Understanding Moderate Liver Fibrosis: Is It Possible Without Viral Infection?
Liver fibrosis I was diagnosed with moderate liver fibrosis (F3 or higher) at Wan Fang Hospital. I have had Hepatitis C for 30 years and also have severe fatty liver. After further blood tests, the hospital said there was no virus present, so I do not qualify for priority appoint...
Dr. Chen Qifeng Reply:
It is possible to recheck.[Read More] Understanding Moderate Liver Fibrosis: Is It Possible Without Viral Infection?
Can Eating Undercooked Pork Liver Lead to Parasite Infection?
Can eating undercooked pig liver lead to parasitic infections? Today, while I was experiencing a cold, I went to a noodle shop and had pig liver. I noticed that the liver had some blood and seemed undercooked. I didn't think much of it at the time and ate it anyway. Later, I...
Dr. Chen Shidian Reply:
Hello, sir. There is no need to worry too much; just seek medical attention if you feel unwell. Changhua Hospital cares about your health. Chen Shidian[Read More] Can Eating Undercooked Pork Liver Lead to Parasite Infection?
Should You Worry About Blood-Streaked Stool? A Guide for Adults
Stool suspected to contain blood streaks? Hello Dr. Tsai, I am 41 years old, with no significant medical history, and my height and weight are normal (although I am slightly overweight, with elevated triglycerides and mild fatty liver; I usually work in an office). Recently, I ha...
Dr. Cai Anshun Reply:
Hello: You can seek medical attention first, and the physician will determine what examinations are necessary. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Should You Worry About Blood-Streaked Stool? A Guide for Adults
Understanding Portal Vein Congestion: Implications and Next Steps
Portal vein congestion and swelling? Hello, I recently had a simple health check-up, and the report indicated "portal vein congestion and dilation (diameter 2 cm) without splenomegaly." What does "portal vein congestion and dilation (diameter 2 cm)" mean? What...
Dr. Lin Minghui Reply:
Hello, the portal vein supplies blood flow to the liver cells. Causes of portal vein enlargement include chronic hepatitis, hepatic fibrosis, cirrhosis, or certain diseases and surgeries that can lead to thrombosis or embolism within the portal vein. Portal hypertension typically...[Read More] Understanding Portal Vein Congestion: Implications and Next Steps
Understanding Liver Ultrasound Discrepancies: Your Questions Answered
Questions about liver ultrasound? Hello Doctor: I have been diagnosed with hepatitis B and have been monitoring my liver function for about four years, with liver enzyme levels consistently below 80. In March of this year, I self-paid for Hepcludex treatment, and by May, my viral...
Dr. Chen Shidian Reply:
Hello, sir. It is advisable to discuss the details of your condition with your attending physician. Further examinations may not be necessary, but follow-up is required. If you still have concerns, a liver biopsy may be considered. Changhua Hospital cares about your health. Since...[Read More] Understanding Liver Ultrasound Discrepancies: Your Questions Answered
Understanding Post-Meal Abdominal Pain: Causes and Solutions
Stomach pain after eating? Hello Doctor: My symptoms are as follows: 1. I feel a constant hunger sensation around my belly button, which feels tight but not painful. 2. Sometimes after eating, I experience abdominal pain (especially after consuming spicy food), but it resolves af...
Dr. Cai Anshun Reply:
Hello: It is recommended to consult a gastroenterologist for a comprehensive evaluation. Conditions such as peptic ulcers, gastroesophageal reflux disease (GERD), constipation, abnormal bowel movements, and liver or gallbladder diseases may present with such symptoms. Changhua Ho...[Read More] Understanding Post-Meal Abdominal Pain: Causes and Solutions
Understanding Elevated Liver Enzymes: What Do High AST and ALT Levels Mean?
I am puzzled that my blood test results show liver enzyme levels that are 5 to 6 times higher than the normal reference range? On November 16, my mother went for a blood test. The report came back with several abnormal liver function results: SGOT (AST) was 226, and SGPT (ALT) wa...
Dr. Chen Shidian Reply:
Hello, please cooperate with the physician to determine if you have hepatitis B, hepatitis C, or drug-induced hepatitis. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Elevated Liver Enzymes: What Do High AST and ALT Levels Mean?
