Liver enzyme levels, Gastroenterology and Hepatology FAQ - Page 3

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Understanding Elevated Liver Enzymes: Causes and Concerns

Elevated liver enzymes? Hello doctor, my past lifestyle habits include staying up late, irregular eating, and not exercising much. About a month ago, I suddenly experienced discomfort in my abdomen, along with frequent diarrhea or loose stools... (sometimes the solid stool appear...


Dr. Chen Shidian Reply:
Hello, sir. 1. Gastritis does not cause abnormal liver function. You can continue to monitor the changes in hepatitis through treatment. 2. Additionally, medications may also cause hepatitis, so please discuss your medications with your physician. Changhua Hospital cares abo...

[Read More] Understanding Elevated Liver Enzymes: Causes and Concerns


Understanding Elevated Liver Enzymes and Dizziness: Key Insights

Liver enzymes & dizziness? Hello doctor, today I was sent to the emergency room due to feeling unwell, and I had a blood test. The nurse mentioned that my liver enzyme levels are elevated; the normal range is around 40, and mine is 59. She said it’s not excessively high and d...


Dr. Chen Qifeng Reply:
Abnormal liver function requires further investigation to determine the cause; please consult a hepatologist. As for the dizziness, there are many potential causes. Please see a neurologist for evaluation.

[Read More] Understanding Elevated Liver Enzymes and Dizziness: Key Insights


Understanding Cholesterol and Liver Enzyme Levels: A Health Guide

Cholesterol and liver enzymes? Hello doctor, I recently received my health check report. My height is 163 cm, weight is 53 kg, cholesterol level is 260 (normal range is 0-200), and liver enzyme level is 10 (normal range is 14-54). I usually exercise, playing basketball three time...


Dr. Chen Shidian Reply:
Hello, Miss. A low liver enzyme level generally does not indicate any issues; it is often due to a smaller body size. Changhua Hospital cares about your health. Chen Shidian.

[Read More] Understanding Cholesterol and Liver Enzyme Levels: A Health Guide


Enhancing Interferon Treatment for Chronic Hepatitis B with Baraclude

The efficacy of interferon combined with Bevacizumab? Hello, Doctor. I am a carrier of hepatitis B and have been regularly undergoing ultrasound and blood tests for a long time. However, since November of last year, my liver enzyme levels have been rising to over 200, and my surf...


Dr. Chen Shidian Reply:
Hello, Sir: Q1 Combination therapy is a recommendation based on professional experience, and while it is not inappropriate, there are currently no definitive human trial results to support it. Therefore, it is unclear what the best combination would be. Q2 There will be no re...

[Read More] Enhancing Interferon Treatment for Chronic Hepatitis B with Baraclude


Understanding Hepatitis B e Antibody: Treatment Outcomes and Longevity

Hepatitis B e antibody (anti-HBe) Hello Dr. Lin, I would like to ask you: If after taking antiviral medication for six months, the blood test shows e-antibody <1, but the e-antigen is still positive and the viral load is undetectable, does this still indicate that the patient ...


Dr. Lin Minghui Reply:
1. In chronic hepatitis B patients who are e-antigen positive and have liver enzyme levels more than twice the normal limit, after six months of antiviral medication, if the viral load is undetectable, it cannot be considered a cure. The treatment goal is to continue until e-anti...

[Read More] Understanding Hepatitis B e Antibody: Treatment Outcomes and Longevity


Understanding Liver Complications After Chemotherapy: A Patient's Journey

Liver lesions caused by chemotherapy? Hello, my father underwent surgical treatment for rectal cancer two years ago and was doing well. However, he experienced a recurrence two years later and was transferred to the hematology department at the same hospital. He has been taking o...


Dr. Cai Anshun Reply:
Hello: I would like to discuss the reasons for liver function deterioration. Your attending physician must have pondered and searched for causes without success, which is why they responded that the cause of liver deterioration could not be identified. (1) Infection (bacterial, v...

[Read More] Understanding Liver Complications After Chemotherapy: A Patient's Journey


Understanding Elevated Liver Enzymes: Causes and Concerns

Elevated liver enzymes? My health report shows that all other items are normal, but my liver enzyme levels indicate GOT at 60 and GPT at 17 (normal). I do not have a history of substance abuse or alcoholism. 1. Is a GOT level of 60 considered very high? 2. I stayed up late for ...


Dr. Cai Anshun Reply:
Hello, GPT primarily refers to a marker released into the bloodstream after the destruction of liver cells. However, GOT can be found not only in liver cells but also in other tissues such as the heart, skeletal muscle, blood cells, kidney cells, and certain tumor cells. Therefor...

