Hepatitis B, Gastroenterology and Hepatology FAQ - Page 47

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Understanding Fatty Liver: Causes, Concerns, and Management Tips

Liver issues? Hello Doctor: Since I enrolled last year, my liver enzyme levels have been over a hundred during my physical examination. Later, I visited Linkou Chang Gung Memorial Hospital for a consultation, where I underwent blood tests and an abdominal ultrasound. The doctor d...


Dr. Liang Jiade Reply:
Hello, there are many causes of abnormal liver function, including viral infections (hepatitis A to E), bacterial infections, medications, staying up late, fatty liver, autoimmune diseases, and more. Additionally, long-term exposure to certain chemicals (such as fluorinated compo...

[Read More] Understanding Fatty Liver: Causes, Concerns, and Management Tips


Impact of Night Shifts on Hepatitis B Carriers: Health Tips and Insights

Night shifts and Hepatitis B? Hello, I am a carrier of hepatitis B, and my liver function tests are within the normal range. During my last check-up, the doctor mentioned that I am a healthy carrier, but it is best to monitor my condition every six months. Recently, my company re...


Dr. Liang Jiade Reply:
Hello, in principle, it is recommended to follow up on hepatitis B every six months. Of course, staying up late and working night shifts can still put a strain on the liver, so please pay special attention to your diet and rest. In addition to the regular six-month follow-up, if ...

[Read More] Impact of Night Shifts on Hepatitis B Carriers: Health Tips and Insights


Should I Get a Full Health Check or Directly Treat Possible Hepatitis C?

You should either undergo a health check-up or go directly to the hospital for a consultation? About 1 to 2 years ago, I donated blood and found out that my hepatitis C surface antibody test result was "under re-examination." I didn't pay much attention to it at th...


Dr. Liang Jiade Reply:
Hello, if the hepatitis C antibody (with surface antibody being for hepatitis B) is positive, it indicates that there has been an infection with hepatitis C. The majority of infected patients will develop chronic hepatitis C; therefore, it is recommended to have regular follow-up...

[Read More] Should I Get a Full Health Check or Directly Treat Possible Hepatitis C?


Understanding Chronic Hepatitis: Symptoms, Risks, and Dietary Management

Chronic hepatitis The hospital liver function tests show ALT 56, AST 48, and GPT 91, with HBsAg and Anti-HCV both normal. Does this indicate chronic hepatitis? Is there a possibility that this could be a precursor to liver cancer? Can chronic hepatitis be cured? I've heard t...


Dr. Liang Jiade Reply:
Hello, AST = GOT and ALT = GPT. There are many reasons for elevated liver function indices, including viral and bacterial infections, medication use, obesity, and lack of sleep, among others. However, a temporary increase does not necessarily indicate chronic hepatitis, nor can i...

[Read More] Understanding Chronic Hepatitis: Symptoms, Risks, and Dietary Management


Effective Treatments for Hepatitis B: Vaccines and Immunoglobulin Use

What is the treatment for hepatitis B? Hello, doctor. What is the treatment for hepatitis B? Also, if someone already has hepatitis B, can they receive the hepatitis B vaccine and immunoglobulin to improve their condition? Thank you for your response.


Dr. Liang Jiade Reply:
Hello, if you have hepatitis B, you need to be tested to determine if there is active hepatitis before deciding on medication treatment. Currently, the available treatment options in the country include Lamivudine, Adefovir, and interferon injection therapy. As for whether treatm...

[Read More] Effective Treatments for Hepatitis B: Vaccines and Immunoglobulin Use


Understanding Hepatitis B: Prevention, Transmission, and Care Tips

How to prevent and pay attention to hepatitis B? Hello, Dr. Chen! 1. Is vertical transmission of Hepatitis B inevitable? (For example, if the mother is a carrier, should she be checked every six months?) 2. If the husband also has Hepatitis B, can it be transmitted during inter...


Dr. Chen Jianhong Reply:
Hello, Miss Wang! 1. It is not guaranteed that a mother with hepatitis B will transmit the virus to her offspring 100% of the time. 2. Sexual activity is one of the transmission routes for hepatitis B, so it is advisable for partners to have surface antibodies against hepatiti...

[Read More] Understanding Hepatitis B: Prevention, Transmission, and Care Tips


Understanding Yellowing Eyes: Is It a Sign of Liver Disease?

Is it jaundice... is it a liver disease? Hello, doctor... I am a high school freshman. Since middle school, I have noticed a yellowish area with a bit of black at the lower edge of my eyeball, which looks quite unappealing, especially when I make a funny face. It also gives me a ...


