Understanding Ascites After Kidney Transplant: Causes and Solutions
Could you please provide a more detailed response? Hello Dr. Yuan, I would like to ask a question. My mother underwent a kidney transplant last year, but her health has been deteriorating this year. She previously had severe jaundice, which the doctor said was related to her me...
Dr. Yuan Hongdao Reply:
Hello, the most common cause of ascites is cirrhosis of the liver. If jaundice is also present, it indicates that liver function is significantly impaired. Clinically, medications are initially used for management, and if they are ineffective, a needle may be used to drain the as...[Read More] Understanding Ascites After Kidney Transplant: Causes and Solutions
Understanding Ascites and Jaundice in Elderly Patients: A Case Study
Ascites with jaundice Please help my mother. She is seventy-five years old and has been diagnosed with a subarachnoid hemorrhage due to an aneurysm. She underwent surgery at Taipei Veterans General Hospital, being admitted on February 23 and having the operation on March 1. She h...
Dr. Xu Jinchuan Reply:
Hello! Based on the information in the letter, your mother's condition still requires close monitoring. The current presence of jaundice and ascites raises the question of whether these issues have been determined to be due to other factors or related to hepatitis C. If it i...[Read More] Understanding Ascites and Jaundice in Elderly Patients: A Case Study
Understanding Complications After Kidney Transplant: A Guide for Patients
Could you please provide a more detailed response? Hello Dr. Fang, I would like to ask you a question. My mother is 42 years old (she has hepatitis B). In February 2004, she fainted and was diagnosed with chronic kidney failure at Chang Gung Memorial Hospital in Taipei. Last Jul...
Dr. Chen Zhiping Reply:
Hello, jaundice, thrombocytopenia, and edema are symptoms that may raise concerns about the possibility of cirrhosis. Therefore, it would be advisable for your mother's physician to consult a hepatologist for an evaluation to determine if there is chronic hepatitis, signific...[Read More] Understanding Complications After Kidney Transplant: A Guide for Patients
Understanding Your Father's Diagnosis: Questions for Better Communication with Doctors
Please consult Dr. Hsu? My father was hospitalized last Friday, and the doctor informed us about the results of the urinalysis, blood tests, and ultrasound. My father's condition is classified as "infiltrative," with the presence of ascites and jaundice. It seems t...
Dr. Xu Jinchuan Reply:
Hello! Due to the lack of your father's medical history for reference, we are unable to assess his condition online. However, if you would like to seek a second opinion, you can request a summary of your father's medical records from the original physician. This summary...[Read More] Understanding Your Father's Diagnosis: Questions for Better Communication with Doctors
Should You Take Tenofovir for HBsAg Positive, e Negative Mutant Hepatitis B?
Should I take Tenofovir if I am HBsAg positive and have an e-negative mutant type? Hello! I am a long-term carrier of hepatitis B. Over the past year, my liver enzyme levels have been elevated, with GOT ranging from 40 to 80 and GPT from 80 to 180. I have been undergoing regular ...
Dr. Chen Zhiping Reply:
Reply: Hello, 1. For hepatitis B carriers with elevated liver enzymes, it is important to first investigate the underlying causes of liver function elevation. Hepatitis B virus, alcohol abuse, fatty liver, and medications can all contribute to increased enzyme levels. 2. The ...[Read More] Should You Take Tenofovir for HBsAg Positive, e Negative Mutant Hepatitis B?
Understanding Liver Function Tests: Interpreting GOT, GPT, and Bilirubin Levels
I'm not sure what it means? Hello: My liver enzyme levels were originally very high, but for some reason, in my most recent blood test, the values decreased. My GOT was 48, and I forgot the GPT value. This time, only one tube of blood was drawn, whereas in the past, three tu...
Dr. Chen Zhiping Reply:
Hello, may I ask if you are a hepatitis B patient or have any other type of hepatitis? Generally speaking, in cases of chronic hepatitis, liver enzyme levels (GOT and GPT) can fluctuate; they may be high at times and low at others, and they will not remain constant. Typically, fo...[Read More] Understanding Liver Function Tests: Interpreting GOT, GPT, and Bilirubin Levels
Understanding Drug-Induced Hepatitis: Treatment Options and Risks
My father developed fulminant hepatitis after taking anti-tuberculosis medication! Hello Dr. Hsu, my father does not have hepatitis B, but the doctor is now recommending treatment with Zeffix (at his own expense) because his ALT was previously over 1000. Is it necessary for him t...
Dr. Xu Jinchuan Reply:
Hello! 1. Your first question is unclear. If there is no hepatitis B, why is there a need to take Gan An Neng? Is there some information missing? 2. Plasma exchange therapy is only a temporary measure to replace the liver's function of clearing bilirubin and other harmful su...[Read More] Understanding Drug-Induced Hepatitis: Treatment Options and Risks
Understanding Acute Hepatitis: A Guide for Families Facing Liver Challenges
Please provide information about fulminant hepatitis? My father is currently 60 years old and has autoimmune disease and is a carrier of hepatitis B. Two years ago, he experienced polymyositis due to autoimmune issues and has been on long-term steroid treatment (three pills). He ...
