Understanding Liver Tumors: Assessing Cancer Risk and Follow-Up Care
There is a tumor in the liver? Hello Doctor: In February, an abdominal ultrasound revealed two tumors in my liver (0.6 cm and 1.7 cm). During a follow-up in April, another tumor was found (0.8 cm). The previous two tumors had not grown, and the doctor mentioned that they might ha...
Dr. Chen Shidian Reply:
Hello, the probability is low, but further monitoring is needed. If necessary, a CT scan or MRI may be performed for evaluation. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Liver Tumors: Assessing Cancer Risk and Follow-Up Care
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
Can You Contract Hepatitis B or C from Massage Therapy?
Hepatitis Infection Consultation Hello, doctor. Last month on the 12th, I had gua sha at a massage parlor, and the gua sha board was disinfected with alcohol. I also did not have any wounds on my back. Is there a chance that I could be infected with hepatitis B or C? I am very wo...
Dr. Chen Shidian Reply:
Hello, as long as there are no wounds or bleeding, there is no risk of infection with Hepatitis B or C. Of course, thorough disinfection is essential to prevent various bacterial and fungal infections. Changhua Hospital cares about your health. Chen Shidian[Read More] Can You Contract Hepatitis B or C from Massage Therapy?
Can People with Hepatitis B Take Fish Oil Supplements Safely?
Can individuals with type B blood take fish oil? Hello doctor, I would like to buy fish oil for my family member, a 47-year-old male. However, during my online research, I found some information suggesting that individuals with hepatitis B should not take it because it may affect...
Dr. Chen Shidian Reply:
Hello, sir. Fish oil is a dietary supplement that should be taken in appropriate amounts and at a reasonable price, with a source that is free from contamination. If you have cirrhosis, it is advisable to discuss this further with your primary physician. Changhua Hospital cares a...[Read More] Can People with Hepatitis B Take Fish Oil Supplements Safely?
Understanding Hepatitis B: Risks and Vaccination Guidance
Hepatitis issues Dear Doctor: 1. I would like to ask about my test results from the medical laboratory for Hepatitis B. The results show Hepatitis B Antigen: 0.01 (-) and Hepatitis B Antibody: 22.13 (+). If my partner is a carrier of Hepatitis B, is there a possibility that I c...
Dr. Chen Shidian Reply:
Hello, sir. You should not need to receive another dose of the vaccine. If there is a genuine risk of exposure, you may receive one dose, and then have a blood test done one month later. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Hepatitis B: Risks and Vaccination Guidance
Understanding Your Hepatitis B and C Test Results: What They Mean
Regarding the values of hepatitis B (HBV) tests? Hello Doctor: I am a bit confused about the report, so I would like to ask. The report states that Hepatitis B surface antigen (HBsAg) is <0.1 and Hepatitis C antibody (Anti-HCV) is 0.71, which is negative. What does this mean? ...
Dr. Chen Shidian Reply:
Hello, Miss. The Changhua Hospital is concerned about your health regarding hepatitis B and C. Best regards, Chen Shidian.[Read More] Understanding Your Hepatitis B and C Test Results: What They Mean
Understanding Hepatitis B Antibodies: Do You Need to Worry?
Hepatitis antibodies At the beginning of this year, I had a one-night stand with someone who is a carrier of hepatitis B. In December of last year, I underwent a health check-up, which showed that my hepatitis B surface antigen was negative (-) and my hepatitis B surface antibody...
Dr. Cai Anshun Reply:
Hello: Having antibodies means there is immunity and a reduced risk of infection; however, if the antibody titer is too low, it can indeed diminish the protective effect of the antibodies. If you are unsure whether your antibody titer is sufficient, you can visit a gastroenterolo...[Read More] Understanding Hepatitis B Antibodies: Do You Need to Worry?
