Understanding Elevated Total Bilirubin in Young Children: Causes and Next Steps
Abnormal total bilirubin levels The child has been approximately 2 years old since birth and has consistently had elevated total bilirubin and direct bilirubin levels. These levels have been gradually decreasing, but recent tests in May showed an increase in total bilirubin/direc...
Dr. Lin Minghui Reply:
Hello, the child has had abnormal total bilirubin levels since birth, primarily with elevated direct bilirubin, and is now about 2 years old. In adults, elevated direct bilirubin levels can occur. Imaging studies have ruled out obstructive diseases. The causes of elevated direct ...[Read More] Understanding Elevated Total Bilirubin in Young Children: Causes and Next Steps
Understanding Green Stool: Causes and When to Seek Medical Advice
Stool color Hello Doctor: 1. Since this year, the color of my stool has consistently been grass green, dark green, and blackish green. 2. I have daily bowel movements, the shape is normal, and I do not have diarrhea. 3. I have undergone both colonoscopy and gastroscopy, and t...
Dr. Lin Minghui Reply:
Hello, if you are concerned about dark green stool, it is advisable to first check for any signs of bleeding in the stool. If there are any issues, further examinations will be necessary. To determine if there is a relationship with anemia or liver function, blood tests can be co...[Read More] Understanding Green Stool: Causes and When to Seek Medical Advice
Fast Heartbeat, Dizziness, and Hiccups: Is It GERD?
Rapid heartbeat, dizziness, and hiccups? Hello, I have had gastrointestinal issues since childhood, and I often burp after eating. Last week, I started experiencing dizziness, and this week I noticed an increased heart rate (90 when lying down and over 100 when standing). I also ...
Dr. Lin Minghui Reply:
Hello, after eating and drinking, frequent burping, dizziness, and rapid heartbeat are observed. It is advised not to overeat or drink too quickly. It is recommended to check for any issues related to the esophagus, gastrointestinal tract, liver, gallbladder, and pancreas. Wishin...[Read More] Fast Heartbeat, Dizziness, and Hiccups: Is It GERD?
Understanding Upper Abdominal Distension: Causes and Concerns
Upper abdominal protrusion? For about a year to a year and a half, my upper abdomen has been protruding, specifically between my navel and ribcage, while the area below the navel remains flat. During this period, I gained approximately 4 kilograms over the course of a year (my we...
Dr. Cai Anshun Reply:
Hello: The upper left abdomen contains the stomach, while the upper right abdomen contains the liver. The organs on the left and right sides are different and will naturally not be at the same height. As for the upper abdomen being more protruded, it can be influenced by various ...[Read More] Understanding Upper Abdominal Distension: Causes and Concerns
Vaccination Guidance for Patients with Congenital Biliary Atresia
Congenital biliary atresia vaccination administration? Hello doctor, I would like to ask about congenital biliary atresia. I have experienced jaundice due to fever. Would you recommend getting the AZ or Moderna vaccine?
Dr. Cai Jinji Reply:
Hello Vivi: Currently, there is no data suggesting which vaccine to administer, so it is recommended to consult your physician. However, it is generally advised for patients with hepatitis B, hepatitis C, or liver cirrhosis to receive vaccination. Director Cai Jin-ji, Department ...[Read More] Vaccination Guidance for Patients with Congenital Biliary Atresia
Assessing COVID-19 Vaccine Suitability for Patients with Liver Issues
Drug side effects Hello, Dr. Chen! I have been experiencing painless and itchy red spots, rashes, or bruises on my skin every 1 to 3 months. I have been following up with a hematologist every six months, and my platelet count is between 70,000 and 80,000. I am also a carrier of h...
Dr. Chen Shidian Reply:
There is no evidence suggesting that it should not be administered.[Read More] Assessing COVID-19 Vaccine Suitability for Patients with Liver Issues
Can You Get the COVID-19 Vaccine with High ALT Levels?
Is it safe to receive the COVID-19 vaccine if the ALT levels are elevated? Currently, Taiwan is gradually opening up vaccine administration. Based on the literature and data reviewed, I have not found any recommendations or prohibitions regarding vaccination when ALT levels are e...
