Understanding Gastrointestinal Symptoms: When to Consider a Colonoscopy
Continuation of question #187758? Hello Doctor, I previously inquired about issues related to bloating and changes in stool consistency (from thick to thin) (<a href="https://adoctor.tw/article/187758">#187758</a>), and here is the link: https://adoctor.tw/a...
Dr. Chen Shidian Reply:
First, it's important to understand that all tests have a limit to their accuracy. While colonoscopy is the most precise, it is possible for all tests to return negative results. Therefore, it is medically logical (and often a standard for health insurance review) to first a...[Read More] Understanding Gastrointestinal Symptoms: When to Consider a Colonoscopy
Understanding Congenital Bile Duct Cysts: When Is Surgery Necessary?
Congenital choledochal cyst Hello, doctor. Recently, my health check-up report showed elevated total bilirubin levels, and after undergoing an abdominal ultrasound and CT scan at the hospital, I was diagnosed with a choledochal cyst. However, the doctor mentioned that I only need...
Dr. Chen Shidian Reply:
Hello, it is quite rare to perform surgery for this condition, but it still depends on the individual case. You may discuss this further with your attending physician and continue to monitor the situation, or consult a specialist in biliary diseases at a medical center. Changhua ...[Read More] Understanding Congenital Bile Duct Cysts: When Is Surgery Necessary?
Understanding Abnormal Total and Direct Bilirubin Levels: Causes and Solutions
Inquiry regarding abnormalities in total bilirubin and direct bilirubin: Hello Doctor: I recently received my health check-up report, and two abnormal values were noted: Total Bilirubin (T-Bil) is low at 1.84 mg/dl, and Direct Bilirubin (D-Bil) is high at 0.58 mg/dl. I would like...
Dr. Cai Jinji Reply:
Total bilirubin includes direct bilirubin, so total bilirubin levels are higher than direct bilirubin levels. This data should still be interpreted in conjunction with other test reports, such as liver function tests and ultrasound, to determine the underlying issues and potentia...[Read More] Understanding Abnormal Total and Direct Bilirubin Levels: Causes and Solutions
Understanding Abnormal T-Bil and D-Bil Levels: Causes and Solutions
Could you please clarify the issue regarding abnormal T-Bil and D-Bil levels? Hello Doctor: I recently received my health check-up report, and two abnormal values are as follows: Total Bilirubin (T-Bil) is low at 1.84 mg/dl, and Direct Bilirubin (D-Bil) is high at 0.58 mg/dl. I w...
Dr. Cai Jinji Reply:
Total bilirubin includes direct bilirubin, so total bilirubin levels are higher than direct bilirubin levels. This data should still be interpreted in conjunction with other test reports, such as liver function tests and ultrasound, to determine the underlying issues and potentia...[Read More] Understanding Abnormal T-Bil and D-Bil Levels: Causes and Solutions
Understanding Elevated Liver Enzymes: What You Need to Know
Concerns about health check-ups? Hello Doctor: I just completed my annual health check-up this month, and my GOT (AST) and GPT (ALT) levels are both above the standard values, with GOT at 42 and GPT at 86. Additionally, my total bilirubin is 1.2. What aspects should I pay attenti...
Dr. Chen Shidian Reply:
Hello Jason: Please bring your health check-up report to the Department of Hepatobiliary and Gastroenterology for further evaluation of the elevated indices and treatment. Changhua Hospital cares about your health~~~~[Read More] Understanding Elevated Liver Enzymes: What You Need to Know
Understanding the Timing and Efficacy of Liver Treatment with Hepatitis B
Liver An can treat issues? Hello, I am a carrier of hepatitis B and have been undergoing regular follow-up examinations every six months for the past eight years. Over these eight years, my GOT and GPT levels have fluctuated. For the past three years, ultrasound examinations have...
Dr. Chen Shidian Reply:
Hello, ESir: 1. Liver function tests can only be conducted by a hepatologist, and their use is regulated by health insurance (quota system). It is not intended to elaborate on this here. For cases that are not acute or explosive in nature, liver biopsy and viral load assessment s...[Read More] Understanding the Timing and Efficacy of Liver Treatment with Hepatitis B
Is It the Right Time to Start Taking Liver Medications?
There are concerns about taking Liver An? Hello: I am a carrier of hepatitis B and have been undergoing regular follow-up examinations every six months for the past eight years. Over these eight years, my GOT and GPT levels have fluctuated. For the past three years, ultrasound ex...
Dr. Xu Jinchuan Reply:
Hello! 1. According to the letter, you have moderate fatty liver, which could also be a potential cause of your hepatitis. 2. Additionally, your GPT levels have consistently been elevated, and since your E antigen is positive, the use of Tenofovir could be considered. However, yo...[Read More] Is It the Right Time to Start Taking Liver Medications?