Effectiveness of Liver Treatments for Chronic Hepatitis B Patients from Childhood
If someone has had hepatitis B since childhood, is liver transplantation less effective for them? Hello, doctor. If I have had hepatitis B since childhood, is it true that using Hepa-Merz (肝安能) or Hepa-Boost (肝適能) would be less effective? I have seen previous questions and answer...
Dr. Lin Minghui Reply:
Hello: 1. Currently, oral antiviral medications such as Hepatitis B antiviral agents like Entecavir and Tenofovir work by inhibiting viral replication. When the viral load is low, they can reduce liver inflammation and improve liver function. 2. Patients with chronic Hepatiti...[Read More] Effectiveness of Liver Treatments for Chronic Hepatitis B Patients from Childhood
Can Hepatitis B Patients Safely Care for Others? Expert Insights
Hepatitis B Dr. Lee, I would like to ask you... Is it true that individuals with hepatitis B cannot care for patients? Is there a way to do so? This has been troubling me for a long time...
Dr. Li Zhengqi Reply:
Hello, Xiaohua: Hepatitis B carriers can care for patients, but they should not donate blood to others. It is advisable for them to avoid staying up late to prevent triggering a Hepatitis B flare-up. Hepatitis B is transmitted through blood and sexual contact, and it is not trans...[Read More] Can Hepatitis B Patients Safely Care for Others? Expert Insights
Understanding Hepatitis B: Expert Insights and Next Steps for Patients
Questions about Hepatitis B - Thank you to the doctor for their tireless responses? Thank you, Dr. Hsu, for your tireless responses. I believe you may have misinterpreted my previous message due to your busy schedule. The data I provided regarding positive surface antibodies and ...
Dr. Xu Jinchuan Reply:
Hello! Let me summarize your information: During your university entrance health check-up three years ago, you mentioned that both the hepatitis B surface antigen and surface antibody tests were positive. Such results cannot confirm whether you are a carrier of hepatitis B or if ...[Read More] Understanding Hepatitis B: Expert Insights and Next Steps for Patients
Can Hepatitis B Antibodies Indicate Infectiousness? Key Insights
Is there still a risk of transmission after the production of antibodies against hepatitis B? Thank you, Dr. Hsu, for your professional response. However, I still have some doubts. About a year and a half ago, I had my liver function tested, and at that time, my liver function wa...
Dr. Xu Jinchuan Reply:
Hello! If the information is correct, your previous letter mentioned that both your hepatitis B surface antigen and surface antibody are positive. This means that you cannot be ruled out as a hepatitis B carrier, indicating that you may still be a hepatitis B carrier. Normal live...[Read More] Can Hepatitis B Antibodies Indicate Infectiousness? Key Insights
Can Hepatitis B Be Cured? Understanding Your Test Results
Can hepatitis B be cured? Dear Dr. Hsu, I recently went to the hospital for a follow-up on hepatitis B. During my university entrance physical examination, I had some tests done, and here are the results: SGOT was 24, SGPT was 23, both HBsAg and Anti-HBs were positive. I am shar...
Dr. Xu Jinchuan Reply:
Hello! It is quite common for long-term carriers of hepatitis B, like yourself, to have such results. Although antibodies are produced, their titers may not be sufficient to effectively eliminate the virus. Therefore, you should continue to have regular follow-ups.[Read More] Can Hepatitis B Be Cured? Understanding Your Test Results
Can Hepatitis B Carriers Recover Naturally Without Medication?
Can a carrier of hepatitis B recover on their own? Dr. Chen: Hello, can a carrier of hepatitis B virus (HBV) spontaneously convert to hepatitis B antibodies, or is medication necessary for this conversion? Or is it impossible to convert to antibodies or antigens at all?
Dr. Chen Jianhong Reply:
Hello! The likelihood of hepatitis B transforming into hepatitis B antibodies is very low; it can even be said that once a person is a carrier, the probability of remaining a carrier for life is high. Currently, there are no medications available that can convert a carrier state ...[Read More] Can Hepatitis B Carriers Recover Naturally Without Medication?
Can Chronic Hepatitis B Be Cured? Treatment Options and Costs Explained
Chronic Hepatitis B Treatment Pilot Program Hello Doctor: I am a carrier of hepatitis B and have been for several years. I undergo regular health check-ups every year, and for the past three years, my liver function index (ALT) has been between 70-80. My serum markers for liver c...
