Understanding Your Hepatitis B Test Results: What Nonreactive HBsAg and Negative Anti-HBs Mean
Hepatitis testing I would like to ask the doctor, I went for a hepatitis B test, and the result for hepatitis B surface antigen (HBsAg) was non-reactive, while the result for hepatitis B surface antibody (Anti-HBs) was negative. What do these results mean? Thank you.
Dr. Chen Shidian Reply:
Hello, sir: Since both the hepatitis B antigen and antibody are negative, you have not been infected with hepatitis B and do not have antibodies for immunity against it. If you are not in a healthcare position that requires contact with hepatitis B patients, it is not necessarily...[Read More] Understanding Your Hepatitis B Test Results: What Nonreactive HBsAg and Negative Anti-HBs Mean
Understanding Elevated Liver Enzymes: Is It Hepatitis?
Elevated liver enzymes? Hello doctor, my SGOT is 105 and SGPT is 102. My liver enzymes seem to be significantly elevated. I had a health check-up over a month ago, and I just received the results last week. Could this indicate hepatitis?
Dr. Cai Anshun Reply:
Hello: Elevated levels of GOT/GPT indicate liver inflammation; however, the underlying cause may require further investigation, including tests for hepatitis B, hepatitis C, fatty liver disease, alcoholic liver disease, or excessive use of herbal medicine, among others. Please co...[Read More] Understanding Elevated Liver Enzymes: Is It Hepatitis?
Is Your Hepatitis B Vaccine Still Effective? What You Need to Know
Hepatitis B vaccination administration I would like to ask the doctor, I received the hepatitis B vaccine over ten years ago, and I am unsure if the vaccine is still effective in my body. If it is still effective and I receive a booster dose of the hepatitis B vaccine, will it ha...
Dr. Chen Shidian Reply:
Hello, sir: The hepatitis B vaccine often induces an immune memory effect, so sometimes even if antibodies are undetectable, there may still be protective immunity (if exposed to the virus, the immune system can rapidly produce antibodies). Receiving additional vaccinations is ha...[Read More] Is Your Hepatitis B Vaccine Still Effective? What You Need to Know
Understanding Elevated SGPT Levels: Implications for Liver Health and Pregnancy
Elevated SGPT (Serum Glutamate Today, I told my obstetrician about my liver enzyme results, and the doctor said that an SGPT level of 108 is indeed high and may indicate an underlying liver issue, possibly hepatitis C or hepatitis B. If it is one of these two, will it affect the ...
Dr. Chen Qifeng Reply:
Hello, it is important to first confirm whether the mother has hepatitis B or hepatitis C. If not, the likelihood of fatty liver disease is highest. Only hepatitis B can affect the baby, but there is also a risk of transmission through contamination with the mother's blood d...[Read More] Understanding Elevated SGPT Levels: Implications for Liver Health and Pregnancy
Urgent Help Needed: Managing Severe Acute Hepatitis B Symptoms
Acute Hepatitis B Emergency Hello Dr. Chen, I have not been previously diagnosed with hepatitis B or C. On October 17, I visited a hepatobiliary and gastroenterology clinic due to fatigue and jaundice. Blood tests showed GOT: 2000, GPT: 4000, T-bil: 10.7, HBsAg: 1801, Anti-HBc I...
Dr. Chen Shidian Reply:
Dear Mr. Lee, 1. When starting the medication, the antiviral effect has not fully suppressed the virus yet, so there may still be a short-term upward trend. It is advisable to be hospitalized for close observation. Changing the medication may not have a significant effect, but a...[Read More] Urgent Help Needed: Managing Severe Acute Hepatitis B Symptoms
Understanding Elevated Liver Enzymes: What You Need to Know
Liver enzyme levels are elevated? Previously, during my enrollment check, my BMI was normal with no obesity issues. My liver enzyme levels were GOT at 31 and GPT at 63, which are above the normal range. The recommendation was to have regular check-ups and to reduce late-night act...
Dr. Chen Shidian Reply:
Dear Mr. Lin: It is recommended to maintain a regular lifestyle, control weight to prevent increase, rule out drug-induced hepatitis, and recheck liver function in 2-3 months. Additionally, please rule out hepatitis C and undergo an ultrasound examination. Changhua Hospital car...[Read More] Understanding Elevated Liver Enzymes: What You Need to Know
Understanding Fatty Liver: Can It Really Elevate Liver Enzymes to 200?
Please provide the content you would like me to translate into English? Hello Dr. Tsai: I would like to provide the following information for your reference: 1. SGOT: 79 (normal range: 8-38 U/L) SGPT: 214 (normal range: 4-40 U/L) Ultrasound examination: Moderate fatty l...
