Liver cancer, Gastroenterology and Hepatology FAQ - Page 9

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Is Elevated AFP a Sign of Liver Cancer or Other Issues?

AFP ( Hello: My father has hepatitis C. Four months ago, he took herbal medicine, and recently blood tests showed a GPT of 88 and an AFP of 9.72. Previously, although his GPT levels were consistently abnormal, his AFP levels were within the normal range. Additionally, an ultrasou...


Dr. Xu Jinchuan Reply:
Hello! May I ask what the reference value for AFP is at your father's testing facility? Is a level of 9.75 considered abnormal? Besides being a reference marker for liver cancer, AFP can also be elevated after liver inflammation. If that's the case, it indicates good li...

[Read More] Is Elevated AFP a Sign of Liver Cancer or Other Issues?


Understanding Hepatitis B: Causes, Risks, and What You Need to Know

Hepatitis B? Hello, doctor. I would like to ask what hepatitis B is. I had a health check-up when I started school this year, and the report indicated that I have hepatitis B. I heard my brother mention that he was also diagnosed with hepatitis B during his military health examin...


Dr. Chen Zhiping Reply:
Hello, Hepatitis B is an inflammation of the liver caused by the Hepatitis B virus infection in the human body. Some individuals may experience recurrent liver inflammation, while others may have the virus remain dormant in their bodies, becoming healthy carriers. The transmissio...

[Read More] Understanding Hepatitis B: Causes, Risks, and What You Need to Know


Understanding Liver Tumors: Key Questions and Diagnostic Insights

Please provide information regarding "liver tumors." Hepatitis C with fatty liver. AFT: 4.3, GOP: 74, GPT: 156. A month ago, ultrasound examinations at two hospitals revealed a low-echo tumor approximately one centimeter in size. A CT scan was arranged (only performed a...


Dr. Chen Zhiping Reply:
Hello, you have hepatitis C but do not have cirrhosis, which generally means a lower risk of liver cancer. An abdominal ultrasound shows fatty liver, but there is a 1 cm shadow that cannot be confirmed as a true lesion or merely a non-fatty area. 1. The localized non-fatty area...

[Read More] Understanding Liver Tumors: Key Questions and Diagnostic Insights


Should You Test for Hepatitis B Antibodies After Elevated Liver Enzymes?

Hepatitis antibodies Six months ago, my liver enzymes elevated to over 90, and after treatment prescribed by Dr. Yun, they decreased to the 40s. I had an ultrasound examination at the internal medicine department, and the doctor said everything was fine. Blood tests also showed n...


Dr. Chen Zhiping Reply:
Hello, there are several types of antigens and antibodies for hepatitis B. The presence of the surface antigen indicates an active infection and carrier status, while the presence of the surface antibody indicates a past infection that has resolved, providing lifelong immunity. T...

[Read More] Should You Test for Hepatitis B Antibodies After Elevated Liver Enzymes?


How to Monitor and Diagnose Liver Hemangiomas: Essential Guidelines

How should hepatic hemangiomas be monitored? 1. During my abdominal ultrasound examination, a suspected 1 cm hemangioma was found in my liver. What kind of tests should I undergo to confirm that it is a hemangioma and not a malignant tumor? 2. If it is confirmed to be a hemangi...


Dr. Chen Zhiping Reply:
Reply: Hello, 1. To confirm with 100% certainty, surgical removal and histopathological examination are necessary; otherwise, it cannot be confirmed. However, if the examining physician suspects a benign hemangioma, they would not recommend surgery but would first check for (1)...

[Read More] How to Monitor and Diagnose Liver Hemangiomas: Essential Guidelines


Understanding Carcinoembryonic Antigen (CEA) in Liver Function Tests

Liver function tests I am a carrier of hepatitis B, and in my recent test report, there is a marker called carcinoembryonic antigen (CEA). I would like to know what CEA is.


Dr. Chen Zhiping Reply:
Hello, CEA stands for carcinoembryonic antigen, which is a tumor marker for adenocarcinoma. It is typically produced by tissues such as the colon, stomach, pancreas, and lungs. If adenocarcinoma is present, CEA levels in the blood may be abnormally elevated (smokers and elderly i...

[Read More] Understanding Carcinoembryonic Antigen (CEA) in Liver Function Tests


Understanding Unexplained Hepatitis: Treatment Options and Prevention Strategies

Unexplained hepatitis Dear Dr. Su, I hope this message finds you well. I sincerely appreciate you taking the time to respond amidst your busy schedule. I would like to express my utmost gratitude. I recently underwent liver function tests, which revealed elevated levels of GOT...