[Read More] Understanding Elevated Liver Enzymes: Causes and Concerns


Understanding Elevated Liver Enzymes: What You Need to Know

Liver enzyme levels are elevated? Previously, during my enrollment check, my BMI was normal with no obesity issues. My liver enzyme levels were GOT at 31 and GPT at 63, which are above the normal range. The recommendation was to have regular check-ups and to reduce late-night act...


Dr. Chen Shidian Reply:
Dear Mr. Lin: It is recommended to maintain a regular lifestyle, control weight to prevent increase, rule out drug-induced hepatitis, and recheck liver function in 2-3 months. Additionally, please rule out hepatitis C and undergo an ultrasound examination. Changhua Hospital car...

[Read More] Understanding Elevated Liver Enzymes: What You Need to Know


Long-Term Use of Silymarin for Liver Health: Benefits and Risks

Liver protection supplements issues? (1) I previously had abnormal liver function (GPT 70), and my doctor prescribed Kojar (Silymarin) capsules. After three months, my liver function returned to normal, and the medication was discontinued. Over the past few years, my liver enzyme...


Dr. Chen Shidian Reply:
Hello Mr. Lin: 1. If there is a clinical need for Silymarin, it can be taken long-term without any reported significant side effects, but its effectiveness is not guaranteed. According to health insurance regulations, treatment must be discontinued if there is no improvement. 2. ...

[Read More] Long-Term Use of Silymarin for Liver Health: Benefits and Risks


How to Lower GOT and GPT Levels: Tips for Liver Health

GOT 48, GPT 71? Hello Dr. Chen, my liver enzyme levels are GOT 48 and GPT 71. I do not have hepatitis B or C. I am being treated at Asia University Hospital. I previously took medication for hyperthyroidism for about a year, but I am now well and no longer need to take it. My uri...


Dr. Chen Qifeng Reply:
Hello, aside from hepatitis B and C, another cause of abnormal liver function is fatty liver... Of course, there are also other less common causes. Therefore, it is essential to rely on abdominal ultrasound and some blood tests for diagnosis. If it is indeed fatty liver, the meta...

[Read More] How to Lower GOT and GPT Levels: Tips for Liver Health


Understanding Hepatitis B Monitoring: Key Questions and Insights

Hepatitis B testing issues? Hello Doctor, I am a carrier of Hepatitis B with e-antibody, and my viral load has been measured at a maximum of 300. I have been undergoing regular follow-up examinations. Previously, my liver enzyme levels (GPT) fluctuated frequently, reaching a maxi...


Dr. Chen Shidian Reply:
Hello Mr. Huang: (1) Nodules smaller than 1 cm are often difficult to characterize and are generally referred to as nodules. Regular follow-up is recommended. (2) Alpha-fetoprotein (AFP) levels may fluctuate slightly. If there is a continuous increase, caution is advised. (3) The...

[Read More] Understanding Hepatitis B Monitoring: Key Questions and Insights


Understanding Liver Health: Efficacy of Liverall and Other Treatments for Fatty Liver

Please provide the content you would like me to translate into English? Hello, Doctor! Recently, during a health check-up, my liver function index was tested (normal range: 33-55) and the result came out to be 177. After visiting the outpatient clinic, hepatitis B and C were rule...


Dr. Cai Anshun Reply:
Hello: It is not recommended to take over-the-counter medications during an outbreak of hepatitis until the cause is determined. The doctor will provide appropriate treatment, and it is advised not to rely on folk remedies or take medications indiscriminately. The treatment for f...

[Read More] Understanding Liver Health: Efficacy of Liverall and Other Treatments for Fatty Liver


Understanding Green Oily Stool: Possible Liver and Gallbladder Issues

Green, oily, droplet-like stools? Last week, I frequently experienced abdominal pain and diarrhea (watery stools). A few days ago, it improved significantly; I had no abdominal pain and no diarrhea. However, today I went to the bathroom twice, and my stools had "some deep gr...


Dr. Cai Jinji Reply:
There are many possibilities; it is recommended to see a doctor at the hospital for further examination and confirmation.

[Read More] Understanding Green Oily Stool: Possible Liver and Gallbladder Issues


Understanding Abnormal Liver Enzymes: Causes and Next Steps

Regarding abnormal liver enzyme levels? Hello Doctor, At the end of February, my school conducted a health check, and the results showed abnormal liver enzyme levels, with GOT at 38 and GPT at 92. In April, I had a follow-up blood test, and my GOT decreased to 82. The healthcar...


