Understanding High Anti-HBs Levels: Can You Still Contract Hepatitis B?
Hepatitis B transmission issues Hello doctor, I would like to ask about my liver function test results. Initially, my GOT was 42 and GPT was 76. After a follow-up blood test, my GOT dropped to 18 and GPT to 20, and I also had an Anti-HBs level greater than 1000. Could you please ...
Dr. Chen Shidian Reply:
It's impossible now; congratulations on having a strong immunity to hepatitis B.[Read More] Understanding High Anti-HBs Levels: Can You Still Contract Hepatitis B?
Understanding Hepatitis B: Distinguishing Between Infection and Carrier Status
Hepatitis B data assessment? Hello, Doctor. I would like to ask you some questions regarding hepatitis B. 1. What is the difference between hepatitis B and a hepatitis B carrier? 2. I recently underwent a labor health examination and received the following results: - GPT: 2...
Dr. Chen Shidian Reply:
A weak positive reaction, while not dangerous, cannot be determined definitively at this time. It is recommended to retest in 6 to 12 months for comparison.[Read More] Understanding Hepatitis B: Distinguishing Between Infection and Carrier Status
Can Sharing Saline Solution with Grandma Spread Hepatitis C or B?
Hepatitis C and Hepatitis B infections? If my grandmother has hepatitis C or hepatitis B and we share the same bottle of saline solution to clean wounds, is there a risk of infection?
Dr. Chen Shidian Reply:
It is advisable to avoid exposure. Fluid contamination can potentially transmit infections, primarily through fresh blood.[Read More] Can Sharing Saline Solution with Grandma Spread Hepatitis C or B?
Understanding Hepatitis B Transmission Risks for Carriers
Inquiry about Hepatitis B transmission? Hello, I am a carrier of hepatitis B and currently taking Viread (tenofovir disoproxil fumarate). In February of this year, I underwent the following tests: Test order name: Quantitative Polymerase Chain Reaction for Deoxyribonucleic Acid; ...
Dr. Chen Shidian Reply:
It is unlikely to be contagious, but if medication is stopped, there is a high risk of viral relapse. Please follow your physician's medication regimen.[Read More] Understanding Hepatitis B Transmission Risks for Carriers
Understanding Hepatitis B Transmission Risks: Low Viral Load Explained
Inquiry about Hepatitis B Transmission (Continued) Hello, I am the questioner of Q&A <a href="https://adoctor.tw/article/194207">#194207</a> (regarding HBV DNA viral load, with a test result of <10). Thank you for your response. In your previous reply...
Dr. Chen Shidian Reply:
High viral load is required for transmission through blood or bodily fluids (especially if the other person has not been vaccinated). When medication is taken, the viral load decreases significantly, and the likelihood of transmission is almost negligible.[Read More] Understanding Hepatitis B Transmission Risks: Low Viral Load Explained
Understanding Liver Health: Addressing Concerns About Fatty Liver and Tumors
Suspected liver cancer? Hello doctor, my mother has moderate fatty liver and does not have hepatitis B or C. Previously, she had an ultrasound, and the doctor ordered a CT scan, which indicated a suspicion of liver cancer. Blood tests were also conducted, and later the CT scan sh...
Dr. Chen Shidian Reply:
Suspicion of liver cancer should be based on preliminary abnormalities, which can be used as a reason to apply for further imaging studies under health insurance. The results confirmed that there is no liver cancer, so there is no need to worry. A splenic hemangioma is benign and...[Read More] Understanding Liver Health: Addressing Concerns About Fatty Liver and Tumors
Understanding Chronic Abdominal Pain: Possible Causes and Next Steps
Chronic unexplained abdominal pain? Hello, doctor. For the past six months, I have frequently experienced abdominal bloating and pain accompanied by cold sweats, nausea, dizziness, and a feeling of wanting to vomit. The pain is not localized and can be felt from below the ribs to...
