Understanding the Connection Between Uribilinogen and Total Bilirubin Levels
Urobilinogen and total bilirubin? Is there a connection between abnormal levels of urinary urobilinogen and total bilirubin in a health check? Thank you.
Dr. Chen Shidian Reply:
Hello, when there is an abnormal increase in bilirubin levels in the blood, some of it may be excreted in the urine. It is advisable to consult a hepatobiliary specialist for further examination. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding the Connection Between Uribilinogen and Total Bilirubin Levels
Understanding Unexplained Elevated Bilirubin Levels: Causes and Concerns
What could cause an unexplained increase in bilirubin levels? Hello, two weeks ago I visited the hospital for a follow-up on my long-term, intermittent proteinuria (although my kidney function has always been normal). During the examination, it was found that my bilirubin levels ...
Dr. Cai Anshun Reply:
Hello: In addition to monitoring for hemolysis, you should also pay attention to whether you have been taking traditional Chinese medicine, drinking herbal tea, or consuming alcohol for an extended period. If not, you can track the changes in your indices, as some individuals may...[Read More] Understanding Unexplained Elevated Bilirubin Levels: Causes and Concerns
Understanding Elevated Urobilinogen Levels: Causes and Concerns
Elevated levels of urobilinogen? Hello Doctor: I would like to ask about my recent urinalysis, which showed elevated urobilinogen levels, while bilirubin was negative and all other parameters were normal. I am concerned about potential liver inflammation. Six days later, I had te...
Dr. Chen Shidian Reply:
Hello, sir: There should be no problem; it is normal for bilirubin levels to occasionally rise in healthy individuals, and monitoring is sufficient. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Elevated Urobilinogen Levels: Causes and Concerns
Understanding Elevated Total and Direct Bilirubin Levels: What You Need to Know
Elevated total and direct bilirubin levels? Hello doctor, my health check report shows that my total bilirubin is elevated at 1.17 (normal range: 0.3-1.0) and my direct bilirubin is high at 0.29 (normal range: 0.03-0.18). What could be the cause of this? Is there an immediate nee...
Dr. Cai Anshun Reply:
Hello: A slight increase may not necessarily indicate a pathological issue. If you have been consuming alcohol or traditional Chinese medicine, it is advisable to stop. Additionally, it is recommended to consult a gastroenterologist and arrange for an abdominal ultrasound examina...[Read More] Understanding Elevated Total and Direct Bilirubin Levels: What You Need to Know
Understanding Diarrhea and Elevated Total Bilirubin Levels: Causes and Concerns
Diarrhea and elevated total bilirubin levels? Hello Doctor, last week my bowel movements were either soft stools or diarrhea, and I have been experiencing a dull pain in my stomach and abdomen. Therefore, I visited a gastroenterologist this Monday. The doctor pressed on my right ...
Dr. Cai Anshun Reply:
Hello: You can continue to monitor the clinical situation of your right upper abdominal pain. If it worsens, you should seek medical attention sooner. The diarrhea may be indicative of acute gastroenteritis. In certain cases, severe enteritis can also lead to jaundice, but the li...[Read More] Understanding Diarrhea and Elevated Total Bilirubin Levels: Causes and Concerns
Understanding Your Liver and Cholesterol Test Results: Key Insights
Laboratory Report Hello Doctor, the examination results from 11/06 are as follows: Fasting Blood Sugar: 126 Hemoglobin A1c: 6.8 Triglycerides: 87 Total Cholesterol: 198 LDL: 154 HDL: 38 Creatinine: 1.0 BUN: 19 Direct Bilirubin: 0.1 Total Bilirubin: 0.6 Alkal...
Dr. Chen Qifeng Reply:
Hello, 1. Liver function tests and ultrasound interpretation should take into account the history of alcohol consumption and hepatitis to provide a comprehensive assessment. 2. Total cholesterol levels are not high, but LDL is elevated and HDL is low, indicating poor dietary s...[Read More] Understanding Your Liver and Cholesterol Test Results: Key Insights
Acute vs Chronic Hepatitis B: Understanding Your Diagnosis and Next Steps
Acute Hepatitis B or Chronic Hepatitis B? Dear Dr. Chen, I apologize for the lengthy message, but I hope you can provide me with some advice. Last month, I went to the hospital for an examination due to stomach discomfort. The doctor ordered blood tests (first test on 5/13) whic...