Dr. Cai Anshun Reply:
Hello: A slightly elevated level will not affect vaccination, unless the liver enzymes are more than twice the normal level, or if there is jaundice, or if there are other health conditions. In such cases, it is advisable to consult a hepatobiliary specialist to determine the cau...[Read More] Can You Get the COVID-19 Vaccine with High ALT Levels?
Understanding Elevated Alpha-Fetoprotein Levels: When to Seek Further Testing
Elevated alpha-fetoprotein (AFP) levels? As mentioned, I recently had a health check-up, and the report shows an AFP level of 10.77 (normal range 0-9 ng/ml) highlighted in red, while other liver enzymes such as GPT and GOT are normal. Should I seek further examination? Thank you.
Dr. Chen Shidian Reply:
An ultrasound would be ideal; at least wait another 2-3 months before re-evaluating.[Read More] Understanding Elevated Alpha-Fetoprotein Levels: When to Seek Further Testing
Long-Term Hepatitis B Treatment: Reducing Liver Cancer Risk
Hepatitis B medication issues? Hello doctor, my liver function and fetal protein levels are normal, but due to my high viral load, the doctor has suggested that I pay out of pocket for medication. If economic considerations are not an issue, is it possible to use medication for a...
Dr. Chen Shidian Reply:
Theoretically, it is possible to reduce liver cancer, but there is still no substantial long-term human clinical trial evidence to prove its effectiveness.[Read More] Long-Term Hepatitis B Treatment: Reducing Liver Cancer Risk
Does Cancer Treatment Drug Cause Elevated Liver Enzymes?
Does cancer treatment medication cause elevated liver enzymes? Hello Doctor, my father was diagnosed with rectal cancer two years ago and underwent surgery, recovering well. However, during a routine check-up two months ago, a recurrence was found, but the original treating physi...
Dr. Chen Shidian Reply:
I have never used Esomeprazole capsules and my condition is complicated, so please discuss it further with my attending physician.[Read More] Does Cancer Treatment Drug Cause Elevated Liver Enzymes?
Consulting on Herbal Remedies for Hepatitis B Symptoms
I would like to inquire about the use of traditional Chinese medicine for hepatitis B? Hello Doctor, I am a patient with hepatitis B. I previously took Entecavir, and after the viral load was effectively reduced, my primary physician advised me to stop the medication. After stopp...
Dr. Cai Anshun Reply:
Hello: Being a carrier of hepatitis B does not necessarily mean you cannot take traditional Chinese medicine; however, it is recommended that you consult a qualified Chinese medicine practitioner for a prescription. The medications you mentioned are classified as patent medicines...[Read More] Consulting on Herbal Remedies for Hepatitis B Symptoms
Understanding Drug-Induced GERD: Risks and Long-Term Consequences
Medication-induced gastroesophageal reflux disease (GERD) Past Medical History: 1. Stress ulcer (lesser curvature of the stomach) 2. Irritable bowel syndrome Q: If [Grade A esophagitis] and [non-H. pylori gastritis] are ignored for a long time, could the consequences lead to eso...
Dr. Chen Shidian Reply:
It is still mild, and lifestyle and dietary adjustments are recommended, along with short-term medication treatment if necessary.[Read More] Understanding Drug-Induced GERD: Risks and Long-Term Consequences
Understanding Liver Nodules: Insights for Concerned Families
Hepatic adenoma Hello Doctor, my mother is 60 years old. She was diagnosed with stage 1A gastric cancer in August 2018 and underwent surgical treatment. Since then, she has been undergoing annual check-ups. In July 2020, an abdominal CT scan revealed a small nodule in the liver. ...
Dr. Chen Shidian Reply:
Please follow up or refer the imaging to a radiologist to determine if additional examinations are needed.[Read More] Understanding Liver Nodules: Insights for Concerned Families
Understanding Liver Tumors: Treatment Options for Advanced Cases
Liver tumor issues? Hello Dr. Chen, my father has liver cancer with a 9 cm liver tumor and a bilirubin level of 2.4. He has been experiencing shortness of breath recently, and the doctor mentioned pleural effusion. The doctor also said that since the bilirubin level has not dropp...