Dr. Chen Shidian Reply:
Hello, Miss: The effectiveness of medication for fatty liver is not very good; long-term control of diet and weight is necessary for improvement. Please continue to make an effort and follow up. If there is no family history of hepatitis B or if you are not involved in the health...

[Read More] Understanding Abnormal Liver Enzymes: Causes and Next Steps


Understanding Fatty Liver: High GPT and R-GT Levels Explained

Please provide the content you would like me to translate into English? Hello Doctor: I would like to provide the following information for your reference: 1. Height: 171 cm, Weight: 82 kg. Liver function tests: - GOT: 78 (reference value 0-40) - GPT: 200 (reference value 0-...


Dr. Yang Zhichao Reply:
Hello Mr. Chang, based on the information you provided, your liver enzyme levels indicate signs of hepatitis. In Taiwan, common causes include hepatitis B/C infections, alcoholic hepatitis, and fatty liver disease. However, based on the information provided, hepatitis B/C infecti...

[Read More] Understanding Fatty Liver: High GPT and R-GT Levels Explained


Understanding Fatty Liver: High Liver Enzyme Levels Explained

Fatty liver disease issues? Hello Doctor: My height is 171 cm and my weight is 82 kg. Currently, my blood test results are as follows: 1. GPT: 180 (normal range: 4-44 U/L) 2. GOT: 83 (normal range: 8-38 U/L) 3. R-GT: 134 (normal range: 6-73 U/L) 4. MCV: 101.5 (normal range: 80-10...


Dr. Chen Qifeng Reply:
Hello: If there is no hepatitis B and no alcohol abuse, it may be related to fatty liver. The R-GT levels in fatty liver can also potentially double. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Department of Gastroenterology, Taoyuan General Hospital, Ministry of ...

[Read More] Understanding Fatty Liver: High Liver Enzyme Levels Explained


Can Patients with Fatty Liver Take Choline Supplements Safely?

Can people with fatty liver consume vitamin choline? Hello Dr. Tsai, I am currently your patient. I am undergoing treatment for elevated liver enzymes, and I do not have hepatitis A or B. An abdominal ultrasound showed moderate fatty liver, and I have been diagnosed with metaboli...


Dr. Cai Anshun Reply:
Hello: It is recommended that you only take vitamin B complex. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Can Patients with Fatty Liver Take Choline Supplements Safely?


Managing Hepatitis B: How to Reduce Viral Load and Treatment Options

How to reduce the viral load in hepatitis B? Hello Dr. Chen, I have been living with Hepatitis B for over ten years. My liver enzyme levels are 55 and 35, and my viral load is 100,000. An ultrasound showed a 0.6 cm white spot. Can I apply for health insurance coverage for Baraclu...


Dr. Chen Shidian Reply:
Hello, Xiao Jiang. 1. For the application of medication for hepatitis B, it is essential to provide proof of a medical history of more than 6 months, with GPT levels greater than 80 for over 3 months. 2. Baraclude is one of the two first-line medications in the world. It has m...

[Read More] Managing Hepatitis B: How to Reduce Viral Load and Treatment Options


Understanding Hepatitis C: Inheritance Risks and Testing Insights

Family history of hepatitis concerns? Hello, Doctor. My father and mother were recently diagnosed with hepatitis C during their health check-ups, and their liver enzyme levels are abnormal. I would like to ask, although hepatitis C is transmitted through blood, is there a possibi...


Dr. Chen Shidian Reply:
Hello Yikun, 1. The chance of mother-to-child transmission is approximately 5%. Most cases occur when the mother's viral load is very high. 2. We agree to self-pay for testing for hepatitis A, B, and C / antibodies. Changhua Hospital cares about your health. Dr. Chen Sh...

[Read More] Understanding Hepatitis C: Inheritance Risks and Testing Insights


Managing Chronic Hepatitis B: Treatment Decisions and Health Concerns

After three years of taking Baraclude, issues related to hepatitis B treatment? Hello Dr. Lin, three years ago I had an acute phase of hepatitis B, with liver enzyme levels exceeding 2000. An ultrasound showed no tumors. After taking Baraclude for a month or two, my liver enzymes...


Dr. Lin Minghui Reply:
Hello: 1. For patients with chronic hepatitis B who exhibit significant inflammation or high levels of viral replication, consideration should be given to pharmacological treatment. Treatment options include antiviral medications or interferon. The interferon treatment regimen ...

[Read More] Managing Chronic Hepatitis B: Treatment Decisions and Health Concerns


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