Understanding Liver Cancer Diagnosis: Key Insights and Follow-Up Care
Diagnosis of Liver Cancer Hello Doctor: I have been a carrier of hepatitis B since childhood. During a health check-up, it was found that my liver GOT and GPT levels were elevated. I went to a gastroenterology clinic for blood tests and discovered that my AFP level was 166, which...
Dr. Chen Shidian Reply:
It is recommended to discuss the follow-up plan with the attending physician based on the current examination data.[Read More] Understanding Liver Cancer Diagnosis: Key Insights and Follow-Up Care
Understanding Anti-HBs Positive Results in Chronic Hepatitis B Carriers
A hepatitis B carrier recently tested positive for anti-HBs? Hello, doctor. I am a carrier of hepatitis B. Recently, my blood test results were as follows: HBsAg Equivocal (1.07), ANTI-HBs Positive (10.44 mIU/mL), reference value <10.0, ANTI-HBc Positive (10.79). The outpatien...
Dr. Chen Shidian Reply:
1. Generally, there is no need for regular follow-up for non-carriers. 2. If you were previously a carrier of hepatitis B but have cleared the infection, follow-up every 1 to 2 years may be considered (there is no consensus in the medical community on this practice). 3. Your cond...[Read More] Understanding Anti-HBs Positive Results in Chronic Hepatitis B Carriers
Understanding Liver Cirrhosis and Biliary Issues: Treatment Options
Cirrhosis and bile issues? Hello, Director: I have been undergoing blood tests for monitoring at the Hepatobiliary and Gastroenterology Department of a hospital in Zhongli for a long time. A few years ago, my GGT level was found to be over 300, and the doctor has been prescribing...
Dr. Lin Minghui Reply:
Hello, a 54-year-old male has a medical history indicating that he has liver cirrhosis, which is attributed to chronic hepatitis. The causes of cirrhosis can include viral hepatitis such as hepatitis B and C, alcoholic liver disease, autoimmune conditions, cardiac issues, biliary...[Read More] Understanding Liver Cirrhosis and Biliary Issues: Treatment Options
Understanding Elevated Urobilinogen Levels: Causes and Next Steps
Urobilinogen Hello, I had a regular follow-up for hepatitis B at the end of last year, and my blood tests were all normal. Before the Lunar New Year, I had a health check-up, and now the report indicates that my urobilinogen level is abnormal, with a value of 2+. However, all blo...
Dr. Chen Shidian Reply:
No further examination is necessary. Urobilinogen is for reference only.[Read More] Understanding Elevated Urobilinogen Levels: Causes and Next Steps
Understanding Hepatitis B: Key Insights for Family Health Management
Regarding Hepatitis B? Hello Doctor: Recently, my mother (70 years old) underwent a health check-up, and the ultrasound revealed signs of liver degeneration. She has also had a clinic health examination and an upper gastrointestinal endoscopy, which showed the presence of Helicob...
Dr. Lin Minghui Reply:
Hello: HBsAg (+) *243.300 indicates a carrier of Hepatitis B, who requires regular monitoring every six months, including blood tests and abdominal ultrasounds. Hepatitis B is a high-risk factor for liver cirrhosis and liver cancer. If taking dietary supplements and traditional C...[Read More] Understanding Hepatitis B: Key Insights for Family Health Management
Risk of Hepatitis B and C Infection from Haircut: What You Need to Know
Questions regarding infections from bloodborne viruses such as Hepatitis B and C? Hello, I would like to consult about something. Today, I went to get a haircut and was shaved with a folding razor on the back of my neck and around my sideburns. When I got home and washed my hair,...
Dr. Chen Shidian Reply:
The chances are slim but not nonexistent; if concerned, testing can be done in 1 to 3 months.[Read More] Risk of Hepatitis B and C Infection from Haircut: What You Need to Know
Understanding Hepatitis B Transmission Risks for Mothers and Infants
The issue of blood transmission of Hepatitis B? Hello, doctor. I am a mother who is a carrier of hepatitis B. I would like to ask you, how long does the hepatitis B virus remain infectious when exposed to air? If my baby (who has completed the three doses of the hepatitis B vacci...
