Understanding Abnormal Liver Enzymes: Causes and Concerns
Abnormal liver function tests? Hello, doctor. I have always had a high body weight. In July of this year, I had a blood test that revealed abnormal liver enzyme levels (AST 69 / ALT 147 / GGT 155). The doctor suspected that this might be related to the fact that I had chickenpox ...
Dr. Chen Shidian Reply:
Fatty liver disease, drug-induced/alcoholic hepatitis, and even autoimmune hepatitis are possible conditions that require diagnosis and treatment by a hepatologist. Dietary changes, exercise, weight loss, and abstaining from alcohol are initial steps that can be taken independent...[Read More] Understanding Abnormal Liver Enzymes: Causes and Concerns
Understanding Mopride 5mg: Safety and Interactions with Other Medications
Mopride 5mg Gastrointestinal Medication (Moshuwai Qing Enteric-Coated Tablets) Hello Dr. Zhang, due to gastritis and gastroesophageal reflux, I am currently on medication (for 7 days) including: - Panho Enteric F.C. 40mg (one tablet daily before meals) - Gaslan 40mg (one tablet ...
Dr. Zhang Kebin Reply:
Hello Mr. PY: Regarding the cornerstone medication for gastroesophageal reflux, Panho Enteric F.C. 40mg, you inquired: [1] I take Mopride 5mg after dinner around 9 PM, and before sleep (around 11 PM), I take half a Zolpidem 10mg along with 10mg of Propranolol. Is this dangerous? ...[Read More] Understanding Mopride 5mg: Safety and Interactions with Other Medications
Understanding Right Rib Pain: Possible Liver or Lung Issues?
Right rib cage Hello, recently I've been experiencing a dull pain in the area between the fifth and sixth ribs on the right side, which occurs occasionally, usually after eating or upon waking up. In the past, I had sharp pain on the left side of my ribs, and after an examin...
Dr. Chen Shidian Reply:
Family medicine is more convenient for initial diagnosis and treatment, and referrals to relevant specialties can be made if necessary.[Read More] Understanding Right Rib Pain: Possible Liver or Lung Issues?
Chronic Nighttime Stomach Pain and Back Discomfort: Seeking Relief
Frequent nighttime stomach pain accompanied by back pain? I often experience stomach pain accompanied by back pain at night, and the pain lasts for about 10 hours until the next day, making it impossible to sleep. After seeing a doctor and undergoing tests, no Helicobacter pylori...
Dr. Cai Anshun Reply:
Hello: In addition to medication, it is important to review and improve dietary habits and lifestyle factors that may contribute to gastroesophageal reflux disease (GERD). If the issue is not related to the stomach, we should also rule out problems with the liver, gallbladder, pa...[Read More] Chronic Nighttime Stomach Pain and Back Discomfort: Seeking Relief
Next Steps for Suspected Pancreatic Cancer: Essential Tests and Recommendations
If pancreatic cancer is suspected, what further tests should be conducted? Hello Doctor, in mid-September, I sought medical attention due to abdominal discomfort and occasional back pain. After undergoing an electrocardiogram and gastroscopy, I was diagnosed with erosive esophagi...
Dr. Chen Shidian Reply:
Monitoring is the primary focus, and there are currently no other recommendations.[Read More] Next Steps for Suspected Pancreatic Cancer: Essential Tests and Recommendations
Understanding Low GOT Levels: Causes and Implications for Liver Health
The GOT value is below the standard range? Hello Doctor, the health check report shows that my GOT is below the normal range; the report states that my GOT is 10, while the normal range is 13-39 U/L. My GPT is also 10. I couldn't find any information online regarding the rea...
Dr. Chen Shidian Reply:
Lower levels should not pose any issues (e.g., if the body type is slender).[Read More] Understanding Low GOT Levels: Causes and Implications for Liver Health
Understanding Chronic Abdominal Pain: Symptoms, Concerns, and Diagnosis
Chronic abdominal pain Hello, doctor. At the end of July, I experienced nighttime lower abdominal pain, followed by severe diarrhea the next day, which was watery. After seeing a doctor, my symptoms improved, but in August, I started having intermittent cramping. At the end of Au...
