High SGPT and SGOT Levels in a 16-Year-Old: What to Do Next?
A 16-year-old with elevated SGPT (ALT) and SGOT (AST) levels? Hello, doctor. My son is in his first year of high school, and during a school health check, his SGPT was 78 and SGOT was 77. He is 170 cm tall and weighs 76.5 kg, giving him a BMI of 26.38. Both Hepatitis B tests came...
Dr. Chen Shidian Reply:
Hello, Miss. You can schedule an appointment with the Pediatric Gastroenterology and Hepatology department, as it is often related to fatty liver, but we need to confirm this. Changhua Hospital cares about your health. Chen Shidian.[Read More] High SGPT and SGOT Levels in a 16-Year-Old: What to Do Next?
Understanding Hepatitis B: Elevated Liver Enzymes and Treatment Options
Could you please provide more specific information or questions regarding hepatitis B? Hello Doctor: My father has hepatitis B. Recently, he underwent tests and his results showed GOT 54, GPT 85, viral load 17,000 (which is above the normal range), bilirubin 0.9, and amylase 111 ...
Dr. Chen Shidian Reply:
Hello, Miss: Please schedule an appointment with the Gastroenterology and Hepatology department for evaluation by the attending physician. Additionally, avoid alcohol, refrain from staying up late, and do not consume traditional Chinese medicine or steroids. Changhua Hospital car...[Read More] Understanding Hepatitis B: Elevated Liver Enzymes and Treatment Options
Can Deworming Medication Completely Eliminate Intestinal Parasites?
Can deworming medication completely eliminate parasites? Hello Doctor: I have been experiencing diarrhea for over two months now. Initially, I thought it was just a change in my body due to pregnancy, so I didn't pay much attention. However, even after giving birth, I still ...
Dr. Chen Qifeng Reply:
Hello: Common parasites can generally be effectively treated with standard antiparasitic medications. Intestinal parasites are not related to colorectal cancer. Dr. Chi-Feng Chen, Attending Physician, Department of Gastroenterology and Hepatology, Taoyuan General Hospital, Minist...[Read More] Can Deworming Medication Completely Eliminate Intestinal Parasites?
Understanding Tumors Near the Gallbladder: Seeking Medical Guidance
There is a tumor next to the gallbladder? My brother-in-law's health check revealed a tumor next to the gallbladder, but it is unclear whether it is benign or malignant. How should he seek relevant medical information and specialist doctors? I would appreciate your response....
Dr. Chen Qifeng Reply:
Hello: Please follow up with the Gastroenterology and Hepatology department to clarify your condition, as there is uncertainty regarding a tumor near the gallbladder. It is recommended to prioritize a repeat abdominal ultrasound, or possibly further abdominal computed tomography ...[Read More] Understanding Tumors Near the Gallbladder: Seeking Medical Guidance
Uneven Abdomen: Understanding Right-Side Distension Concerns
Uneven abdomen? Hello, doctor. I am 175 cm tall and weigh 84 kg. I run at least three times a week, covering about 3 kilometers each time, and I don't feel any discomfort. However, I recently noticed that my right side of the abdomen is slightly larger than the left, and it&...
Dr. Chen Qifeng Reply:
Hello: Please visit the Gastroenterology and Hepatology outpatient clinic for treatment. In fact, our bodies are not completely symmetrical, but we need to rule out any abnormalities within the abdominal cavity. Best regards, Dr. Chi-Feng Chen, Taoyuan General Hospital, Departmen...[Read More] Uneven Abdomen: Understanding Right-Side Distension Concerns
Understanding Gallstone Risks: Movement and Growth Without Surgery
Movement of Gallstones Thank you, Dr. Chen, for your response. I would like to ask the doctor again, if surgery is not performed, will there always be a risk of 1) gallstones falling into the bile duct? 2) stones in the gallbladder increasing in size over time? Thank you. ------...
Dr. Chen Shidian Reply:
Hello Mr. A-Jie, 1. Currently, there is no definitive research confirming the likelihood. Generally speaking, the probability is not high. 2. Gallstones can increase in size over time, but the likelihood of developing cholecystitis is not necessarily correlated with the size o...[Read More] Understanding Gallstone Risks: Movement and Growth Without Surgery
Understanding Helicobacter Pylori: Implications for Liver and Stomach Health
Helicobacter pylori Hello Doctor: I underwent a health check-up and tested positive for Helicobacter pylori, and the ultrasound examination showed a rough surface on my liver. Could you please advise if there are significant issues with my stomach or liver, whether there will be ...
