Hepatitis B, Gastroenterology and Hepatology FAQ - Page 30

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Can I Get Vaccinated for Hepatitis B Antibodies After Cure?

Can antibodies be administered after curing hepatitis B? Hello Doctor: I am a carrier of Hepatitis B with a 33-year history. I have currently cleared the e-antigen, but my antibodies are still negative. Can I receive the antibody vaccine? My second question is: I want to become a...


Dr. Zhang Siyuan Reply:
In response to your questions: (1) Antiviral medications for hepatitis B carriers can effectively suppress the replication and activity of the hepatitis B virus in liver cells, reduce the level of liver inflammation, and prevent the deterioration of the condition in hepatitis B p...

[Read More] Can I Get Vaccinated for Hepatitis B Antibodies After Cure?


Understanding the Risks of a 10mm Liver Tumor: What You Need to Know

Ultrasound revealed a 10mm liver tumor? I am a carrier of hepatitis B and discovered a 15 mm benign hemangioma over a year ago, which has remained stable. However, during a routine ultrasound check yesterday, another 10 mm tumor was found in my liver. The doctor was vague and sil...


Dr. Chen Shidian Reply:
Hello Mr. Lagos: A 10mm tumor is difficult to diagnose clearly (it's too small), but treatment is quite straightforward. Additionally, you can rest assured that a 10mm tumor is unlikely to grow significantly in the short term; most cases are monitored to see if there is any ...

[Read More] Understanding the Risks of a 10mm Liver Tumor: What You Need to Know


Essential Tests for Chronic Hepatitis B Carriers: A Guide

What tests should be done for a hepatitis B carrier? Hello: I underwent a health check at the end of 2005, where I tested positive for Hepatitis B surface antigen and negative for Hepatitis B surface antibody. In the following years, my GOT and GPT levels were normal. If I want t...


Dr. Lin Minghui Reply:
Hello, 1. According to your examination in 2005, you are a carrier of Hepatitis B. Your liver function tests are normal; however, chronic Hepatitis B poses a high risk for liver cirrhosis and liver cancer. It is recommended to have regular annual check-ups, including liver func...

[Read More] Essential Tests for Chronic Hepatitis B Carriers: A Guide


Understanding the Differences Between Liver Hemangiomas and Nodules: Risks Explained

Liver nodule I am a carrier of hepatitis B and have been under regular long-term monitoring. My liver function tests have always been normal, but I have been positive for the e-antigen. Five years ago, an ultrasound examination revealed a hemangioma, but in the past 1-2 years, th...


Dr. Chen Shidian Reply:
Hello Ms. Doris: The nodules are likely the result of liver regeneration following inflammation, but early-stage liver cancer cannot be completely ruled out. Therefore, it is necessary to have ultrasound follow-ups every 2-3 months, or to perform a biopsy if there are any changes...

[Read More] Understanding the Differences Between Liver Hemangiomas and Nodules: Risks Explained


Understanding Hepatitis B: Myths and Facts About Liver Health

What is Hepatitis B? 1. What is hepatitis B? 2. In mainland China, the terms "Dasan Yin" and "liver ascites" refer to liver cancer, correct?


Dr. Chen Shidian Reply:
Hello Ms. Lin: 1. Hepatitis B is an inflammation of the liver caused by the acute or chronic infection of the hepatitis B virus. 2. Triple negative? 3. Ascites refers to the accumulation of fluid in the abdominal cavity due to cirrhosis. Changhua Hospital cares about your health....

[Read More] Understanding Hepatitis B: Myths and Facts About Liver Health


Can I Breastfeed with These Virus Levels? Expert Advice on Hepatitis B

Is it safe to breastfeed with this level of viral load? Based on your viral load, with HBsAg at 5773 and HBeAg at 11.58, both indicating a positive result, it is important to consider the implications for breastfeeding. Your SGOT is 22 and SGPT is 21, which are within normal limi...


Dr. Chen Shidian Reply:
Hello Ms. Huang: 1. Breastfeeding poses a lower risk of transmitting hepatitis B (and the newborn has already received the hepatitis B vaccine), please discuss this with your obstetrician. 2. It is important to regularly monitor liver function and undergo ultrasound examinations....

[Read More] Can I Breastfeed with These Virus Levels? Expert Advice on Hepatitis B


Can Breastfeeding Be Safe for Hepatitis B Carriers?

What is the viral load of hepatitis B that allows for breastfeeding? As a carrier of hepatitis B, your test results show SGOT 22, SGPT 21, HBsAg 5773, and HBeAg 11.58. It is generally considered safe to breastfeed if you are a hepatitis B carrier, as the virus is not transmitted ...