Dr. Chen Shidian Reply:
After receiving three doses of the hepatitis B vaccine, you do not need to worry about being infected with hepatitis B. Hepatitis B is not transmitted through oral routes.[Read More] Understanding Hepatitis B Transmission Risks for Mothers and Infants
Understanding the Risk of Hepatitis B Infection After Unprotected Sex
Possibility of Hepatitis B infection I was born in 1987 (I checked online and found that everyone born after 1987 has been vaccinated, but it has been several years). Recently, I had unprotected sexual intercourse with someone who said they are a carrier of hepatitis B. I didn&#x...
Dr. Chen Shidian Reply:
If you have been vaccinated, the chance of infection is low. You can visit a clinic to check if you have hepatitis B antibodies.[Read More] Understanding the Risk of Hepatitis B Infection After Unprotected Sex
Understanding Hepatitis B Test Results: What Do They Mean for You?
Hepatitis testing I would like to ask a question. Since my father has liver cancer, I specifically tested for hepatitis B and received a report indicating HBsAg Positive (410.33). Does this mean I have hepatitis B? Is this value considered high? Additionally, Anti-HCV Negative (&...
Dr. Chen Shidian Reply:
You have hepatitis B, but not hepatitis C. Please visit the gastroenterology outpatient clinic for evaluation.[Read More] Understanding Hepatitis B Test Results: What Do They Mean for You?
Could BNT COVID Vaccine Cause Abnormal ALT Levels in Patients?
Does receiving the BNT COVID-19 vaccine cause abnormal ALT liver enzyme levels? Hello Doctor: I have been diagnosed with autoimmune conditions including Sjögren's syndrome, autoimmune thyroiditis, and vitiligo, and I have been taking the medication Sulfasalazine. Since last ...
Dr. Yang Zhichao Reply:
Hello Miss Yuping: Based on what you mentioned, it should not be related to the vaccine. I believe it is more associated with autoimmune diseases. You may want to discuss this with a rheumatologist.[Read More] Could BNT COVID Vaccine Cause Abnormal ALT Levels in Patients?
Understanding Hepatitis B Transmission Risks in Everyday Situations
Inquiry about Hepatitis B transmission? Hello, I am a carrier of hepatitis B. In daily life, I often encounter situations where I accidentally scrape or bump my hands or fingers. If I only scrape or bump my hand or finger, "there may be scratches, but no bleeding or bodily f...
Dr. Chen Shidian Reply:
Transmission of hepatitis B is unlikely as described. It primarily occurs through direct blood transfusion or sexual contact (especially if the partner lacks antibodies).[Read More] Understanding Hepatitis B Transmission Risks in Everyday Situations
Can Hepatitis B Be Transmitted Through Scratches on Trash Bags?
Inquiry about Hepatitis B transmission? Hello, I would like to ask you: I am a carrier of hepatitis B. Yesterday, I accidentally scraped or rubbed my hand against a bag containing items before throwing it into the trash can. Later, I checked my hand and it seemed there was no ble...
Dr. Chen Shidian Reply:
It is unlikely to cause transmission. Transmission is only possible with direct blood or sexual contact, and only if the other party lacks antibodies.[Read More] Can Hepatitis B Be Transmitted Through Scratches on Trash Bags?
Managing Chronic Hepatitis B: To Treat or Not to Treat?
Hepatitis B medication issues? Hello, doctor. Recently, I was monitored for hepatitis B and tested positive for HBsAg, with a value of 3442.72 S/CO; HBV DNA at 29,680,000 IU/mL; and GPT at 48 IU/L. Currently, I do not have any significant discomfort, but I have seen various repor...
Dr. Chen Shidian Reply:
1. Prioritize treatment. 2. After the treatment course, it is essential to comply with follow-up to check for recurrence; if necessary, timely re-treatment can be administered. 3. Do not oppose lifelong (out-of-pocket) medication for individuals.[Read More] Managing Chronic Hepatitis B: To Treat or Not to Treat?
Understanding Gastrointestinal Issues: Sleep Problems and Liver Health
Hello, doctor? Hello, Doctor! I have been unable to sleep in July and August this year, only falling asleep around 7 AM the next day. I have a long history of insomnia and irregular sleep patterns, but it was particularly severe this past July and August. In September, while taki...
