Understanding Gilbert's Syndrome: Risks and Lifestyle Impacts Explained
Please ask your questions, and I'll do my best to assist you? Hello Dr. Chen, I have two questions I would like to ask. I have visited a general laboratory, then a general gastroenterologist, and was referred to a major hospital. Currently, the doctor at Chang Gung Memorial...
Dr. Chen Shidian Reply:
Hello, sir: In fact, there are not many complications associated with Gilbert's syndrome. It is advisable to avoid overexertion, limit alcohol consumption, prevent hunger, and reduce the risk of infections to minimize the occurrence of jaundice. Changhua Hospital cares about...[Read More] Understanding Gilbert's Syndrome: Risks and Lifestyle Impacts Explained
Understanding Abnormal Glutamyl Transferase Levels: Causes and Concerns
Abnormalities of transaminases? Hello, I recently had a health check-up at my company and my results showed an abnormal level of gamma-glutamyl transferase (GGT) at 104. The other results were as follows: GTP: 18, SGOT: 23, direct bilirubin (D-BIL): 0.2, total bilirubin (T-BIL): ...
Dr. Lin Minghui Reply:
Hello: Gamma-glutamyl transferase (GGT) can be found in biliary epithelial cells, hepatocytes, and other tissues such as the kidneys, pancreas, and small intestine. GGT, also known as the alcohol index, can be used to assess alcoholic hepatitis. Additionally, if alkaline phosphat...[Read More] Understanding Abnormal Glutamyl Transferase Levels: Causes and Concerns
How to Lower Elevated Total Bilirubin Levels: A Guide
Elevated total bilirubin? Hello Doctor, last year my total bilirubin was 1.6, and this year it has increased to 2.1. Could you please advise me on how to lower it? Thank you.
Dr. Lin Minghui Reply:
Hello, 1. When bilirubin levels rise above normal, it is essential to identify the underlying cause for appropriate treatment. It is important to determine whether the increase is primarily due to indirect (unconjugated) or direct (conjugated) bilirubin. Common differential dia...[Read More] How to Lower Elevated Total Bilirubin Levels: A Guide
High r-GTP Levels Indicate Alcoholic Hepatitis: What You Need to Know
The r-GTP level for alcoholic hepatitis reached as high as 161? After fasting for eight hours, I underwent a urinalysis and blood test at a general clinic. The report shows the following abnormalities: Total cholesterol = 221 mg/dL, Triglycerides = 284 mg/dL, r-GTP (Gamma-glutamy...
Dr. Lin Minghui Reply:
Dear Mr. Tian, Your elevated levels related to alcoholic hepatitis are associated with alcohol consumption; you need to abstain from drinking, and your levels may decrease as a result. Your high blood lipids and uric acid require attention to dietary control and reduced alcohol ...[Read More] High r-GTP Levels Indicate Alcoholic Hepatitis: What You Need to Know
Understanding Liver Function Tests: Normal Results with Elevated Bilirubin Levels
Liver function tests? Doctor, I received my lab results today: G.O.P = 21, G.P.T = 31, and albumin = 4.4, all of which are normal. I am a carrier of hepatitis B, but why is my total bilirubin level 1.88 under these normal conditions? What could be the reason for this? What should...
Dr. Lin Minghui Reply:
1. (1) Hepatitis B carriers should undergo regular monitoring of GOT, GPT, AFP, and abdominal ultrasound. (2) Elevated total bilirubin can be attributed to three main causes: 1. Excessive destruction of red blood cells leading to the release of too much hemoglobin; 2. Liver dysfu...[Read More] Understanding Liver Function Tests: Normal Results with Elevated Bilirubin Levels
Understanding Elevated Bilirubin Levels: Causes and Remedies
Elevated bilirubin levels? I recently underwent some tests, and my direct bilirubin level is 0.56, with a normal range of 0-0.5, and my total bilirubin level is 1.5, with a normal range of 0.2-1.4, both of which are elevated. My complexion and the whites of my eyes appear yellowi...
Dr. Chen Shidian Reply:
Hello Mr. Ce: A bilirubin level of 2-3 mg/dL or higher is needed to observe jaundice, so there is no need to worry too much. Slightly elevated levels are often due to genetic factors and do not pose a health risk. You may consider having it rechecked in 1-3 months. Changhua Hospi...[Read More] Understanding Elevated Bilirubin Levels: Causes and Remedies
Blood in Stool: Understanding Gastrointestinal Health Concerns
Blood in the stool? I have been experiencing gastrointestinal issues for over two months. My recent health check report indicated that everything is normal except for elevated total bilirubin levels (CEA is normal). However, this afternoon, I noticed blood in my stool; the blood ...
