Understanding Fatty Liver and Low-Echo Nodules: What You Need to Know
Fatty liver with hypoechoic liver nodules? Hello Doctor, I have been experiencing elevated serum glutamate-pyruvate transaminase (SGPT) levels for a long time. My last test showed a level of 57 (normal is 35), so I have been regularly monitoring my liver condition every six month...
Dr. Chen Shidian Reply:
Further imaging studies are required for confirmation.[Read More] Understanding Fatty Liver and Low-Echo Nodules: What You Need to Know
Understanding Colonic Compression: Causes and Clinical Insights
Colon compression Hello, doctor. I recently underwent a colonoscopy, and the results for the colon itself were normal. However, there was a finding of intestinal compression near the liver, and I have not experienced any discomfort. I am a carrier of hepatitis B but have regular ...
Dr. Chen Shidian Reply:
There seems to be no such statement; please discuss it with your attending physician.[Read More] Understanding Colonic Compression: Causes and Clinical Insights
Understanding HBc IgG Results: Implications for Hepatitis B Infection and Blood Donation
Hello, doctor. Regarding the blood test results, thank you? The test result for HBc IgG for Hepatitis B virus core antigen is 5.87 (reactive). This indicates that you have been previously infected with the Hepatitis B virus. While the presence of HBc IgG suggests past infection, ...
Dr. Chen Shidian Reply:
It is likely that there has been an infection (unless it is a false positive). The blood donation center will conduct further testing for specific viruses, and if the virus is positive, a report will be sent.[Read More] Understanding HBc IgG Results: Implications for Hepatitis B Infection and Blood Donation
Understanding Liver Nodules and Calcifications: Are They the Same?
Liver lesions and calcifications? Hello, doctor. I would like to ask if hepatic nodular hyperplasia and calcifications in the liver are the same thing? If the fetal protein level is elevated at 17 and there are calcifications in the liver without hepatitis B or C, could this pote...
Dr. Chen Shidian Reply:
Nodules and calcifications should be considered different/unrelated. Elevated fetal protein levels are assessed by a gastroenterologist who monitors changes in values and conducts follow-up with ultrasound, computed tomography, or magnetic resonance imaging.[Read More] Understanding Liver Nodules and Calcifications: Are They the Same?
Understanding Elevated Alpha-Fetoprotein Levels in Liver Cancer Screening
Liver cancer index I would like to ask if it is common for the fetal protein index to be between 10-20 in a situation where there are no abnormalities found in hepatitis B and C tests, ultrasound, and CT scans, and where the urologist has also performed a testicular examination w...
Dr. Yang Zhichao Reply:
You can visit the gastroenterology and hepatology outpatient clinic.[Read More] Understanding Elevated Alpha-Fetoprotein Levels in Liver Cancer Screening
Understanding Newly Detected Liver Nodules: Causes and Next Steps
Hypoechoic liver nodule Hello, due to mild fatty liver and gallbladder polyps, I have been undergoing abdominal ultrasound follow-ups every six months at the clinic. There is no evidence of hepatitis B or C. During my last visit in October, the doctor noted two liver nodules (one...
Dr. Chen Shidian Reply:
The shadow of fatty liver may just be an artifact, and experienced gastroenterologists can often make this determination, but further follow-up is still necessary for confirmation.[Read More] Understanding Newly Detected Liver Nodules: Causes and Next Steps
Understanding Hepatitis B Testing: Negative Antigen Results Explained
Hepatitis B testing questions? Hello, Dr. Tsai. I would like to ask about hepatitis B testing. If the antigen test shows negative, does that mean I am not a carrier of hepatitis B? Is there a need to additionally test for hepatitis B antibodies? I forgot whether I have been vacci...
