Should Hepatitis B Carriers Get Vaccinated? Understanding Your Test Results
Hepatitis B testing and vaccination? Hello doctor, I am a carrier of hepatitis B. This month, my hepatitis B test results showed a surface antigen value of 0.46 S/CO (Nonreactive) and a surface antibody value of 6.9 mIU/mL (Nonreactive), both of which are negative. Do I need to r...
Dr. Lin Minghui Reply:
Some carriers of hepatitis B may experience spontaneous disappearance of the surface antigen, which we refer to as functional treatment for hepatitis B. Vaccination is not required in these cases. Some individuals may also produce surface antibodies on their own, achieving functi...[Read More] Should Hepatitis B Carriers Get Vaccinated? Understanding Your Test Results
Does Moderate Fatty Liver Increase the Risk of Liver Cancer?
Can moderate fatty liver lead to liver cancer? Hello, doctor. I would like to ask a few questions. I have moderate fatty liver, no hepatitis B or C, and no cirrhosis. I undergo ultrasound and blood tests every three months. My cholesterol level is 205 and triglycerides are 211, w...
Dr. Cai Jinji Reply:
Hello Ms. A: 1. I cannot answer this question without seeing the report and images; I recommend consulting your physician. 2. Lipomas can also occur in the liver, but they are relatively rare. 3.4. It would be best to ask your physician for clarification. 5. Fatty liver disease c...[Read More] Does Moderate Fatty Liver Increase the Risk of Liver Cancer?
Understanding Liver Health: Fatty Liver, Tumors, and Cancer Concerns
Liver problems Hello doctor, I am asking on behalf of my mother. My mother is 60 years old and has moderate fatty liver disease. She has been undergoing regular ultrasound examinations every three months for the past few years. The doctor mentioned that there is a shadow on her l...
Dr. Chen Shidian Reply:
The preliminary diagnosis on the examination report is not accurate and will depend on the results of the CT scan. The examination is unrelated to ophthalmic surgery.[Read More] Understanding Liver Health: Fatty Liver, Tumors, and Cancer Concerns
Understanding Liver Lipomas: Diagnosis and Imaging Techniques Explained
Hepatic lipoma Hello doctor, today I am the person inquiring about liver issues from article #190299. I would like to ask if an ultrasound can determine whether a lesion is a lipoma. Can lipomas be visualized through ultrasound? How does the doctor make this determination? Additi...
Dr. Chen Shidian Reply:
Ultrasound requires certain preparations (though not always 100% guaranteed), and if abnormalities are detected, contrast-enhanced imaging studies may be performed. Costs are determined according to health insurance regulations. Some non-insured contrast agents may be used based ...[Read More] Understanding Liver Lipomas: Diagnosis and Imaging Techniques Explained
Understanding Ultrasound Shadows: Are They Signs of Liver Cancer?
Ultrasound shadowing Hello, I would like to ask about a shadow measuring 1.64 cm in size found in the S5/S6 region during an ultrasound examination in May. The doctor arranged for a CT scan, but nothing was visible. In September, a follow-up ultrasound showed that the shadow had ...
Dr. Chen Shidian Reply:
Further confirmation of the diagnosis should be done in collaboration with a specialized hepatocellular carcinoma physician.[Read More] Understanding Ultrasound Shadows: Are They Signs of Liver Cancer?
Understanding Elevated AFP Levels: What You Need to Know
Regarding health check-up reports? Hello, doctor. I would like to ask about the alpha-fetoprotein (AFP) level showing a red value of 1.9. What does this mean? What should I pay attention to, and do I need to go to the hospital for further examination?
Dr. Chen Shidian Reply:
Liver cancer index, normal.[Read More] Understanding Elevated AFP Levels: What You Need to Know
Understanding Liver Shadows: What Changes in Size Mean for Your Health
Liver shadow? Hello Doctor: I have a history of hepatitis C and mild liver fibrosis. Nine years ago, I underwent a year of treatment with interferon and ribavirin, successfully overcoming chronic hepatitis, and no hepatitis C virus has been detected in my body since. I have been ...
Dr. Chen Shidian Reply:
Let's discuss after the CT scan to ensure safety. Even after severe fibrosis in cured hepatitis C (especially in those with diabetes), there remains a small risk of developing liver cancer.[Read More] Understanding Liver Shadows: What Changes in Size Mean for Your Health
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 Fatty Liver: Is It the Same as Cirrhosis or Hepatitis?
I have fatty liver disease? I was diagnosed with severe fatty liver during a recent health check-up. Does this mean I have cirrhosis or hepatitis? Can appropriate exercise help eliminate this condition? I've been experiencing bloating and frequent burping lately; is this rel...