Dr. Cai Yaozhou Reply:
Blood in the stool, when accompanied by no anal pain, is mostly due to hemorrhoidal bleeding. If blood in the stool causes anal pain, it is likely due to anal fissures. Occasional blood in the stool should raise concerns about hemorrhoids first, followed by tumors (polyps or canc...[Read More] Blood in Stool: Understanding Gastrointestinal Health Concerns
Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Elevated total bilirubin levels? I often experience gastrointestinal discomfort, bloating, and nausea. Recently, after a company health check, I found out that my total bilirubin level is elevated at 2.5 mg/dL. Does this indicate a problem with my gallbladder or liver? Additional...
Dr. Chen Shidian Reply:
Hello Xiao Wang: Elevated total bilirubin levels may be due to congenital liver issues (generally not harmful to health). Please visit the gastroenterology outpatient clinic for confirmation. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Elevated Total Bilirubin Levels: Causes and Concerns
How to Improve Elevated Total Bilirubin Levels: A Guide for Patients
My total bilirubin is elevated; how can I improve this? Today, my blood test results came back regarding liver function: G.O.T (AST) 29 U/L, G.P.T (ALT) 20 U/L, Direct Bilirubin 0.50 mg/dL, Total Bilirubin 1.50 mg/dL. I went for the test because my palms appeared yellowish. What ...
Dr. Lin Minghui Reply:
Hello: Your liver function tests, including GOT and GPT, are normal, but your total bilirubin and direct bilirubin levels are slightly elevated. There are many potential causes for increased bilirubin, including: 1. Acute hepatitis, chronic hepatitis, and cirrhosis, which can lea...[Read More] How to Improve Elevated Total Bilirubin Levels: A Guide for Patients
Understanding Isolated Elevated r-GT Levels: Causes and Next Steps
Only r-GT is elevated, all other values are normal, and there is no history of alcohol abuse? Hello Dr. Lee: I recently underwent a health check-up, and the results are as follows: r-GT 85, SGOT 27, SGPT 28, alkaline phosphatase 77, direct bilirubin 0.2, total bilirubin 1.0, chol...
Dr. Li Zhengqi Reply:
Hello Josin: Elevated r-GT and TG levels are commonly caused by alcohol consumption, but there may be other reasons such as bile duct obstruction or cholestasis. It is recommended to undergo an abdominal ultrasound examination and to have long-term follow-up. Wishing you a speedy...[Read More] Understanding Isolated Elevated r-GT Levels: Causes and Next Steps
Understanding Elevated Total Bilirubin Levels: Causes and Concerns
What is bilirubin? Total bilirubin is significantly elevated, many times above normal! I am unsure what the issue might be. Thank you...
Dr. Li Zhengqi Reply:
Hello, Jie Jie: There are many reasons for elevated total bilirubin levels, including issues related to the liver, bile ducts, and pancreas. Some cases may also involve congenital metabolic disorders of bilirubin. It is recommended to visit a hepatobiliary and gastroenterology cl...[Read More] Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Understanding Total Bilirubin Levels: Causes, Concerns, and Care Tips
Total bilirubin Dear Doctor, I received my blood test results from my physical examination and I have some questions. My total bilirubin (T-bil) level is elevated at 1.26 mg/dL, while the normal range is 0.2 to 1.2 mg/dL. My direct bilirubin (D-bil) level is also high at 0.40 m...
Dr. Yuan Hongdao Reply:
Reply: Hello, 1. The causes of elevated bilirubin levels include liver diseases, biliary obstruction, hemolysis, medications, sepsis, autoimmune diseases, and primary biliary cirrhosis. There may also be a congenital deficiency of enzymes in the liver that process bilirubin. ...[Read More] Understanding Total Bilirubin Levels: Causes, Concerns, and Care Tips
Understanding Acute Hepatitis: A Guide for Families Facing Liver Challenges
Please provide information about fulminant hepatitis? My father is currently 60 years old and has autoimmune disease and is a carrier of hepatitis B. Two years ago, he experienced polymyositis due to autoimmune issues and has been on long-term steroid treatment (three pills). He ...
Dr. Chen Zhiping Reply:
Hello, currently your father's condition seems to be characterized by ongoing liver function failure, with persistent jaundice and abnormal coagulation function, showing no significant improvement. The current treatments (such as diuretics, plasma transfusions, and ammonia r...[Read More] Understanding Acute Hepatitis: A Guide for Families Facing Liver Challenges
Understanding Your Liver Health: Interpreting Bilirubin and Platelet Levels
Am I experiencing liver abnormalities? Hello Dr. Chen: I would like to ask you about a recent health check I underwent at the health center. In the report, my total bilirubin level was highlighted in red, measuring 1.2, which exceeds the normal range. Additionally, my platelet co...