Dr. Chen Zhiping Reply:
Hello, currently your father's condition seems to be characterized by ongoing liver function failure, with persistent jaundice and abnormal coagulation function, showing no significant improvement. The current treatments (such as diuretics, plasma transfusions, and ammonia r...[Read More] Understanding Acute Hepatitis: A Guide for Families Facing Liver Challenges
Managing Hepatitis Induced by Anti-Tuberculosis Medications: A Guide
My father developed fulminant hepatitis after taking anti-tuberculosis medication! Hello, Dr. Hsu! My father was hospitalized due to lymphatic tuberculosis and has been taking anti-tuberculosis medications for over a month, specifically P.Z.A, RIFAMPIN, and EMB, which have led to...
Dr. Xu Jinchuan Reply:
Hello! Your father is currently hospitalized for observation and treatment. We can only closely monitor his liver for any chance of self-repair. As for the anti-tuberculosis medication, it should be temporarily withheld to prevent further damage to liver function. For now, we wil...[Read More] Managing Hepatitis Induced by Anti-Tuberculosis Medications: A Guide
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 Yellowing Eyes: Is It a Sign of Liver Issues?
Liver concerns? Hello doctor, I have noticed that the sclera of my eyes has turned yellow. Could this indicate a liver problem? I enjoy exercising, but I often stay up late due to work commitments. How can I protect my liver?
Dr. Chen Zhiping Reply:
Hello, the yellowing of the sclera may be caused by jaundice due to liver disease, biliary tract disease, or pancreatic disease. However, the skin is likely to be yellow as well, and urine may appear darker, resembling tea-colored urine. To confirm the diagnosis, please visit a h...[Read More] Understanding Yellowing Eyes: Is It a Sign of Liver Issues?
Understanding White Stool in Children: Causes and When to Seek Help
Bowel issues Hello Doctor: My daughter is 5 years old and has had a long-term issue with constipation. This morning, she experienced abdominal pain and had a bowel movement that was white in color, along with some diarrhea. She hasn't taken any medications recently. Is the w...
Dr. Su Baojia Reply:
White stools are generally indicative of obstructive jaundice and are not related to food intake. It is advisable to consult a hepatobiliary specialist for a thorough examination.[Read More] Understanding White Stool in Children: Causes and When to Seek Help
Understanding Liver Function Tests and Military Exemption Criteria in Taiwan
Hello, doctor. I would like to ask you about liver function issues. Thank you? Hello Doctor: I previously downloaded the regulations regarding exemption from military service from the Ministry of the Interior, but I have some questions about the regulations that I need clarificat...
Dr. Chen Zhiping Reply:
Hello, it is not possible to determine the potential histopathological changes in liver biopsy based on biochemical indices, so I cannot answer your question. I apologize for the inconvenience. Best wishes for your health. Sincerely, Dr. Chen Zhiping, Department of Internal Medic...[Read More] Understanding Liver Function Tests and Military Exemption Criteria in Taiwan
Understanding Abdominal Pain: Causes and Concerns in Gastroenterology
Abdominal pain Last year, I underwent an endoscopy which revealed mild gastritis. After taking medication, I didn't pay much attention to it. In March of this year, I developed acute gastritis and took medication, which seemed to help, so I didn't follow up. Since June,...
Dr. Chen Zhiping Reply:
Hello, it seems that your symptoms are less indicative of hepatitis and more related to gastrointestinal issues. Typically, hepatitis does not present with pain, but may include symptoms such as fatigue, malaise, nausea, and loss of appetite. In more severe cases, jaundice (yello...[Read More] Understanding Abdominal Pain: Causes and Concerns in Gastroenterology
Can I Get Hepatitis C from Contact with Infected Blood?
Will this lead to a hepatitis C infection? Hello Dr. Chen, I would like to ask you about hepatitis C. Two weeks ago, my mother-in-law was hospitalized, and during an injection, there was a mishap with blood leakage, causing my entire middle finger to be immersed in her blood, in...
Dr. Chen Zhiping Reply:
Hello, if you have a wound on your hand, there is a risk of infection. The incubation period is approximately 1.5 to 4.5 months. When the disease manifests, it may be very mild with no symptoms, or it could be more severe with symptoms such as nausea and malaise, or even a more s...[Read More] Can I Get Hepatitis C from Contact with Infected Blood?
Understanding Acute Hepatitis and Its Complications: Rhabdomyolysis Risks
Acute hepatitis complicated by rhabdomyolysis? Hello, my brother's liver enzymes have skyrocketed to over 10,000. The doctor diagnosed him with acute hepatitis and renal failure. His levels have decreased, but he has now developed rhabdomyolysis and has already undergone dia...
Dr. Chen Zhiping Reply:
Hello, could you please explain the causes of fulminant hepatitis and rhabdomyolysis leading to renal failure? How is liver function? Are symptoms such as jaundice, ascites, and hepatic encephalopathy improving? What is the urine output and renal function index? The risk is signi...[Read More] Understanding Acute Hepatitis and Its Complications: Rhabdomyolysis Risks
Understanding Unexplained Yellowing of the Face: Causes and Solutions
The sclera is not yellow, but the face appears very yellow? Hello, doctor. I have been noticing that since the first year of high school, my complexion has been yellower than that of others. I consulted a traditional Chinese medicine doctor who said there was no jaundice (the whi...
Dr. Su Baojia Reply:
If your complexion appears more yellow, you should undergo liver function tests to check if your bilirubin levels are elevated. It is advisable to consult a hepatologist to investigate the underlying cause.[Read More] Understanding Unexplained Yellowing of the Face: Causes and Solutions
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
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?
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