Understanding Acute Hepatitis and Its Complications: Rhabdomyolysis Risks
Acute hepatitis complicated by rhabdomyolysis? Hello, my brother's liver enzymes have skyrocketed to over 10,000. The doctor diagnosed him with acute hepatitis and renal failure. His levels have decreased, but he has now developed rhabdomyolysis and has already undergone dia...
Dr. Chen Zhiping Reply:
Hello, could you please explain the causes of fulminant hepatitis and rhabdomyolysis leading to renal failure? How is liver function? Are symptoms such as jaundice, ascites, and hepatic encephalopathy improving? What is the urine output and renal function index? The risk is signi...[Read More] Understanding Acute Hepatitis and Its Complications: Rhabdomyolysis Risks
Understanding Gallbladder Atrophy and Liver Cysts in Aging Patients
Gallbladder atrophy is not observed, and there are blisters on the liver? Hello: My father is currently 76 years old and has been suffering from liver cirrhosis for about two years. A few days ago, during a health check-up, the report indicated that the gallbladder was not visibl...
Dr. Chen Zhiping Reply:
Hello: Gallbladder atrophy is commonly seen in patients with gallstones, and over time it may develop into chronic cholecystitis, leading to a reduction in gallbladder size. If there is no pain or fever, it should not be a concern, but it is still important to monitor the conditi...[Read More] Understanding Gallbladder Atrophy and Liver Cysts in Aging Patients
Understanding Colorectal Cancer with Liver Metastasis in Elderly Patients
Malignant tumor of the transverse colon with multiple liver metastases? Hello, my father is 83 years old and recently underwent a right hemicolectomy and liver biopsy due to a malignant colon tumor. The physician indicated that the postoperative pathology report shows that the ma...
Dr. Chen Zhiping Reply:
Response: Hello, colon cancer with liver metastasis is classified as stage IV colon cancer, with an average survival of about six months to one year. Post-surgery, chemotherapy (either intravenous or oral) may be acceptable, or hepatic artery embolization could be attempted. Curr...[Read More] Understanding Colorectal Cancer with Liver Metastasis in Elderly Patients
Assessing Disability in Cirrhosis Patients: Key Symptoms and Implications
Cirrhosis... related issues? In patients with cirrhosis, particularly those with hepatitis C progressing to cirrhosis, the presence of abdominal distension, lower extremity edema, and ascites can significantly impact their functional capacity. These symptoms may indicate advanced...
Dr. Yang Peizhen Reply:
Hello: The presence of ascites in cirrhosis typically indicates that there is already a phenomenon of decompensated liver function. To assess the severity of cirrhosis, several factors are considered, in addition to ascites, such as jaundice, low serum albumin levels, hepatic enc...[Read More] Assessing Disability in Cirrhosis Patients: Key Symptoms and Implications
Understanding Liver Fibrosis: What You Need to Know After an Ultrasound
About the liver? Hello Dr. Chang, I had an abdominal ultrasound during my health check-up and was informed that there are white spots on my liver, indicating fibrosis. What should I do?
Dr. Zhang Yuting Reply:
There are many possibilities for the hyperechoic spots observed on ultrasound, with common causes being hemangiomas or calcifications, or hepatic blood vessels. However, further blood tests are needed for confirmation. If you have concerns, please consult a gastroenterologist or ...[Read More] Understanding Liver Fibrosis: What You Need to Know After an Ultrasound
Understanding Liver Parenchymal Lesions: What Do Ultrasound Results Mean?
Hepatic parenchymal lesions The results of the abdominal ultrasound examination in July indicated "hepatic parenchymal lesions." What does this mean, and what should be done next? Thank you.
Dr. Yang Peizhen Reply:
Abdominal ultrasound examination results indicate hepatic parenchymal lesions, which suggest that the liver tissue appears more heterogeneous on ultrasound compared to normal liver tissue, which is typically more uniform. This may indicate a history of inflammation in the liver t...[Read More] Understanding Liver Parenchymal Lesions: What Do Ultrasound Results Mean?
Understanding Liver Abnormalities: What Your Ultrasound Results Mean
Provincial health check results? Hello Doctor: I had a health check-up at Taoyuan Hospital in July, and the ultrasound results indicated "hepatic parenchymal lesions." Does this indicate an abnormality? What further detailed examinations can I request from the doctor du...