Dr. Li Xuanshu Reply:
Hello! Currently, there are no medications available that can completely eradicate hepatitis B. Additionally, these treatments are not covered by health insurance. Your condition only requires regular monitoring, and there is no need for medication treatment.[Read More] Can Chronic Hepatitis B Be Cured? Treatment Options and Costs Explained
Cost of Liver Function Tests and Considerations for Patients in Taipei
Cost of liver function tests? My father has been suffering from hepatitis B for several years. He often feels soreness in his right shoulder, but it's not severe enough that he can't lift it, and he is concerned that it might be related to his liver. I would like to inq...
Dr. Lin Minghui Reply:
Hello: 1. If your father has hepatitis B, it is recommended that he undergo regular monitoring, including ultrasound and blood tests, to assess the condition of his liver. 2. Right shoulder pain may be caused by issues related to muscles, bones, or nerves. 3. Currently, our hospi...[Read More] Cost of Liver Function Tests and Considerations for Patients in Taipei
Understanding Elevated GPT Levels: Causes, Symptoms, and Next Steps
GPT is elevated? My GPT level is 40 U/L, which is somewhat elevated. What possible conditions could this indicate, and what are the associated symptoms? Should I undergo further testing or treatment? I often feel fatigued; could this be due to staying up late, lack of sleep, or d...
Dr. Chen Shidian Reply:
1. GPT40 does not cause fatigue and does not require treatment. 2. Common causes include fatty liver, as well as hepatitis B, hepatitis C, and drug-induced hepatitis... (there are many possible causes). Follow-up examinations should be conducted in 1 to 3 months. Director Chen Sh...[Read More] Understanding Elevated GPT Levels: Causes, Symptoms, and Next Steps
Essential Questions About Hepatitis B Testing and Follow-Up Care
Hepatitis B testing issues? Hello, Doctor. Previously, when I was 18 years old and entered university, I had a health check-up at school, and the results indicated that I have Hepatitis B. I didn't pay much attention to the specific indices at that time. Now that I am 21 yea...
Dr. Xu Jinchuan Reply:
Hello! 1. You can go to any hospital with a hepatobiliary department, regardless of its size. 2. Just inform the physician that you are a carrier of hepatitis B, and they will arrange for you to undergo testing. 3. You only need to visit the hepatobiliary department; there is no ...[Read More] Essential Questions About Hepatitis B Testing and Follow-Up Care
Understanding Elevated Liver Enzymes: Risks and Management for Hepatitis B
SGOT 131, SGPT 207 Hello, I would like to ask a question. I am a carrier of hepatitis B and have regular check-ups every six months to a year. Aside from experiencing stress and fatigue, my lifestyle and dietary habits are normal. In mid-November last year, I went for a health ch...
Dr. Chen Jianhong Reply:
Hello! Currently, a high index does not pose a risk, but it is still important to be cautious. I'm not sure if your doctor has any further recommendations. Have you considered treatment with interferon or peginterferon? Have you tested for HBV DNA? Hepatoprotective medicatio...[Read More] Understanding Elevated Liver Enzymes: Risks and Management for Hepatitis B
Understanding Hepatitis B Transmission Risks and Family Planning
Hepatitis B My boyfriend's mother has hepatitis B, and all three of her children have it as well. My boyfriend says he has hepatitis B antibodies. Can my boyfriend transmit hepatitis B to me? Would it be transmitted through kissing, sexual activity, sharing food, or using th...
Dr. Lin Minghui Reply:
Hello: 1. If your boyfriend has antibodies against Hepatitis B, it means he has immunity and will not be infected by the Hepatitis B virus, nor will he transmit it to you. 2. The transmission routes of Hepatitis B are: a. Vertical transmission, where a mother with Hepatitis B can...[Read More] Understanding Hepatitis B Transmission Risks and Family Planning
Understanding Right Upper Abdominal Discomfort: Possible Causes and Concerns
There is a feeling of heaviness and bloating in the right upper abdomen? Hello, doctor. I have been experiencing bloating in my left abdomen for quite some time. I have taken medications from several clinics, but there hasn't been a significant improvement. Recently, I often...
Dr. Chen Zhiping Reply:
Hello: Liver function is normal, and although there is no hepatitis B, liver and gallbladder issues cannot be completely ruled out. It is recommended that you undergo an abdominal ultrasound to exclude problems with the liver, gallbladder, and pancreas. There are many causes of a...[Read More] Understanding Right Upper Abdominal Discomfort: Possible Causes and Concerns
Managing Hepatitis B and C with Fatty Liver: Treatment Options
Hepatitis B + Hepatitis C with abnormal indices, along with fatty liver? As mentioned in the topic, is there any medication available?
