Understanding Hiccups, Chest Tightness, and Stomach Ulcers: A Patient's Journey
Gastric ulcer / chest tightness / belching Hello Dr. Chen, last month I experienced persistent hiccups, chest tightness, a sensation of a foreign body in my throat, and black stools. I visited a gastroenterology clinic, where the doctor performed an ultrasound that came back norm...
Dr. Chen Shidian Reply:
Hello, if it has been confirmed that there are no heart issues, you may take antacids to see if it improves the chest pain, which could be due to gastroesophageal reflux. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Hiccups, Chest Tightness, and Stomach Ulcers: A Patient's Journey
Can Weight Loss and Diet Reverse Severe Fatty Liver Disease?
Fatty liver disease issues? Hello, Doctor. Recently, I went to the hospital for a check-up and an abdominal ultrasound at the family medicine department. The family medicine doctor said that the gastroenterologist indicated I have significant fatty liver (severe fatty liver). My ...
Dr. Yang Zhichao Reply:
Dear Ms. Chen, Hello. Fatty liver can indeed be improved through dietary changes and regular exercise. The liver accumulates fat, and when this fat oxidizes over time, it can lead to inflammation, resulting in elevated liver enzymes. Given that you weigh over 100 kilograms, it i...[Read More] Can Weight Loss and Diet Reverse Severe Fatty Liver Disease?
Can Silimin Be Taken Long-Term for Fatty Liver Management?
Is it safe to take Silimin long-term? I had a stroke in 2014, which left me with right-sided paralysis. After a six-month rehabilitation in the hospital, my condition improved, and the hospital discharged me, recommending home rehabilitation. However, home rehabilitation was limi...
Dr. Cai Anshun Reply:
Hello, you can ask your physician to check if your liver enzymes have returned to normal. If they have, you may not need to continue taking medication. Additionally, if you are not experiencing constipation, there is no need to keep taking stool softeners; just be mindful of your...[Read More] Can Silimin Be Taken Long-Term for Fatty Liver Management?
Understanding Elevated Liver Enzymes: Causes and Concerns
Elevated liver enzymes indicating inflammation? Hello, doctor. I went to the family medicine clinic last week for a blood test, and today the report came back. My blood sugar, cholesterol, and triglycerides are all normal, but my liver enzymes are elevated. The family medicine do...
Dr. Cai Anshun Reply:
Hello: An ALT level of 60 (with a standard range of 7-42) indicates a liver condition that is not considered severe. However, it may be caused by fatty liver or insufficient sleep. Once the underlying cause is identified, further measures can be taken to improve the situation, wh...[Read More] Understanding Elevated Liver Enzymes: Causes and Concerns
Understanding Abnormal Liver Function: Is Fatty Liver the Cause?
Liver dysfunction Hello Doctor, two weeks ago I had a blood test and today the report shows liver function results: GOT: 34 IU/L (5-34), GPT: 54 IU/L (<40). Last year, during a colonoscopy and gastroscopy, the doctor performed an ultrasound of my liver and diagnosed me with fa...
Dr. Chen Shidian Reply:
Hello, sir. It is possible to try losing weight first and rule out hepatitis B/C. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Abnormal Liver Function: Is Fatty Liver the Cause?
Understanding Fluctuations in Anti-HBs Levels After Hepatitis B Treatment
Hepatitis B Anti-HBs Value Issues Dear Dr. Chen, I hope this message finds you well. During a company health check in 2007, I was found to be a carrier of hepatitis B with elevated liver enzymes (approximately GOT over 800). After follow-up at National Taiwan University Hospital...
Dr. Chen Shidian Reply:
Hello, sir. The values obtained are not completely quantitative, so they should only be used for reference and should not be interpreted based on their magnitude. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Fluctuations in Anti-HBs Levels After Hepatitis B Treatment
Understanding Elevated Liver Enzymes and Fatigue: Key Insights
Elevated liver enzymes and fatigue? Hello Doctor, I have been experiencing unusual fatigue, loss of appetite, and alternating chills and fever for about a month. My health check report regarding liver function shows that both GOT and GPT are at 25 (max. 35), while GGT is at 63 (m...
