Understanding Fatty Liver in Children: Concerns and Solutions
Liver issues? Hello, doctor: I have a son who is currently in the fifth grade. The school arranged for a blood test, and it was found that he has fatty liver disease. His liver enzyme levels have not improved, and even after taking liver-protective medication from the hospital, t...
Dr. Chen Shidian Reply:
Hello, please visit the Hepatobiliary outpatient clinic at the hospital to confirm the cause and treatment direction. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Fatty Liver in Children: Concerns and Solutions
Postpartum Liver Function Concerns: Understanding Elevated GOT and ALP Levels
Got got ALP exceeds the standard? Hello, I recently had a postpartum check-up two and a half months after delivery. My blood test results showed GOT 43, GPT 46 (normal range is in the 30s), and ALP 100 (normal range is 98). Abdominal ultrasound was normal, and all other blood tes...
Dr. Chen Qifeng Reply:
Abnormal liver function requires further investigation to determine the cause. Please consult a hepatologist.[Read More] Postpartum Liver Function Concerns: Understanding Elevated GOT and ALP Levels
Understanding Fatty Liver and Elevated Liver Enzymes: What You Need to Know
Fatty liver and liver function tests? Hello, doctor. Due to gastrointestinal issues, I occasionally had blood tests that showed elevated liver enzymes. I have been monitoring this for about two years, and my AST levels have consistently ranged from 30 to 43, while my ALT levels h...
Dr. Chen Shidian Reply:
Hello, if you do not consume alcohol or have severe obesity that exacerbates fatty liver, mild liver function abnormalities typically do not lead to serious issues. However, you should be cautious as metabolic syndrome may develop over the next five to ten years. Regarding fatty ...[Read More] Understanding Fatty Liver and Elevated Liver Enzymes: What You Need to Know
Understanding Asymmetrical Abdomen: Fat Distribution or Liver Concerns?
The right upper abdomen is larger than the left upper abdomen? Hello, Doctor. I am currently overweight, weighing 100 kg. A few years ago, I noticed that the appearance of my abdomen, specifically the upper right quadrant (below the chest), is more protruded than the upper left q...
Dr. Cai Anshun Reply:
Hello: If there are any issues with the liver, it is best to consult a clinical physician. Uneven fat distribution refers to the description of the liver observed in ultrasound and does not cause left-right imbalance. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Asymmetrical Abdomen: Fat Distribution or Liver Concerns?
Understanding Liver Ultrasound Discrepancies: Your Questions Answered
Questions about liver ultrasound? Hello Doctor: I have been diagnosed with hepatitis B and have been monitoring my liver function for about four years, with liver enzyme levels consistently below 80. In March of this year, I self-paid for Hepcludex treatment, and by May, my viral...
Dr. Chen Shidian Reply:
Hello, sir. It is advisable to discuss the details of your condition with your attending physician. Further examinations may not be necessary, but follow-up is required. If you still have concerns, a liver biopsy may be considered. Changhua Hospital cares about your health. Since...[Read More] Understanding Liver Ultrasound Discrepancies: Your Questions Answered
Understanding Elevated Liver Enzymes: What Do High AST and ALT Levels Mean?
I am puzzled that my blood test results show liver enzyme levels that are 5 to 6 times higher than the normal reference range? On November 16, my mother went for a blood test. The report came back with several abnormal liver function results: SGOT (AST) was 226, and SGPT (ALT) wa...
Dr. Chen Shidian Reply:
Hello, please cooperate with the physician to determine if you have hepatitis B, hepatitis C, or drug-induced hepatitis. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Elevated Liver Enzymes: What Do High AST and ALT Levels Mean?
Should You Seek Further Testing After Normal Liver Biopsy Results?
The liver biopsy results are normal. Is there a need for further testing? Hello Doctor, In the past two years, I have found that my liver enzyme levels are elevated, with ALT ranging from 116 to 337, AST from 47 to 142, and GGT from 133 to 208. Each time I have been tested, my ...
Dr. Chen Shidian Reply:
Hello, if you still have concerns, you can bring your complete medical records to a medical center. You may first monitor your liver function changes over the next 3 to 6 months, and if there is no improvement, then visit the medical center. Changhua Hospital cares about your hea...[Read More] Should You Seek Further Testing After Normal Liver Biopsy Results?