Dr. Lin Minghui Reply:
Hello, cirrhosis indicates severe liver fibrosis, which may lead to impaired liver function. In severe cases, symptoms may include jaundice, ascites, hepatic encephalopathy, and bleeding from esophageal varices. Fatty liver disease is characterized by the accumulation of triglyce...[Read More] Understanding Fatty Liver: Is It the Same as Cirrhosis or Hepatitis?
Understanding Fatty Liver: Is It Linked to Cirrhosis or Hepatitis?
I have fatty liver disease? I was diagnosed with severe fatty liver during a recent health check-up. Does this mean I have cirrhosis or hepatitis? Can appropriate exercise help eliminate it? I've been experiencing bloating and frequent burping lately; is this related?
Dr. Lin Minghui Reply:
Hello, cirrhosis indicates severe liver fibrosis, which may impair liver function. In severe cases, symptoms such as jaundice, ascites, hepatic encephalopathy, and esophageal variceal bleeding may occur. Fatty liver disease is characterized by the accumulation of triglycerides in...[Read More] Understanding Fatty Liver: Is It Linked to Cirrhosis or Hepatitis?
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 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 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
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?
Can Fatty Liver Disease Be Reversed? Understanding Your Health Risks
Fatty liver disease issues? Hello, doctor. During my recent health check-up, my liver enzymes were slightly abnormal. After an ultrasound, I was diagnosed with mild fatty liver disease. I am already planning to lose weight. I would like to know if this condition can be cured. I a...
Dr. Chen Shidian Reply:
Weight loss can lead to a cure.[Read More] Can Fatty Liver Disease Be Reversed? Understanding Your Health Risks
Long-Term Hepatitis B Treatment: Reducing Liver Cancer Risk
Hepatitis B medication issues? Hello doctor, my liver function and fetal protein levels are normal, but due to my high viral load, the doctor has suggested that I pay out of pocket for medication. If economic considerations are not an issue, is it possible to use medication for a...
Dr. Chen Shidian Reply:
Theoretically, it is possible to reduce liver cancer, but there is still no substantial long-term human clinical trial evidence to prove its effectiveness.[Read More] Long-Term Hepatitis B Treatment: Reducing Liver Cancer Risk
Understanding Liver Tumors: Treatment Options for Advanced Cases
Liver tumor issues? Hello Dr. Chen, my father has liver cancer with a 9 cm liver tumor and a bilirubin level of 2.4. He has been experiencing shortness of breath recently, and the doctor mentioned pleural effusion. The doctor also said that since the bilirubin level has not dropp...
Dr. Chen Shidian Reply:
In principle, jaundice should decrease to reduce side effects. In a few cases, medication may be used based on individual circumstances (out-of-pocket). Please discuss with the attending team.[Read More] Understanding Liver Tumors: Treatment Options for Advanced Cases
Concerns About Untreated Liver Cancer Growth After TACE Procedure
After the embolization of a 5 cm liver cancer, there are still 2 cm of cancer cells remaining? Hello Doctor, my father has HCC measuring 3.2×4.8×3.4 cm in segment 3. He underwent TACE embolization in mid-March, and a CT scan on May 6 showed a remaining tumor measuring 1.3×1.8 cm ...
Dr. Chen Shidian Reply:
The rate of change varies for each individual. If fetal protein levels are low before or after embolization, the changes may occur more slowly. During the pandemic, we can only say to proceed as quickly as possible.[Read More] Concerns About Untreated Liver Cancer Growth After TACE Procedure
Vaccination Concerns for Hepatitis B: What You Need to Know
Vaccination Issues I want to get vaccinated because my mother has hepatitis B, but she doesn't know if she is a carrier or has been infected. She has forgotten due to her age, but her liver function tests are normal. Additionally, my grandfather had liver cancer, and my fath...
Dr. Chen Shidian Reply:
If there is no exposure risk (such as for healthcare workers), there is no need for such proactive testing or booster shots (both of which are out-of-pocket expenses).[Read More] Vaccination Concerns for Hepatitis B: What You Need to Know
High Viral Load in Hepatitis B: Should I Start Treatment?
Fetal protein and liver enzymes are normal, but the viral load is very high? Hello Doctor, I have had hepatitis B since childhood due to vertical transmission from my mother. I have been undergoing regular check-ups every six months, and my liver enzymes and alpha-fetoprotein lev...
Dr. Chen Shidian Reply:
There is currently no definitive conclusion regarding lifelong prevention. It is recommended to follow regular monitoring, and if symptoms develop, medication will be covered by health insurance.[Read More] High Viral Load in Hepatitis B: Should I Start Treatment?