Dr. Yang Peizhen Reply:
Abdominal ultrasound examination results indicate hepatic parenchymal lesions, which suggest that the liver tissue appears more disorganized on ultrasound compared to normal liver tissue, which is typically more uniform. This may indicate a history of inflammation in the liver ti...[Read More] Understanding Liver Abnormalities: What Your Ultrasound Results Mean
Understanding Hemangiomas: Key Questions and Diagnostic Approaches
Hemangioma Dear Dr. Yang, Thank you for your previous response, which has greatly reassured me. I would like to ask for your assistance once again regarding the following questions: 1. My recent Alpha-Fetoprotein (AFP) level was 8.31, with a normal range being <6. Could you ...
Dr. Yang Peizhen Reply:
(1) The normal value for alpha-fetoprotein (AFP) varies depending on the reagents used by different machines, with early values being less than 20. Currently, our hospital's normal value is less than 10, so there is no standardized data. (2) Angiography is quite helpful in d...[Read More] Understanding Hemangiomas: Key Questions and Diagnostic Approaches
Understanding Transjugular Intrahepatic Portosystemic Shunt Therapy
Intrahepatic Jugular Vein Stenting Therapy My father recently visited the doctor due to issues related to liver cirrhosis (currently in the second to third stage of cirrhosis). The physician recommended the use of transjugular intrahepatic portosystemic shunt (TIPS) therapy. I wo...
Dr. Xu Ruihong Reply:
Hello, the intrahepatic stenting therapy for the jugular vein involves the direct placement of a stent between the portal vein and hepatic vein to achieve a reduction in portal pressure. Once the portal pressure is lowered, the likelihood of esophageal variceal or gastric varicea...[Read More] Understanding Transjugular Intrahepatic Portosystemic Shunt Therapy
Understanding Liver Hemangiomas: Growth, Treatment, and Symptoms
Will a hepatic hemangioma spread? Last May during a health check, a suspected liver tumor measuring 1 cm was found. A CT scan in June showed no abnormalities. In September, an ultrasound revealed three lesions over 1 cm, and by December, five lesions over 1 cm were detected durin...
Dr. Yang Guojun Reply:
Hepatic hemangiomas may present in a multifocal manner; however, if a patient shows an increasing number of lesions during follow-up, it could be due to two reasons: 1. The patient may have had multiple lesions initially, and as their fatty liver improves, these lesions become mo...[Read More] Understanding Liver Hemangiomas: Growth, Treatment, and Symptoms
Are Liver Gallstones and Gallstones the Same Thing?
Gallstones? I apologize... I'm not inquiring because I'm ill... I just have a small question after seeing many headlines... I hope you can still reply to me via email~~^^ May I ask, are liver and gallbladder stones the same as gallstones!? Or are the two different?
Dr. Yang Guojun Reply:
Hepatobiliary stones refer to stones located within the hepatic ducts and gallbladder. In the early days in Taiwan, due to poor environmental sanitation, many people suffered from both liver stones and gallbladder stones. However, the incidence of intrahepatic stones has decrease...[Read More] Are Liver Gallstones and Gallstones the Same Thing?
Understanding High-Density Nodules in the Right Liver: What You Need to Know
High-density nodule in the right liver? I had a health check-up, and the report indicates a high-density nodule in the right liver. What does this mean?
Dr. Yang Guojun Reply:
If the high-density nodule is less than 3 mm, it may be a regenerative nodule, intrahepatic stone, or other benign tumors. Follow-up with ultrasound every six months is sufficient. Early-stage liver cancer is typically characterized by low-density nodules or tumors.[Read More] Understanding High-Density Nodules in the Right Liver: What You Need to Know
Understanding Liver Hemangiomas: Causes, Symptoms, and Dietary Considerations
Hepatic hemangioma Hello Dr. Yang, I would like to ask a few questions: 1. What is a hepatic hemangioma, how is it caused, what are the potential complications, and what dietary precautions should be taken in daily life? 2. I underwent liver and gallbladder function tests, ...
Dr. Yang Guojun Reply:
Hepatic hemangiomas are benign tumors that do not transform into malignant cancer. GPT43 may likely indicate fatty liver; please recheck HBsAg and Anti-HCV.[Read More] Understanding Liver Hemangiomas: Causes, Symptoms, and Dietary Considerations