Dr. Su Baojia Reply:
1. Unexplained hepatitis requires follow-up examinations. 2. Some hepatoprotective medications can be administered initially. 3. After two to three months of medication treatment, liver function tests should be performed to assess recovery. It is important to rest and avoid alcoh...

[Read More] Understanding Unexplained Hepatitis: Treatment Options and Prevention Strategies


Essential Tests for Liver Cancer: What You Need to Know

What tests are needed for liver cancer? Hello, doctor. I recently saw in the news that some young people have passed away from liver cancer, and since I have a history of hepatitis B, I am a bit worried and would like to get checked. I have a few questions: 1. What tests are req...


Dr. Chen Zhiping Reply:
Reply: Hello, 1. If you have hepatitis B, liver cancer screening should include a medical history review, physical examination, blood tests, and an ultrasound examination. You should consult a hepatologist or gastroenterologist. Regarding costs, health insurance can cover it, b...

[Read More] Essential Tests for Liver Cancer: What You Need to Know


Understanding Upper Abdominal Discomfort and Pain in Hepatitis B Patients

Abdomen Hello doctor: Recently, I have been experiencing discomfort in the upper middle part of my abdomen, and there is a sharp pain under the left side of my rib cage. I also have hepatitis B, and I'm unsure what the issue might be. Thank you.


Dr. Chen Zhiping Reply:
Hello, the pain in the upper abdomen and left upper abdomen is more likely related to gastric issues, such as a gastric ulcer. Do you experience increased pain when hungry or a feeling of bloating after meals? Hepatitis B does carry a higher risk of liver cancer, but the liver an...

[Read More] Understanding Upper Abdominal Discomfort and Pain in Hepatitis B Patients


Understanding Hepatitis B Mutations and Their Treatment Challenges

Hepatitis B virus mutation diseases Hello Doctor: In early February, I felt unwell and went to the hospital for liver function tests. There was no infection with hepatitis B or C. The results showed liver enzyme levels of GOT 66 and GPT 108, while other liver function tests and u...


Dr. Chen Zhiping Reply:
Reply: Hello, initially it was stated that there was no hepatitis B or C, but later it was mentioned that HBV-DNA is positive and it is a mutant strain of the virus. However, shouldn't the hepatitis B surface antigen be positive? I have not encountered such a situation perso...

[Read More] Understanding Hepatitis B Mutations and Their Treatment Challenges


Understanding Hepatitis B Carriers: Essential Tests and Follow-Up Care

Hepatitis B carriers, examination? Hello Dr. Chen, I was previously a carrier of hepatitis B and I heard that it cannot be cured for a lifetime. About 4 to 5 years ago, I had a blood test for hepatitis B, and the doctor at that time informed me that my AST and ALT levels were no...


Dr. Chen Zhiping Reply:
Reply: Hello, 1. Hepatitis B may pose a risk for liver cancer, and there is a possibility of occurrence even when liver function is normal. Therefore, it is recommended to have regular follow-up examinations every six months for early detection and treatment. 2. Regular check...

[Read More] Understanding Hepatitis B Carriers: Essential Tests and Follow-Up Care


Is Frequent Bloating Related to Liver Issues or Gastrointestinal Problems?

Is it related to the liver? Hello Dr. Chen: I often experience belching, especially in the morning after waking up, after meals, when changing positions from sitting to standing, and when switching from lying on my right side to my left side. I frequently have belching. Is this r...


Dr. Chen Zhiping Reply:
Hello, bloating is often caused by gastrointestinal indigestion or abnormal peristalsis. Patients with hepatitis or cirrhosis may also experience loss of appetite and indigestion. However, it is essential to undergo some physical examinations, along with blood tests, ultrasound, ...

[Read More] Is Frequent Bloating Related to Liver Issues or Gastrointestinal Problems?


Understanding Liver Health: Red Palms and Pregnancy Concerns

Liver issues? I have a few questions: 1. I heard that if there are red spots on the palms, it indicates liver problems. Is this true? 2. I am currently three months pregnant and have developed red spots, which makes me very worried. If there is indeed a problem, should I go to an...


Dr. Chen Zhiping Reply:
Hello, patients with liver cirrhosis often exhibit a condition known as palmar erythema, characterized by redness around the palms. However, not everyone with red palms has liver cirrhosis; some may have familial or other causes. Given that your father passed away from liver canc...

[Read More] Understanding Liver Health: Red Palms and Pregnancy Concerns


Understanding Hepatitis B: Carrier Status, Risks, and Dietary Management

Hepatitis B Hello, doctor. My boyfriend's mother has hepatitis B, and she transmitted it to him at birth. Is my boyfriend considered a carrier of hepatitis B? What is the difference between being a hepatitis B carrier and not being one? Is having an annual check-up sufficien...