Dr. Cai Anshun Reply:
Hello: Values within the normal range are considered normal. There is no need to worry excessively. Medications that can be avoided should not be taken unless absolutely necessary. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Elevated Liver Enzymes and Fatigue: Key Insights
Understanding Mild Anemia: Causes and Gastrointestinal Concerns
Acute mild anemia Hello Doctor: In 2013, my hemoglobin was 16.4 during a health check, and in 2015, it was 15.7. However, in 2016, my hemoglobin dropped to 12.7, and during a blood donation in March 2017, it was found to be 12.6. In April 2017, a hospital check showed my hemoglob...
Dr. Chen Qifeng Reply:
Please first visit a colorectal surgeon.[Read More] Understanding Mild Anemia: Causes and Gastrointestinal Concerns
Understanding Hepatitis B Relapse After Stopping Medication: Key Insights
Will there be a relapse after stopping liver medication? Hello Doctor: My husband is a carrier of hepatitis B. In June 2015, he visited the hospital due to fatigue, and the results showed GOT 47, GPT 59, indicating abnormal liver function, and triglycerides at 219, with a diagnos...
Dr. Chen Shidian Reply:
Hello, Miss. Patients with abnormal liver function and hepatitis B can use liver-protective medications covered by health insurance, but the cause of the condition needs to be confirmed at a gastroenterology outpatient clinic. If it is fatty liver, dietary control and weight mana...[Read More] Understanding Hepatitis B Relapse After Stopping Medication: Key Insights
Understanding Fatty Liver: Concerns About Hepatomegaly and Next Steps
Fatty liver with abdominal distension? Hello. In January of this year, I underwent an abdominal ultrasound due to abdominal pain, and the report indicated fatty liver. The ultrasound report stated: "liver is normal size with smooth outline. There is diffuse increase in echog...
Dr. Cai Anshun Reply:
Hello: 1. The normal liver size is approximately 25 cm in length, 15 cm in height, and 16 cm in width. 2. I'm not sure how often your physician has advised you to return for follow-up; if there are no specific concerns, a follow-up with blood tests and ultrasound every six m...[Read More] Understanding Fatty Liver: Concerns About Hepatomegaly and Next Steps
Understanding Liver Issues: Questions About Fatty Liver and Abnormal Enzymes
Liver issues? Dear Dr. Tsai, I am the patient who consulted you regarding my condition. My ultrasound report is the same as last time, but my GOT is 32 and GPT is 57, which is abnormal. I have a few questions I would like to ask: 1. I have been taking iron supplements; last yea...
Dr. Cai Anshun Reply:
Hello: 1. For fatty liver, it is important to exercise and control caloric intake. If fatty liver improves, liver enzyme levels should normalize (assuming there is no chronic hepatitis B or C). 2. Anemia can also lead to muscle soreness. 3. In cases of fibrosis, regular monitorin...[Read More] Understanding Liver Issues: Questions About Fatty Liver and Abnormal Enzymes
Understanding Your Abdominal Ultrasound Results: Key Insights for Liver and Gallbladder Health
Abdominal ultrasound is a non-invasive imaging technique that uses high-frequency sound waves to create images of the organs and structures within the abdomen. It is commonly used to evaluate conditions affecting Hello Dr. Tsai, I previously submitted a question but did not recei...
Dr. Cai Anshun Reply:
Hello: 1. Fatty liver: It is recommended to monitor the levels of cholesterol and triglycerides in the serum, maintain a light diet, exercise, and pay attention to weight. 2. Blisters: Generally, there are no significant concerns unless the blisters are large and compressing the ...[Read More] Understanding Your Abdominal Ultrasound Results: Key Insights for Liver and Gallbladder Health
Understanding Abnormal Liver Function: Causes, Concerns, and Solutions
Liver dysfunction Hello Doctor: I visited the clinic due to onychomycosis and had blood tests done to facilitate more effective medication treatment. The results showed my GOT at 42 and GPT at 87. The doctor at the clinic said I have severe fatty liver disease! However, I am unsu...