Dr. Cai Jinji Reply:
Hello Mr. Shan: The definition of a hepatitis B carrier is positive for hepatitis B surface antigen (HBsAg(+)). To check for immunity, one must test for Anti-HBs antibodies. Since July 1986, hepatitis B vaccinations have been administered to all newborns. Director Cai Jin-ji of t...[Read More] Understanding Hepatitis B Testing: Negative Antigen Results Explained
Understanding Blood Test Results for Hepatitis: Are You Improving?
Blood test report issues? On August 29, blood tests showed GOT: 75, GPT: 187, HBeAg - EIA Hepatitis B e antigen: 1380. After continuously taking Viread for about 3 months, on December 1, blood tests showed GOT: 31, GPT: 49, HBeAg - EIA Hepatitis B e: 1236. I would like to know if...
Dr. Chen Shidian Reply:
Inflammation is improving (very effectively), long-term medication is required, do not discontinue on your own, and regular follow-up is necessary.[Read More] Understanding Blood Test Results for Hepatitis: Are You Improving?
Is a Fetal Protein Index Above 10 Abnormal? Insights on Liver Health
Report index issues? Is a fetal protein index higher than 10 considered abnormal? I have undergone ultrasound and CT scans, and a doctor has performed a testicular examination, indicating mild fatty liver. There are no signs of hepatitis B or C, and there are two calcification po...
Dr. Chen Shidian Reply:
If this has been the case for a long time (rather than a gradual increase), it may be an individual constitution and is generally not concerning.[Read More] Is a Fetal Protein Index Above 10 Abnormal? Insights on Liver Health
Impact of Hepatitis B Vaccination on Liver Function in Antibody-Positive Patients
Issues related to hepatitis B vaccination? If a patient has already developed antibodies against hepatitis B but then receives three doses of the hepatitis B vaccine, there are generally no adverse effects from the vaccination. The vaccine is designed to boost immunity, and in th...
Dr. Chen Shidian Reply:
In theory, it will only enhance the concentration of hepatitis B antibodies and will not affect liver function tests.[Read More] Impact of Hepatitis B Vaccination on Liver Function in Antibody-Positive Patients
Understanding Positive Hepatitis B Antigens and Antibodies: What It Means
Both hepatitis B surface antigen (HBsAg) and antibodies (anti-HBs) are positive, while the core antibody (anti-HBc) is negative? Hello, both of my parents have been confirmed as non-carriers of hepatitis B surface antigen. My brother's blood test also showed negative for the...
Dr. Chen Shidian Reply:
0%, it should only be a laboratory false positive.[Read More] Understanding Positive Hepatitis B Antigens and Antibodies: What It Means
Understanding Hepatitis B: Infection History, Antibodies, and Breastfeeding Concerns
Hepatitis B Infectivity Issues Hello Doctor, I have the following results from my prenatal check-ups: HBsAg (Hepatitis B surface antigen) is negative, HBeAg (Hepatitis B e antigen) is negative. In March of this year, the results showed HBsAg negative, anti-HBs (Hepatitis B surfac...
Dr. Chen Shidian Reply:
Having antibodies indicates immunity, and as a member of the general public, there is no need for concern.[Read More] Understanding Hepatitis B: Infection History, Antibodies, and Breastfeeding Concerns
Understanding Your Abdominal CT Report: Key Insights for Liver and Heart Health
Abdominal CT scan report Hello, doctor! Due to urinary issues, I underwent an abdominal CT scan, and the report highlighted the following two points. I would like to ask what I should pay attention to and how to improve these conditions: 1. Chronic liver parenchymal disease with ...
Dr. Chen Shidian Reply:
The liver shows no significant issues. The enlargement of the heart will be evaluated by a cardiologist.[Read More] Understanding Your Abdominal CT Report: Key Insights for Liver and Heart Health
Understanding Kidney Issues in Hepatitis B Patients: What to Monitor?
Kidney problems Hello, I am a hepatitis B patient currently on regular medication for hepatitis B. In my recent health check-up, my urine albumin was 22, creatinine was 1.26, white blood cell count was 11,030, and neutrophils were 77.5%. The doctor did not provide any recommendat...