Dr. Chen Shidian Reply:
The diagnosis should be irritable bowel syndrome. Reduce oil and dairy intake, minimize stress, and continue to monitor the situation. If necessary, a fecal occult blood test may be performed.[Read More] Understanding Chronic Abdominal Pain: Symptoms, Concerns, and Diagnosis
Understanding Occasional Left Lower Abdominal Pain: Causes and Next Steps
Occasional pain in the lower left abdomen? Hello, I have been experiencing occasional pain in my lower left abdomen for the past two months. I have already undergone a uterine examination with no issues, and a fecal occult blood test showed no abnormalities (as stated by the doct...
Dr. Cai Jinji Reply:
Dear Jochi, Without your other medical reports, it is difficult to assess the possibility of gastrointestinal cancer based on the information you provided and to recommend specific tests. I suggest discussing this with your physician. Sincerely, Director Cai Jinji Departm...[Read More] Understanding Occasional Left Lower Abdominal Pain: Causes and Next Steps
Understanding Hepatitis B Antigen and Antibody Results: What You Need to Know
Hepatitis B antigen and antibody issues? Hello Doctor: In August, I had blood tests for arthritis at the rheumatology department, and the physician also conducted tests for viral hepatitis. The report indicated that my hepatitis B surface antigen antibody level was 1.28, which ex...
Dr. Lin Minghui Reply:
Hello: Regarding the issue of hepatitis B antigen and antibody. If there is hepatitis B surface antigen but no hepatitis B antibodies, the individual is considered a carrier. Liver function tests may be normal, so regular monitoring of liver function, AFP (alpha-fetoprotein), and...[Read More] Understanding Hepatitis B Antigen and Antibody Results: What You Need to Know
Understanding Fatty Liver: Causes, Risks, and Dietary Solutions
Fatty liver disease issues? Hello Doctor, I have abnormal liver enzyme levels from a blood test: GOT=30 and GPT=52 (with normal values being below 40). My previous blood tests were normal, and this time it is abnormal. The doctor arranged for me to have an ultrasound, which indic...
Dr. Chen Shidian Reply:
Severe fatty liver disease (high liver fat content) can lead to liver inflammation (i.e., steatohepatitis), and over time (over several decades), there is a risk of cirrhosis (which can be assessed through out-of-pocket fibrosis markers) and an increased likelihood of developing ...[Read More] Understanding Fatty Liver: Causes, Risks, and Dietary Solutions
Is It Safe for Elderly with Hepatitis B to Get the COVID Vaccine?
I would like to inquire whether my health condition is suitable for receiving the COVID-19 vaccine? Hello, doctor. I have an elderly female relative at home who is nearly eighty years old and has hepatitis B. She often develops rashes, and I am unsure if this is related to liver ...
Dr. Lin Minghui Reply:
Hello: The contraindications for receiving the COVID-19 vaccine include allergies to vaccine components. Vaccination should be avoided during acute infections. Individuals with unstable chronic diseases or those who are significantly underweight should not receive the vaccine. Ol...[Read More] Is It Safe for Elderly with Hepatitis B to Get the COVID Vaccine?
Understanding Right Lower Abdominal Pain: Causes and Next Steps
Right lower abdominal pain? Hello Dr. Lin: About a year ago, I started feeling a slight, intermittent pain or a sensation of foreign body in the lower right abdomen (approximately 15 cm to the right of the navel). This year, I underwent gastroscopy, colonoscopy, and abdominal ult...
Dr. Lin Minghui Reply:
Hello, a 51-year-old male is experiencing intermittent pain in the right lower abdomen. He has undergone gastroscopy and abdominal ultrasound, which revealed polyps in the colon. The ultrasound also indicated moderate fatty liver and abnormal liver enzymes (GOT, GPT), suggesting ...[Read More] Understanding Right Lower Abdominal Pain: Causes and Next Steps
Can Patients with Liver Hemangiomas Safely Receive COVID-19 Vaccines?
Can individuals with hemangiomas receive the COVID-19 vaccine? Regarding the topic, I would like to ask the doctor if it is safe to receive vaccinations if there is a hemangioma present in the liver (for about two years). Recently, I came across news about the mother-in-law of a ...
Dr. Chen Shidian Reply:
That's fine. After getting vaccinated, please continue to follow the guidelines and pay attention to your health.[Read More] Can Patients with Liver Hemangiomas Safely Receive COVID-19 Vaccines?