Dr. Chen Shidian Reply:
Hello, it is quite common for psychiatric medications to cause obesity and fatty liver. We need to discuss the possibility of changing your medication and managing your caloric intake. Changhua Hospital is concerned about your health. Best regards, Chen Shih-Dian.[Read More] Understanding Abnormal Liver Function: Causes, Concerns, and Solutions
Understanding Gastrointestinal Issues in Elderly Patients: A Case Study
Grandma's gastrointestinal issues? Hello, Director Chen: My grandmother is 87 years old. Her current medical history includes fatty liver, diabetes, hypertension, arrhythmia, and stage 4 chronic kidney disease (GFR 22) without dialysis, as well as vascular calcification. Cur...
Dr. Chen Shidian Reply:
Hello, sir. It is recommended to visit a gastroenterologist for an examination to understand your condition. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Gastrointestinal Issues in Elderly Patients: A Case Study
Nausea and Abdominal Discomfort After Meals: Possible Causes and Solutions
Nausea after eating, along with upper abdominal bloating and burning sensation? Hello Doctor: In the past couple of days, I have been experiencing nausea after lunch or dinner (but I haven't vomited). After burping, I feel somewhat better, but the nausea returns. There is a ...
Dr. Cai Anshun Reply:
Hello: It may be a stomach issue. Additionally, the side effects of Buscopan can affect intestinal motility. You may want to consult a gastroenterologist for an accurate diagnosis. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Nausea and Abdominal Discomfort After Meals: Possible Causes and Solutions
Understanding Elevated ALT Levels: Causes and Next Steps for Liver Health
Liver function issues Hello, Doctor: I often feel fatigued and my job requires me to stay up late frequently. I went to a testing center to have my ALT/SGPT tested, and my result was 94 (normal range is 10-40). I weigh 88 kg and do not drink alcohol. I would like to ask if this i...
Dr. Chen Shidian Reply:
Hello, please visit the Hepatobiliary and Gastroenterology Department for a consultation to confirm your condition. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Elevated ALT Levels: Causes and Next Steps for Liver Health
Understanding Abnormal Liver Function: Causes and Concerns
Liver dysfunction Hello, doctor. I had an examination at the hospital in early December, and my GPT level was abnormal while my GOT level was normal. The normal value is below 47, and mine was 50. I am obese, and I stayed up late the night before the blood test. Could this be rel...
Dr. Chen Shidian Reply:
Hello, it appears you have fatty liver, which is also caused by obesity. Please manage your caloric intake. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Abnormal Liver Function: Causes and Concerns
Addressing Anxiety: Concerns About Abdominal Ultrasound and Recording
Hello doctor, I have two questions? Hello, doctor. My boyfriend is experiencing severe anxiety and obsessive-compulsive disorder. He is currently undergoing treatment in a psychosomatic clinic. Recently, he has had two concerns related to his liver, gallbladder, and gastrointesti...
Dr. Chen Qifeng Reply:
Recording on a mobile phone will not affect the ultrasound results. Fasting for more than 6 hours, with only a small amount of water consumed, will not impact the interpretation of the ultrasound.[Read More] Addressing Anxiety: Concerns About Abdominal Ultrasound and Recording
Does Drinking Water Before an Abdominal Ultrasound Affect Results?
Drinking water before an ultrasound examination? Hello, doctor. I have been experiencing dull pain in my upper right abdomen, so I visited a gastroenterology clinic. The doctor wanted to perform an abdominal ultrasound and asked if I was fasting and had not consumed any water. I ...
Dr. Chen Shidian Reply:
Hello, sir. Drinking water occasionally may affect the penetration of ultrasound; however, if the physician has not specifically mentioned the need for a re-examination, it should be clear enough. Changhua Hospital cares about your health. Chen Shidian[Read More] Does Drinking Water Before an Abdominal Ultrasound Affect Results?
Understanding Anti-HBs Levels and Their Implications for Liver Health
Anti-HBs Hello, doctor. Could you please explain what a positive Anti-HBs value of + (108.22) indicates? Additionally, I have a mild fatty liver observed during an abdominal ultrasound. Thank you.
Dr. Chen Shidian Reply:
Hello, Miss. The concentration of hepatitis B antibodies is a concern for your health at Changhua Hospital. Chen Shidian.[Read More] Understanding Anti-HBs Levels and Their Implications for Liver Health