Understanding Gallbladder Polyps: Risks, Size Guidelines, and Dietary Impact
Gallbladder polyp During a liver ultrasound examination at the hospital, a 0.4 cm polyp was unexpectedly found in the gallbladder. What issues could this cause? At what size should it be removed? What are the possible causes? Can dietary changes help it disappear? Additionally, m...
Dr. Chen Zhiping Reply:
Hello, regarding gallbladder polyps, the exact reason why they develop is currently unexplained, but some individuals do form them. Generally, polyps smaller than 1 centimeter are considered benign. Regular abdominal ultrasounds (approximately every six months to a year) are reco...[Read More] Understanding Gallbladder Polyps: Risks, Size Guidelines, and Dietary Impact
High Liver Enzymes: What to Do When Levels Reach 900-1690?
Liver enzyme levels ranging from 900 to 1690 indicate a significant elevation. It is crucial to consult a healthcare professional for a thorough evaluation and appropriate management. Possible steps I recently had my liver function tests done, and the results were shockingly high...
Dr. Li Xuanshu Reply:
Hello! You are a carrier of hepatitis B, and such values are indeed concerning. Whether it could evolve into fulminant hepatitis requires further evaluation of more data. Sometimes, symptoms do not necessarily correlate with laboratory results, so you must not neglect follow-up j...[Read More] High Liver Enzymes: What to Do When Levels Reach 900-1690?
Nighttime Hepatitis B Testing: Frequency, Costs, and Essential Exams
Night examination Does your hospital offer various tests for hepatitis B at night, such as fetal protein and abdominal ultrasound? How often should I return for follow-up appointments? What other tests are needed for hepatitis B? What are the costs for these tests? Thank you.
Dr. Xu Jinchuan Reply:
Hello! Our foundation does not have a medical department, so we do not offer outpatient services. You can go to a medical facility that provides evening consultations for testing; all the items you mentioned will be available for examination. As for how long until a follow-up app...[Read More] Nighttime Hepatitis B Testing: Frequency, Costs, and Essential Exams
Understanding Hepatitis B Antibodies: What You Need to Know
What are the antibodies for hepatitis B? If a blood test shows that there are no antibodies for hepatitis B, it does not necessarily mean that you are a carrier of the virus. However, it is important to consult with a healthcare professional for a proper diagnosis. In terms of ...
Dr. Xu Jinchuan Reply:
Hello! The absence of antibodies indicates a lack of immunity to hepatitis B, which means there is a possibility of contracting hepatitis B in the future, but currently, there is no hepatitis B infection. To confirm whether there is hepatitis B, the surface antigen test should be...[Read More] Understanding Hepatitis B Antibodies: What You Need to Know
Can Public Hospitals Administer Interferon for Chronic Hepatitis B and C?
I have been suffering from hepatitis B for over ten years. Is it possible to receive interferon treatment at a public hospital? I have been suffering from hepatitis B type C for over ten years. Can I receive interferon treatment at local public hospitals?
Dr. Xu Jinchuan Reply:
Hello! Actually, many hospitals can provide it, but the important thing is whether your condition requires it. Just because the illness has been prolonged doesn't necessarily mean you need to receive it.[Read More] Can Public Hospitals Administer Interferon for Chronic Hepatitis B and C?
Understanding Hepatitis B Test Results: Is My Partner Infected?
Is there still hepatitis B present? Hello Dr. Chen, I would like to ask you about my boyfriend, who is 32 years old and has a habit of smoking and drinking alcohol. During his health check-up, his HBsAg was negative, HBsAb was positive, and HBcAb was positive. What do these test ...
Dr. Chen Zhiping Reply:
Hello, these hepatitis indicators show that your boyfriend has had a past infection with hepatitis B, but he has recovered and developed surface antibodies (HBsAb), which means he has immunity and is not contagious to others. Sincerely, Dr. Chen Zhi-Ping, Internal Medicine.[Read More] Understanding Hepatitis B Test Results: Is My Partner Infected?
Understanding Elevated ALT Levels: Causes and Solutions
Elevated serum transaminases!! I previously had a blood test and found that my serum alanine aminotransferase (ALT) level had risen to 116, which is far above the normal range. This has caused me considerable concern, and I would like to ask you what I should do now. How did this...
