Understanding Elevated Total Bilirubin Levels in Chronic Hepatitis B Carriers
A carrier of hepatitis B would like to inquire about the issue of elevated total bilirubin (TBIL 2.1 mg/dL)? Hello Dr. Chen, I am 40 years old and a carrier of Hepatitis B. I would like to inquire about the issue of elevated total bilirubin (TBIL 2.1 mg/dL). I have been regularl...
Dr. Chen Shidian Reply:
Hello, sir. It is likely that your elevated bilirubin levels are due to your individual bilirubin metabolism, which poses no harm to your health. Changhua Hospital cares about your well-being. Chen Shidian.[Read More] Understanding Elevated Total Bilirubin Levels in Chronic Hepatitis B Carriers
Nausea and Abdominal Discomfort After Meals: Possible Causes and Solutions
Nausea after eating, along with upper abdominal bloating and burning sensation? Hello Doctor: In the past couple of days, I have been experiencing nausea after lunch or dinner (but I haven't vomited). After burping, I feel somewhat better, but the nausea returns. There is a ...
Dr. Cai Anshun Reply:
Hello: It may be a stomach issue. Additionally, the side effects of Buscopan can affect intestinal motility. You may want to consult a gastroenterologist for an accurate diagnosis. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Nausea and Abdominal Discomfort After Meals: Possible Causes and Solutions
Post-Surgery Concerns: Persistent Right Abdomen Twitching After Liver Ablation
Post-operative issues: Persistent twitching in the right abdomen after liver radiofrequency ablation? Hello, my mother discovered a tumor in her liver (approximately 11 cm, yet to be determined if benign or malignant). She underwent radiofrequency ablation surgery at National Tai...
Dr. Chen Shidian Reply:
Hello, the symptoms you mentioned are less commonly associated with electrosurgery. It would be advisable to visit a nearby hospital for an examination. Changhua Hospital cares about your health. Chen Shidian[Read More] Post-Surgery Concerns: Persistent Right Abdomen Twitching After Liver Ablation
Understanding Elevated ALT Levels: Causes and Next Steps for Liver Health
Liver function issues Hello, Doctor: I often feel fatigued and my job requires me to stay up late frequently. I went to a testing center to have my ALT/SGPT tested, and my result was 94 (normal range is 10-40). I weigh 88 kg and do not drink alcohol. I would like to ask if this i...
Dr. Chen Shidian Reply:
Hello, please visit the Hepatobiliary and Gastroenterology Department for a consultation to confirm your condition. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Elevated ALT Levels: Causes and Next Steps for Liver Health
Understanding Abnormal Liver Function: Causes and Concerns
Liver dysfunction Hello, doctor. I had an examination at the hospital in early December, and my GPT level was abnormal while my GOT level was normal. The normal value is below 47, and mine was 50. I am obese, and I stayed up late the night before the blood test. Could this be rel...
Dr. Chen Shidian Reply:
Hello, it appears you have fatty liver, which is also caused by obesity. Please manage your caloric intake. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Abnormal Liver Function: Causes and Concerns
Addressing Anxiety: Concerns About Abdominal Ultrasound and Recording
Hello doctor, I have two questions? Hello, doctor. My boyfriend is experiencing severe anxiety and obsessive-compulsive disorder. He is currently undergoing treatment in a psychosomatic clinic. Recently, he has had two concerns related to his liver, gallbladder, and gastrointesti...
Dr. Chen Qifeng Reply:
Recording on a mobile phone will not affect the ultrasound results. Fasting for more than 6 hours, with only a small amount of water consumed, will not impact the interpretation of the ultrasound.[Read More] Addressing Anxiety: Concerns About Abdominal Ultrasound and Recording
Does Drinking Water Before an Abdominal Ultrasound Affect Results?
Drinking water before an ultrasound examination? Hello, doctor. I have been experiencing dull pain in my upper right abdomen, so I visited a gastroenterology clinic. The doctor wanted to perform an abdominal ultrasound and asked if I was fasting and had not consumed any water. I ...
Dr. Chen Shidian Reply:
Hello, sir. Drinking water occasionally may affect the penetration of ultrasound; however, if the physician has not specifically mentioned the need for a re-examination, it should be clear enough. Changhua Hospital cares about your health. Chen Shidian[Read More] Does Drinking Water Before an Abdominal Ultrasound Affect Results?