Dr. Chen Shidian Reply:
1. Fecal occult blood testing can be performed. 2. Eliminate poor dietary habits / weight loss. 3. Medications may be necessary to manage digestive symptoms. 4. Psychological evaluation may be needed for insomnia medication.[Read More] Understanding Gastrointestinal Issues: Sleep Problems and Liver Health
Understanding Left Rib Pain: Possible Causes and Next Steps
Recently, I have been experiencing a subtle pain in the left lower rib area for about three weeks? For the past three weeks, there has been a subtle pain in the left lower rib area. Duration: Approximately three weeks Location: Near the lower left rib, not quite on the side C...
Dr. Chen Shidian Reply:
Please see the gastroenterology outpatient clinic.[Read More] Understanding Left Rib Pain: Possible Causes and Next Steps
Concerns About Hepatitis B Transmission After Needle Injury
Hepatitis B transmission issues? Hello doctor, recently my child and I were both injured by a thumbtack on the floor. I was injured first, and my daughter also bled... I'm worried that I might transmit hepatitis B to her. I had a hepatitis B test, and the results are as foll...
Dr. Cai Anshun Reply:
Hello: Don't worry, surface antigen 0.01 (-) indicates that you are not a carrier of hepatitis B; surface antibody 1000 (+) represents your immunity. There is no need for testing in children. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Concerns About Hepatitis B Transmission After Needle Injury
Understanding Hepatitis B Fibrosis: Which Doctor's Advice to Trust?
Hepatic fibrosis due to hepatitis B? Hello Doctor, I am a carrier of Hepatitis B and have been regularly monitored at a gastroenterology clinic in Chiayi. Recently, during an ultrasound examination, the clinic doctor informed me that there appears to be some fibrosis in my liver,...
Dr. Chen Shidian Reply:
Ultrasound is influenced by personal interpretation and machine resolution, raising concerns about the accuracy of biopsy or self-paid liver fibrosis scans (approximately around NT$1,000).[Read More] Understanding Hepatitis B Fibrosis: Which Doctor's Advice to Trust?
Understanding Abnormal Liver Enzymes: Causes and Concerns
Abnormal liver function tests? Hello, doctor. I have always had a high body weight. In July of this year, I had a blood test that revealed abnormal liver enzyme levels (AST 69 / ALT 147 / GGT 155). The doctor suspected that this might be related to the fact that I had chickenpox ...
Dr. Chen Shidian Reply:
Fatty liver disease, drug-induced/alcoholic hepatitis, and even autoimmune hepatitis are possible conditions that require diagnosis and treatment by a hepatologist. Dietary changes, exercise, weight loss, and abstaining from alcohol are initial steps that can be taken independent...[Read More] Understanding Abnormal Liver Enzymes: Causes and Concerns
Assessing Hepatitis B Infection Risk After Blood Glucose Testing
Inquiry about Hepatitis B report? I recently did something foolish. I have a habit of checking my blood sugar, and I forgot to change the needle and ended up testing two children. I'm really worried that I might have transmitted Hepatitis B to them. Two days later, I went to...
Dr. Chen Shidian Reply:
No hepatitis C virus (HCV) infection, and already having hepatitis B antibodies, so you can be reassured for now.[Read More] Assessing Hepatitis B Infection Risk After Blood Glucose Testing
Understanding Hepatitis B Antigen and Antibody Results: What You Need to Know
Hepatitis B antigen and antibody issues? Hello Doctor: In August, I had blood tests for arthritis at the rheumatology department, and the physician also conducted tests for viral hepatitis. The report indicated that my hepatitis B surface antigen antibody level was 1.28, which ex...
Dr. Lin Minghui Reply:
Hello: Regarding the issue of hepatitis B antigen and antibody. If there is hepatitis B surface antigen but no hepatitis B antibodies, the individual is considered a carrier. Liver function tests may be normal, so regular monitoring of liver function, AFP (alpha-fetoprotein), and...[Read More] Understanding Hepatitis B Antigen and Antibody Results: What You Need to Know