Navigating Unstable Liver Enzymes: Treatment Dilemmas for Chronic Hepatitis B
Persistent abnormal liver function tests without meeting the criteria for medication intervention? Hello doctor, I am a carrier of hepatitis B and I am about 40 years old. For the past 5 to 6 years, I have been regularly undergoing blood tests every three months. My ALT levels fl...
Dr. Chen Shidian Reply:
Hello, this is a strategy mandated by the National Health Insurance Administration. There is no right or wrong; it depends on the discussion between the physician and the patient. If there is significant fibrosis, a biopsy may be considered to confirm whether cirrhosis is present...[Read More] Navigating Unstable Liver Enzymes: Treatment Dilemmas for Chronic Hepatitis B
Understanding Elevated Liver Enzymes: Causes and Concerns
Elevated liver enzymes indicating inflammation? Hello, doctor. I went to the family medicine clinic last week for a blood test, and today the report came back. My blood sugar, cholesterol, and triglycerides are all normal, but my liver enzymes are elevated. The family medicine do...
Dr. Cai Anshun Reply:
Hello: An ALT level of 60 (with a standard range of 7-42) indicates a liver condition that is not considered severe. However, it may be caused by fatty liver or insufficient sleep. Once the underlying cause is identified, further measures can be taken to improve the situation, wh...[Read More] Understanding Elevated Liver Enzymes: Causes and Concerns
Understanding Health Insurance Coverage for Oral Antiviral Drugs in Hepatitis B
Issues regarding health insurance coverage for oral antiviral medications for hepatitis B? I have been taking Viread for three years due to hepatitis B, as recommended by my physician. My health insurance coverage for this medication is about to expire. Although my liver enzyme l...
Dr. Chen Shidian Reply:
Hello, sir. According to my understanding, the regulations regarding health insurance have indeed been relaxed, allowing for treatment until the e-antigen becomes undetectable. Therefore, please discuss your medication situation clearly with your physician. Changhua Hospital care...[Read More] Understanding Health Insurance Coverage for Oral Antiviral Drugs in Hepatitis B
Can You Safely Get A and B Hepatitis Vaccines Together?
Regarding hepatitis A and hepatitis B issues? 1. Hello, doctor. I am a male, and I would like to know if I can receive the Hepatitis A vaccine, Hepatitis B vaccine, and the nine-valent HPV vaccine (for cervical cancer prevention) simultaneously. Is it possible to administer these...
Dr. Cai Anshun Reply:
Hello: 1. It is recommended not to administer both vaccines simultaneously. 2. If antibodies have not yet formed, there is a possibility of infection. 3. Hepatitis A is transmitted via the fecal-oral route. 4. This does not affect Changhua Hospital's concern for your health....[Read More] Can You Safely Get A and B Hepatitis Vaccines Together?
Understanding Fluctuations in Liver Enzymes During Hepatitis B Treatment
After taking Baraclude for hepatitis B carrier status, the liver enzyme levels fluctuate? Dear Dr. Chen, I am a carrier of hepatitis B and started treatment with Baraclude on April 14th of this year due to elevated liver enzymes. I have been taking the medication for about three...
Dr. Chen Shidian Reply:
Hello, sir. Belatacept rarely develops resistance, and the onset of resistance does not occur within the first few months, so there is no need to worry. Changes in liver function need to be evaluated to rule out other causes and should be monitored further, including a comprehens...[Read More] Understanding Fluctuations in Liver Enzymes During Hepatitis B Treatment
Understanding Hepatitis B Relapse After Stopping Medication: Key Insights
Will there be a relapse after stopping liver medication? Hello Doctor: My husband is a carrier of hepatitis B. In June 2015, he visited the hospital due to fatigue, and the results showed GOT 47, GPT 59, indicating abnormal liver function, and triglycerides at 219, with a diagnos...
Dr. Chen Shidian Reply:
Hello, Miss. Patients with abnormal liver function and hepatitis B can use liver-protective medications covered by health insurance, but the cause of the condition needs to be confirmed at a gastroenterology outpatient clinic. If it is fatty liver, dietary control and weight mana...[Read More] Understanding Hepatitis B Relapse After Stopping Medication: Key Insights
Understanding Liver Issues: Questions About Fatty Liver and Abnormal Enzymes
Liver issues? Dear Dr. Tsai, I am the patient who consulted you regarding my condition. My ultrasound report is the same as last time, but my GOT is 32 and GPT is 57, which is abnormal. I have a few questions I would like to ask: 1. I have been taking iron supplements; last yea...