Dr. Chen Jianhong Reply:
Hello Mr. Huang! The symptoms described in your letter may not be related to the liver, but the information provided about the liver tests is not very clear. If you are still concerned, it is advisable to visit a hepatobiliary specialist for a detailed blood test to check for any...

[Read More] Understanding Yellowing Eyes: Is It a Sign of Liver Disease?


What to Do If You Have Chronic Hepatitis B: A Guide

I have hepatitis B! What should I do? I would like to ask the doctor… is there hereditary hepatitis B? I have had hepatitis B since I was a child, but I have never seen a doctor. What could happen? Are there any important things to pay attention to?


Dr. Liang Jiade Reply:
Hello, the transmission of hepatitis B can be categorized into vertical transmission and acquired transmission (mostly through blood). Since you have had hepatitis B since childhood, it is very likely that it was transmitted vertically from your mother. It is recommended to (1) r...

[Read More] What to Do If You Have Chronic Hepatitis B: A Guide


Understanding Hepatitis B: Risks, Transmission, and Prevention for Your Family

Please feel free to ask your question? Dr. Liang: May I ask... I am a carrier of hepatitis B... If I engage in sexual activity, will my partner be infected by me? Also, will my child be born with hepatitis B? What methods are available to prevent my child from having hepatitis B?


Dr. Liang Jiade Reply:
Hello, hepatitis B carriers can potentially transmit the virus through sexual intercourse, although the rate is very low. If the partner has antibodies against hepatitis B, transmission will not occur. Before having a child, it is essential to further check for the presence of th...

[Read More] Understanding Hepatitis B: Risks, Transmission, and Prevention for Your Family


Managing Liver Health: Alternatives to Hepatoprotective Medications

Liver An-Neng Hello, doctor! Last October, my liver enzyme levels were GOT 139 and GPT 293, and I visited the hospital (I am a carrier of Hepatitis B). The doctor recommended taking Liv52, and I have been taking it since then. However, Liv52 is not covered by health insurance, an...


Dr. Liang Jiade Reply:
Hello, (1) Is Hepatitis B medication covered by health insurance? Currently, under specific conditions, health insurance does provide coverage. There are other medications for Hepatitis B, but they are only used in special circumstances, and health insurance has not yet provided ...

[Read More] Managing Liver Health: Alternatives to Hepatoprotective Medications


Understanding Hepatitis B: Transmission Risks and Symptoms Explained

What should be noted about hepatitis B and its symptoms? Hello, Dr. Chen! 1. Is it certain that Hepatitis B will be transmitted vertically? (For example, if the mother is a carrier, she needs to be checked every six months.) 2. If the husband has Hepatitis B, can he transmit it...


Dr. Chen Jianhong Reply:
Hello, Miss Wang! 1. It is not guaranteed that a mother with hepatitis B will transmit the virus to her offspring 100% of the time. 2. Sexual activity is one of the transmission routes for hepatitis B; therefore, it is best for partners to have surface antibodies against hepatiti...

[Read More] Understanding Hepatitis B: Transmission Risks and Symptoms Explained


Understanding Chronic Liver Cancer: Symptoms, Severity, and Treatment Options

Chronic liver cancer Chronic liver cancer, also known as hepatocellular carcinoma (HCC), is a type of cancer that originates in the liver, often developing in individuals with chronic liver diseases such as hepatitis B or C infection, cirrhosis, or fatty liver disease. Symptoms...


Dr. Liang Jiade Reply:
Liver cancer is inherently a chronic disease. Typically, there are no symptoms in the early stages. In the advanced stages, symptoms such as jaundice, liver failure, and ascites may occur. The treatment for liver cancer must be determined based on factors such as tumor size, numb...

[Read More] Understanding Chronic Liver Cancer: Symptoms, Severity, and Treatment Options


Managing Elevated Liver Enzymes: Herbal vs. Western Medicine for Hepatitis B

Liver function tests (LFTs) Hello, doctor. I have hepatitis B, and my liver function tests show elevated levels: GOT 147.1 and GPT 351.7. What medication should I take? Traditional Chinese medicine or Western medicine? Also, what should I pay attention to? Thank you.


Dr. Liang Jiade Reply:
First, check if the liver dysfunction is caused by hepatitis B before deciding on the treatment. During liver dysfunction, it is important to rest as much as possible and avoid staying up late or consuming foods and medications that may affect the liver.

[Read More] Managing Elevated Liver Enzymes: Herbal vs. Western Medicine for Hepatitis B


Understanding Fatty Liver: High Enzyme Levels and Long-Term Risks

Fatty liver disease Hello Dr. Su, I recently had blood tests and my GOT and GPT levels were very high, close to 100 and 400 respectively. An ultrasound revealed that I have fatty liver, and I do not have hepatitis B or C. The doctor has prescribed medication. Can fatty liver ca...


