Understanding Hepatitis B Transmission: Risks and Recovery Insights
Transmission routes of Hepatitis B? Hello, Doctor: I have been diagnosed as a healthy carrier of hepatitis B. How long does it take for the carrier status to resolve? Also, can kissing transmit the virus to my girlfriend? I found an article online, and I'm unsure if it'...
Dr. Li Xuanshu Reply:
Hello! 1. In Taiwan, once infected with hepatitis B, there is a high probability of becoming a lifelong carrier, so if hepatitis B is detected, regular follow-up is essential. 2. The concentration of hepatitis B virus in human blood or semen is relatively high, while other fluids...[Read More] Understanding Hepatitis B Transmission: Risks and Recovery Insights
Understanding Changes in Hepatitis B Antibody Levels After Health Checkups
After the medical examination? Doctor: Hello! I recently received the results of a health check-up, and I have some questions regarding my Hepatitis B results. My test results are as follows: Hepatitis B surface antigen: Negative, Hepatitis B surface antibody: Negative. My previo...
Dr. Yuan Hongdao Reply:
Reply: Hello, 1. If both secondary tests are very accurate and there are no errors, it is likely that the current antibody concentration is too low to be detected. 2. The hepatitis B vaccine has only been available and widely administered for the past 20 years, so you probably...[Read More] Understanding Changes in Hepatitis B Antibody Levels After Health Checkups
Understanding Elevated GPT and Hemoglobin Levels in Hepatitis B Carriers
I would like to ask two questions? I would like to ask about the following: First, GPT is elevated (71 U/L), and second, hemoglobin is elevated (17.4 g/dL). What do these two values represent, and how can I lower them? P.S. I am a carrier of hepatitis B, with a positive hepatitis...
Dr. Lin Minghui Reply:
Response: Hello, 1. Elevated GPT: The GPT level is between 1 to 2 times the normal range, indicating abnormal liver function. Although it is not significantly high, it suggests liver inflammation. It is important to identify the cause of the inflammation, which may include drug...[Read More] Understanding Elevated GPT and Hemoglobin Levels in Hepatitis B Carriers
Impact of High Protein Diet on Liver Health: What You Need to Know
High protein and the liver? I was found to have hepatitis B during my military physical examination, which exempted me from service. Recently, I want to start weight training and build muscle, and I'm considering purchasing whey protein. I've heard that consuming high p...
Dr. Yuan Hongdao Reply:
Hello, if there is liver cirrhosis and poor liver function, consuming high protein may lead to an increase in the metabolites of protein → ammonia. However, ammonia does not cause an increase in liver enzyme levels. Sincerely, Dr. Yuan Hong-Dao, Internal Medicine.[Read More] Impact of High Protein Diet on Liver Health: What You Need to Know
Understanding Symptoms of Chronic Hepatitis B: When to Seek Help
Symptoms of being a carrier of hepatitis B? Hello, doctor. My husband is a carrier of hepatitis B and has been regularly monitored for hepatitis. Recently, in addition to his ongoing symptoms of abdominal bloating and pain (which have remained stable for the past seven years), he...
Dr. Lin Minghui Reply:
Hello, during acute exacerbation of chronic hepatitis B, symptoms may resemble those of a cold, including fatigue, loss of appetite, and jaundice. It is advisable not to overexert yourself and to monitor liver function. Sincerely, Dr. Lin Ming-Hui, Internal Medicine.[Read More] Understanding Symptoms of Chronic Hepatitis B: When to Seek Help
Understanding Treatment Options for Chronic Hepatitis B: Your Questions Answered
Hello, I would like to treat hepatitis B? Hello Doctor: My daily routine is not very normal. I have had hepatitis B since childhood, but I currently do not have severe liver disease. I would like to ask the doctor: 1. I heard that there are currently 2 to 3 medications available ...
Dr. Lin Minghui Reply:
Hello, currently there are several treatment options for chronic hepatitis B, including antiviral medications (such as Hepatitis B Antiviral, Interferon, and Hepatitis B Immunomodulator) and immunomodulators (like Interferon and Thymosin). These medications primarily aim to reduc...[Read More] Understanding Treatment Options for Chronic Hepatitis B: Your Questions Answered
Managing High Triglycerides and Liver Health: A Guide for Patients
Triglycerides Hello doctor, my question is that after a health check, I found my triglycerides to be 800, SGPT (ALT) 40, SGOT 41, and SGPT 61. What should I do? I have also been diagnosed with polycystic ovary syndrome and fatty liver. Will taking Diane (Diane-35) or blood sugar-...
