Liver enzyme levels, Gastroenterology and Hepatology FAQ

Can I Continue Working with Chronic Hepatitis B and Sleep Issues?

Can I continue working? Hello, doctor. I am 25 years old and have hepatitis B. I also frequently experience severe insomnia. My GPT levels have been above the normal range for 7.8 years, consistently in the range of one to two hundred. Last month, my GPT reached over 500. I am cu...

Dr. Chen Zhiping Reply:
Reply: Hello, your current condition is an acute exacerbation of chronic hepatitis B. If you have already started taking Tenofovir, it must be used long-term and should not be discontinued arbitrarily. Additionally, regular blood tests and ultrasound examinations are necessary. I...

Persistent Liver Enzyme Levels: Exploring Further Treatment Options

Liver enzymes have not been decreasing? Hello, doctor. My aunt's liver enzyme levels have not been decreasing. She has tried various methods, including medication and dietary control. What other options are available now? Should we conduct further tests to identify the under...

Dr. Su Baojia Reply:
If liver enzyme levels do not decrease, it may indicate fatty liver disease. Therefore, it is necessary to check if triglyceride levels are elevated and whether there is an issue with overweight. Additionally, an abdominal ultrasound should be performed to confirm the diagnosis.

What to Do If Your Liver Enzyme Levels Are 198?

If your liver enzyme level is 198, it is important to consult a healthcare professional for further evaluation and management. Elevated liver enzymes can indicate liver inflammation or damage, and a doctor may My liver enzyme levels are 100 and 198. What should I do? What should ...

Dr. Li Xuanshu Reply:
Hello! Quickly go to the hepatobiliary department of the hospital for a detailed examination to determine the cause of your elevated levels and what factors are leading to liver inflammation. Until the cause is identified, do not self-medicate, as it may adversely affect your liv...

How to Lower Elevated Liver Enzymes: Causes and Dietary Tips

What should I do if my hepatitis levels are elevated? Hello, during a blood test at school, the results showed GOT and GPT levels of 32 and 36 U/L, respectively, indicating elevated liver enzymes. What can I do to bring these liver enzyme levels back to the normal range? Addition...

Dr. Xu Jinchuan Reply:
Hello! Although your GOT levels are elevated, this alone cannot diagnose the underlying cause of the increase. Therefore, you need to follow up with a hepatologist to investigate whether there is a viral hepatitis infection, such as hepatitis B or C, or if obesity is contributing...

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...

Impact of Tea Consumption on Liver and Gastrointestinal Health

Please ask your question? Hello Doctor: I am a psychiatric patient, and my psychiatrist has prescribed me medication, but those medications are metabolized in the liver. My liver is not in good condition, with liver enzyme levels at 170, which may indicate fatty liver; I am not s...

Dr. Chen Zhiping Reply:
Reply: Hello, what are the reasons for elevated liver enzymes? Could it be chronic viral hepatitis or fatty liver? It is important to investigate. The normal value is below 40, and a level of 170 is approximately four times higher, which is quite elevated. Regular consumption of ...

How to Help Your Child Recover from Acute Hepatitis: A Guide for Concerned Parents

Worried mother My daughter was diagnosed with acute hepatitis in May of this year. Currently, her liver enzymes are at 175.110 and her bilirubin level is at 11.7, which has remained stable for about two months. What should I do to help normalize her liver enzymes and bilirubin le...

Dr. Chen Zhiping Reply:
Hello, in addition to bilirubin levels and liver enzyme levels, the prothrombin time is also an important parameter for assessing liver function. May I ask how old your daughter is and what type of hepatitis she has? Sometimes, bilirubin levels can remain elevated for an extended...

How to Check for Liver Cirrhosis: Blood Tests and More

Cirrhosis of the liver To check liver function, blood tests are commonly performed. A routine blood test can provide initial information about liver health, including liver enzyme levels. However, additional tests may be necessary for a comprehensive evaluation, such as imaging s...

Dr. Li Xuanshu Reply:
Hello! The most comprehensive liver examination, in addition to blood tests, should ideally include an abdominal ultrasound. It is recommended that you first consult a hepatobiliary specialist to explain your purpose, and the doctor will assess which tests you need to undergo.

Impact of Cold and Emergency Contraceptive Medications on Liver Enzyme Levels

Liver enzymes I recently went to the hospital for a check-up and found that my ALT was 85 and AST was 58. I subsequently underwent testing for hepatitis B, which returned normal and negative results. The night before the test (approximately 12 hours prior), I took two cold medica...

Dr. Su Baojia Reply:
Taking two cold medications and contraceptive pills should not have an impact on liver function.

Understanding Liver Enzyme Levels: Do You Need Treatment for GOT and GPT?

Liver function tests (LFTs) Your liver enzyme levels are as follows: G.O.T (AST) 29 and G.P.T (ALT) 57. Whether treatment is needed depends on various factors, including your overall health, symptoms, and the underlying cause of the elevated enzyme levels. It is advisable to cons...

Dr. Chen Zhiping Reply:
Hello, if the GPT index is slightly elevated, it is advisable to investigate the underlying causes, such as chronic viral hepatitis (B or C), fatty liver, etc. It is not always necessary to take liver protection medications. Sincerely, Dr. Chen Zhiping. Thank you!

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...

