Understanding Mild Liver Fibrosis: Key Considerations for Patients
Mild hepatic parenchymal fibrosis The health check shows mild hepatic parenchymal fibrosis, but liver function is normal, and there is no hepatitis B or C. What should the physician pay attention to?
Dr. Cai Anshun Reply:
Hello: If you do not have hepatitis B or C, and you do not have a habit of excessive drinking, misuse of medications, or other unhealthy lifestyle habits, there is no need to worry too much; this is a normal change that comes with aging. Changhua Hospital cares about your health....[Read More] Understanding Mild Liver Fibrosis: Key Considerations for Patients
Understanding Your Hepatitis B Test Results: What Do They Mean?
Hepatitis B testing-related questions? Hello Doctor: I recently went to the hospital for a blood test, specifically for hepatitis B and C screening. The test results show HBSAG, with a hepatitis B surface antigen level of 15.53 S/CO. Does this mean I am definitely positive for he...
Dr. Chen Shidian Reply:
It is positive, but the concentration is low, indicating a lower risk of long-term deterioration. However, an ultrasound examination is still necessary to check for any abnormalities.[Read More] Understanding Your Hepatitis B Test Results: What Do They Mean?
Understanding Elevated AST and ALT Levels in Hepatitis B Patients
The reference value for enS-GOT (AST) is 0-32, and the test result value is 38? Hello: I am a carrier of hepatitis B. My blood test report shows that the enS-GOT (AST) reference value is (0-32) and my result is 38. The AST/SGOT liver enzyme reference value is (10-42) and my resul...
Dr. Chen Shidian Reply:
There is an abnormal increase; please cooperate with the gastroenterologist for ongoing monitoring of changes, and avoid obesity/fatty liver as well as herbal medicine/alcohol.[Read More] Understanding Elevated AST and ALT Levels in Hepatitis B Patients
Vaccination Guidelines for Hepatitis B Patients Before Pregnancy
Can patients with hepatitis B receive three different vaccines simultaneously? Hello, doctor. A patient with hepatitis B wants to get vaccinated before pregnancy. They have already received the first dose of the measles, mumps, and rubella (MMR) vaccine on August 25, as well as t...
Dr. Chen Shidian Reply:
In general, there should be at least a two-week interval between each type of vaccine. It is advisable to first test for hepatitis A antibodies; if positive, it indicates lifelong protection. If planning for pregnancy after vaccination, it is recommended to consult with an obstet...[Read More] Vaccination Guidelines for Hepatitis B Patients Before Pregnancy
Understanding Fatty Liver: Risks of Fibrosis with Normal Liver Enzymes
Fatty liver disease issues? Hello doctor, I would like to ask if, in cases of moderate to severe fatty liver disease, where blood tests show normal liver enzymes and there is no evidence of hepatitis B, will the liver continue to undergo fibrosis? Or is there a possibility, but i...
Dr. Chen Shidian Reply:
There is still a chance, but the risk of developing diabetes is high in 10 years. Please focus on losing weight.[Read More] Understanding Fatty Liver: Risks of Fibrosis with Normal Liver Enzymes
Understanding HBsAg Positive and Anti-HBc Negative: Am I a Chronic Hepatitis B Carrier?
Based on your results, you are a carrier of Hepatitis B (HBsAg: positive, anti-HBc: negative)? Hello Doctor: I am currently very troubled by this matter. I can hardly find information online about a positive HBsAg result with a negative anti-HBc (core antibody) indicating a carri...
Dr. Chen Shidian Reply:
It is recommended to retest in 2 to 3 months for comparison.[Read More] Understanding HBsAg Positive and Anti-HBc Negative: Am I a Chronic Hepatitis B Carrier?
Risk of Hepatitis B/C Infection from Needle Stings at the Beach
Risk of Hepatitis B and C Infection Hello doctor, a few nights ago I stepped on something sharp at the beach. I would like to ask if there is a risk of hepatitis infection if it was a needle. The wound is very small. Thank you.