Dr. Su Baojia Reply:
The index for fatty liver is not that high. Cirrhosis or liver cancer typically develops after a prolonged period of poor liver function. Therefore, it is advisable for you to regularly consult a gastroenterologist for check-ups and treatment.

[Read More] Understanding Fatty Liver: High Enzyme Levels and Long-Term Risks


Understanding the Difference Between Hepatitis B Surface Antigen and Antibody

The difference between Hepatitis B surface antigen (HBsAg) and Hepatitis B surface antibody (anti-HBs) is as follows: HBsAg is a protein on the surface of the Hepatitis B virus, indicating an active infection. The presence of HBsAg in I previously went for a check-up for hepati...


Dr. Liang Jiade Reply:
Hello, a positive Hepatitis B surface antigen indicates an infection with Hepatitis B virus. It is recommended to regularly monitor liver function and undergo ultrasound examinations. Hepatitis B surface antibodies refer to the body's immunity against the Hepatitis B virus. ...

[Read More] Understanding the Difference Between Hepatitis B Surface Antigen and Antibody


Understanding Hepatitis B Markers: HBsAg and Anti-HBs Explained

Hepatitis B index Hello, Doctor: I would like to ask about two items in my previous health examination report: the standard value for HBsAg (Hepatitis B surface antigen) is (-) while the test result is (+ + +), and the standard value for Anti-HBs (Hepatitis B surface antibody) is...


Dr. Liang Jiade Reply:
Hello, typically for hepatitis B serological tests, there is no need to pay attention to the differences in values, as each laboratory or hospital has different testing methods and reference ranges. Your test results indicate that you are a carrier of hepatitis B. AST is also kno...

[Read More] Understanding Hepatitis B Markers: HBsAg and Anti-HBs Explained


Understanding Hepatitis B: Isolation, Prevention, and Newborn Care

Hepatitis B 1. Do patients with hepatitis B need to be isolated during hospitalization? 2. What measures can be taken to prevent transmission to others? 3. Are there specific isolation methods for newborns? Thank you.


Dr. Liang Jiade Reply:
Hello, hepatitis B does not require isolation at home, in the hospital, or in terms of diet, as it is transmitted through contact with blood or bodily fluids. Therefore, if there are any wounds, it is essential to avoid contact with the blood of a hepatitis B patient. Additionall...

[Read More] Understanding Hepatitis B: Isolation, Prevention, and Newborn Care


Understanding Hepatitis B: Risks, Treatments, and Myths Explained

Hepatitis I am 29 years old and recently discovered that I am a carrier of hepatitis B, with a positive HBeAg. My liver function tests are normal; total bilirubin is 1.3 mg/dL, direct bilirubin is 0.3 mg/dL, and an ultrasound showed a rough texture of the liver. The lab technicia...


Dr. Liang Jiade Reply:
Hello, it is recommended to regularly monitor liver function and undergo ultrasound examinations. Your liver function is currently normal. Although HBeAg is positive, antiviral medication treatment is not advised. To date, there is no research or literature in traditional Chinese...

[Read More] Understanding Hepatitis B: Risks, Treatments, and Myths Explained


Understanding Liver Biopsy Risks and Emotional Support for Families

Liver and stomach Dear Dr. Yang, My child recently attended a class reunion dinner and felt unwell the next day, prompting an immediate visit to the emergency room. Initially, we thought it was just food poisoning, but the doctor informed us that the examination revealed stomach...


Dr. Yang Peizhen Reply:
Hello! There are many causes of gastrointestinal discomfort, and hepatitis is one of them. Your son's blood test results show a liver inflammation index (GPT) of 323. If this data is accurate, it indicates a moderate level of liver inflammation. There are many causes of hepa...

[Read More] Understanding Liver Biopsy Risks and Emotional Support for Families


Understanding Liver, Gallbladder, and Gastrointestinal Health Issues

Hepatobiliary and gastrointestinal system issues? Hello Doctor: My father recently underwent a health check-up, and the results are as follows: Carcinoembryonic Antigen (CEA): 6.62 mg/ml (<6.0) Total Bilirubin: 1.1 mg/dl (0.1-1.2) Direct Bilirubin: 0.3 mg/dl (0.0-0.2) Total Pr...


Dr. Zhang Yuting Reply:
May I ask where your father had his health check-up and why he did not explain it clearly to you? Your father is a carrier of hepatitis B and needs regular follow-up treatment in the gastroenterology department. The elevated CEA levels are associated with smoking or adenocarcinom...

[Read More] Understanding Liver, Gallbladder, and Gastrointestinal Health Issues


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