Understanding Liver Issues: Insights from Ultrasound Reports and Symptoms
Liver issues? Hello Dr. Tsai! I would like your help reviewing my abdominal ultrasound reports from two different hospitals, thank you. **First Report:** - Spleen Index: 7.18 × 3.75 cm - CBD: 0.63 cm - Portal vein: 1.05 cm - Normal liver size, bright and heterogeneous parenchyma...
Dr. Cai Anshun Reply:
Hello: 1. According to the report you provided, the liver appears to be only fibrotic, with no signs of cirrhosis. Additionally, your platelet count is 241,000; individuals with cirrhosis typically have platelet counts below the normal range (169,000). 2. Chronic anemia can i...[Read More] Understanding Liver Issues: Insights from Ultrasound Reports and Symptoms
Understanding Liver Issues: Could It Be Cancer or Benign Tumors?
Liver problems Hello Doctor: On January 23, I had a blood test, and the results showed GOP 153 and GPT 382 with no hepatitis B. The fetal protein levels were normal. Today, an abdominal ultrasound was performed, and the doctor noted two small black spots, which led to a CT scan. ...
Dr. Cai Anshun Reply:
Hello: You should trust the conclusions drawn by clinical physicians based on ultrasound and computed tomography diagnoses. Please return for regular follow-up examinations. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Liver Issues: Could It Be Cancer or Benign Tumors?
Understanding Hepatitis B Risks: Testing and Prevention After Exposure
Hepatitis B-related issues Dear Doctor, On February 7th, I had protected sexual intercourse and deep kissing with a hepatitis B carrier who is not currently undergoing treatment. Later, I discovered that hepatitis B can also be transmitted through sexual activity, so I researche...
Dr. Cai Anshun Reply:
Hello: 1. It is recommended to receive a booster vaccine. 2. You can retest in three months to see if there has been an infection. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Hepatitis B Risks: Testing and Prevention After Exposure
Understanding Liver Function Abnormalities After Emergency Contraceptive Use
Liver dysfunction Hello Doctor, I took emergency contraceptive pills on December 9, which I bought at a pharmacy. Later, I visited an obstetrician-gynecologist for insurance purposes, and the doctor prescribed me another dose of emergency contraceptive pills, two pills to be take...
Dr. Cai Anshun Reply:
Hello: 1. Liver enzymes may be affected by lack of sleep, medications, and food, and are not necessarily caused by emergency contraceptive pills. 2. As long as liver cells are not continuously damaged, the enzyme levels can return to normal quickly. Changhua Hospital cares about ...[Read More] Understanding Liver Function Abnormalities After Emergency Contraceptive Use
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
Should You Consider Out-of-Pocket Treatment for Chronic Hepatitis B?
Is treatment for hepatitis B out-of-pocket? Hello, Doctor: I have been a carrier of hepatitis B for about two years now. My liver enzyme levels have been around 50-65 during my quarterly check-ups, and my E antigen is positive with a viral load of approximately 100 million. Since...
Dr. Chen Shidian Reply:
Hello, sir. You may consider performing a biopsy to confirm the degree of fibrosis in order to determine whether to initiate medication. Once you start the treatment, do not discontinue it easily. Changhua Hospital cares about your health. Chen Shidian.[Read More] Should You Consider Out-of-Pocket Treatment for Chronic Hepatitis B?
Managing Chronic Hepatitis B: Treatment Options and Family Planning
Follow-up treatment directions for hepatitis B? Hello, doctor. I have been a carrier since childhood. When I was 20 years old, my liver enzymes spiked to 1400, but after treatment, they returned to normal levels. However, at 27, my enzyme levels rose again to over 600, so I start...