How Long Does Hepatitis B Treatment Take and Frequency of Visits?

How is hepatitis B treated? The treatment duration for hepatitis B can vary depending on several factors, including the severity of the infection and the specific treatment regimen. Generally, antiviral therapy may last for several months to years. If liver enzyme levels (such as...

Dr. Chen Zhiping Reply:
Hello, regarding the treatment of Hepatitis B, the first step is to check liver function tests. If the levels are normal (typically GOT and GPT below 40), no treatment is necessary, but follow-up should be done every six months. If the levels are above 40, we need to assess the m...

Understanding Elevated Liver Enzymes: Causes and Concerns Explained

Hepatitis Hello, I had a blood test and my liver enzyme level is 173, which was previously in the 80s. I'm not sure how serious this is. The doctor prescribed me Silymarin 150mg, which seems to be 10mg more than usual! My liver enzyme levels fluctuate. The doctor said I do n...

Dr. Chen Zhiping Reply:
Hello: Elevated liver enzymes indicate signs of liver inflammation, which may be caused by viral hepatitis types A, B, C, etc., or could be due to alcohol, medications, or fatty liver disease. Unlike cirrhosis, which involves scarring from repeated and long-term injury leading to...

Understanding Liver Nodules: Causes, Risks, and Management Options

What is a liver nodule? Hello Dr. Chen, Recently, my mother (49 years old) underwent a comprehensive health check-up at Chang Gung Memorial Hospital. The report indicated that she has a 2.5 cm liver nodule, liver cysts, and fatty liver, but she does not have hepatitis B. Could y...

Dr. Chen Zhiping Reply:
Hello, the term "nodule" refers to a small mass of tissue, which generally raises suspicion for a tumor; however, it can be either benign or malignant. I'm not sure how the physician explained this to you at the time. As for liver cysts, they are benign fluid-fille...

Understanding Liver Health: Questions About Hepatitis B Treatment and Medications

May I ask the doctor? 1. Doctor, I previously went to a medium-sized hospital for a liver check-up, and my liver function tests showed levels over 200 and 300. I was diagnosed with hepatitis B. The doctor prescribed me medications to support liver function. However, during my fol...

Dr. Li Xuanshu Reply:
Hello! 1. If you have hepatitis B, it is possible that your current liver inflammation is caused by the hepatitis B virus. The medication prescribed by your doctor may be liver-protective supplements (since no specific medication name was mentioned). These supplements contain nut...

Can You Get Pregnant While Taking Liver Protection Medication?

Is it safe to become pregnant while taking Liver An? Hello, I have known since elementary school that I am a carrier of hepatitis B. In November of last year, I was tested and found to have elevated liver enzymes, approximately three times above the normal range. After testing ne...

Dr. Liang Jiade Reply:
Hello, in response to your question, here is a brief summary: 1. Hepatoprotective agents consist of essential nutrients produced by the liver itself, but they do not have therapeutic effects against viral hepatitis and will not cause liver function abnormalities. 2. It is advised...

Understanding Elevated Liver Function Tests: Causes and Symptoms Explained

Could you please clarify if you are asking about elevated liver function tests? 1. Recently, the military service health examination report indicated that two liver function indices were elevated, one at 195 and the other at 317. What could be the potential issues with the liver?...

Dr. Chen Jianhong Reply:
Hello! 1. There are many causes for elevated liver function tests, which may include viral hepatitis (types A, B, C, D, and E), alcoholic liver disease, drug-induced liver injury, obesity, fatty liver, and autoimmune diseases. Any of these factors can lead to increased liver enzy...

Is It Necessary to Continue Taking Hepatitis B Medication After Recovery?

Is it suitable to take Gan An Neng? Hello Doctor: A year ago, I tested negative for Hepatitis B during a health check-up. On February 14 of this year, I ate seafood and consumed raw oysters (I do not drink alcohol and was not taking any medications at that time; my lifestyle was ...

Dr. Xu Jinchuan Reply:
Hello, Xiaoyun! 1. Your latest tests show that your liver enzyme levels are normal, so there is no need for you to take Danazol. However, it would be best to have your medical history for reference. Additionally, we suspect you may have acute hepatitis? It is possible that you ...

Should You Continue Taking Interferon for Hepatitis B After Recovery?

Should I take Gan An Neng? Hello Doctor: A year ago, I tested negative for Hepatitis B during a health check. On February 14 of this year, I ate seafood and had raw oysters (I do not drink alcohol, and I was not taking any medications at that time; my lifestyle was normal). On Fe...

Dr. Chen Jianhong Reply:
Hello Ayun! 1. Your latest tests show that your liver enzyme levels are normal, so there is no need for you to take Tenofovir. However, it is still best to have your medical history for reference. Additionally, we suspect that you may have acute hepatitis? It is possible that y...

Understanding Hepatitis B: Transmission Risks and Vaccine Efficacy

Could you please provide the content you would like me to translate? I have been infected with hepatitis B for over 2 years. My surface antigen is still positive, and last week my E antigen test was negative. Does this mean I am completely non-infectious to others? If I receive t...

Dr. Li Xuanshu Reply:
Hello! Your test results show that the e antigen is negative, which indicates that the viral activity is low and the infectiousness is relatively low, making it less likely to transmit to others. You are already a hepatitis B patient, and receiving the vaccine will be ineffective...

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