Dr. Chen Shidian Reply:
The risk is almost zero, but be very careful with the wound.[Read More] Risk of Hepatitis B/C Infection from Needle Stings at the Beach
Concerns About Hepatitis B Transmission in Public Spaces
Inquiry about Hepatitis B transmission? Hello, I would like to ask you a few questions. 1. Yesterday, when I was at a government office, I was unsure if the eczema wound on my foot was bleeding or oozing bodily fluids, and I was uncertain if my pants had come into contact with ...
Dr. Chen Shidian Reply:
Generally, it is not contagious to others, so please rest assured.[Read More] Concerns About Hepatitis B Transmission in Public Spaces
Understanding Hepatitis B Transmission and Cleaning Guidelines
Cleanliness and Transmission Issues of Hepatitis B Hello, doctor. I would like to ask you a few questions that have been bothering me: 1. Should clothing stained with the blood of a hepatitis B carrier be washed separately from other people's clothes? 2. Do regular laundry...
Dr. Chen Shidian Reply:
No need to wash. Fresh blood should not come into contact with the wounds of others.[Read More] Understanding Hepatitis B Transmission and Cleaning Guidelines
Understanding Hepatitis B Transmission and Cleaning Guidelines
Hepatitis B cleaning and transmission issues? Hello, doctor. I would like to ask you a few questions that have been bothering me: 1. Should clothing stained with the blood of a hepatitis B carrier be washed separately from other people's clothes? 2. Do regular laundry deter...
Dr. Chen Shidian Reply:
No need to wash. Fresh blood should not come into contact with others' wounds.[Read More] Understanding Hepatitis B Transmission and Cleaning Guidelines
Understanding Hepatitis B Surface Antigen and Antibody Test Results
Hepatitis B surface antigen, surface antibody, core antibody? Hello, doctor. I would like to ask about my health examination results. On December 6, 2021, my test report showed a negative Hepatitis B surface antigen (value 0.37), a positive Hepatitis B surface antibody (value 100...
Dr. Cai Anshun Reply:
Hello: 1. A positive Hepatitis B surface antigen (HBsAg) indicates the presence of the Hepatitis B virus. 2. A positive Hepatitis B surface antibody (anti-HBs) indicates immunity against the Hepatitis B virus. 3. A negative Hepatitis B core antibody (anti-HBc) indicates that ther...[Read More] Understanding Hepatitis B Surface Antigen and Antibody Test Results
Addressing Hepatitis B Transmission Concerns in Shared Spaces
Hepatitis B Transmission Issues (Continued) Hello, I am the anonymous person (ID <a href="https://adoctor.tw/article/182779">#182779</a>) who consulted you on June 10, 2022, at the e-hospital in Taiwan. Thank you for your response. Based on your reply, it se...
Dr. Cai Anshun Reply:
Hello: It should not be that easy to get infected, as the risk of transmission decreases significantly once the blood dries. Additionally, it would require that the person touching it has an open wound. Typically, a person with an unbandaged wound on their hand would not use that...[Read More] Addressing Hepatitis B Transmission Concerns in Shared Spaces
Can Hepatitis B Be Transmitted Through Insect Bite Wounds?
Hepatitis B transmission issues? Hello, I am a carrier of hepatitis B. Sometimes when I am outside, I have some insect bite wounds on my hands. I would like to know if these bite wounds (which may or may not be bleeding or oozing bodily fluids) could potentially transmit hepatiti...
Dr. Cai Anshun Reply:
Hello: Most hepatitis B virus infections are transmitted through blood or sexual contact. Blood transfusions, injections, ear piercings, tattoos, eyebrow tattoos, and sharing everyday items such as toothbrushes, towels, nail clippers, and razors can all pose a risk of infection. ...[Read More] Can Hepatitis B Be Transmitted Through Insect Bite Wounds?
Is an HBsAg Level of 8382 Serious? Understanding Hepatitis B Risks
An abnormal hepatitis B test result with a value of 8000 is considered serious? Hello Doctor: I recently had a health check-up, and my HBsAg (EIA) for hepatitis B surface antigen came back at 8382 (+). Does this mean I need medication? I am unsure if I am a carrier. What does thi...