Dr. Chen Zhiping Reply:
Hello, an elevated ALT indicates the presence of liver inflammation. It is important to first investigate any specific causes, such as infections from hepatitis B, C, or even A, as well as alcohol consumption or certain medications that can also raise liver enzyme levels. Obesity...[Read More] Understanding Elevated ALT Levels: Causes and Solutions
Effectiveness of Lamivudine and Interferon for Treating Hepatitis B Patients
Do medications like lamivudine and interferon have therapeutic effects for patients with hepatitis B? I would like to ask whether medications like lamivudine and interferon are effective for patients with hepatitis B. I saw online that lamivudine was originally used to treat HIV,...
Dr. Chen Zhiping Reply:
Hello, these two medications are currently used for the treatment of chronic hepatitis B. For patients with long-term abnormal liver function tests, Lanivudine (also known as Lamivudine) can be administered orally, or interferon can be given via injection, depending on the situat...[Read More] Effectiveness of Lamivudine and Interferon for Treating Hepatitis B Patients
Can I Continue Working with Chronic Hepatitis B and Sleep Issues?
Can I continue working? Hello, doctor. I am 25 years old and have hepatitis B. I also frequently experience severe insomnia. My GPT levels have been above the normal range for 7.8 years, consistently in the range of one to two hundred. Last month, my GPT reached over 500. I am cu...
Dr. Chen Zhiping Reply:
Reply: Hello, your current condition is an acute exacerbation of chronic hepatitis B. If you have already started taking Tenofovir, it must be used long-term and should not be discontinued arbitrarily. Additionally, regular blood tests and ultrasound examinations are necessary. I...[Read More] Can I Continue Working with Chronic Hepatitis B and Sleep Issues?
Understanding Positive Hepatitis B Antigen and Antibody Results
Inquiry about Hepatitis B? Hello, I would like to ask about my health check report, which shows positive reactions for both antigens and antibodies. What does this mean? I don't understand. Could you please help me clarify? Thank you.
Dr. Chen Zhiping Reply:
Reply: Hello, could you please specify which antigen and antibody you are referring to? Generally, antigens and antibodies do not coexist; if they are present simultaneously, it may indicate that the antigen is about to disappear while the antibody is being produced. Another poss...[Read More] Understanding Positive Hepatitis B Antigen and Antibody Results
Understanding Digestive Discomfort: Is It Liver or Gastrointestinal Issues?
Could you please specify the gastrointestinal issues you are inquiring about? I have recently been feeling a sense of heaviness in my abdomen, especially after meals, which is quite pronounced (although it's not pain, it feels uncomfortable). I often hear gurgling sounds fro...
Dr. Chen Zhiping Reply:
Hello, 1. These symptoms are likely related to gastrointestinal issues, resembling indigestion or irritable bowel syndrome. It is advisable to relax, avoid excessive stress, and steer clear of tobacco, alcohol, and spicy foods. If discomfort persists, a medical evaluation is re...[Read More] Understanding Digestive Discomfort: Is It Liver or Gastrointestinal Issues?
How to Prevent Hepatitis B and C Transmission in Your Family
What should I do if a family member has both hepatitis B and hepatitis C? Hello Dr. Chen: There are two people in my household with Hepatitis B and one with Hepatitis C. I was tested for Hepatitis B five years ago and have antibodies, but I haven't been tested for Hepatitis ...
Dr. Chen Jianhong Reply:
Hello! 1. You already have antibodies to hepatitis B surface antigen, which means you will not be infected with hepatitis B again. However, there is currently no vaccine for hepatitis C, so caution is still necessary. Hepatitis C is also transmitted through blood, so activities t...[Read More] How to Prevent Hepatitis B and C Transmission in Your Family
Managing Chronic Hepatitis B: Should I Continue or Switch Medications?
Hepatitis B I started taking Danazol in October 2002, and after six months, my liver function tests (AST and ALT) returned to normal. The doctor then discontinued the medication, but after two months, the levels rose again. The doctor prescribed Danazol again, and after another s...
Dr. Xu Jinchuan Reply:
Hello! Are you being followed up in the hepatobiliary department? Currently, the use of Entecavir is generally recommended for at least 12 to 18 months. The method of use you mentioned is uncommon. When you stopped the medication, did your e-antigen disappear? For detailed inform...[Read More] Managing Chronic Hepatitis B: Should I Continue or Switch Medications?
Understanding Hepatitis B: Causes, Risks, and What You Need to Know
Hepatitis B? Hello, doctor. I would like to ask what hepatitis B is. I had a health check-up when I started school this year, and the report indicated that I have hepatitis B. I heard my brother mention that he was also diagnosed with hepatitis B during his military health examin...
