How to Normalize Elevated GPT Levels in Hepatitis B Carriers?
How to restore normal GPT levels? Hello! I recently underwent a blood test for Hepatitis B, and the results showed GOT: 27 / GPT: 46 / HBsAg positive. The examining physician informed me that I am a carrier of Hepatitis B, with a slightly elevated GPT level. Since I will be apply...
Dr. Chen Shidian Reply:
Hello Christopher: 1) Please visit the gastroenterology outpatient clinic to check HBeAg/HBeAb and undergo a liver ultrasound. 2) Follow up on liver function in 3-6 months. 3) If liver function continues to rise, hepatoprotective medications (such as Silymarin) may be used, with ...[Read More] How to Normalize Elevated GPT Levels in Hepatitis B Carriers?
Understanding Elevated Liver Enzymes: Causes and Health Tips for Young Adults
Liver enzyme issues? I have a classmate who is 19 years old. Two months ago, he underwent a school entrance health check, and the report just came out showing elevated levels: GOT 61 and GPT 105. However, he does not have hepatitis B. What could be the possible issues, and how sh...
Dr. Xu Jinchuan Reply:
Hello! Although the tests showed no hepatitis B, I'm not sure if hepatitis C was checked. Have you had an ultrasound done by a hepatobiliary specialist? It would be good to check for fatty liver as well. Have you taken any medications recently or consumed alcohol? These fact...[Read More] Understanding Elevated Liver Enzymes: Causes and Health Tips for Young Adults
Managing Hepatitis B: Tips for Night Shift Workers to Protect Liver Health
Hepatitis B Hello, doctor. I am a carrier of hepatitis B and have regular follow-up examinations. I currently work night shifts from 7:30 PM to 7:30 AM. What should I pay attention to in order to prevent my liver enzymes from increasing?
Dr. Lin Minghui Reply:
Hello, please make sure to rest adequately, avoid alcohol and smoking, refrain from taking medications casually, and do not overexert yourself. Maintain a balanced diet, consume more fresh foods, and limit the intake of excessive artificial seasonings, pickled foods, barbecued it...[Read More] Managing Hepatitis B: Tips for Night Shift Workers to Protect Liver Health
Do I Need to Revaccinate for Hepatitis B After Incomplete Shots?
Hepatitis B vaccine injection? If you received the first two doses of the hepatitis B vaccine during your second or third year of high school but did not complete the series with the third or fourth doses, and your recent health check results show HBsAg negative, HBsAb positive, ...
Dr. Lin Minghui Reply:
Hello, a positive HBsAb indicates immunity against hepatitis B. Generally, the antibody levels from the vaccine may decrease over time, but a decline in levels does not necessarily mean a loss of the ability to fight hepatitis B. The third dose of the vaccine is primarily to main...[Read More] Do I Need to Revaccinate for Hepatitis B After Incomplete Shots?
Understanding Elevated SGPT Levels and Hepatitis B Vaccination Concerns
Health Check Report Hello, I have some questions: Recently, I received my school health check report and found that my SGPT level is 54 IU/L, which is above the standard value of 0-40 IU/L. Additionally, the report indicated that I do not have antibodies for Hepatitis B, but I la...
Dr. Lin Minghui Reply:
Hello, a positive HBsAb indicates immunity against hepatitis B. Generally, the antibody levels from the vaccine may decrease over time, but a decline in levels does not necessarily mean a loss of the ability to fight hepatitis B. The third dose of the vaccine is primarily to main...[Read More] Understanding Elevated SGPT Levels and Hepatitis B Vaccination Concerns
Impact of Steroid Use on Liver Function: Understanding Your Health Report
Do steroids affect liver function? In the past two years, I underwent extensive steroid treatment for chronic urticaria, which led to numerous side effects. Fortunately, this year I have not experienced any urticaria flare-ups, and the moon facies and buffalo hump have finally di...
Dr. Lin Minghui Reply:
Hello, your liver enzyme levels are abnormal, indicating inflammation of the liver. The causes of liver inflammation include viral hepatitis (A, B, C, D, E), as well as alcohol, medications, chemicals, fatty liver, metabolic diseases, autoimmune diseases, liver abscesses, and liv...[Read More] Impact of Steroid Use on Liver Function: Understanding Your Health Report
Can You Drink Green Tea with Hepatitis B? Myths and Facts
Hepatitis B and Green Tea I heard that people with liver disease should not drink green tea, but tea can help prevent cancer... So can I drink green tea every day or should I only drink water?