Dr. Cai Anshun Reply:
Hello: 1. For fatty liver, it is important to exercise and control caloric intake. If fatty liver improves, liver enzyme levels should normalize (assuming there is no chronic hepatitis B or C). 2. Anemia can also lead to muscle soreness. 3. In cases of fibrosis, regular monitorin...[Read More] Understanding Liver Issues: Questions About Fatty Liver and Abnormal Enzymes
Understanding Duodenal Ulcers: Symptoms, Treatment, and Liver Health
Duodenal ulcer I apologize for the inconvenience, but I would like to ask a few questions. Recently, after eating, I started experiencing pain in the upper left abdomen. It was diagnosed as a duodenal ulcer. I was discharged from the hospital a week ago, and the doctor prescribed...
Dr. Cai Anshun Reply:
Hello: 1. The primary treatment for ulcers is proton pump inhibitors. 2. Some abdominal discomfort may stem from functional issues, such as rapid or slow peristalsis. Sometimes it can be challenging to identify the cause directly from imaging studies. 3. If there is no persistent...[Read More] Understanding Duodenal Ulcers: Symptoms, Treatment, and Liver Health
Should You Consider Out-of-Pocket Treatment for Chronic Hepatitis B?
Is treatment for hepatitis B out-of-pocket? Hello, Doctor: I have been a carrier of hepatitis B for about two years now. My liver enzyme levels have been around 50-65 during my quarterly check-ups, and my E antigen is positive with a viral load of approximately 100 million. Since...
Dr. Chen Shidian Reply:
Hello, sir. You may consider performing a biopsy to confirm the degree of fibrosis in order to determine whether to initiate medication. Once you start the treatment, do not discontinue it easily. Changhua Hospital cares about your health. Chen Shidian.[Read More] Should You Consider Out-of-Pocket Treatment for Chronic Hepatitis B?
Understanding Abnormal Liver Enzymes: A Daughter's Urgent Concerns
Abnormal liver function tests? My father went to the hospital for a blood test on November 18, and after the results came back, he was urgently admitted for hospitalization! His liver enzyme levels were over 1000 (prior to this, he had been complaining of lower back and waist pai...
Dr. Chen Shidian Reply:
Hello, the term "fulminant hepatitis" refers to the onset of jaundice accompanied by altered mental status. It is advisable for your father to discuss his condition thoroughly with his attending physician and to be closely monitored. Additionally, please avoid consuming...[Read More] Understanding Abnormal Liver Enzymes: A Daughter's Urgent Concerns
Understanding Elevated Liver Enzymes: Causes and Hepatitis B Connection
Liver problems and liver enzyme levels? Hello doctor, my mother recently had a liver examination. She has hepatitis B, and due to her age, her condition has deteriorated significantly. However, the normal liver enzyme levels should be below 40, and my mother's level is 46. C...
Dr. Chen Shidian Reply:
Hello, please discuss the reasons with your physician and continue to follow up with Changhua Hospital regarding your health. Chen Shidian.[Read More] Understanding Elevated Liver Enzymes: Causes and Hepatitis B Connection
Understanding Elevated Liver Enzymes: What You Need to Know
Elevated liver enzymes? Hello Doctor: During my health check-up, I found that my GPT level was 79, while the normal range is 4-40. At that time, I had just graduated and was waiting to start my job, and I was not under significant stress. I had consumed alcohol about once or twic...
Dr. Cai Anshun Reply:
Hello: 1) If there are no discomforts and the follow-up appointment is soon, you can wait to monitor everything during the next visit. 2) Not all medications affect liver function; it depends on which medication is taken. 3) If the values exceed the normal range, attention should...[Read More] Understanding Elevated Liver Enzymes: What You Need to Know
Understanding Abnormal Liver Function Tests: Causes and Concerns
Abnormal liver function test results? Hello Doctor, I have a few questions. I have not been very healthy regarding my gastrointestinal system since middle school, experiencing recurrent issues such as duodenal ulcers, gastric ulcers, and gastroesophageal reflux disease. I usual...
Dr. Cai Anshun Reply:
Hello: 1. If the values are greater than normal, it can be classified as acute hepatitis. However, if it is accompanied by jaundice and coagulation dysfunction, it indicates hepatic decompensation, which poses a risk. 2. There are many causes of hepatitis; if you have not been ev...[Read More] Understanding Abnormal Liver Function Tests: Causes and Concerns