Dr. Chen Shidian Reply:
In principle, jaundice should decrease to reduce side effects. In a few cases, medication may be used based on individual circumstances (out-of-pocket). Please discuss with the attending team.[Read More] Understanding Liver Tumors: Treatment Options for Advanced Cases
Understanding Liver Pain and Yellowing Eyes After Alcohol Abuse
Dull pain in the liver area and yellowing of the sclera? Hello! I have been a long-term alcoholic for about 7 to 8 years, starting with red wine, then whiskey, and later consuming approximately 250 to 300 cc of 58% sorghum liquor each night (I have a habit of drinking until I fal...
Dr. Chen Shidian Reply:
It would still be reassuring to go to the hospital for an ultrasound examination.[Read More] Understanding Liver Pain and Yellowing Eyes After Alcohol Abuse
Understanding Liver Cysts: Surgery, Recovery, and Costs Explained
Blister on the liver? Hello, doctor. I would like to ask, if a liver cyst has grown to about 15-16 centimeters and there is pain in the lower abdomen, how many days should I expect to be hospitalized for ultrasound-guided aspiration? Will there be significant pain after the proce...
Dr. Chen Shidian Reply:
There is a risk of recurrence after aspiration, and it is advisable to consult with an experienced gastroenterologist at a medical center.[Read More] Understanding Liver Cysts: Surgery, Recovery, and Costs Explained
Understanding Abnormal Liver Function Tests: SGOT and SGPT Insights
Liver function tests (LFTs) Hello Doctor: Recent health check reports indicate abnormal liver function with SGOT: 45 U/L and SGPT: 45 U/L. What could be the issue or what recommendations do you have? Is there a need for immediate medical attention, re-examination, or treatment? T...
Dr. Chen Shidian Reply:
Check for hepatitis B and perform an ultrasound. If it is only fatty liver, then lose weight for 1 to 2 months before following up with blood tests.[Read More] Understanding Abnormal Liver Function Tests: SGOT and SGPT Insights
How Much Catechins is Safe to Consume Daily for Liver Health?
Excessive intake of catechins? I would like to ask, convenience stores sell bottled green tea that often claims to contain catechins. What is the maximum daily intake of catechins in milligrams? Is excessive intake harmful to the liver? Thank you.
Dr. Chen Shidian Reply:
I apologize, I haven't researched it. In principle, diet and beverages should be consumed in moderation; they are generally safe, but one should be cautious of excessive total caloric intake.[Read More] How Much Catechins is Safe to Consume Daily for Liver Health?
Can Finasteride Affect Liver Hemangiomas? Understanding Risks and Symptoms
The impact of medication on hepatic hemangiomas? Hello, doctor. I would like to ask if it is safe to take Finasteride or similar medications like Rogaine if I have a hepatic hemangioma? I often feel a tight sensation near my lower right rib, as if something is pressing against it...
Dr. Chen Shidian Reply:
There is currently no confirmed literature evidence. Hemangiomas typically do not present with symptoms; if discomfort occurs, a medical examination is recommended.[Read More] Can Finasteride Affect Liver Hemangiomas? Understanding Risks and Symptoms
Understanding Long-Term Bloating: When to Seek Medical Advice
Chronic bloating Hello Doctor, I am 23 years old and have been experiencing bloating and pain on the left side of my abdomen near the navel for the past four years. Sometimes I also have pain in the upper left abdomen. I visited a major hospital for examination, and during an ult...
Dr. Lin Minghui Reply:
Hello, A 23-year-old female presents with abdominal bloating, left upper abdominal pain, and a history of esophageal reflux with gastric mucosal erosion. In addition to gastrointestinal disorders, differential diagnoses should also consider liver, gallbladder, and pancreatic di...[Read More] Understanding Long-Term Bloating: When to Seek Medical Advice