Dr. Chen Qifeng Reply:
Hello, based on the clinical course and blood test follow-up, the likelihood of acute hepatitis B is the highest, and it seems that the patient has completely recovered from this acute hepatitis B episode, with the disappearance of surface antigens and the production of surface a...[Read More] Acute vs Chronic Hepatitis B: Understanding Your Diagnosis and Next Steps
Understanding Liver Tumor Treatment Options for Elderly Patients
Liver tumor treatment Dear Director Chen, My father is 85 years old and has been drinking alcohol since his youth, but he has never reached the level of alcoholism. His daily routine has been normal. In early July, he was hospitalized due to abdominal pain, and a CT scan reveale...
Dr. Chen Shidian Reply:
Hello, sir: 1. If cholangiocarcinoma has metastasized or invaded the gallbladder, the prognosis is poor. 2. Electrocautery is used for treating solitary small tumors; however, this patient is not suitable for electrocautery due to tumor invasion of the gallbladder and hepatic ...[Read More] Understanding Liver Tumor Treatment Options for Elderly Patients
Understanding Abnormal Total and Direct Bilirubin Levels: Causes and Solutions
Inquiry regarding abnormalities in total bilirubin and direct bilirubin: Hello Doctor: I recently received my health check-up report, and two abnormal values were noted: Total Bilirubin (T-Bil) is low at 1.84 mg/dl, and Direct Bilirubin (D-Bil) is high at 0.58 mg/dl. I would like...
Dr. Cai Jinji Reply:
Total bilirubin includes direct bilirubin, so total bilirubin levels are higher than direct bilirubin levels. This data should still be interpreted in conjunction with other test reports, such as liver function tests and ultrasound, to determine the underlying issues and potentia...[Read More] Understanding Abnormal Total and Direct Bilirubin Levels: Causes and Solutions
Understanding Abnormal T-Bil and D-Bil Levels: Causes and Solutions
Could you please clarify the issue regarding abnormal T-Bil and D-Bil levels? Hello Doctor: I recently received my health check-up report, and two abnormal values are as follows: Total Bilirubin (T-Bil) is low at 1.84 mg/dl, and Direct Bilirubin (D-Bil) is high at 0.58 mg/dl. I w...
Dr. Cai Jinji Reply:
Total bilirubin includes direct bilirubin, so total bilirubin levels are higher than direct bilirubin levels. This data should still be interpreted in conjunction with other test reports, such as liver function tests and ultrasound, to determine the underlying issues and potentia...[Read More] Understanding Abnormal T-Bil and D-Bil Levels: Causes and Solutions
Understanding Elevated Amylase and Bilirubin Levels: What You Need to Know
Abnormal biochemical blood test results? Recent blood tests revealed several elevated values, specifically Amylase at 103 U/L (normal range 0-100) and Total Bilirubin at 1.8 mg/dL (normal range 0-1.5). What could be the issue?
Dr. Chen Qifeng Reply:
Hello, if this is just a routine check-up, slightly elevated amylase does not indicate clinical significance; slightly elevated total bilirubin, if there are no hemolysis issues and no liver or biliary problems, may suggest a congenital metabolic disorder of bile. It is recommend...[Read More] Understanding Elevated Amylase and Bilirubin Levels: What You Need to Know
Understanding Fatty Liver: High GPT and R-GT Levels Explained
Please provide the content you would like me to translate into English? Hello Doctor: I would like to provide the following information for your reference: 1. Height: 171 cm, Weight: 82 kg. Liver function tests: - GOT: 78 (reference value 0-40) - GPT: 200 (reference value 0-...
Dr. Yang Zhichao Reply:
Hello Mr. Chang, based on the information you provided, your liver enzyme levels indicate signs of hepatitis. In Taiwan, common causes include hepatitis B/C infections, alcoholic hepatitis, and fatty liver disease. However, based on the information provided, hepatitis B/C infecti...[Read More] Understanding Fatty Liver: High GPT and R-GT Levels Explained
Understanding Elevated Liver and Pancreatic Enzyme Levels: Causes and Treatments
Health check values Recent blood tests revealed elevated levels in the following parameters: - AMY (Amylase): 103.000 U/L (normal range: 0-100) - TG (Triglycerides): 137.000 mg/dL (normal range: 50-150) - TC (Total Cholesterol): 213.000 mg/dL (normal range: 50-200) - T-B (Total...
Dr. Chen Qifeng Reply:
Hello: Elevated amylase levels are significant only in the presence of abdominal pain. Elevated total and direct bilirubin levels should primarily raise suspicion for biliary tract disorders, and it is recommended to perform an abdominal ultrasound. If the results are normal and ...[Read More] Understanding Elevated Liver and Pancreatic Enzyme Levels: Causes and Treatments
Understanding Elevated Amylase and Bilirubin Levels: What You Need to Know
Health check-up value inquiry 2 Hello, doctor. I am the one from the previous message regarding elevated amylase and total bilirubin levels. I later underwent an abdominal ultrasound examination of the liver, gallbladder, kidneys, spleen, and part of the pancreas, and there were ...
