Understanding Bile Duct Issues: A Case Study of Gallbladder Surgery
Bile duct The patient, a 28-year-old female, experienced stomach pain in mid-January 2004 and was diagnosed with a gastric ulcer after undergoing an endoscopy and a CT scan at the hospital. The CT scan revealed an enlarged bile duct, and she was referred to another hospital for a...
Dr. Yang Peizhen Reply:
Hello! Based on your description, the diagnosis seems to be choledochal cyst, which is classified into several types (Type I to Type VI). The treatment approach varies depending on the specific type, with surgical intervention being the primary consideration. This is a response f...[Read More] Understanding Bile Duct Issues: A Case Study of Gallbladder Surgery
Understanding Yellow Eyes: Possible Causes and Liver Health Tips
Yellowing of the eyes? Hello, Doctor. I am preparing for graduate school entrance exams this year, so I have been going to bed around midnight or even past 1 AM lately. As a result, I often feel sleepy during the day. My classmate mentioned that my eyes look a bit yellow, and whe...
Dr. Yang Peizhen Reply:
Hello! Although liver disease is a significant health issue in the country, approximately 1 in 5 people are affected by liver disease, with the vast majority having hepatitis B or C. Therefore, if you do not have hepatitis B or C and are not a heavy drinker, your liver should be ...[Read More] Understanding Yellow Eyes: Possible Causes and Liver Health Tips
Understanding Liver Ultrasound Results: Is Surface Hardening a Sign of Cirrhosis?
The ultrasound of the liver shows surface sclerosis? Dear Dr. Liang: Recently, my brother has been experiencing fatigue, nausea upon waking up in the morning, and dizziness. His sclera sometimes appears yellowish. He visited the Veterans General Hospital, where the doctor perform...
Dr. Liang Jiade Reply:
Hello: If there is jaundice (yellowing of the eyes and skin), further investigation is necessary to determine the cause (such as issues with the bile ducts, gallbladder, liver, etc.) in order to treat the underlying condition. Additionally, the diagnosis of cirrhosis must be conf...[Read More] Understanding Liver Ultrasound Results: Is Surface Hardening a Sign of Cirrhosis?
Assessing Disability in Cirrhosis Patients: Key Symptoms and Implications
Cirrhosis... related issues? In patients with cirrhosis, particularly those with hepatitis C progressing to cirrhosis, the presence of abdominal distension, lower extremity edema, and ascites can significantly impact their functional capacity. These symptoms may indicate advanced...
Dr. Yang Peizhen Reply:
Hello: The presence of ascites in cirrhosis typically indicates that there is already a phenomenon of decompensated liver function. To assess the severity of cirrhosis, several factors are considered, in addition to ascites, such as jaundice, low serum albumin levels, hepatic enc...[Read More] Assessing Disability in Cirrhosis Patients: Key Symptoms and Implications
Understanding Yellowing Skin: Possible Causes and Concerns
Pallor or jaundice? Hello Dr. Hsu, My husband is 30 years old and has a normal lifestyle; he does not smoke, drink alcohol, or chew betel nut. However, we recently noticed that his complexion has a yellow tint, and he has no other symptoms of discomfort. I would like to ask you...
Dr. Xu Ruihong Reply:
It is important to monitor for the occurrence of jaundice, especially if the whites of the eyes turn yellow, as this may indicate liver or biliary tract disease. It is advisable to consult a physician for a thorough examination.[Read More] Understanding Yellowing Skin: Possible Causes and Concerns
Seeking Follow-Up Care for Hepatitis B: Recommendations Needed
I need to schedule a follow-up appointment? Hello, I was hospitalized for ten days at San Chong Hospital last March due to acute hepatitis (at that time, blood tests revealed I had hepatitis B, with liver function indices around 3740, and I exhibited symptoms of jaundice. I was t...
Dr. Yang Peizhen Reply:
Hello: The principles for treating hepatitis B with Gan An are as follows: If the e-antigen is positive, continue treatment until the e-antigen turns negative (confirmed by two consecutive tests), and then continue for an additional three months, but not exceeding one year. If af...[Read More] Seeking Follow-Up Care for Hepatitis B: Recommendations Needed
Understanding Jaundice and High Cholesterol in Young Children: Causes and Treatments
Jaundice & Hyperlipidemia Doctor: Hello! I would like to ask you about the causes of jaundice and hyperlipidemia, how to prevent the condition from worsening, and how to treat it. My child is only a little over 2 years old, yet has these conditions, and I am very worried abou...
Dr. Cai Junyan Reply:
Hello Ms. Hsu: There are many causes of jaundice, including acute and chronic hepatitis, bile duct stones, infections, liver and biliary tumors, genetic conditions, congenital diseases, and autoimmune disorders, among others. In a child over 2 years old presenting with this condi...[Read More] Understanding Jaundice and High Cholesterol in Young Children: Causes and Treatments
Understanding Yellow Oily Stool: Causes and Gastrointestinal Concerns
Why do I keep experiencing oily stools? I haven't had a bowel movement in the past few days, but I've been passing deep yellow oily fluid. I'm unsure what issue my gastrointestinal system might be experiencing.
Dr. Yang Peizhen Reply:
Hello: Passing deep yellow oily stools usually indicates a problem with the digestion of fats in the intestines, with the most common cause being enteritis. There are many potential causes of enteritis, including viruses and bacteria, and it is important to consider whether other...[Read More] Understanding Yellow Oily Stool: Causes and Gastrointestinal Concerns
Understanding A.C.D.E Hepatitis: Types, Symptoms, and Treatment
What is A.C.D.E type hepatitis? A.C.D.E hepatitis refers to the different types of viral hepatitis caused by various hepatitis viruses. Here’s a brief overview of each type: - **Hepatitis A (HAV)**: This is a highly contagious virus that primarily spreads through the fecal-oral ...
