liver nodules? Hello, I had a health check-up in August this year, and the ultrasound revealed three hypoechoic nodules in my liver (1.44 cm in segment 2, 0.97 cm in segment 4, and 1.64 cm in segment 7), along with mild fatty liver. My AFP levels are normal, and I have anti...
Dr. Lin Minghui Reply:
Hello, a 26-year-old male underwent a health check and was found to have fatty liver and three hypoechoic liver nodules measuring less than 2 cm, with a family history of liver cancer. The differential diagnosis for liver nodules is extensive, including benign hepatic steatosis, ...[Read More] Understanding Liver Nodules: What You Need to Know After Your Ultrasound
Unclear Liver Biopsy Results: What Are Your Options?
If the liver biopsy results are inconclusive, what should be done? Hello, I do not have hepatitis B or C, but I have fatty liver disease. I undergo regular health check-ups every year. Last May, a 1.5 cm tumor was found in my liver, and the doctor advised continuous monitoring. H...
Dr. Chen Shidian Reply:
According to standard principles, the first choice of treatment is surgery (with a low recurrence rate). If surgery is not feasible, then embolization combined with multipolar electrocautery (to expand the electrocautery area) and close monitoring can also be considered.[Read More] Unclear Liver Biopsy Results: What Are Your Options?
Understanding Rising Bilirubin Levels: Causes and Concerns for Liver Health
Bilirubin, total bilirubin is increasingly elevated? Hello, I have mild to moderate fatty liver, so I have been undergoing regular monitoring. In my last three tests, I found that my total bilirubin and direct bilirubin levels have been increasing. In May 2019, my total bilirubin...
Dr. Chen Shidian Reply:
Bilirubin levels are still normal, liver function is slightly elevated, and an ultrasound examination can be performed.[Read More] Understanding Rising Bilirubin Levels: Causes and Concerns for Liver Health
Understanding Right Rib Pain: Symptoms and Necessary Tests
There is a feeling of fullness on the inner side of the lower right rib cage? Dr. Chen, I have a question: Six years ago, I experienced frequent abdominal bloating and discomfort, so I consulted a gastroenterologist. The hospital diagnosed me with excessive stomach acid, mild gas...
Dr. Chen Shidian Reply:
It may still be a gastrointestinal motility or digestion issue. An ultrasound can be performed to rule out extrinsic gastrointestinal lesions. A fecal occult blood test can be conducted for the colon.[Read More] Understanding Right Rib Pain: Symptoms and Necessary Tests
Understanding Bloating and Stomach Pain: Causes and Solutions
Bloating and stomach pain? Hello, Doctor. I occasionally experience hiccups, followed by frequent flatulence, but it hasn't been a major issue. However, recently I've started to have stomach pain, and I feel bloated and painful after eating. My hiccups have also become ...
Dr. Chen Shidian Reply:
You can visit the gastroenterology outpatient clinic for diagnosis and treatment.[Read More] Understanding Bloating and Stomach Pain: Causes and Solutions
Understanding Liver Function Abnormalities: Cholesterol and Other Causes
Liver dysfunction As per your inquiry, GPT is 90, GOT is 95, total cholesterol is 209, and low-density lipoprotein (LDL) cholesterol is 136. Six months ago, an abdominal ultrasound showed that fatty liver had resolved. At that time, you weighed 67 kg, and now you weigh 73 kg, whi...
Dr. Chen Shidian Reply:
Weight gain can significantly affect fatty liver disease. Cholesterol levels do not necessarily impact fatty liver. Additionally, be cautious with the use of lipid-lowering medications, as they may cause an increase in liver function tests in a small number of individuals.[Read More] Understanding Liver Function Abnormalities: Cholesterol and Other Causes
Understanding Elevated SGPT: Fatty Liver and Hepatitis Concerns
Elevated SGPT (Serum Glutamate Pyruvate Transamin Hello, I recently had a blood test at the clinic and found that my GOT level is normal at 39 U/L, while my GPT level is abnormal at 111 U/L. On the same day, I also had an ultrasound that revealed fatty liver. My body fat percenta...
Dr. Chen Shidian Reply:
It is likely that the abnormal liver function is caused by fatty liver, but it is still recommended to rule out the possibility of hepatitis B or C. Additionally, blood lipids are not necessarily proportional to the severity of fatty liver. It is important to reduce starch intake...[Read More] Understanding Elevated SGPT: Fatty Liver and Hepatitis Concerns