Dr. Chen Zhiping Reply:
Hello: The bilirubin level is slightly elevated. If there is no right upper abdominal pain and liver enzymes (GOT, GPT) are normal, it may be due to other reasons such as hemolysis or congenital bilirubin metabolism disorders. You should consult a hepatologist for further examina...[Read More] Understanding Your Liver Health: Interpreting Bilirubin and Platelet Levels
Understanding Uncertain Liver Nodules: What You Need to Know
There are unknown nodules in the liver. After the CT scan, the doctor is also unable to determine whether they are benign or malignant. I am very scared? There are unknown nodules in the liver. After the CT scan, the doctor was also unable to determine whether they are benign or ...
Dr. Xu Jinchuan Reply:
Hello, Beitou resident! Your question has already been logged in our discussion forum, and we understand that the tests you have undergone so far have not provided you with a clear answer. We do not oppose your decision to seek a detailed evaluation from another hepatobiliary spe...[Read More] Understanding Uncertain Liver Nodules: What You Need to Know
Understanding Hepatitis B: Risks, Treatments, and Myths Explained
Hepatitis I am 29 years old and recently discovered that I am a carrier of hepatitis B, with a positive HBeAg. My liver function tests are normal; total bilirubin is 1.3 mg/dL, direct bilirubin is 0.3 mg/dL, and an ultrasound showed a rough texture of the liver. The lab technicia...
Dr. Liang Jiade Reply:
Hello, it is recommended to regularly monitor liver function and undergo ultrasound examinations. Your liver function is currently normal. Although HBeAg is positive, antiviral medication treatment is not advised. To date, there is no research or literature in traditional Chinese...[Read More] Understanding Hepatitis B: Risks, Treatments, and Myths Explained
Understanding Liver, Gallbladder, and Gastrointestinal Health Issues
Hepatobiliary and gastrointestinal system issues? Hello Doctor: My father recently underwent a health check-up, and the results are as follows: Carcinoembryonic Antigen (CEA): 6.62 mg/ml (<6.0) Total Bilirubin: 1.1 mg/dl (0.1-1.2) Direct Bilirubin: 0.3 mg/dl (0.0-0.2) Total Pr...
Dr. Zhang Yuting Reply:
May I ask where your father had his health check-up and why he did not explain it clearly to you? Your father is a carrier of hepatitis B and needs regular follow-up treatment in the gastroenterology department. The elevated CEA levels are associated with smoking or adenocarcinom...[Read More] Understanding Liver, Gallbladder, and Gastrointestinal Health Issues
High SGPT Levels with Normal SGOT: Understanding Liver Health Concerns
The SGPT level is elevated, while the SGOT level is normal? Hello Dr. Liang, I recently participated in a company health check-up, and the results for my liver, gallbladder, kidney function, and blood lipids are all normal. However, my SGPT level is two and a half times the maxim...
Dr. Liang Jiade Reply:
Hello, excessive fatigue, prolonged staying up late, medication use, and fatty liver can potentially lead to elevated liver function indices, but other various causes must also be considered. Furthermore, it is necessary to monitor changes in liver function values over time. If t...[Read More] High SGPT Levels with Normal SGOT: Understanding Liver Health Concerns
Can I Transmit Hepatitis B to My Partner During Pregnancy?
Hello, how can I assist you today? Hello, doctor. I have a question to ask... I am a carrier of hepatitis B. My test results are as follows: (SGOT 23.00), (SGPT 31.00), (total bilirubin 0.50), (albumin 4.10), (creatinine 1.00), (AFP 2.0), (HBsAg (+) 554)... The doctor said I am a...
Dr. Cai Junyan Reply:
Hello, gentleman: The transmission risk of hepatitis B through bodily fluids or sexual intercourse is very low. If you are concerned about the possibility of infection, you can receive the hepatitis B vaccine for prevention, although it does not guarantee the production of surfac...[Read More] Can I Transmit Hepatitis B to My Partner During Pregnancy?
Assessing Medical Oversight: A Case Study of Jaundice Diagnosis in Hepatitis B
請提供您想詢問的內容，我將協助您進行翻譯。 I would like to ask how other physicians would diagnose a patient during their first visit on October 12. Does this constitute medical negligence? The patient, Xu Zhanwei, a 23-year-old male senior student, was confirmed to be a carrier of hepatitis B two ye...
Dr. Yang Peizhen Reply:
Hello! First, I must clarify that I am not a member of the Medical Evaluation Committee and do not have the authority to determine whether a physician has committed medical malpractice. Furthermore, I was not present during the consultation between the doctor and the patient, so ...[Read More] Assessing Medical Oversight: A Case Study of Jaundice Diagnosis in Hepatitis B