Dr. Li Xuanshu Reply:
Hello! There is no evidence to suggest that individuals with hepatitis B cannot drink green tea, so as long as there are no adverse symptoms related to green tea, it is still permissible to consume it.[Read More] Can You Drink Green Tea with Hepatitis B? Myths and Facts
Understanding Alcohol's Impact on Liver Health: A Guide for Busy Professionals
ALCOHOL Dr. Li: Hello, I am a normal office worker, slim, and I previously visited Chang Gung Memorial Hospital due to discomfort, where an ultrasound examination revealed a 4 cm mass on my liver. However, due to the distance, I switched to a nearby hospital, where the ultrasound...
Dr. Li Zhengqi Reply:
Hello, 1. If there are abnormalities in the ultrasound examination, it is important to first determine if there is a history of chronic hepatitis, including whether there is a carrier status for hepatitis B or C. Relevant tumor markers should also be tested. If the findings are...[Read More] Understanding Alcohol's Impact on Liver Health: A Guide for Busy Professionals
Understanding Hemangiomas in the Gallbladder: Symptoms and Concerns
There is a hemangioma in the gallbladder? Hello, I am a carrier of hepatitis B (vertically transmitted). During a routine check-up, a hemangioma was found in my liver, measuring 2 centimeters. I would like to ask... what kind of discomfort might I experience? What symptoms should...
Dr. Lin Minghui Reply:
Reply: Hello, 1. Most intrahepatic tumors are asymptomatic, with only a few presenting abdominal pain. 2. The etiology of hemangiomas is unknown, and they may also occur in other locations. 3. I'm not sure if you are referring to a tumor near the liver or one within the gall...[Read More] Understanding Hemangiomas in the Gallbladder: Symptoms and Concerns
Essential Tips for Managing Hepatitis B: Diet and Transmission Risks
If you have hepatitis B, here are some important considerations and dietary recommendations: 1. **Regular Monitoring**: It is crucial to have regular check-ups with your healthcare provider to monitor liver function and viral load. 2. **Medication Adherence**: If prescribed ant...
Dr. Li Zhengqi Reply:
Hello, Xiao Ting: 1) Patients with hepatitis B should maintain a regular lifestyle, avoiding staying up late and excessive fatigue. They should limit the intake of overly processed, soaked, moldy, or charred foods. Most importantly, they should have regular follow-ups with a gas...[Read More] Essential Tips for Managing Hepatitis B: Diet and Transmission Risks
Severe Fatty Liver Detected: Essential Tests and Recovery Tips
Ultrasound revealed severe fatty liver disease? I weigh 127 kg and am 183 cm tall. I love drinking alcohol, smoke a pack of cigarettes a day, and work rotating shifts. My triglycerides are at 220, and my bad cholesterol is at 210. Both GOT and GPT levels are as high as 200. An ul...
Dr. Chen Shidian Reply:
Hello, Mr. Fatty: 1. Please confirm whether you have Hepatitis B or C. 2. Abstaining from alcohol is the top priority; please ensure compliance. 3. Controlling blood lipids (and blood sugar) aids in the treatment of fatty liver; please visit the Metabolism Clinic. 4. Severe ...[Read More] Severe Fatty Liver Detected: Essential Tests and Recovery Tips
Understanding Your Hepatitis Test Results: What Do They Mean?
Hepatitis testing issues? Hello Dr. Li: I would like to ask about the issues in my hepatitis B test report, as I do not understand it. The report has a total of five items, and items 1 to 4 for HBsAg are all negative. However, the fifth item, HCV Ab, is positive. Does this mean t...
Dr. Li Xuanshu Reply:
Hello! The information you provided is quite limited, but based on the data in the letter, your HBsAg (−) indicates that you currently do not have hepatitis B. However, it's important to check whether you have immunity to hepatitis B, so you should see if you have been teste...[Read More] Understanding Your Hepatitis Test Results: What Do They Mean?
Understanding Your Digestive Issues: Gallbladder, Liver, and Stomach Concerns
I don't know what disease it is? Hello Doctor, I have been troubled by a persistent issue for a long time, and I kindly ask for your guidance. About two years ago, I started experiencing stomach pain and have been receiving treatment at a clinic, with symptoms fluctuating b...
Dr. Xu Jinchuan Reply:
Hello! 1. Gastroesophageal reflux occurs when the lower esophageal sphincter is too relaxed, allowing stomach acid to flow back up into the esophagus. There are many factors that can trigger this symptom, including high stress, obesity, and certain medications. A gastroscopy can ...[Read More] Understanding Your Digestive Issues: Gallbladder, Liver, and Stomach Concerns
Understanding Oily Stools: Causes and Solutions for Liver Health Issues
Oily stools? Hello: I have been a carrier of hepatitis B for over a decade. In April of this year, I experienced an acute episode, with my GPT reaching 1000. The doctor mentioned grade A cirrhosis. Since May, I have been taking Danazol, Milk Thistle, and traditional Chinese medic...