Dr. Yuan Hongdao Reply:
Hello, if your liver enzymes are elevated due to fatty liver (assuming there is no hepatitis B or C, alcohol consumption, other medications, or biliary diseases), then treatment should focus on fatty liver. Common causes of fatty liver include obesity, diabetes, alcohol consumpti...[Read More] Managing High Triglycerides and Liver Health: A Guide for Patients
Understanding Right Upper Abdominal Discomfort: Causes and Solutions
Discomfort and occasional pain in the upper right abdomen..? Hello, I have recently started preparing for my graduate school entrance exam, and since a major exam two years ago, I've been experiencing occasional discomfort and pain in my upper right abdomen, mostly when lyin...
Dr. Yuan Hongdao Reply:
Hello, the most common cause of pain in the upper right abdomen is liver and gallbladder disorders. Other possibilities include duodenal ulcers, right kidney issues, and colon diseases. However, based on your description, it seems more like functional dyspepsia. I recommend that ...[Read More] Understanding Right Upper Abdominal Discomfort: Causes and Solutions
Can Hepatitis B Carriers Get Vaccinated? Understanding Treatment Options
Can a carrier of hepatitis B receive the vaccine? Why do people say that treatment is not necessary?
Dr. Lin Minghui Reply:
Reply: Hello, 1. The hepatitis B vaccine is administered to provide antigens that stimulate the production of antibodies. However, chronic carriers of hepatitis B already have the antigens and will not produce antibodies, so vaccination is ineffective in these cases. 2. The c...[Read More] Can Hepatitis B Carriers Get Vaccinated? Understanding Treatment Options
Understanding Elevated GOT and GPT Levels: What Tests Should You Consider?
GOT (Glutamate Oxaloacetate Hello: A month ago, blood tests revealed that my GOT and GPT levels were around 400. I do not have hepatitis B or C, but I am unsure if I have fatty liver. Over the past two years, I have gained about 40 kg and my diet is not very strict, as I tend to ...
Dr. Lin Minghui Reply:
Reply: Hello, 1. An abdominal ultrasound can be arranged to check for fatty liver, liver cysts, liver tumors, etc. 2. GOT and GPT levels are approximately ten times the normal value, indicating liver inflammation. If Hepatitis B and C are ruled out, common causes include fatty...[Read More] Understanding Elevated GOT and GPT Levels: What Tests Should You Consider?
Managing Medication for Chronic Hepatitis B: To Continue or Not?
Medication issues related to dry eye syndrome? Hello: I previously underwent treatment for hepatitis B (taking Entecavir) for a year and a half, but my HBeAg remains positive. My ALT and AST levels are both around 200. My physician friends are divided on the issue: one group supp...
Dr. Li Xuanshu Reply:
Hello! Indeed, as you mentioned in your letter, there are differing opinions in the medical community regarding your condition. However, without your detailed medical history for reference, I cannot provide appropriate advice. Have you had your HBV DNA tested again? Have you chec...[Read More] Managing Medication for Chronic Hepatitis B: To Continue or Not?
Understanding Elevated SGPT Levels: Causes, Effects, and Solutions
My SGPT (Serum Gl I would like to ask the doctor about my health check-up last year. My SGPT was 40, and the report indicated that the normal range is (5-35 U/L), so I am slightly elevated. What are the implications of having elevated SGPT? My SGOT was 21. I often stay up late an...
Dr. Lin Minghui Reply:
Reply: (Due to Dr. Lin's vacation, Dr. Chen Zhi-Ping is responding) Hello, elevated SGPT levels indicate mild liver dysfunction, which may be related to chronic hepatitis (such as hepatitis B or C, or alcohol-related issues). It could also be associated with excessive fatigu...[Read More] Understanding Elevated SGPT Levels: Causes, Effects, and Solutions
How to Care for Your Liver After Elevated SGPT Levels?
Liver function Hello, my SGPT liver function index was 44 during a blood test, which exceeds the normal range. What should I do to take care of my liver? Also, my doctor mentioned that staying up late is not related to liver enzyme levels. Is this perspective correct? Thank you.
Dr. Yuan Hongdao Reply:
Hello, an SGPT level of 44 can have many possible causes. The more common ones include chronic hepatitis B and C, biliary diseases, fatty liver, alcoholic hepatitis, and drug-induced liver injury. It is essential to identify the underlying cause of the abnormal liver function tes...[Read More] How to Care for Your Liver After Elevated SGPT Levels?
Understanding the Relationship Between Gallbladder Removal and Liver Health
The relationship between the gallbladder and the liver? I recently had my gallbladder removed laparoscopically due to a polyp larger than 1 cm. I am concerned whether this will increase the burden on my liver, as I am a carrier of hepatitis B. What precautions should I take in th...