Dr. Hu Guozheng Reply:
Chronic hepatitis B requires long-term treatment and regular monitoring. It is advisable to consult your attending physician. Thank you.[Read More] Understanding Kidney Issues in Hepatitis B Patients: What to Monitor?
Understanding Your Hepatitis B Test Results: What Does Reactive Mean?
Is this hepatitis B? Hello, doctor. I had a blood test for hepatitis B two days ago, and the HBsAg result is (Reactive 1369.000). Does this mean I have hepatitis B? Is the viral load very high?
Dr. Chen Shidian Reply:
It is positive. The antigen-positive result is for reference only. Further evaluation by a gastroenterologist is recommended. Siblings and spouse should also get tested.[Read More] Understanding Your Hepatitis B Test Results: What Does Reactive Mean?
Understanding Your Abdominal Ultrasound Results: Liver and Gallbladder Insights
Abdominal ultrasound examination? Hello Dr. Chen, I had an abdominal ultrasound examination yesterday, and I translated the findings myself. I found several issues!!! The liver size is normal, but the parenchyma is heterogeneous, the surface is smooth, and the vascular system is ...
Dr. Chen Shidian Reply:
If there is no hepatitis B/C or pain, monitoring is sufficient.[Read More] Understanding Your Abdominal Ultrasound Results: Liver and Gallbladder Insights
Managing Elevated Liver Function: Concerns and Dietary Strategies
Liver function indices are not decreasing significantly? I am a carrier of hepatitis B, and recently my liver enzyme levels have risen to 185. I have been taking Bixikang for a month, taking it before each meal, but my enzyme levels have only decreased by 10. My doctor mentioned ...
Dr. Chen Shidian Reply:
There are no liver-protective medications covered by health insurance available for exchange; if willing, you can pay out of pocket for hepatitis B antiviral medication for 3 years or more. Regular food has no significant impact, but it is advisable to avoid traditional Chinese m...[Read More] Managing Elevated Liver Function: Concerns and Dietary Strategies
Is This Report Indicating Liver Fibrosis? Understanding Your Results
Is this liver fibrosis? Hello Dr. Chen, does this report indicate liver fibrosis? I have hepatitis B!!! ................................................................ The liver size is normal, the parenchyma is heterogeneous, the surface is smooth, and the vascular system is no...
Dr. Chen Shidian Reply:
Yes, but it is not objective and does not differentiate between mild and severe cases. If necessary, a liver fibrosis device (or a health insurance-covered liver biopsy) can be used for objective assessment.[Read More] Is This Report Indicating Liver Fibrosis? Understanding Your Results
Impact of Night Shift Work on Liver Health: Risks and Solutions
Hello, doctor. I have a question regarding night shift work? Hello, doctor. I would like to ask if long-term disruption of the day-night cycle is harmful to the liver, or if there are any compensatory measures. Due to economic pressures, I have a job that requires me to work from...
Dr. Chen Shidian Reply:
No hepatitis B and it is acceptable not to switch between day and night shifts. Annual health check-ups for workers should be conducted for monitoring.[Read More] Impact of Night Shift Work on Liver Health: Risks and Solutions
Understanding Abdominal Ultrasound Results: Key Concerns for Hepatitis B Patients
Questions related to abdominal ultrasound examination? Hello Doctor, I am a carrier of hepatitis B. Today, during my health check-up, I had an abdominal ultrasound. The doctor indicated that there are some white spots on the liver surface, with one larger spot measuring 0.6 cm. I...
Dr. Lin Minghui Reply:
It is recommended to closely monitor and only perform a biopsy if there is a suspicion of malignancy, as small lesions may not be adequately sampled. Pancreatic and hepatic cysts are generally benign. If they are not too large or causing compression or complications, monitoring i...[Read More] Understanding Abdominal Ultrasound Results: Key Concerns for Hepatitis B Patients