Dr. Chen Zhiping Reply:
Hello: If your boyfriend's blood test shows a positive Hepatitis B surface antigen, it means he is a carrier. A carrier is someone who has been infected with Hepatitis B and still harbors the virus in their body, whereas a non-carrier has either never been infected or has be...

[Read More] Understanding Hepatitis B: Carrier Status, Risks, and Dietary Management


Understanding Hepatitis B: Treatment Options and Lifestyle Tips

Hepatitis B Hello Doctor: My husband recently underwent a liver biopsy at the hospital, and the results showed he has liver fibrosis stage 2. Could you please let me know what medications are currently available for treatment? Additionally, what lifestyle changes should we be awa...


Dr. Chen Zhiping Reply:
Hello, if you have hepatitis B with liver fibrosis, and your liver enzyme GPT (ALT) is abnormal, greater than twice the normal level, and HBeAg is positive, then you should receive antiviral treatment. This can reduce the level of inflammation and improve fibrosis. If inflammatio...

[Read More] Understanding Hepatitis B: Treatment Options and Lifestyle Tips


Can Supplements Help Patients with Hepatitis C? Dietary Tips and Advice

About Hepatitis C Hello Dr. Chen: My father has hepatitis C. May I ask if he can take some supplements, such as reishi mushroom, etc.? I would like to buy some health foods to improve his overall health. Some people say that those with hepatitis C should not take supplements, whi...


Dr. Chen Zhiping Reply:
Hello, regarding patients with chronic hepatitis C or B, there are generally no specific supplements recommended. It is important to maintain a balanced diet, have a regular lifestyle, avoid excessive fatigue, refrain from alcohol consumption, and avoid taking medications indiscr...

[Read More] Can Supplements Help Patients with Hepatitis C? Dietary Tips and Advice


Can Hepatitis B Carriers Work in Early Childhood Education?

Work-related issues of Hepatitis B? Hello Doctor: I am a carrier of hepatitis B and would like to ask if I can work in early childhood education. Are there any cases where individuals were unable to work in early childhood education due to hepatitis B? I am very concerned, please...


Dr. Chen Zhiping Reply:
Hello: Hepatitis B carriers account for about 15% of the population in Taiwan, meaning they have the Hepatitis B virus in their bodies. This virus can cause liver inflammation, and over time, there is a risk of developing cirrhosis or liver cancer. Therefore, it is necessary to u...

[Read More] Can Hepatitis B Carriers Work in Early Childhood Education?


Understanding Uncertain Liver Nodules: What You Need to Know

There are unknown nodules in the liver. After the CT scan, the doctor is also unable to determine whether they are benign or malignant. I am very scared? There are unknown nodules in the liver. After the CT scan, the doctor was also unable to determine whether they are benign or ...


Dr. Xu Jinchuan Reply:
Hello, Beitou resident! Your question has already been logged in our discussion forum, and we understand that the tests you have undergone so far have not provided you with a clear answer. We do not oppose your decision to seek a detailed evaluation from another hepatobiliary spe...

[Read More] Understanding Uncertain Liver Nodules: What You Need to Know


Understanding Liver Cancer: Causes, Treatment, and Patient Experiences

Liver cancer Hello Doctor: My uncle recently passed away from liver cancer, and I feel sad but also confused. From the time it was discovered to the surgery, it was only a few months, and my uncle did not have a history of heavy drinking. How could he have developed liver cancer?...


Dr. Liang Jiade Reply:
Hello, there are many risk factors associated with the occurrence of liver tumors (including genetics, viral infections, etc.), and it cannot be said that one will not develop cancer without alcohol abuse. Generally, even if chemotherapy is ineffective, it is due to the high mali...

[Read More] Understanding Liver Cancer: Causes, Treatment, and Patient Experiences


Understanding Chronic Hepatitis: Symptoms, Risks, and Dietary Management

Chronic hepatitis The hospital liver function tests show ALT 56, AST 48, and GPT 91, with HBsAg and Anti-HCV both normal. Does this indicate chronic hepatitis? Is there a possibility that this could be a precursor to liver cancer? Can chronic hepatitis be cured? I've heard t...


Dr. Liang Jiade Reply:
Hello, AST = GOT and ALT = GPT. There are many reasons for elevated liver function indices, including viral and bacterial infections, medication use, obesity, and lack of sleep, among others. However, a temporary increase does not necessarily indicate chronic hepatitis, nor can i...

[Read More] Understanding Chronic Hepatitis: Symptoms, Risks, and Dietary Management


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