Dr. Cai Anshun Reply:
Hello: Nonalcoholic steatohepatitis (NASH) can cause inflammation that may exceed 200. In addition to medication, it is essential to control caloric intake and increase physical activity. As for autoimmune hepatitis, blood tests are required to confirm the presence of specific au...[Read More] Understanding Fatty Liver: Can It Really Elevate Liver Enzymes to 200?
Understanding Abnormal Liver Test Results: What Do They Mean?
The health examination report shows abnormalities? Hello Dr. Chen, I recently had a health check-up at the hospital, and the report showed that my Hepatitis B surface antigen (HBsAg, EIA) test result was 0.341, which is NEGATIVE. The reference value is also NEGATIVE. However, the...
Dr. Chen Shidian Reply:
Hello, Miss: There is no problem; you are not a carrier of hepatitis B, but you also do not have hepatitis B antibodies. It is possible that the hepatitis B vaccine you received at birth has become undetectable as you aged. Currently, there is no requirement for non-healthcare pe...[Read More] Understanding Abnormal Liver Test Results: What Do They Mean?
Vitamin B Complex and Liver Health: Risks and Benefits for Hepatitis B Carriers
Issues with taking multivitamins for Hepatitis B? (1) As a carrier of hepatitis B, supplementing with B vitamins may support liver health and repair, but it is essential to consult with a healthcare provider for personalized advice. (2) Many commercially available B-complex vita...
Dr. Chen Shidian Reply:
Hello Mr. Huang: 1. B vitamins are generally considered health supplements, but there is no evidence that they aid in liver repair. 2. B vitamins are water-soluble, and excess amounts are simply excreted in urine, posing no significant harm. 3. Vitamin A, on the other hand, can a...[Read More] Vitamin B Complex and Liver Health: Risks and Benefits for Hepatitis B Carriers
Long-Term Use of Silymarin for Liver Health: Benefits and Risks
Liver protection supplements issues? (1) I previously had abnormal liver function (GPT 70), and my doctor prescribed Kojar (Silymarin) capsules. After three months, my liver function returned to normal, and the medication was discontinued. Over the past few years, my liver enzyme...
Dr. Chen Shidian Reply:
Hello Mr. Lin: 1. If there is a clinical need for Silymarin, it can be taken long-term without any reported significant side effects, but its effectiveness is not guaranteed. According to health insurance regulations, treatment must be discontinued if there is no improvement. 2. ...[Read More] Long-Term Use of Silymarin for Liver Health: Benefits and Risks
How to Lower GOT and GPT Levels: Tips for Liver Health
GOT 48, GPT 71? Hello Dr. Chen, my liver enzyme levels are GOT 48 and GPT 71. I do not have hepatitis B or C. I am being treated at Asia University Hospital. I previously took medication for hyperthyroidism for about a year, but I am now well and no longer need to take it. My uri...
Dr. Chen Qifeng Reply:
Hello, aside from hepatitis B and C, another cause of abnormal liver function is fatty liver... Of course, there are also other less common causes. Therefore, it is essential to rely on abdominal ultrasound and some blood tests for diagnosis. If it is indeed fatty liver, the meta...[Read More] How to Lower GOT and GPT Levels: Tips for Liver Health
Understanding Hepatitis B Monitoring: Key Questions and Insights
Hepatitis B testing issues? Hello Doctor, I am a carrier of Hepatitis B with e-antibody, and my viral load has been measured at a maximum of 300. I have been undergoing regular follow-up examinations. Previously, my liver enzyme levels (GPT) fluctuated frequently, reaching a maxi...
Dr. Chen Shidian Reply:
Hello Mr. Huang: (1) Nodules smaller than 1 cm are often difficult to characterize and are generally referred to as nodules. Regular follow-up is recommended. (2) Alpha-fetoprotein (AFP) levels may fluctuate slightly. If there is a continuous increase, caution is advised. (3) The...[Read More] Understanding Hepatitis B Monitoring: Key Questions and Insights
Acute vs Chronic Hepatitis B: Understanding Your Diagnosis and Next Steps
Acute Hepatitis B or Chronic Hepatitis B? Dear Dr. Chen, I apologize for the lengthy message, but I hope you can provide me with some advice. Last month, I went to the hospital for an examination due to stomach discomfort. The doctor ordered blood tests (first test on 5/13) whic...
Dr. Chen Qifeng Reply:
Hello, based on the clinical course and blood test follow-up, the likelihood of acute hepatitis B is the highest, and it seems that the patient has completely recovered from this acute hepatitis B episode, with the disappearance of surface antigens and the production of surface a...[Read More] Acute vs Chronic Hepatitis B: Understanding Your Diagnosis and Next Steps
Understanding Liver Tumor Treatment Options for Elderly Patients
Liver tumor treatment Dear Director Chen, My father is 85 years old and has been drinking alcohol since his youth, but he has never reached the level of alcoholism. His daily routine has been normal. In early July, he was hospitalized due to abdominal pain, and a CT scan reveale...
