Understanding Alcohol-Induced Liver Failure: A Daughter's Plea for Help
Excessive alcohol consumption I urgently need a doctor’s help to address my concerns. My father recently experienced liver coma after drinking alcohol. Before the liver coma, he had sudden fainting episodes, both on the street and while driving. After the liver coma, he was admit...
Dr. Lin Minghui Reply:
Hello, long-term excessive alcohol consumption can lead to brain lesions, impaired cardiac function, hepatitis, cirrhosis and its complications, pancreatitis, avascular necrosis of the femoral head, and alcohol dependence. If the situation is urgent, it is advisable to seek emerg...[Read More] Understanding Alcohol-Induced Liver Failure: A Daughter's Plea for Help
Understanding Bloating and Stomach Pain: Causes and Solutions
Bloating and stomach pain? Hello, Doctor. I occasionally experience hiccups, followed by frequent flatulence, but it hasn't been a major issue. However, recently I've started to have stomach pain, and I feel bloated and painful after eating. My hiccups have also become ...
Dr. Chen Shidian Reply:
You can visit the gastroenterology outpatient clinic for diagnosis and treatment.[Read More] Understanding Bloating and Stomach Pain: Causes and Solutions
Understanding Liver Function Abnormalities: Cholesterol and Other Causes
Liver dysfunction As per your inquiry, GPT is 90, GOT is 95, total cholesterol is 209, and low-density lipoprotein (LDL) cholesterol is 136. Six months ago, an abdominal ultrasound showed that fatty liver had resolved. At that time, you weighed 67 kg, and now you weigh 73 kg, whi...
Dr. Chen Shidian Reply:
Weight gain can significantly affect fatty liver disease. Cholesterol levels do not necessarily impact fatty liver. Additionally, be cautious with the use of lipid-lowering medications, as they may cause an increase in liver function tests in a small number of individuals.[Read More] Understanding Liver Function Abnormalities: Cholesterol and Other Causes
Understanding Elevated SGPT: Fatty Liver and Hepatitis Concerns
Elevated SGPT (Serum Glutamate Pyruvate Transamin Hello, I recently had a blood test at the clinic and found that my GOT level is normal at 39 U/L, while my GPT level is abnormal at 111 U/L. On the same day, I also had an ultrasound that revealed fatty liver. My body fat percenta...
Dr. Chen Shidian Reply:
It is likely that the abnormal liver function is caused by fatty liver, but it is still recommended to rule out the possibility of hepatitis B or C. Additionally, blood lipids are not necessarily proportional to the severity of fatty liver. It is important to reduce starch intake...[Read More] Understanding Elevated SGPT: Fatty Liver and Hepatitis Concerns
Understanding Clinical Significance of Liver and Pancreatic Test Results
Liver problems Hello, I would like to ask about a patient with hepatitis C who has previously received interferon treatment. The most recent lab report shows: amylase at 1.38 times the upper limit of normal, CA 19-9 at 2 times the upper limit of normal, and IgG4 exceeding the upp...
Dr. Chen Shidian Reply:
The numbers are for reference only and require comprehensive clinical judgment (including imaging). Please discuss with your attending physician.[Read More] Understanding Clinical Significance of Liver and Pancreatic Test Results
Understanding Early Cirrhosis: Autoimmune Liver Disease Insights and Management
Liver issues - Cirrhosis Hello Doctor, two years ago during a health check-up, fetal alpha-fetoprotein was found to be 13.8, and both GOT and GPT levels were elevated. An ultrasound indicated that the liver appeared enlarged, suggesting liver fibrosis. Blood tests ruled out hepat...
Dr. Chen Shidian Reply:
Your situation is quite unique; there is significant individual variation in autoimmune hepatitis, and medication regimens can differ accordingly. Therefore, it is essential to tailor the treatment to your specific condition. Please discuss this further with your attending physic...[Read More] Understanding Early Cirrhosis: Autoimmune Liver Disease Insights and Management
Understanding Hepatitis B Carrier Status: When to Consider Treatment
Hepatitis B carrier issues? Hello, Dr. Chen. I am a carrier of hepatitis B. A few days ago, I returned for a follow-up appointment, and my test results showed a hepatitis B surface antibody level of 8540 (+). The doctor did not prescribe any medication and only advised me to cont...