Dr. Chen Jianhong Reply:
Hello! Abnormal liver function tests may be related to hepatitis B, hepatitis C, or fatty liver disease. Therefore, you need to first determine the cause of your inflammation. If it is caused by the hepatitis B virus, appropriate antiviral medications for hepatitis B should be us...[Read More] Managing Hepatitis B and C with Fatty Liver: Treatment Options
Post-Gallbladder Surgery: Understanding Elevated Liver Enzymes and Next Steps
Post-cholecystectomy Hello Dr. Chen, my sister (40 years old) recently underwent a cholecystectomy in Shanghai due to gallstones causing cholecystitis. Upon discharge, her liver enzymes were found to be slightly elevated, and the doctor prescribed hepatoprotective medication. How...
Dr. Chen Zhiping Reply:
Hello: First, it is important to understand the postoperative condition. Is the recovery normal? Why has the patient been hospitalized for 10 days after surgery? Are there any complications? Besides gallstones and cholecystitis, could there also be bile duct stones or cholangitis...[Read More] Post-Gallbladder Surgery: Understanding Elevated Liver Enzymes and Next Steps
Managing Splenomegaly: Health Tips for Hepatitis B Carriers
Splenomegaly Hello Dr. Lin, I am a carrier of hepatitis B. During a previous ultrasound examination, I was found to have splenomegaly. Could you please advise me on how to maintain my health? Do I need to take any medication? Thank you.
Dr. Lin Minghui Reply:
Hello: 1. Causes of splenomegaly include liver and biliary diseases, hematological disorders, viral infections, and should be monitored clinically. 2. For hepatitis B carriers, it is important to avoid excessive fatigue, maintain a normal diet, consume plenty of fresh foods, lim...[Read More] Managing Splenomegaly: Health Tips for Hepatitis B Carriers
When Can I Stop Taking Gan An Neng for Hepatitis B Treatment?
When can "Gan An Neng" be discontinued? Hello: 1. I am a hepatitis B patient, HBsAg positive, with e-negative mutant type. I undergo ultrasound examinations and liver function tests every three months, and my liver enzymes have been elevated. 2. As of the end of Febr...
Dr. Chen Shidian Reply:
Hello Tony: According to the 2005 Asia-Pacific consensus on hepatitis B, the optimal treatment regimen for e-negative hepatitis B is still unclear and should be individualized. It is recommended to treat for at least one year, as the risk of drug resistance is related to the dura...[Read More] When Can I Stop Taking Gan An Neng for Hepatitis B Treatment?
What to Do If Your Hepatitis Treatment Develops Resistance?
What should be done if liver cancer develops drug resistance? Over a year ago, I started self-paying for Hepatitis B treatment with antiviral medication because I was experiencing severe dizziness every day. I didn't wait the full three months and have been on the medication...
Dr. Lin Minghui Reply:
Reply: Hello, I recommend the following: 1. Confirm the presence of drug resistance. 2. If drug resistance is present, taking Hepatitis B antiviral medication (such as Entecavir) may be less effective. After discontinuing the medication, liver enzyme levels may rise again within ...[Read More] What to Do If Your Hepatitis Treatment Develops Resistance?
Managing Hepatitis C in Elderly Patients: Treatment Options and Considerations
Hepatitis C Hello Doctor: My father has been diagnosed with hepatitis C, but he is 70 years old and is unwilling to undergo a liver biopsy or receive interferon treatment, so he started receiving injections. On September 5, 1994, his lab results showed GOT: 145 and GPT: 254, and ...
Dr. Xu Jinchuan Reply:
Hello! First, I need to clarify what the "Japanese injection" mentioned in the letter refers to in terms of medication. Additionally, based on the test values provided in the letter, it seems that the so-called "Japanese injection" has not demonstrated its exp...[Read More] Managing Hepatitis C in Elderly Patients: Treatment Options and Considerations
Understanding Your Hepatitis B Test Results: What Do They Mean?
Could you please specify which medical terms or phrases you would like to know about? Hello Doctor: During my university entrance health check, the results were as follows: HBsAg - Anti-HBs + HBe Ag -. What do these results mean? Have I had hepatitis B? Do I need to get vaccinate...
Dr. Chen Shidian Reply:
Hello: Your health check report should indicate: "Hepatitis B antibodies present, lifelong immunity" - you will not contract Hepatitis B and do not need to receive the vaccine - this may be due to a successful Hepatitis B vaccination or possibly due to natural exposure ...[Read More] Understanding Your Hepatitis B Test Results: What Do They Mean?