Can Liver Tumors Progress to Liver Cancer? Understanding Your Risks
Can a liver tumor transform into liver cancer? Hello, doctor! In September of this year, I went for a check-up due to gastrointestinal discomfort, and an abdominal ultrasound detected a 0.6 cm tumor on my right liver. During a follow-up visit in December, it had increased to 0.8 ...
Dr. Chen Shidian Reply:
Hello, Miss. Please do not worry; the chances are likely low. Just continue to monitor any changes in size. Changhua Hospital cares about your health. Chen Shidian.[Read More] Can Liver Tumors Progress to Liver Cancer? Understanding Your Risks
Understanding Hepatitis B Surface Antibody Reversal: What It Means for Your Health
Reversal of Hepatitis B Surface Antibodies Hello Dr. Chen, My mother was found to be HBsAg positive and anti-HBs negative during a screening at the Hepatitis Prevention and Control Foundation on August 11, 2015. The same results were confirmed in a follow-up test on October 25,...
Dr. Chen Shidian Reply:
Hello, sir. Please discuss the details in person with a gastroenterologist. It should be within the margin of error for the tests. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Hepatitis B Surface Antibody Reversal: What It Means for Your Health
Understanding Anti-HBs Levels and Their Implications for Liver Health
Anti-HBs Hello, doctor. Could you please explain what a positive Anti-HBs value of + (108.22) indicates? Additionally, I have a mild fatty liver observed during an abdominal ultrasound. Thank you.
Dr. Chen Shidian Reply:
Hello, Miss. The concentration of hepatitis B antibodies is a concern for your health at Changhua Hospital. Chen Shidian.[Read More] Understanding Anti-HBs Levels and Their Implications for Liver Health
Could My Symptoms Indicate a Possible Pancreatic Tumor?
Is there a possibility of pancreatic tumor? Hello Doctor, I am 29 years old and here is my situation. Recently, on a night in November, I felt a dull ache and bloating in my right abdomen. For several days, I have had a slight sensation in my right upper abdomen, but it is not as...
Dr. Chen Qifeng Reply:
Your symptoms can be explained by gallstones. If the doctor has diagnosed you with no pancreatic tumor and multiple tests have shown the same results, there is no need to worry too much.[Read More] Could My Symptoms Indicate a Possible Pancreatic Tumor?
Understanding Hepatitis: Vaccination, Risks, and Virus Survival Insights
Some questions about hepatitis? Hello Doctor: 1. During a recent health check-up, I found a line in the report stating: "Liver examination: HBsAg negative, HBsAb negative. Vaccination is recommended." This made me a bit worried. Does this mean I no longer have antibodi...
Dr. Chen Shidian Reply:
Hello, in Taiwan, individuals born after 1984 have received the hepatitis B vaccine. However, antibodies may diminish after 10 to 15 years, although immune function remains intact. Generally, there is no need for booster shots or retesting. As long as there is no unnecessary expo...[Read More] Understanding Hepatitis: Vaccination, Risks, and Virus Survival Insights
Understanding Abnormal Liver Enzymes: A Daughter's Urgent Concerns
Abnormal liver function tests? My father went to the hospital for a blood test on November 18, and after the results came back, he was urgently admitted for hospitalization! His liver enzyme levels were over 1000 (prior to this, he had been complaining of lower back and waist pai...
Dr. Chen Shidian Reply:
Hello, the term "fulminant hepatitis" refers to the onset of jaundice accompanied by altered mental status. It is advisable for your father to discuss his condition thoroughly with his attending physician and to be closely monitored. Additionally, please avoid consuming...[Read More] Understanding Abnormal Liver Enzymes: A Daughter's Urgent Concerns
Understanding Bloating and Pain: The Impact of Gallstones on Digestive Health
Bloating, stomach pain, and gallstones? Doctor, hello. I have been experiencing bloating after meals for many years, but I could quickly relieve it by taking some antacids or simethicone. However, in the past 1-2 years, the frequency of bloating has increased, and sometimes norma...