Dr. Xu Ruihong Reply:
Hepatitis A is transmitted through the feces of infected individuals, primarily via contaminated food or water. The incubation period is approximately three to five weeks. Symptoms are often mild in children, while adolescents and adults may experience more pronounced symptoms su...[Read More] Understanding A.C.D.E Hepatitis: Types, Symptoms, and Treatment
Understanding Liver Cysts: Signs of Liver Disease or Just a Concern?
Liver cysts Are liver cysts a sign of liver disease, or do they indicate the presence of chronic liver disease? What should I be aware of? Thank you.
Dr. Xie Wenhuai Reply:
Liver tumors can be classified into parasitic and non-parasitic types, with non-parasitic tumors being less common and further divided into three categories. The first type is trauma-induced, the second type is tumor-related, which can be further classified into benign and malign...[Read More] Understanding Liver Cysts: Signs of Liver Disease or Just a Concern?
Assessing Medical Oversight: A Case Study of Jaundice Diagnosis in Hepatitis B
請提供您想詢問的內容，我將協助您進行翻譯。 I would like to ask how other physicians would diagnose a patient during their first visit on October 12. Does this constitute medical negligence? The patient, Xu Zhanwei, a 23-year-old male senior student, was confirmed to be a carrier of hepatitis B two ye...
Dr. Yang Peizhen Reply:
Hello! First, I must clarify that I am not a member of the Medical Evaluation Committee and do not have the authority to determine whether a physician has committed medical malpractice. Furthermore, I was not present during the consultation between the doctor and the patient, so ...[Read More] Assessing Medical Oversight: A Case Study of Jaundice Diagnosis in Hepatitis B
Why Does Jaundice Increase During Photon Knife Treatment for Liver Cancer?
Why does jaundice increase during photon knife treatment for liver cancer? Why does jaundice increase during photon knife treatment for liver cancer?
Dr. Yang Guojun Reply:
The photon knife and embolization can both treat liver cancer, but they can also cause damage to the normal liver tissue, which may worsen pre-existing liver cirrhosis and liver function. Jaundice, usually after excluding obstructive conditions, may indicate deterioration of live...[Read More] Why Does Jaundice Increase During Photon Knife Treatment for Liver Cancer?
Vertical Transmission Risk of Hepatitis B: Key Questions for Mothers
The probability of vertical transmission from mother to child with HBsAg positive and HBeAg negative is relatively low, typically estimated to be around 5-10%. However, it is important to monitor and manage the mother's hepatitis B infection to further reduce the risk of tra...
Dr. Yang Guojun Reply:
1. The chance of transmitting this s+e antigen from mother to offspring exceeds 90%. 2. Blood tests can be conducted six weeks after the administration of the third dose. 3. It may simply be physiological jaundice, but a blood test for jaundice can also be performed at a pediatri...[Read More] Vertical Transmission Risk of Hepatitis B: Key Questions for Mothers
Understanding Jaundice: How to Improve Liver Function and Reduce Symptoms
Liver function The occurrence of jaundice in the human body is related to liver function. Is there a way to reduce jaundice?
Dr. Chen Shidian Reply:
There are many causes of jaundice in women, including congenital metabolic disorders, hemolysis, gallstones, biliary obstruction, acute and chronic hepatitis, liver cirrhosis, drug-induced and alcoholic hepatitis, and even malignant tumors of the liver, gallbladder, and pancreas,...[Read More] Understanding Jaundice: How to Improve Liver Function and Reduce Symptoms
Understanding Hepatitis B: Treatment, Transmission, and Related Infections
Hepatitis B Is there a medication for it? Is it contagious? Is there currently an outbreak of colds that can cause fever due to throat inflammation? Please provide me with answers, thank you.
Dr. Yang Guojun Reply:
The main causes of death from hepatitis B are acute hepatitis, cirrhosis, and liver cancer. However, the majority of patient deaths are due to: 1. a lack of understanding of the disease's progression, which includes not realizing they are infected or knowing they are infecte...[Read More] Understanding Hepatitis B: Treatment, Transmission, and Related Infections
Understanding Jaundice: Causes, Symptoms, and Treatment Options
Jaundice What is jaundice? What are the causes of jaundice? How can jaundice be treated to reduce its severity?
Dr. Yang Guojun Reply:
First of all, jaundice does not necessarily indicate liver disease, and liver disease does not always present with jaundice. This is a general understanding. Jaundice is the result of the accumulation of bilirubin in the mucous membranes or skin, and the liver cells are responsib...[Read More] Understanding Jaundice: Causes, Symptoms, and Treatment Options
Is Hepatitis C the Only Cause of Liver Cancer? Exploring Other Factors
Is the occurrence of liver cancer only related to hepatitis C? My dad said he has hepatitis C. Does that mean the occurrence of his cancer is unrelated to cirrhosis?
Dr. Yang Guojun Reply:
This is a disease caused by infection with the hepatitis C virus, leading to inflammation of the liver. Most patients with hepatitis C may be asymptomatic, while some may initially experience fatigue, loss of appetite, nausea, jaundice (yellowing of the skin and eyes), and dark u...[Read More] Is Hepatitis C the Only Cause of Liver Cancer? Exploring Other Factors