Dr. Chen Shidian Reply:
Hello, sir. 1. The viral load is only over 200, and medically, long-term medication is not recommended. However, personal considerations may allow for self-funded long-term medication. If you decide to stop the medication, it is essential to ensure proper follow-up. 2. There ...[Read More] Managing Chronic Hepatitis B: Treatment Options and Family Planning
Understanding Elevated Total Bilirubin Levels in Chronic Hepatitis B Carriers
A carrier of hepatitis B would like to inquire about the issue of elevated total bilirubin (TBIL 2.1 mg/dL)? Hello Dr. Chen, I am 40 years old and a carrier of Hepatitis B. I would like to inquire about the issue of elevated total bilirubin (TBIL 2.1 mg/dL). I have been regularl...
Dr. Chen Shidian Reply:
Hello, sir. It is likely that your elevated bilirubin levels are due to your individual bilirubin metabolism, which poses no harm to your health. Changhua Hospital cares about your well-being. Chen Shidian.[Read More] Understanding Elevated Total Bilirubin Levels in Chronic Hepatitis B Carriers
Understanding Bowel Issues: Insights from Gastroenterology Experts
Bowel movement issues Hello, Dr. Tsai. I had an episode of acute gastroenteritis last June, and since then, my bowel movements have been inconsistent, sometimes soft and sometimes hard. I intermittently took medications like New Bifidobacterium and Smeta from July to August, but ...
Dr. Cai Anshun Reply:
Hello, after certain cases of acute gastroenteritis, similar symptoms may persist for a period of time. It is advisable to adjust dietary habits. As for what examinations should be conducted, the necessity should be determined by a clinical physician. It is recommended to consult...[Read More] Understanding Bowel Issues: Insights from Gastroenterology Experts
Will Vaccination After Hepatitis B Recovery Cause Side Effects?
Having hepatitis B antibodies and receiving three doses of the vaccine may lead to some side effects, although they are generally mild. Common side effects can include soreness at the injection site, fatigue, headache, and mild fever. Serious side effects are rare. It is advisabl...
Dr. Cai Anshun Reply:
Hello: The hepatitis B vaccine is made from viral gene fragments and does not contain live virus, so it does not affect the human body unless there is an allergy. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Will Vaccination After Hepatitis B Recovery Cause Side Effects?
Do Nursing Students Need a Complete Hepatitis B Vaccine Series?
Hepatitis B vaccination? Hello, doctor. I am a nursing student and I will be going for my internship in mid-February. In 2013, I received a booster vaccine at school, but my recent blood test shows that I no longer have antibodies. Do I need to receive three doses of the vaccine?...
Dr. Cai Anshun Reply:
Hello: Some individuals exhibit a strong antibody response after receiving the first dose, while others may not produce antibodies at all, and some may only show a very weak antibody response. This can vary from person to person. However, if all three doses are completed, those w...[Read More] Do Nursing Students Need a Complete Hepatitis B Vaccine Series?
Impact of Delayed Hepatitis B Vaccine Doses on Immunity
Hepatitis B vaccination? If the second and third doses of the hepatitis B vaccine cannot be administered due to a shortage, will the first two doses become ineffective if too much time passes between them?
Dr. Chen Shidian Reply:
Hello, after receiving the booster dose of the hepatitis B vaccine, only one dose is needed. You can check for hepatitis B antibodies one month after the booster. If the result is positive, it indicates that the immune memory from the vaccine received at birth is still effective....[Read More] Impact of Delayed Hepatitis B Vaccine Doses on Immunity
Assessing the Need for Continued Antiviral Treatment in Chronic Hepatitis B
Antiviral medications for hepatitis B? Hello, previously during my hepatitis B flare-up, my GOT and GPT levels were over 1,000, and my viral load was over 1 million. After taking Baraclude for 14 months, my e-antigen turned negative, and I developed e-antibodies. The health educa...
Dr. Lin Minghui Reply:
1) For patients who are HBeAg positive, it is recommended to continue consolidation therapy for at least one year after HBeAg seroconversion. 2) It is best to confirm the absence of hepatitis B virus before discontinuing medication. 3) Health insurance coverage can extend up to t...[Read More] Assessing the Need for Continued Antiviral Treatment in Chronic Hepatitis B