Dr. Chen Shidian Reply:
Hello Ms. Huang: 1. Breastfeeding poses a lower risk of transmitting Hepatitis B (and the newborn has already received the Hepatitis B vaccine), please discuss this with your obstetrician. 2. Regular monitoring of liver function and ultrasound is recommended. 3. Please discuss th...

[Read More] Can Breastfeeding Be Safe for Hepatitis B Carriers?


Managing Chronic Hepatitis B in Adolescents: Concerns and Treatment Options

Hepatitis B My daughter contracted hepatitis B vertically due to my condition. Although she received immunoglobulin at birth, she is now 14 years old and her e-antigen is still positive. I take her for blood tests and ultrasounds every three months. Currently, her GOT, GPT, and f...


Dr. Chen Shidian Reply:
Dear concerned mother, I can sense your eagerness and love! However, there is no need to be anxious; it seems that there is currently no major issue. Just keep monitoring the situation without the need for any medication (only necessary during episodes). The ultrasound report de...

[Read More] Managing Chronic Hepatitis B in Adolescents: Concerns and Treatment Options


Understanding Standard Values for Hepatitis B Antigen Testing

Standard hepatitis B vaccination? What is the standard value for hepatitis B surface antigen (HBsAg)? Do the test results vary between different hospitals? Thank you.


Dr. Chen Qifeng Reply:
Hello, there are many methods for testing hepatitis B markers. In simple terms, there are qualitative and quantitative methods, and their standard values may have gray areas, which can vary depending on the testing method. When the values fall within the gray area, uncertain resu...

[Read More] Understanding Standard Values for Hepatitis B Antigen Testing


Understanding Hepatitis B: Conflicting Test Results Explained

Hepatitis Doctor, I have a question: I undergo a health check every two years, and my hepatitis B antigen has always been negative. However, in 1996, I tested positive for hepatitis B, but after 15 days, I tested negative at another facility. In October 1997, I tested negative ag...


Dr. Chen Qifeng Reply:
Hello, any examination may have errors. It is recommended to recheck at a major hospital after some time. Wishing you good health. Dr. Chen Qifeng, Taoyuan Hospital, Department of Health.

[Read More] Understanding Hepatitis B: Conflicting Test Results Explained


Understanding Hepatitis B Vaccination and Antibody Testing Before Pregnancy

Hepatitis B vaccine Can I get my blood drawn to check for antibodies after receiving the second dose of the hepatitis B vaccine, or should I wait until after the third dose? I'm eager to get pregnant. Also, why do the test results for hepatitis B surface antigen differ betwe...


Dr. You Ligang Reply:
Hello, the hepatitis B vaccine requires three doses to increase antibody levels and provide longer-lasting protection. In fact, after the second dose of the hepatitis B vaccine, some individuals may already have detectable antibodies in their blood, although the concentration may...

[Read More] Understanding Hepatitis B Vaccination and Antibody Testing Before Pregnancy


Am I a Carrier of Hepatitis B? Understanding Your Test Results

Am I a carrier of hepatitis B? I should not be a carrier of hepatitis B. I have never felt that I had hepatitis B; however, the report states that I have had hepatitis B and have antibodies. I have seen some reports indicating that this does not mean I am a carrier of hepatitis B...


Dr. Chen Shidian Reply:
Hello, Miss: Individuals with antibodies may have either received a vaccination or been exposed to the virus, developing their own immunity, which can last a lifetime. However, this does not apply to carriers of the hepatitis B virus. Changhua Hospital cares about your health. Ch...

[Read More] Am I a Carrier of Hepatitis B? Understanding Your Test Results


Do I Need a Hepatitis B Vaccine Boost After Testing Positive for Antibodies?

The test report indicates that I have hepatitis B? The test report indicates that I have hepatitis B and also shows that I have antibodies. Later, a nurse told me that the antibodies can disappear, so I need to receive a booster dose of the hepatitis B vaccine. Is what the nurse ...


Dr. Chen Shidian Reply:
Hello, Miss: If you have a positive Hepatitis B surface antigen (indicating chronic Hepatitis B carrier status) and the concentration is high, then the antibodies may be ineffective and could potentially disappear. Changhua Hospital cares about you. Chen Shidian

[Read More] Do I Need a Hepatitis B Vaccine Boost After Testing Positive for Antibodies?


Can Hepatitis B Mothers Breastfeed? Understanding Risks and Guidelines

Hepatitis B carrier Is it safe to breastfeed with hepatitis B? Will it transmit to the newborn? Some doctors say it's okay, while others say it's not. Additionally, doctors mention that the virus can mutate. What are the levels of AST (GOT) and ALT (GPT) that would requ...