Dr. Chen Shidian Reply:
Please discuss with a gastroenterologist and implement dietary control along with moderate exercise to reduce stress. An ultrasound examination may also be considered.[Read More] Understanding Chronic Abdominal Pain: Possible Causes and Next Steps
Why Did My Liver Tumor Shrink? Understanding Changes in Liver Health
Why do liver tumors shrink? In early November 2022, a company health check revealed that I have mild fatty liver. In mid-November 2022, a hospital examination found a liver tumor measuring 1.5 x 1.0 cm (hypoechoic). The doctor immediately arranged for an abdominal MRI (with contr...
Dr. Hu Guozheng Reply:
Hello, patients with chronic hepatitis B, hepatitis C, and cirrhosis are at high risk for liver cancer and require regular monitoring. If there is a suspected liver tumor on abdominal ultrasound, further confirmation should be done through computed tomography (CT), magnetic reson...[Read More] Why Did My Liver Tumor Shrink? Understanding Changes in Liver Health
Understanding Hepatitis B: Supplements and Nail Fungus Treatment
Hepatitis B-related issues Hello, Doctor. My mother has hepatitis B. 1. Recently, I want to buy dietary supplements for her. I would like to know if dietary supplements can harm the liver and if you recommend their use. 2. My mother has been suffering from onychomycosis that hasn...
Dr. Chen Shidian Reply:
Licensed dietary supplements are generally not harmful to the liver. Oral medications for onychomycosis may affect liver function, so it is important to discuss this beforehand and monitor liver function before and during treatment.[Read More] Understanding Hepatitis B: Supplements and Nail Fungus Treatment
Understanding Gastric Ultrasound Results: Do I Need a Follow-Up?
Gastric ultrasound During a hepatitis B ultrasound examination, the examining doctor noted the appearance of my stomach and asked if I had eaten or drunk anything. They mentioned that a normal stomach ultrasound appears white, while mine appeared black, indicating that I had cons...
Dr. Chen Shidian Reply:
It is generally unnecessary, as imaging of gastric fluids/solids often does not have a direct correlation with symptoms.[Read More] Understanding Gastric Ultrasound Results: Do I Need a Follow-Up?
Understanding Blood in Nasal Mucus: Is It Related to Hepatitis B?
Hepatitis B? I have been experiencing bloody nasal discharge for a year, and my throat often hurts. Could this be due to my frequent X-rays or a liver issue? I had two CT scans and over 50 X-rays two years ago. I often feel weak, have fever, and my blood pressure today was 180. I...
Dr. Chen Shidian Reply:
Please return for a follow-up with the gastroenterology department to monitor hepatitis B (at least every 6 months) and discuss medication for symptoms. A small amount of acetaminophen (such as 3 times a day for 3-5 days) is not harmful.[Read More] Understanding Blood in Nasal Mucus: Is It Related to Hepatitis B?
Should Hepatitis B Carriers Get Vaccinated? Understanding Your Test Results
Hepatitis B testing and vaccination? Hello doctor, I am a carrier of hepatitis B. This month, my hepatitis B test results showed a surface antigen value of 0.46 S/CO (Nonreactive) and a surface antibody value of 6.9 mIU/mL (Nonreactive), both of which are negative. Do I need to r...
Dr. Lin Minghui Reply:
Some carriers of hepatitis B may experience spontaneous disappearance of the surface antigen, which we refer to as functional treatment for hepatitis B. Vaccination is not required in these cases. Some individuals may also produce surface antibodies on their own, achieving functi...[Read More] Should Hepatitis B Carriers Get Vaccinated? Understanding Your Test Results
Does Moderate Fatty Liver Increase the Risk of Liver Cancer?
Can moderate fatty liver lead to liver cancer? Hello, doctor. I would like to ask a few questions. I have moderate fatty liver, no hepatitis B or C, and no cirrhosis. I undergo ultrasound and blood tests every three months. My cholesterol level is 205 and triglycerides are 211, w...
Dr. Cai Jinji Reply:
Hello Ms. A: 1. I cannot answer this question without seeing the report and images; I recommend consulting your physician. 2. Lipomas can also occur in the liver, but they are relatively rare. 3.4. It would be best to ask your physician for clarification. 5. Fatty liver disease c...[Read More] Does Moderate Fatty Liver Increase the Risk of Liver Cancer?