Dr. Chen Zhiping Reply:
Hello, Hepatitis B is an inflammation of the liver caused by the Hepatitis B virus infection in the human body. Some individuals may experience recurrent liver inflammation, while others may have the virus remain dormant in their bodies, becoming healthy carriers. The transmissio...[Read More] Understanding Hepatitis B: Causes, Risks, and What You Need to Know
Understanding Your Hepatitis B Antibody Test Results and Immunity
Hepatitis antibodies In your school health check, the results indicate that the Hepatitis B surface antigen (HBsAg) is negative at 0.084, and the Hepatitis B surface antibody (anti-HBs) is positive at 1.067. This means that you have antibodies against Hepatitis B, which suggests ...
Dr. Su Baojia Reply:
Your hepatitis B antibody test is positive, indicating that you have been infected with hepatitis B in the past. Your body has produced antibodies against hepatitis B, and you will not be reinfected with hepatitis B in the future.[Read More] Understanding Your Hepatitis B Antibody Test Results and Immunity
Understanding Hepatitis B Vaccination: Do Antibodies Indicate Infection Risk?
Regarding questions about the hepatitis B vaccine..? Hello, doctor: I am the one who mentioned that I received two doses of the hepatitis B vaccine but still did not develop antibodies. I have heard that if antibodies are not produced, it might indicate that one will not be infec...
Dr. Chen Zhiping Reply:
Hello, I apologize, but I have not heard of such a statement. The hepatitis B vaccine is composed of surface antigens injected into the body to elicit an immune response and does not cause infection itself. It is unclear whether the surface antigens are insufficiently immunogenic...[Read More] Understanding Hepatitis B Vaccination: Do Antibodies Indicate Infection Risk?
Why Am I Not Developing Antibodies After Hepatitis B Vaccination?
What is the hepatitis B vaccine? Dear Doctor: I would like to inquire about the hepatitis B vaccine. A few years ago, I was tested and found to have no antibodies for hepatitis B, so I started receiving the vaccine at the hospital. I received a total of six doses, as the vaccinat...
Dr. Chen Zhiping Reply:
Hello, first please add the HBc IgG test to check if it is negative. If it remains negative, it indicates that you have truly never been infected with this virus. Indeed, some individuals do not respond to the vaccine. If you have completed two full doses of the vaccine and still...[Read More] Why Am I Not Developing Antibodies After Hepatitis B Vaccination?
Understanding Hepatitis B Vaccination: Why Three Shots and Key Questions Answered
Why is the hepatitis B vaccine administered in three doses, and why is the first dose given as an intramuscular injection rather than intravenously? As indicated by the topic, I would like to further inquire about the functions of the three doses of the hepatitis B vaccine, and w...
Dr. Chen Zhiping Reply:
Reply: Hello, 1. Any vaccine may elicit some antibodies after the first dose, but the response is often insufficient. It is necessary to administer one to two additional doses to enhance the immune cell response. For the hepatitis B vaccine, it is recommended to administer the ...[Read More] Understanding Hepatitis B Vaccination: Why Three Shots and Key Questions Answered
High Alpha-Fetoprotein Levels During Pregnancy: What You Need to Know
During pregnancy, elevated levels of Alpha-fetoprotein (AFP) may occur? Hello Doctor, my wife is 18 weeks pregnant with twins. During a company health check at 15 weeks, her AFP level was found to be elevated at 112 (normal range is 0-13.4), while her SGOT and SGPT levels were no...
Dr. Xu Jinchuan Reply:
Hello! It is normal for pregnancy to cause an increase in fetal protein levels, as this is a typical phenomenon during pregnancy. Moreover, the physician has tested GOT and GPT, and both are within the normal range, so there is no need to be overly concerned. The doctor recommend...[Read More] High Alpha-Fetoprotein Levels During Pregnancy: What You Need to Know
How to Lower Elevated Liver Enzymes: Causes and Dietary Tips
What should I do if my hepatitis levels are elevated? Hello, during a blood test at school, the results showed GOT and GPT levels of 32 and 36 U/L, respectively, indicating elevated liver enzymes. What can I do to bring these liver enzyme levels back to the normal range? Addition...
Dr. Xu Jinchuan Reply:
Hello! Although your GOT levels are elevated, this alone cannot diagnose the underlying cause of the increase. Therefore, you need to follow up with a hepatologist to investigate whether there is a viral hepatitis infection, such as hepatitis B or C, or if obesity is contributing...[Read More] How to Lower Elevated Liver Enzymes: Causes and Dietary Tips