Dr. Chen Qifeng Reply:
Hello: It is recommended to visit a gastroenterology and hepatology specialist for further examination. First, an upper gastrointestinal endoscopy should be performed to check for gastritis or peptic ulcers. Depending on the findings, it may be necessary to consider eradication t...[Read More] Understanding Helicobacter Pylori: Implications for Liver and Stomach Health
Understanding Elevated ALT Levels: Causes and When to See a Doctor
Serum Alanine Aminotransferase (ALT) When I went to donate blood, my serum transaminase (ALT) level was elevated at 91. I usually go to bed around 12:10 AM and wake up around 7 AM. I don't have any bad habits. My father seems to have hepatitis B (I'm not sure what could...
Dr. Chen Shidian Reply:
Hello, please visit the Gastroenterology and Hepatology outpatient clinic to investigate the cause of your condition for appropriate treatment (please bring your reports with you during your visit). Dr. Chen Shih-Dian from Changhua Hospital cares about your health.[Read More] Understanding Elevated ALT Levels: Causes and When to See a Doctor
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort? For the past 3-4 days, I've been feeling nauseous, as if something is pressing on my stomach, and it feels uncomfortable. Today, right after I finished eating, I felt hungry again, but I am not pregnant.
Dr. Cai Jinji Reply:
Hello, thank you for your inquiry. I would like to respond to your question and provide the following advice: Please visit a gastroenterology and hepatology clinic for diagnosis and appropriate treatment to address your issue. Wishing you peace and happiness.[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Is Hepatitis B Vaccination Effective After Negative Antigen Tests?
Hepatitis B antigen and antibody I would like to inquire: If both the hepatitis B surface antigen and antibody are negative, but there was a previous diagnosis of hepatitis B carrier status, is it still effective to receive the vaccine? Will it still produce antibodies for 15 yea...
Dr. Yang Zhichao Reply:
Hello JP6: Based on your description, if the hepatitis B antigen was previously positive and subsequent tests show a negative result, it is possible that you have fully recovered. If your hepatitis B antibodies are negative, it is recommended that you receive the hepatitis B vacc...[Read More] Is Hepatitis B Vaccination Effective After Negative Antigen Tests?
Understanding Liver Hemangiomas and Fatty Liver: What You Need to Know
Hepatic hemangioma and fatty liver disease? During a health check-up, an ultrasound examination revealed a hepatic hemangioma. After consulting another clinic, the results showed four hemangiomas (approximately 1 cm each) and fatty liver (weight 50 kg). The doctor mentioned that ...
Dr. Chen Qifeng Reply:
Hello: If it is fatty liver and hemangioma, then indeed, follow up as indicated in <a href="https://adoctor.tw/article/36394">#36394</a>. There are many causes of fatty liver, with common ones including obesity, high blood lipids (triglycerides), poorly cont...[Read More] Understanding Liver Hemangiomas and Fatty Liver: What You Need to Know
Non-Invasive Liver Fibrosis Assessment Using Shock Wave Technology
Liver fibrosis elastography assessment In general, to further confirm liver fibrosis, a liver biopsy is required. Recently, I came across information online about a device that uses ultrasound waves to assess the degree of liver fibrosis. Dr. Chen, I would like to know if such a ...
Dr. Chen Shidian Reply:
Hello, sir: Please visit the Gastroenterology and Hepatology Department at Chang Gung Memorial Hospital in Kaohsiung for a self-paid examination. Changhua Hospital cares about your health. Chen Shidian.[Read More] Non-Invasive Liver Fibrosis Assessment Using Shock Wave Technology
Essential Gastrointestinal Health Checks: Doctor's Recommendations
I would like to undergo a gastrointestinal health check. What are the doctor's recommendations? Hello, Doctor. I have previously experienced gastritis, and recently I sometimes feel a dull sensation in my stomach, but there is no significant pain. I am considering getting ch...
Dr. Chen Qifeng Reply:
Hello, based on your symptoms, you should seek medical attention according to your condition rather than considering a health check-up. Given your situation, you may visit the Gastroenterology and Hepatology outpatient clinic, where the physician will arrange for further examinat...[Read More] Essential Gastrointestinal Health Checks: Doctor's Recommendations
Essential Tests for Chronic Hepatitis B Carriers: A Guide
What tests should be done for a hepatitis B carrier? Hello: I underwent a health check at the end of 2005, where I tested positive for Hepatitis B surface antigen and negative for Hepatitis B surface antibody. In the following years, my GOT and GPT levels were normal. If I want t...