Dr. Chen Shidian Reply:
Hello, sir: 1. If cholangiocarcinoma has metastasized or invaded the gallbladder, the prognosis is poor. 2. Electrocautery is used for treating solitary small tumors; however, this patient is not suitable for electrocautery due to tumor invasion of the gallbladder and hepatic ...[Read More] Understanding Liver Tumor Treatment Options for Elderly Patients
Should You Get a Booster for Hepatitis B Vaccine After Exposure?
Is it necessary to receive a booster dose of the hepatitis B vaccine? Hello Doctor: I am 34 years old. During my health check in 2012, my Hepatitis B surface antigen was negative, and my Hepatitis B surface antibody was positive (concentration 23.18 mIU/mL). However, in March of ...
Dr. Yang Zhichao Reply:
Dear Shuiyue, based on your description, you are eligible to receive the Hepatitis B vaccine. It seems that your immune cells are not continuously secreting antibodies, which is a normal physiological regulation (the body does not keep producing antibodies unnecessarily; instead,...[Read More] Should You Get a Booster for Hepatitis B Vaccine After Exposure?
Understanding Your Liver and Gastrointestinal Test Results: A Guide
To gain a better understanding of the laboratory test results? Doctor, this is the index from my physical examination in 2013. However, I haven't had any check-ups since then. I only received vaccinations at birth. I haven't had any vaccinations from childhood until now...
Dr. Cai Anshun Reply:
Hello: comment... immunization may be considered: this means it is recommended that you receive the vaccine. The Hepatitis B antibody is nonreactive: this means there are no antibodies against the Hepatitis B virus, indicating a lack of immunity to the Hepatitis B virus. The Hepa...[Read More] Understanding Your Liver and Gastrointestinal Test Results: A Guide
Understanding Hepatitis B: Positive and Negative Test Results Explained
Hepatitis B negative positive Hello Doctor: I have tested positive for Hepatitis B surface antigen (HBsAg) and positive for Hepatitis B surface antibody (Anti-HBs) in 2007 and 2008. In 2008, I had two tests done one month apart, but the antigen test result was negative while the ...
Dr. Chen Shidian Reply:
Hello, Miss: It is recommended that you bring all your blood test results to a gastroenterologist for a detailed assessment and necessary examinations to confirm your current condition. The preliminary assessment suggests that you are not a highly infectious patient, so please do...[Read More] Understanding Hepatitis B: Positive and Negative Test Results Explained
Understanding Negative Hepatitis B Antigen and Antibody Results: What You Need to Know
Hepatitis B surface antigen and antibody negative? Hello, I would like to ask: I recently had a health check-up, and the results showed no hepatitis B antigens or antibodies. However, during a health check several years ago, I did have antibodies. What could explain this situatio...
Dr. Chen Shidian Reply:
Hello, Miss: The antibodies produced by the hepatitis B vaccine may decrease to undetectable levels with age, but the immune memory remains intact. Therefore, we do not actively encourage the general public to receive an additional dose of the vaccine at their own expense to boos...[Read More] Understanding Negative Hepatitis B Antigen and Antibody Results: What You Need to Know
Understanding Hepatitis B Antibodies and Related Gastrointestinal Issues
Regarding Hepatitis B antibodies Dr. Tsai: If the hepatitis B antibodies are no longer present, is it advisable to receive three booster doses of the vaccine, even though my liver enzymes are abnormal due to fatty liver? Additionally, I occasionally experience acid reflux while s...
Dr. Cai Anshun Reply:
Hello: The contraindication for receiving the hepatitis B vaccine is a history of severe allergic reactions to the vaccine or any of its components. However, if there is a high fever or an acute moderate to severe illness, vaccination should be postponed until improvement occurs....[Read More] Understanding Hepatitis B Antibodies and Related Gastrointestinal Issues
Understanding Hepatitis B Vaccination: Do You Need to Restart the Series?
Hepatitis B vaccine Hello, I would like to ask about my situation. During the health check when I entered as a freshman, it was found that I did not have antibodies for Hepatitis B. Later, the school arranged for the Ministry of Health and Welfare to administer the vaccine. Howev...
Dr. Chen Qifeng Reply:
Hello, if your memory immune cells are still present, then receiving an additional dose will automatically boost your antibody levels, so one dose is sufficient; if not, in addition to this dose, you will need to receive two more doses. Wishing you peace and health. Sincerely, Dr...[Read More] Understanding Hepatitis B Vaccination: Do You Need to Restart the Series?