Understanding Liver Fibrosis: Treatment Options and Costs Explained
Liver fibrosis I have had hepatitis C for 30 years. When I previously had severe fatty liver, my doctor said I had depression, so I was not suitable for interferon treatment. I have been monitored every six months. Recently, Wan Fang Hospital acquired a new machine for liver fibr...
Dr. Chen Shidian Reply:
Hello, Miss. Once the National Health Insurance Administration announces the reduction of treatment standards next year, you may be able to access oral treatments covered by health insurance. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Liver Fibrosis: Treatment Options and Costs Explained
Understanding Hepatitis C: Treatment Options and Testing for Family Health
Hepatitis C 1. My mother is 60 years old and recently discovered through a health check that she has over 6 million hepatitis C virus (HCV) copies. She is currently undergoing blood tests for genotyping. Are there any insurance-covered treatment options available for the latest t...
Dr. Cai Anshun Reply:
Hello: 1. The GPT level is above the standard value, but there is no cirrhosis, and interferon treatment is acceptable. Additionally, for chronic hepatitis C with cirrhosis and no decompensated liver function, full oral antiviral treatment for hepatitis C is acceptable. 2. You ma...[Read More] Understanding Hepatitis C: Treatment Options and Testing for Family Health
Right Upper Abdomen Pain While Walking: When to Seek Medical Attention
Pain in the upper right abdomen while walking? Hello doctor, three days ago after I finished running, I started experiencing pain in my upper right abdomen. I thought the discomfort would improve the day after running, but today I still feel uncomfortable in my upper right abdome...
Dr. Cai Anshun Reply:
Hello: The right upper abdomen contains the liver, gallbladder, duodenum, and colon, and it may be a muscle injury in the abdominal area. If there is no improvement, you should consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Right Upper Abdomen Pain While Walking: When to Seek Medical Attention
Understanding the Risks of Colorectal Cancer After Gallbladder Removal
Cholecystectomy Hello Doctor, due to my father's condition, I donated my liver, specifically the left lobe, and my gallbladder was also removed. I have been resting at home for almost a month since being discharged from the hospital. I came across information online suggesti...
Dr. Yang Zhichao Reply:
Hello Mr. Lee, you are 30 years old. If there is no family history of colorectal cancer, you belong to a low-risk group. Additionally, gallbladder removal does not necessarily increase the risk of colorectal cancer. It is recommended that you consume more fruits and vegetables, e...[Read More] Understanding the Risks of Colorectal Cancer After Gallbladder Removal
Should You Seek Further Testing After Normal Liver Biopsy Results?
The liver biopsy results are normal. Is there a need for further testing? Hello Doctor, In the past two years, I have found that my liver enzyme levels are elevated, with ALT ranging from 116 to 337, AST from 47 to 142, and GGT from 133 to 208. Each time I have been tested, my ...
Dr. Chen Shidian Reply:
Hello, if you still have concerns, you can bring your complete medical records to a medical center. You may first monitor your liver function changes over the next 3 to 6 months, and if there is no improvement, then visit the medical center. Changhua Hospital cares about your hea...[Read More] Should You Seek Further Testing After Normal Liver Biopsy Results?
High rGT Levels and Right Upper Abdominal Pain: Is It a Pancreatic Issue?
Elevated rGT levels and right upper quadrant pain? Two years ago, elevated rGT levels were discovered, and for the past two years, the index has remained around 100. There has been no medication or alcohol consumption, and other liver function tests are normal. An ultrasound is p...
Dr. Chen Shidian Reply:
Hello, sir. Please pay attention to whether you have severe fatty liver. Additionally, some individuals may have this condition due to their genetic predisposition, and monitoring is sufficient. If necessary, a liver biopsy may be performed. Changhua Hospital cares about your hea...[Read More] High rGT Levels and Right Upper Abdominal Pain: Is It a Pancreatic Issue?