Understanding Negative E Antigen and Antibody Results in Hepatitis B
Both e antigen and e antibody are negative? Hello Dr. Chen, I am a hepatitis B patient. This month, my tests for hepatitis B e-antigen (HBeAg) and hepatitis B e-antibody (anti-HBe) were both negative. Does this mean I have recovered?
Dr. Chen Shidian Reply:
It is likely due to the natural attenuation of the virus or the suppressive effects of antiviral medications. Most of the virus still exists within liver cells, leading to a state of coexistence, and regular monitoring is still necessary.[Read More] Understanding Negative E Antigen and Antibody Results in Hepatitis B
Understanding Liver Nodules: What You Need to Know After Imaging Tests
Questions about liver nodules? Three months prior to the company health check, I was following up on a 0.5 cm gallbladder polyp at a gastroenterology clinic, and no other issues were found. During the company health check, it was noted that the gallbladder polyp had increased to ...
Dr. Chen Shidian Reply:
1. Follow-up for gallbladder polyps once a year. 2. For liver nodules, follow-up should be determined based on the physician's imaging report, but it can be done in 3 months.[Read More] Understanding Liver Nodules: What You Need to Know After Imaging Tests
Understanding Mild Liver Fibrosis: Should You Seek Further Evaluation?
Mild hepatic parenchymal fibrosis I would like to ask the doctor about the abdominal ultrasound examination during a health check-up, which revealed mild hepatic parenchymal fibrosis, but liver function tests are normal. Should I go for a follow-up outpatient examination? Is fibr...
Dr. Lin Minghui Reply:
Regarding liver parenchymal lesions, follow-up is recommended. Is liver fibrosis reversible? Identifying the cause of fibrosis is essential for targeted treatment. Conditions such as viral hepatitis (hepatitis B, C, D), alcoholic or metabolic liver disease, autoimmune hepatitis, ...[Read More] Understanding Mild Liver Fibrosis: Should You Seek Further Evaluation?
Understanding Your Hepatitis B Test Results: What Does Reactive Anti-HBC Mean?
The anti-HBc test result is Reactive 0.007? Hello, I first experienced urticaria in early October 2022. After several visits to the clinic for medication and injections, I was unable to effectively control the symptoms even after two weeks of treatment. Subsequently, I was referr...
Dr. Chen Shidian Reply:
The patient has a history of hepatitis B infection, but the virus is currently undetectable. Please discuss the details further with the physician who performed the blood draw.[Read More] Understanding Your Hepatitis B Test Results: What Does Reactive Anti-HBC Mean?
Understanding the Differences in Anti-HBC Testing Methods for Hepatitis B
Anti-HBc testing method? First, I would like to thank the doctor for the response regarding my HBsAg (Hepatitis B surface antigen) and anti-HBc (Hepatitis B core antibody) test results. I would like to ask the doctor again about the ANTI-HBc test, which has the same code 14037C b...
Dr. Chen Shidian Reply:
It is simply a difference in laboratory science, non-quantitative, with values provided for reference. The main results remain positive/negative.[Read More] Understanding the Differences in Anti-HBC Testing Methods for Hepatitis B
Understanding Blood in Stool: Causes and Concerns in Gastroenterology
Blood in the stool? In the past three months, I have had five bowel movements with a drop of blood at the end. When wiping after a bowel movement, there is fresh red blood about the size of a ten-dollar coin mixed with the stool. I have been experiencing diarrhea continuously for...
Dr. Chen Shidian Reply:
All examinations should be complete; continuous monitoring and medication management are sufficient.[Read More] Understanding Blood in Stool: Causes and Concerns in Gastroenterology
Understanding Your Positive HBsAg Test Result for Hepatitis B
Please ask your questions regarding HBsAg, the hepatitis B surface antigen? Hello Doctor: I underwent a health check in August this year and recently received the test report. The report simply states that the HBsAg (Hepatitis B surface antigen) is Positive (5681). I would like t...
Dr. Chen Shidian Reply:
Positive, indicating chronic hepatitis B carrier status, with follow-up at least once every six months.[Read More] Understanding Your Positive HBsAg Test Result for Hepatitis B