Understanding CT Reports of Liver Tumors: Key Insights and Next Steps
Liver Tumor CT Report I apologize for the inconvenience. My mother recently had an ultrasound that revealed a 2.5 cm hypoechoic nodule and moderate fatty liver, with no evidence of hepatitis B or C. However, my father has a history of biliary tract cancer. Subsequently, she under...
Dr. Chen Shidian Reply:
Ultrasound may have individual variations, but a CT scan can often provide a definitive diagnosis, so please rest assured. However, it is still important to monitor for any changes.[Read More] Understanding CT Reports of Liver Tumors: Key Insights and Next Steps
Understanding Gastrointestinal Issues: The Impact of Autonomic Nervous System Imbalance
Gastrointestinal issues and concerns related to autonomic nervous system imbalance? Hello doctor, I used to have a habit of eating late-night snacks and going to bed immediately after, which led to issues with chest tightness. At the time, I didn't know what the problem was....
Dr. Cai Anshun Reply:
Hello: Most cases of gastric cancer do not present symptoms and usually only show symptoms in the middle to late stages. If you are experiencing persistent discomfort in your stomach, it is advisable to first examine your diet and lifestyle: tea (black tea/green tea/milk tea), co...[Read More] Understanding Gastrointestinal Issues: The Impact of Autonomic Nervous System Imbalance
Understanding Abnormal Liver Enzymes: Causes and Concerns
Abnormal liver function tests? In July, blood tests revealed abnormalities in blood sugar, liver enzymes, and cholesterol. The cholesterol issue had been noted since high school health checks, and the physician later believed it to be hereditary (as my mother also has this issue)...
Dr. Chen Shidian Reply:
1. If other causes are excluded, be cautious of the side effects of lipid-lowering medications. 2. No, it won't. 3. It shouldn't either.[Read More] Understanding Abnormal Liver Enzymes: Causes and Concerns
Managing Liver Fibrosis: Essential Steps for B Hepatitis Carriers
Liver fibrosis issues? Hello, doctor. I am a carrier of hepatitis B and have been regularly monitored at a gastroenterology clinic, undergoing liver function tests and abdominal ultrasounds every six months. In recent years, all my tests have shown no abnormalities. Last month, d...
Dr. Chen Shidian Reply:
Maintaining a regular lifestyle and diet, along with monitoring changes in the condition and managing it with medication, can lead to a positive future![Read More] Managing Liver Fibrosis: Essential Steps for B Hepatitis Carriers
Understanding Right Upper Abdomen Distension and Pain: Causes and Solutions
The right upper abdomen is more prominent, and there are occasional sharp pains in the right upper abdomen? 1. Recently, I noticed that when viewed from above, the right upper abdomen is more protruding than the left upper abdomen (approximately in the area of the liver, which is...
Dr. Cai Anshun Reply:
Hello: The left side of your body contains the stomach, while the right side contains the liver. Since the liver is a solid organ, the right abdomen will feel firmer than the left abdomen, and it may even protrude more than the left. However, because you are experiencing pain in ...[Read More] Understanding Right Upper Abdomen Distension and Pain: Causes and Solutions
Understanding Abdominal Swelling: Possible Liver Issues Explained
Abdominal issues? Hello doctor, two months ago I noticed swelling in the area of my right upper abdomen near the rib cage. The condition has not improved since then, but there is no pain or obvious symptoms in the swollen area. During these two months, I have lost about five kilo...
Dr. Chen Shidian Reply:
Ultrasound examination.[Read More] Understanding Abdominal Swelling: Possible Liver Issues Explained
Understanding Lower Abdominal Pain: Causes and Concerns in Digestive Health
Lower abdominal pain? In the past few days, after finishing any meal, I have been experiencing dull pain in the lower abdomen about 5 to 10 minutes later. Sometimes it feels like cramping, but the pain goes away immediately after having a bowel movement. However, the stools have ...
Dr. Lin Minghui Reply:
Hello, a 16-year-old female is experiencing abdominal pain after meals, which improves after bowel movements. This could be due to gastroenteritis or irritable bowel syndrome, and follow-up is recommended. Additionally, there is a concern regarding pain in the right upper abdomen...[Read More] Understanding Lower Abdominal Pain: Causes and Concerns in Digestive Health