Dr. Chen Shidian Reply:
Hello Ms. Huang: Generally speaking, infants who receive vaccinations can develop a certain level of immunity. Additionally, if the mother's viral load is not high (not solely based on liver function), the risk of transmission through breast milk is low. The timing for treat...

[Read More] Can Hepatitis B Mothers Breastfeed? Understanding Risks and Guidelines


Can Ascites from Cirrhosis Spread Hepatitis C? Understanding the Risks

Cirrhosis Hello, Dr. Lin. I would like to ask if ascites caused by liver cirrhosis is contagious. On December 19, my mother-in-law went to the hospital to have fluid drained from her lungs due to cirrhosis. After returning home, the puncture site did not heal properly, causing fl...


Dr. Lin Minghui Reply:
Hello, although the virus can be detected in the pleural effusion, the amount is small. There is a possibility of infection, so it is important to monitor for any skin breaks. Infection is more likely with blood contact, so it is advisable to avoid direct contact as much as possi...

[Read More] Can Ascites from Cirrhosis Spread Hepatitis C? Understanding the Risks


Are Peanut Milk Drinks Safe for Hepatitis B Patients?

Does peanut milk contain aflatoxins? Hello Doctor: I am currently being treated for an acute outbreak of hepatitis B. Can I consume peanut milk beverages? The beverage company has not responded to my inquiry. Additionally, does sunflower seeds contain aflatoxins, or is it only pe...


Dr. Lin Minghui Reply:
Hello, 1. Aflatoxin is a toxin produced by Aspergillus fungi in food. It is not the case that peanuts inherently contain aflatoxin; rather, aflatoxin is present only when peanuts become moldy. In addition to moldy peanuts and their products, other foods such as grains, nuts (in...

[Read More] Are Peanut Milk Drinks Safe for Hepatitis B Patients?


High Liver Enzymes Without Symptoms: Navigating B Hepatitis Management

There is no feeling of fatigue or jaundice, but liver enzyme levels are as high as 400 to 500? Hello Dr. Chen, I was healthy during my childhood, but during a health check in college, I discovered that I am a carrier of hepatitis B. However, for several years afterward, my lifes...


Dr. Chen Shidian Reply:
Hello Ms. Ting: Please follow up on <a href="https://adoctor.tw/article/36392">#36392</a>; regarding the changes in liver function and E antigen. If necessary, Tenofovir (a type of hepatitis B virus suppressor) is more suitable for use in pregnant patients, ...

[Read More] High Liver Enzymes Without Symptoms: Navigating B Hepatitis Management


Coping with Cirrhosis: A Family's Struggle for Hope and Care

Cirrhosis ~ Helpless Family Members Hello Dr. Lee, My brother is only 45 years old and has developed cirrhosis due to excessive smoking and drinking, along with long-term night shift work. He is currently hospitalized and has been there for a month. In the first few days of his...


Dr. Li Xuanshu Reply:
Hello, based on the information provided in the letter, your brother's liver cirrhosis has become quite severe. It is unclear whether your brother has hepatitis B or C, in addition to his smoking and drinking habits. Cirrhosis is a slow inflammatory process, so reaching this...

[Read More] Coping with Cirrhosis: A Family's Struggle for Hope and Care


Should You Get Interferon Treatment for Elevated Liver Enzymes?

Should interferon be administered? My liver enzymes have been above 200 for about 10 months. The liver biopsy showed an inflammation score of 2. The doctor said it qualifies for insurance coverage. Do I really need to start interferon treatment? I'm feeling very uncertain. C...


Dr. Li Xuanshu Reply:
Hello, are you infected with Hepatitis B or Hepatitis C? Regardless of which type, your levels are quite high. If you meet the criteria for health insurance coverage, it is advisable to pursue treatment. You mentioned that you are concerned, but I'm not sure what specific is...

[Read More] Should You Get Interferon Treatment for Elevated Liver Enzymes?


Choosing the Right Treatment for Chronic Hepatitis B: Key Considerations

How to choose medication for hepatitis B? Hello, Dr. Hsu: I am a carrier of hepatitis B and have been positive for hepatitis B e-antigen for a long time. My most recent blood test showed GPT 276 and GOT 95. The doctor recommended active treatment. I would like to ask whether I sh...


Dr. Xu Jinchuan Reply:
Hello, both Gleevec (Imatinib) and Bosulif (Bosutinib) are available and covered by health insurance. Among the current treatment options, Bosulif has the lowest likelihood of developing resistance and is recommended as the first choice. There are no clinical research data regard...

[Read More] Choosing the Right Treatment for Chronic Hepatitis B: Key Considerations


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