Dr. Chen Shidian Reply:
If only the surface antigen is positive, with a high concentration but no liver cirrhosis and normal liver function (AST/ALT), medication is still not recommended.[Read More] Understanding Hepatitis B Carrier Status: When to Consider Treatment
Understanding Elevated Liver Enzymes: Impact of Intense Exercise
Elevated liver function tests? Hello, Vice Dean Chen. A few days ago, during a health check at a certain hospital, I received a phone call notifying me that my liver enzyme levels were elevated, with a value of 107. I usually do not stay up too late, going to bed around 10 or 11 ...
Dr. Chen Shidian Reply:
Intense exercise (such as running a marathon) can indeed lead to an increase in GOT levels, while the impact on GPT is relatively minor. The elevation in GOT levels is due to the release of this enzyme from muscle tissue and is not related to liver function. Resting and rehydrati...[Read More] Understanding Elevated Liver Enzymes: Impact of Intense Exercise
Can I Dive or Lift Weights with a Liver Hemangioma?
Hepatic hemangioma Hello, doctor. I have been diagnosed with a 2 cm hepatic hemangioma. Can I engage in activities such as diving and weight training? Is there a risk that increased abdominal pressure could cause it to rupture? If diving is permitted, are there any depth restrict...
Dr. Chen Shidian Reply:
Currently, there are no relevant studies or recommendations. Theoretically, there should be no impact, but monitoring is necessary, initially for six months, and then annually thereafter.[Read More] Can I Dive or Lift Weights with a Liver Hemangioma?
Managing Gastrointestinal Issues: Insights from a Hepatobiliary Specialist
Gastrointestinal issues, please consult Dr. Ming-Hui? Hello Dr. Lin, I received your reply today. I have been experiencing some recent stomach issues and would like to report and inquire about them. I have consulted with a psychiatrist and a gastroenterologist (I have had an ultr...
Dr. Lin Minghui Reply:
Hello, for a 48-year-old male with psychogenic gastritis, it is advisable to consume a gentle diet to prevent stomach cramps. Avoid greasy, overly sweet, cold, irritating, and hard-to-digest foods. Maintain a normal and balanced diet, eating three meals a day without rushing. Dur...[Read More] Managing Gastrointestinal Issues: Insights from a Hepatobiliary Specialist
Understanding Hepatitis B: Treatment, E Antigen, and Immunity Concerns
Hepatitis B issues I am currently undergoing treatment with Viread for hepatitis B, and my E antigen is still positive. Am I eligible for immunity regulations, or do I need to undergo a liver biopsy to obtain proof?
Dr. Chen Shidian Reply:
It does not meet the criteria, but it is essential to continue medication monitoring.[Read More] Understanding Hepatitis B: Treatment, E Antigen, and Immunity Concerns
Can I Dive or Lift Weights with a Liver Hemangioma?
Hepatic hemangioma Hello, doctor. I have been diagnosed with a 2 cm hepatic hemangioma. Can I engage in diving and weight training? Is there a risk that increased abdominal pressure could cause it to rupture? If diving is permitted, are there any depth restrictions? Thank you. 🙏
Dr. Chen Shidian Reply:
Currently, there are no relevant studies or recommendations. Theoretically, there should be no impact, but monitoring is necessary: initially for six months, and then annually thereafter.[Read More] Can I Dive or Lift Weights with a Liver Hemangioma?
Is Liver Dialysis Necessary with Elevated Bilirubin but Normal Liver Enzymes?
GOT and GPT levels are normal, but total bilirubin is 18. Is liver cleansing necessary? My father is experiencing multiple organ failure due to an infection, and the doctors have indicated that his liver and kidney issues are the most significant. He is currently undergoing dialy...
Dr. Chen Shidian Reply:
Liver washing or plasma exchange has certain short-term benefits, but there is still controversy regarding its long-term survival rates (hence it may require out-of-pocket expenses). It is advisable to discuss the benefits thoroughly with the attending physician.[Read More] Is Liver Dialysis Necessary with Elevated Bilirubin but Normal Liver Enzymes?