Dr. Lin Minghui Reply:
Hello, 1. According to your examination in 2005, you are a carrier of Hepatitis B. Your liver function tests are normal; however, chronic Hepatitis B poses a high risk for liver cirrhosis and liver cancer. It is recommended to have regular annual check-ups, including liver func...[Read More] Essential Tests for Chronic Hepatitis B Carriers: A Guide
Understanding Persistent Nausea: Causes and Solutions for Relief
Nausea Hello Doctor, on the evening of January 8th, I went out for hot pot with friends. After starting to eat, I had two pieces of fish dumplings, and immediately felt a pressure in my stomach. I also felt a foreign body sensation in my throat, followed by a sudden and intense u...
Dr. Zhang Siyuan Reply:
To Ray: Excessive weight loss can sometimes lead to another type of reflux, occurring at a level lower than gastric reflux, which may result in persistent upper abdominal distension and an inability to vomit. At this point, it is important to consult a gastroenterologist as soon ...[Read More] Understanding Persistent Nausea: Causes and Solutions for Relief
Understanding Weight Issues: Possible Digestive Absorption Problems
Underweight, suspected gastrointestinal malabsorption? Hello, doctor. I apologize for bothering you, but I have a question I would like to discuss. I have regular bowel movements every day, but sometimes I experience abdominal pain. I eat three meals a day normally, and even when...
Dr. Zhang Siyuan Reply:
To David: Your issue may be related to a metabolic disorder, which is characterized by rapid energy expenditure, rather than a problem with the gastrointestinal system that would cause absorption issues and weight loss. I recommend that you visit an internal medicine clinic for f...[Read More] Understanding Weight Issues: Possible Digestive Absorption Problems
Managing Viral Gastroenteritis: Symptoms, Treatment, and Recovery Tips
Viral gastroenteritis Hello doctor, a few days ago I was taken to the emergency room due to a fever of 38 degrees Celsius and diarrhea. The doctor diagnosed me with viral gastroenteritis and prescribed medication before I went home. However, the next day I still had a fever and p...
Dr. Zhang Siyuan Reply:
To Lei: If you are experiencing persistent dizziness, it may be due to previous episodes of diarrhea causing a deficiency in body fluids or blood volume. At this time, it is important to reduce your activity level and rest more, allowing your body to recover naturally. If you sti...[Read More] Managing Viral Gastroenteritis: Symptoms, Treatment, and Recovery Tips
What to Do If You Accidentally Ingest Plastic Wrap?
I accidentally ingested plastic today..? Hello Doctor: Today while I was eating cookies, a small piece of plastic from the packaging accidentally went into my stomach because the plastic wrap wasn't torn properly. I'm very worried that the plastic won't come out. C...
Dr. Zhang Siyuan Reply:
To Xiao Maruko: Don't worry too much! If it was just the ingestion of a small piece of plastic bag, it shouldn't cause significant damage to the gastrointestinal mucosa or poisoning symptoms. However, if you still experience abdominal discomfort, it is advisable to seek...[Read More] What to Do If You Accidentally Ingest Plastic Wrap?
Effective Treatments for Acid Reflux After Esophageal Surgery
Gastroesophageal reflux disease (GERD) Hello Dr. Chang, I had surgery for esophageal cancer nine years ago, during which my esophagus and part of my stomach were removed. Now my stomach is located in the thoracic cavity, but I have been experiencing gastroesophageal reflux sympto...
Dr. Zhang Siyuan Reply:
To Chikuang: Your condition appears to be more pronounced than typical gastroesophageal reflux, with nighttime gastric acid reflux reaching the throat, leading to coughing. Pantoprazole has been used at a dosage of 80 mg per day, which is double the standard treatment for gastroe...[Read More] Effective Treatments for Acid Reflux After Esophageal Surgery
Understanding Esophageal Discomfort After Overeating: Causes and Solutions
Esophageal obstruction? Hello, I have been overeating lately and have often vomited after meals. This may have caused some irritation, as for the past couple of days, I feel like there is something stuck in my esophagus after eating, almost as if I can't swallow properly and...
Dr. Zhang Siyuan Reply:
To Xiao Mei: Severe vomiting usually injures the lower esophagus, but this often occurs after excessive alcohol consumption when there is a sudden increase in intra-gastric pressure. If you are vomiting only after overeating, it is less likely to cause esophageal injury, unless t...[Read More] Understanding Esophageal Discomfort After Overeating: Causes and Solutions