Dr. Chen Shidian Reply:
They are carriers. Medication should be considered along with viral load, liver function, and ultrasound results, and can be discussed with a gastroenterologist.[Read More] Is an HBsAg Level of 8382 Serious? Understanding Hepatitis B Risks
Understanding Positive Hepatitis B Test Results: Next Steps for Treatment
Positive for Hepatitis B? Hello Doctor: Today I received my health check report and saw that my Hepatitis B surface antigen (HBsAg) is positive. I reviewed my health check reports from previous years, and they all showed negative results. The report from September 9, 2011, was ne...
Dr. Lin Minghui Reply:
Hello, regarding Hepatitis B, a previously negative HBsAg can now be positive, indicating a possible Hepatitis B infection. Blood tests can be performed in an outpatient setting to confirm and assess liver inflammation. Most adults infected with Hepatitis B (about 80%) will impro...[Read More] Understanding Positive Hepatitis B Test Results: Next Steps for Treatment
Understanding Your Hepatitis Test Results: A Guide to Negative Findings
Medical Examination Report Test Name: Hepatitis B Surface Antibody Test (Anti HBs, EIA) Test Result: <3.1 Negative Test Name: Hepatitis B Surface Antigen Test Test Result: <0.10 Negative Test Name: Hepatitis C Virus Antibody Test Test Result: 0.06 Negative Pl...
Dr. Chen Shidian Reply:
No hepatitis B, no hepatitis C, and no protective antibodies against hepatitis B.[Read More] Understanding Your Hepatitis Test Results: A Guide to Negative Findings
Effects of Antacids on Liver Health in Hepatitis B Patients
I would like to inquire about the effects of gastric medications and acetaminophen on the liver? Hello, doctor: I am a patient with hepatitis B. Due to severe bloating, I went to the hospital for an examination and found that I have acute hepatitis, which resulted in my GPT level...
Dr. Chen Shidian Reply:
It can be continued. Additionally, acute hepatitis can cause indigestion, nausea, and vomiting, so a light diet with small, frequent meals is necessary. Prompt medication treatment for hepatitis should be initiated, and if jaundice is significant, hospitalization is required.[Read More] Effects of Antacids on Liver Health in Hepatitis B Patients
Understanding Hepatitis B Transmission and Cleaning Guidelines
Cleanliness and Transmission Issues of Hepatitis B Hello, doctor. I would like to ask you a few questions that have been bothering me: 1. Should clothing stained with the blood of a hepatitis B carrier be washed separately from other people's clothes? 2. Do regular laundr...
Dr. Chen Shidian Reply:
Individuals who have not received the hepatitis B vaccine should avoid allowing their wounds to come into contact with the fresh blood of a hepatitis B patient, as this could pose a risk. It is advisable for those who have not been vaccinated to get vaccinated as soon as possible...[Read More] Understanding Hepatitis B Transmission and Cleaning Guidelines
Do You Need a Booster for Hepatitis B Vaccine After Positive Antibody Test?
Hepatitis B vaccine booster? Hello doctor, I received a dose of the hepatitis B vaccine in the second half of 2018. Two years later, in September 2020, my health check report indicated that my "Hepatitis B surface antibody (quantitative) HBsAb" was positive (411.1), and...
Dr. Chen Shidian Reply:
No need for a booster shot, as antibodies are already present.[Read More] Do You Need a Booster for Hepatitis B Vaccine After Positive Antibody Test?
Understanding Tumor Diagnosis: Navigating Liver Health Concerns
Informed of having a tumor? Hello Doctor, I discovered a 1.6 cm hypoechoic lesion in my liver during a health check on November 29 (no hepatitis B, but no antibodies; hepatitis C is negative, and blood tests are normal). I scheduled an appointment on March 8 and had an abdominal ...
Dr. Chen Shidian Reply:
Appointment rescheduling/early follow-up visit.[Read More] Understanding Tumor Diagnosis: Navigating Liver Health Concerns