Dr. Chen Shidian Reply:
Hello, if you experience discomfort after meals, you may consider gallbladder surgery, although it may not necessarily be effective. It would be advisable to discuss this further with a gastroenterologist. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Bloating and Pain: The Impact of Gallstones on Digestive Health
Understanding Liver Inflammation and Elevated CA19-9 Levels
Liver, CA19-9 Hello, Doctor! The recent blood test report shows T-Bilirubin 2.14 mg/dL, D-Bilirubin 1.32 mg/dL, GOT 159 U/L, GPT 482 U/L, Alk-P 151 U/L, GTP 484 U/L, and Eosinophil 0.4%, which is below the normal value of 0.9. AFP is 3.17 ng/mL (which is normal), CEA is 4.25 ng/m...
Dr. Chen Qifeng Reply:
Such a blood test report indicates that it is not the time to discuss dietary considerations, but rather the time to undergo further examinations. The preliminary assessment suggests the highest likelihood of bile duct obstruction (rather than hepatitis), and a referral to a gast...[Read More] Understanding Liver Inflammation and Elevated CA19-9 Levels
Understanding Stomach Discomfort After Liver Transplant: When to Seek Help
Stomach discomfort? Hello doctor, 16 years after my liver transplant, I occasionally experience stomach pain, which happens infrequently. I regularly undergo gastroscopy, and sometimes the results show mild gastric mucosal erosion. Last July, I felt a sensation of something stuck...
Dr. Cai Anshun Reply:
Hello: If you hear bowel sounds and do not experience severe cramping, there is no need to worry too much. However, you should pay attention to any bloating or constipation. If multiple endoscopies have shown no significant issues, it may be time to adjust your lifestyle and diet...[Read More] Understanding Stomach Discomfort After Liver Transplant: When to Seek Help
Understanding Chronic Hepatitis B and C: Legal Status and Treatment Advances
Chronic hepatitis and carrier status concerns? Hello, doctor. I would like to ask if chronic hepatitis B and C are classified as notifiable infectious diseases under the Communicable Disease Control Act. Additionally, if a person recovers from hepatitis B but becomes a permanent ...
Dr. Chen Shidian Reply:
Hello, Mr. BC. Hepatitis B is only required to be reported as a statutory infectious disease upon initial infection and first diagnosis. Hepatitis C can be completely cured with oral medication, although the cost is high. Hepatitis B can only be managed to maintain a carrier stat...[Read More] Understanding Chronic Hepatitis B and C: Legal Status and Treatment Advances
Understanding Chronic Bloating: Causes and Solutions for Your Digestive Health
Abdominal bloating issues? Hello, doctor. I apologize for bothering you, but I would like to ask about my situation. Since mid-September, after experiencing a cold with a sore throat and diarrhea (which resolved in a day or two), I have been experiencing daily bloating. There has...
Dr. Yang Zhichao Reply:
Dear Ms. Penny, the possibility of a peptic ulcer cannot be ruled out based on your symptoms. It is recommended that you see a gastroenterologist for evaluation and arrange for an endoscopy. Changhua Hospital cares about your health.[Read More] Understanding Chronic Bloating: Causes and Solutions for Your Digestive Health
Understanding Medication Side Effects: Fatigue from Liver and Gastrointestinal Drugs
What are the side effects of the medication? Hello, Doctor! I would like to inquire about the side effects of my medications. I am currently taking the following three medications: 1. STROCAIN (Pain Relief Tablet) 2. SILYMARIN 150MG (Liver Protection Capsule) 3. URSO deoxycholic ...
Dr. Chen Shidian Reply:
Hello, sir. There should not be such side effects, but please return for a follow-up to check for any changes in your condition. Changhua Hospital cares about your health. Chen Shidian.[Read More] Understanding Medication Side Effects: Fatigue from Liver and Gastrointestinal Drugs
Understanding Elevated Total and Direct Bilirubin Levels: Causes and Concerns
The health check showed elevated levels of total bilirubin and direct bilirubin? Total bilirubin: 1.51 mg/dL (reference range: 0.1–1.2 mg/dL) Direct bilirubin: 0.49 mg/dL (reference range: 0–0.4 mg/dL) In the past three years, only these two values have exceeded the standard...
Dr. Chen Shidian Reply:
Hello, sir. It may be a congenital constitution, and it is possible that family members are similar. It does not affect your health, so there is no need for concern. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Elevated Total and Direct Bilirubin Levels: Causes and Concerns