Are There Effective Treatments for Liver Cirrhosis in Taiwan?
Is there a specific medication for cirrhosis? Hello, Director. I am a bride from Mainland China. My sister-in-law has had hepatitis B since she was young. Due to the lack of obvious symptoms, she did not pay much attention to managing this condition. Now at 40 years old, with fou...
Dr. Chen Shidian Reply:
It is recommended to use antiviral medications long-term (such as Baraclude or Hepsera) and to undergo regular ultrasound monitoring.[Read More] Are There Effective Treatments for Liver Cirrhosis in Taiwan?
Understanding Cytomegalovirus Infection and Its Impact on Liver Health
Hepatitis diagnosed with cytomegalovirus? Approximately when I first entered the workforce, I experienced persistent low-grade fevers for over a month, which led to hepatitis. During that time, I would easily fall asleep due to fatigue. I recall being diagnosed with a cytomegalov...
Dr. Chen Shidian Reply:
Currently, there are no specific preventive treatments. Maintaining a normal daily routine, keeping up immunity, practicing good hand hygiene, and being cautious about sexual contact transmission are sufficient.[Read More] Understanding Cytomegalovirus Infection and Its Impact on Liver Health
Managing Rapid Gastric Motility and Pain After Dinner: Tips for Recovery
Within 7 days, there were 2 instances of rapid gastric motility after dinner at night? Hello, doctor. I have been recovering from gastritis and recently experienced severe stabbing pain in my stomach after dinner (braised pork rice). This has led me to visit the emergency room tw...
Dr. Lin Minghui Reply:
Hello! Does drinking water help with back pain? The causes of back pain may include muscular or neurological issues, and prolonged inactivity from lying down for too long can lead to discomfort in the back. Peptic ulcers, gastritis, and pancreatitis can also cause pain that radia...[Read More] Managing Rapid Gastric Motility and Pain After Dinner: Tips for Recovery
Understanding Changes in Stool Color: When to Seek Medical Advice
Fecal color inquiry? Hello Dr. Chen, I have been taking medication for a cold for the past five days after visiting an ENT specialist. I understand that taking antibiotics can cause loose stools, but I've noticed that the color has become somewhat darker, though not complete...
Dr. Chen Shidian Reply:
It should be fine; continue to monitor after taking the medication.[Read More] Understanding Changes in Stool Color: When to Seek Medical Advice
Understanding Pain Under the Ribs: Liver or Gallbladder Issues?
Pain in the inner lower area of the left and right ribs? Hello, due to work-related socializing, I occasionally drink alcohol. Around the end of last year, I started to notice a soreness under the left and right ribs after drinking. My medical history includes mild gastritis, spe...
Dr. Lin Minghui Reply:
Hello, a 40-year-old male is experiencing soreness in the inner area below the left and right ribs after drinking alcohol. The pain slightly improves when taking B vitamins or clam extract. An ultrasound shows fatty liver, with no significant gallstones or biliary issues. Long-te...[Read More] Understanding Pain Under the Ribs: Liver or Gallbladder Issues?
Understanding Your Doctor's Recommendation for a CT Scan After Ultrasound
After the ultrasound, the doctor asked me to undergo a CT scan, which made me a bit anxious? I previously had acute pancreatitis and have been following up with my doctor. During my last visit, the doctor requested a CT scan after I completed an ultrasound, which made me a bit wo...
Dr. Cai Anshun Reply:
Hello: Diagnosis: Hypoechoic change in the pancreas, nature? This likely indicates the presence of a hypoechoic shadow in the pancreatic region, so a CT scan is necessary to confirm if there are any issues. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Your Doctor's Recommendation for a CT Scan After Ultrasound
Understanding Nighttime Diarrhea and Skin Issues in Older Adults
My mother has been experiencing diarrhea at night recently, which has left her feeling hungry. Additionally, she has small red spots on her thighs and calves? Hello Doctor: My mother is 55 years old and has recently been experiencing diarrhea almost every night for unknown reason...
Dr. Chen Shidian Reply:
The situation is more complicated; it is advisable to go to the hospital for an examination.[Read More] Understanding Nighttime Diarrhea and Skin Issues in Older Adults