Dr. Chen Qifeng Reply:
Hello: 1. Amylase can be monitored. 2. Sometimes the use of certain medications or exposure to chemical agents can also cause elevated bilirubin levels; follow-up is sufficient, and there are currently no treatment recommendations. Wishing you safety and health. Sincerely, Dr. Ch...[Read More] Understanding Elevated Amylase and Bilirubin Levels: What You Need to Know
Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Total bilirubin (T) slightly elevated issue? Hello Doctor, I recently visited a weight loss clinic where the doctor arranged for me to undergo blood tests and an abdominal ultrasound. The abdominal ultrasound showed normal results except for moderate to severe fatty liver, and th...
Dr. Lin Minghui Reply:
1. There are many common causes of elevated total bilirubin, including hepatitis (alcoholic, viral, autoimmune, or drug-induced), hemolytic anemia, biliary diseases, infections, sepsis, malignancies, Gilbert's syndrome, primary biliary cholangitis, and primary sclerosing cho...[Read More] Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Understanding Abnormal Liver and Urine Test Results: What You Need to Know
Request for advice on health check-up results? Two weeks ago, I underwent a health check-up, and the results showed some issues. I would like the doctor to take a look at the main problems related to liver function and urinalysis. In the liver function tests, there are two abnorm...
Dr. Chen Qifeng Reply:
Hello: According to the report, liver function is generally normal. The data on globulin and albumin does not indicate any liver function abnormalities. As for the structure, a liver ultrasound examination is necessary. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, De...[Read More] Understanding Abnormal Liver and Urine Test Results: What You Need to Know
Understanding Elevated Liver Enzymes: What You Need to Know
Concerns about health check-ups? Hello Doctor: I just completed my annual health check-up this month, and my GOT (AST) and GPT (ALT) levels are both above the standard values, with GOT at 42 and GPT at 86. Additionally, my total bilirubin is 1.2. What aspects should I pay attenti...
Dr. Chen Shidian Reply:
Hello Jason: Please bring your health check-up report to the Department of Hepatobiliary and Gastroenterology for further evaluation of the elevated indices and treatment. Changhua Hospital cares about your health~~~~[Read More] Understanding Elevated Liver Enzymes: What You Need to Know
Understanding Abnormal Blood and Urine Test Results in Liver Health
Regarding blood and urine test results? In the year 2012, a health check-up was conducted, and the results suggested the following follow-up: weight loss (44 kg/160 cm), low white blood cell count, positive urine protein, weakly positive urine ketones, positive urine bilirubin, e...
Dr. Lin Minghui Reply:
Hello: 1. For chronic hepatitis B carriers with abnormal liver function, regular follow-up is necessary. 2. If there are symptoms of jaundice, such as intermittent high indirect bilirubin, it may sometimes be necessary to check for hemolytic anemia, G6PD deficiency, and other con...[Read More] Understanding Abnormal Blood and Urine Test Results in Liver Health
Understanding e-Antigen Negative Hepatitis B: Risks and Treatment Options
Hepatitis B patients who are e-antigen negative? Hello Doctor: In 2006, I tested negative for HBeAg and positive for HBeAb, and I originally thought I was a low viral load hepatitis B patient. However, my recent tests showed GPT=77, GOT=31, AFP=4.5, and HBV DNA=250,000 IU/mL. The...
Dr. Li Yongming Reply:
Hello, you are a very diligent patient. I will first address your questions in order, and then provide the current health insurance regulations and personal recommendations regarding your situation. First, the e antigen in wild-type chronic hepatitis B virus is indeed an indica...[Read More] Understanding e-Antigen Negative Hepatitis B: Risks and Treatment Options
Understanding Elevated r-GT Levels: Causes and Implications for Liver Health
Elevated r-GT (Gamma-Glutamyl Transferase) levels? Today, I had a medical examination where my results showed GOT at 50, GPT at 59, total bilirubin at 1.54, uric acid at 7.4, and total cholesterol at 213, with all other values normal. I am also not a carrier of hepatitis B or C. ...
Dr. Lin Minghui Reply:
Hello, elevated r-GT and GPT levels indicate liver inflammation, with fatty liver being a common clinical cause. Fatty liver may be associated with alcohol consumption, obesity, diabetes, hyperlipidemia, or exposure to chemicals. It is recommended to address the underlying causes...[Read More] Understanding Elevated r-GT Levels: Causes and Implications for Liver Health