Understanding Liver Ultrasound Results: Key Insights for Abdominal Pain
Liver ultrasound Height: 182 cm Weight: 67 kg Non-smoker, non-drinker. Below is the ultrasound report; I would like to know what the issues are. AST: 34 ALT: 40 Chief Complaint: Abdominal pain and abnormal liver function tests. SONAR FINDINGS: - Liver: Fine echotexture in pare...
Dr. Cai Anshun Reply:
Hello: 1. Liver function tests should be normal. 2. The report indicates suspected renal parenchymal disease, increased intestinal gas, and mild splenomegaly. You may consult a nephrologist to determine the cause. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Liver Ultrasound Results: Key Insights for Abdominal Pain
Managing Liver Tumor Treatment: Patient Guidance and Medication Options
Liver issues? My father has undergone multiple treatments for liver tumors, including several embolizations and radiofrequency ablations. During a follow-up appointment, his alpha-fetoprotein (AFP) level was still 21.9. When I asked the attending physician, they were unsure of th...
Dr. Lin Minghui Reply:
Hello, after multiple treatments for liver cancer, the AFP level remains high. It is recommended to compare the current AFP value with previous values. Common causes of elevated AFP include chronic hepatitis, liver cirrhosis, and liver cancer. Elevated AFP can still occur in case...[Read More] Managing Liver Tumor Treatment: Patient Guidance and Medication Options
Understanding Hepatitis B: What to Do After a Positive Surface Antigen Test
Could you please provide more details about the issue related to hepatitis B? Hello, I would like to ask about my situation. I tested negative for hepatitis B at the age of 32. Now, at 36, I came into contact with unknown blood on September 10 and got tested on September 13. Eigh...
Dr. Lin Minghui Reply:
Hello: The presence of Hepatitis B surface antigen (HBsAg) indicates an infection with Hepatitis B. It is important to monitor for any symptoms of hepatitis, as there is still a 1% risk of fulminant hepatitis in cases of acute Hepatitis B infection, so one should not be complacen...[Read More] Understanding Hepatitis B: What to Do After a Positive Surface Antigen Test
Should You See a Doctor for Mild Liver Function Abnormalities?
Abnormal liver function detected during school health examination? SGOT 20, SGPT 42.3 (slightly elevated), Hepatitis B surface antigen negative, Hepatitis B surface antibody negative. Due to being in the third year of junior high school and staying up late, should I visit an inte...
Dr. Cai Anshun Reply:
Hello: GPT 42.3 is only slightly elevated, so there is no need to worry too much. You can return to the clinic for a follow-up blood test in three months. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Should You See a Doctor for Mild Liver Function Abnormalities?
Understanding Right Upper Abdomen Pain: Is Your Job to Blame?
Right upper quadrant discomfort and pain? Liver function tests have all come back normal, and the ultrasound showed no abnormalities. I work a 12-hour night shift, and I often sit for several hours without getting up. Every time I stand up, I experience a sharp pain in the upper ...
Dr. Chen Qifeng Reply:
It should be a musculoskeletal issue.[Read More] Understanding Right Upper Abdomen Pain: Is Your Job to Blame?
Understanding Liver Function Tests: What Elevated Protein Levels Mean for Your Health
Liver function blood tests Hello Doctor: Today I went to the hospital for a CBC-I blood test as requested by my previous doctor, and everything is normal. Three months ago, my liver function index was slightly elevated at 60, but it has now decreased to 23. However, the doctor me...
Dr. Cai Anshun Reply:
Hello: It may be related to fetal proteins. It is recommended to closely monitor the situation, as liver inflammation or liver tumors could also cause an increase. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Liver Function Tests: What Elevated Protein Levels Mean for Your Health
Can Fatty Liver and Elevated Liver Enzymes Cause Chronic Fatigue?
A liver index of 146 can indicate liver dysfunction or damage, which may lead to symptoms such as fatigue. It is important to consult a healthcare professional for a thorough evaluation and appropriate management? I have been suffering from chronic fatigue for many years. My GPT ...
Dr. Cai Anshun Reply:
Hello: Most cases of hepatitis do not present symptoms unless there is decompensated liver function, which makes symptoms more likely to occur. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Can Fatty Liver and Elevated Liver Enzymes Cause Chronic Fatigue?