Dr. Xu Jinchuan Reply:
Hello! The function of the gallbladder in the human body is primarily to store bile, while the production and secretion of bile occur in the liver. Therefore, after the removal of your gallbladder, it will not affect liver function. The bile produced by the liver will flow direct...[Read More] Understanding the Relationship Between Gallbladder Removal and Liver Health
Managing Co-Infection of Hepatitis B and C: Treatment and Home Care Tips
Treatment and Home Adjustment for Concurrent Hepatitis B and C Infection Hello Doctor: 1. If a patient is confirmed to have both Hepatitis B and Hepatitis C, it is said that the treatment approach for Hepatitis C (using interferon and antiviral medications) may be more effectiv...
Dr. Lin Minghui Reply:
Reply: Hello, 1. Co-infection with hepatitis B and C is more complex to treat because there is an interaction between the two viruses; one may suppress the other. Treating one virus may lead to the suppression or activation of the other. The specific circumstances under which t...[Read More] Managing Co-Infection of Hepatitis B and C: Treatment and Home Care Tips
Understanding Unexplained Pain: Seeking Answers for Abdominal Discomfort
I am troubled by unexplained pain? I am a carrier of hepatitis B and have been experiencing a dull pain in the lower right back for three months. The pain also occurs when I contract my abdomen and when I lean backward. I visited the nephrology department at Mackay Memorial Hospi...
Dr. Lin Minghui Reply:
Reply: Hello, 1. Pain in the lower right flank may involve various organs, including muscles, nerves, kidneys, retroperitoneal space, urinary tract, intestines, uterus, and ovaries. 2. It is advisable for hepatitis B carriers to undergo regular abdominal ultrasound examination...[Read More] Understanding Unexplained Pain: Seeking Answers for Abdominal Discomfort
Understanding Fatty Liver: Key Questions About Diagnosis and Management
Fatty liver disease Hello Doctor: In October of last year (93rd year), my health check report showed liver function indices SGOT: 42, SGPT: 98, HBsAg: negative, HBsAb: positive. A nearby clinic's scanning physician indicated that I have mild fatty liver. Since then, I have b...
Dr. Yuan Hongdao Reply:
Hello, abnormal liver function tests can be caused by several factors, including hepatitis B and C, as well as fatty liver disease. Other potential causes include medications, alcohol consumption, biliary issues, autoimmune hepatitis, and hereditary metabolic disorders. I would l...[Read More] Understanding Fatty Liver: Key Questions About Diagnosis and Management
Understanding Hepatitis B: Vaccine Efficacy and Antibody Status Explained
Regarding Hepatitis B? Hello, doctor. A few days ago, I saw in the news that the hepatitis B vaccine might lose its effectiveness after 15 years. I would like to ask... The health check I had at the beginning of the school year showed that the hepatitis B surface antigen was nega...
Dr. Lin Minghui Reply:
Reply: Hello, 1. Your test results indicate that you are not a carrier of Hepatitis B. You have Hepatitis B antibodies, and you are currently not at risk of being infected by the Hepatitis B virus. 2. The antibodies produced by vaccination are less persistent than those genera...[Read More] Understanding Hepatitis B: Vaccine Efficacy and Antibody Status Explained
Managing Drug Resistance in Hepatitis Treatment: What You Need to Know
What should be done if liver disease develops drug resistance? Hello... Six months ago, my ALT and AST levels were over 500. The e-antigen was positive with a viral load of 1380. After taking HepaGam for three months, my ALT and AST levels returned to normal, and the viral load d...
Dr. Lin Minghui Reply:
Hello, generally, taking Hepatitis B medication (such as Entecavir) for one year can lead to the disappearance of the e-antigen, with a 20% chance of developing e-antibodies. If e-antibodies are produced, you will need to continue taking the medication for another six months. The...[Read More] Managing Drug Resistance in Hepatitis Treatment: What You Need to Know
Understanding Elevated GPT Levels: Concerns for Military Service
The GPT index is too high? Hello, Doctor: Recently, my military physical examination report showed that my GPT (ALT) level is 67, which is elevated. Will this pose a problem if I participate in physical training in the military? Three years ago, I applied for a non-commissioned o...
Dr. Li Xuanshu Reply:
Hello! Currently, it is not possible to predict whether your exercise routine will affect your liver enzymes. However, since you do not have hepatitis B or C, and considering your age, it is possible that you may have fatty liver disease. I wonder if you tend to be overweight or ...[Read More] Understanding Elevated GPT Levels: Concerns for Military Service