Dr. Yuan Hongdao Reply:
Hello, after we ingest lipids, bile produced by the liver is needed to emulsify the lipids, and pancreatic lipase is required for digestion, while the normal intestinal mucosa is responsible for the absorption of lipids. If there is an issue with any of these organs, it may lead ...[Read More] Understanding Oily Stools: Causes and Solutions for Liver Health Issues
Understanding Hyperechoic Nodules: When to Seek Further Testing?
What is a hyperrechoic nodule? Ultrasound examination revealed two hyperechoic nodules, one old (0.7 cm) and one newly detected (2 cm). AFP level is 2.6. A request was made for a CT scan, but the physician stated it was unnecessary and that monitoring is sufficient. Should I seek...
Dr. Li Zhengqi Reply:
A hyperechoic nodule refers to a finding on ultrasound examination that appears brighter than the surrounding liver parenchyma. The causes are numerous, including intrahepatic bile duct stones, vascular wall calcification, hepatic hemangiomas, and even early-stage liver tumors, a...[Read More] Understanding Hyperechoic Nodules: When to Seek Further Testing?
Understanding Right Upper Abdominal Pain: Causes and When to Seek Help
Right upper quadrant pain? Hello Doctor: A few days ago, I started experiencing pain in the upper right abdomen (just below the rib cage). I visited a small clinic where the physician performed a simple ultrasound but did not indicate any specific issues. Now, the pain has shifte...
Dr. Lin Minghui Reply:
Response: Hello, 1. Differential diagnoses for right upper quadrant pain include a. renal and urinary tract stones, b. gastrointestinal inflammation or ulcers, c. liver, gallbladder, and pancreatic diseases, d. neuropathic pain, among others. 2. If the pain does not improve, it i...[Read More] Understanding Right Upper Abdominal Pain: Causes and When to Seek Help
Understanding Jaundice: Risks, Recovery, and Antibody Production
Jaundice issues Hello doctor, a year and a half ago my liver function was abnormal with levels reaching 864. Now my liver function is normal, but I have not produced antibodies, and recently my jaundice has risen to 1.6. Does this indicate a potential relapse? Is the absence of a...
Dr. Xu Jinchuan Reply:
Hello! Your liver enzyme levels were abnormal but have now returned to normal, yet no antibodies have appeared. Which specific antibodies are you referring to? Are you a patient with Hepatitis B or Hepatitis C? Is a bilirubin level of 1.6 considered abnormal? Observing your long-...[Read More] Understanding Jaundice: Risks, Recovery, and Antibody Production
Understanding Hepatitis B: Key Concerns and Precautions
Hepatitis B-related issues~ urgent Hello, I would like to ask about my boyfriend who has hepatitis B. His school health check results are as follows: HBsAg+++(abnormal), Anti-HBs(-), HBeAg(-), Anti-HCV(-). Is this serious? What should we pay attention to? Is it still effective to...
Dr. Chen Jianhong Reply:
Hello! Your boyfriend's report only confirms that he has been infected with Hepatitis B, but the severity of the infection requires further detailed examination. It is recommended that your boyfriend visit a hepatobiliary specialist for additional testing. Since he has been ...[Read More] Understanding Hepatitis B: Key Concerns and Precautions
Understanding Hepatitis B Transmission: Can Kissing Spread the Virus?
Transmission routes of Hepatitis B? Hello Doctor: I have been diagnosed as a "healthy carrier of hepatitis B." Can I transmit the virus to my girlfriend through kissing? Additionally, I came across a report that I am unsure was answered by a doctor or posted by a random...
Dr. Lin Minghui Reply:
Reply: Hello, 1. In the first scenario, saliva can be infectious. If a person is infected with Hepatitis B and the virus is replicating, it is possible to transmit the virus to others if it comes into contact with an open wound. 2. This issue is debated regarding the effectiv...[Read More] Understanding Hepatitis B Transmission: Can Kissing Spread the Virus?
Understanding Liver Hemangiomas: When to Seek Further Imaging
Hepatic hemangioma Hello, Dr. Lin. I would like to ask the following question. I was diagnosed as a carrier of hepatitis B over a decade ago. Therefore, I have been getting checked every six months to a year. Currently, my AST and ALT levels, as well as alpha-fetoprotein, are all...
Dr. Lin Minghui Reply:
Hello, this issue should be discussed with your physician. Tumors can present in very typical ways, resembling hepatocellular carcinoma or hemangiomas. If the distinction is not clear and there is a possibility of liver cancer, further imaging studies are necessary. In cases of s...[Read More] Understanding Liver Hemangiomas: When to Seek Further Imaging