Understanding Fatty Liver: Can It Really Elevate Liver Enzymes to 200?
Please provide the content you would like me to translate into English? Hello Dr. Tsai: I would like to provide the following information for your reference: 1. SGOT: 79 (normal range: 8-38 U/L) SGPT: 214 (normal range: 4-40 U/L) Ultrasound examination: Moderate fatty l...
Dr. Cai Anshun Reply:
Hello: Nonalcoholic steatohepatitis (NASH) can cause inflammation that may exceed 200. In addition to medication, it is essential to control caloric intake and increase physical activity. As for autoimmune hepatitis, blood tests are required to confirm the presence of specific au...[Read More] Understanding Fatty Liver: Can It Really Elevate Liver Enzymes to 200?
How to Lower GOT and GPT Levels: Tips for Liver Health
GOT 48, GPT 71? Hello Dr. Chen, my liver enzyme levels are GOT 48 and GPT 71. I do not have hepatitis B or C. I am being treated at Asia University Hospital. I previously took medication for hyperthyroidism for about a year, but I am now well and no longer need to take it. My uri...
Dr. Chen Qifeng Reply:
Hello, aside from hepatitis B and C, another cause of abnormal liver function is fatty liver... Of course, there are also other less common causes. Therefore, it is essential to rely on abdominal ultrasound and some blood tests for diagnosis. If it is indeed fatty liver, the meta...[Read More] How to Lower GOT and GPT Levels: Tips for Liver Health
Understanding Hepatitis B Monitoring: Key Questions and Insights
Hepatitis B testing issues? Hello Doctor, I am a carrier of Hepatitis B with e-antibody, and my viral load has been measured at a maximum of 300. I have been undergoing regular follow-up examinations. Previously, my liver enzyme levels (GPT) fluctuated frequently, reaching a maxi...
Dr. Chen Shidian Reply:
Hello Mr. Huang: (1) Nodules smaller than 1 cm are often difficult to characterize and are generally referred to as nodules. Regular follow-up is recommended. (2) Alpha-fetoprotein (AFP) levels may fluctuate slightly. If there is a continuous increase, caution is advised. (3) The...[Read More] Understanding Hepatitis B Monitoring: Key Questions and Insights
Understanding Colonic Health: Concerns About Symptoms and Diagnosis
Gastrointestinal issues Hello, doctor. May I ask where the sigmoid colon is located? About three centimeters to the left of my belly button, when I press down with my fingernail, I feel a hard lump (it's been there for about two years). I am quite thin, 178 cm and 52.6 kg, a...
Dr. Chen Qifeng Reply:
Hello, it is recommended to consult a gastroenterologist or a colorectal surgeon. If it were cancer, it would not take this long without other symptoms. Sincerely, Dr. Chen Chi-Feng, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health...[Read More] Understanding Colonic Health: Concerns About Symptoms and Diagnosis
Understanding Gastrointestinal Issues: Symptoms and Next Steps for Treatment
I am unsure about the condition of my body? Hello Doctor: I have been experiencing bloating, belching, fatigue, poor concentration, and a sensation of a foreign body in my throat for the past month, along with frequent nausea, although I do not have the sensation of acid reflux. ...
Dr. Cai Anshun Reply:
Hello: If you are experiencing bloating, belching, body weakness, a sensation of a foreign body in the throat, nausea, and have lost about four kilograms in weight over the past month, it is advisable to consult a gastroenterologist for further evaluation. As for the blurred visi...[Read More] Understanding Gastrointestinal Issues: Symptoms and Next Steps for Treatment
Can I Lift Heavy Weights 15 Days After Appendectomy?
Can I lift heavy objects after an appendectomy? I would like to ask if it has been 15 days since my appendectomy and I have to lift bags weighing 20 kilograms for work, which involves repetitive motions. Could this cause my internal wounds to reopen or lead to other complications...
Dr. Yang Zhichao Reply:
Dear Mr. Yang Xiaokang, your question falls within the scope of a surgeon's expertise. You may consult your primary surgeon for further information. Thank you for your inquiry. Changhua Hospital cares about your health.[Read More] Can I Lift Heavy Weights 15 Days After Appendectomy?
Understanding Liver Health: Prescription Medications and Fatty Liver Treatment
Please provide the content you would like me to translate into English? Hello, Doctor: 1. May I ask if the hospital has prescription medications for Livin (肝利能)? (http://www.fda.gov.tw/MLMS/H0001D.aspx?Type=Lic&LicId=01045845) 2. I would like to inquire, the medication inf...
Dr. Yang Zhichao Reply:
Dear Mr. Chang, whether each hospital has this medication depends on their inventory, so it is necessary to inquire. Additionally, the first step in treating fatty liver is lifestyle management, which includes increasing physical activity and dietary control to maintain a healthy...[Read More] Understanding Liver Health: Prescription Medications and Fatty Liver Treatment
Chronic Diarrhea for Four Months: Gastrointestinal Concerns Explained
Having experienced abdominal pain for four months? Hello Dr. Chen, I have a few questions I would like to ask you! 1. I have irritable bowel syndrome (IBS). 2. My mother had colon cancer while she was pregnant with me and has since passed away. 3. I have been experiencing dia...
Dr. Chen Qifeng Reply:
Hello, if there is a family history of colorectal cancer and you have been experiencing diarrhea for four months, it is essential to undergo a colonoscopy. Only if the results are normal can a diagnosis of irritable bowel syndrome (IBS) be made. Sincerely, Dr. Chi-Feng Chen, Atte...[Read More] Chronic Diarrhea for Four Months: Gastrointestinal Concerns Explained
Weight Loss and Colon Cancer: When to Be Concerned?
Weight loss I would like to ask, regarding colorectal cancer, is it necessary to be concerned about weight loss only if it is significant, or should even a loss of one or two kilograms be taken seriously? Additionally, how can one determine if stool has become thinner? Thank you ...
Dr. Cai Anshun Reply:
Hello: Significant weight loss refers to a reduction of 10% of the original body weight within 6 months, or a rapid decrease of 5% within 1 month. A change in stool caliber, specifically thinner stools that consistently remain narrow, may indicate that a colorectal tumor is occup...[Read More] Weight Loss and Colon Cancer: When to Be Concerned?
Understanding Bowel Changes: When to Worry About Loose Stools
Bowel movement issues Stools that start off formed and then become loose or unformed towards the end, sometimes with a thin consistency, can be considered normal in certain circumstances. However, if this pattern persists or is accompanied by other symptoms such as pain, bleeding...
Dr. Cai Anshun Reply:
Hello: The primary function of the colon is to absorb minerals and water. The feces in the anterior part of the colon has been there the longest, so the water absorption is more complete, resulting in formed stools. The feces in the posterior part of the colon has not absorbed al...[Read More] Understanding Bowel Changes: When to Worry About Loose Stools
Understanding Abdominal Distension: Causes and Solutions for Men
The abdomen is gradually enlarging? Hello doctor, recently I've been experiencing an enlarged abdomen despite being male. I often have stomach acid issues and insomnia. I smoke and drink alcohol, but I haven't gained weight anywhere else, just in my belly. I frequently ...
Dr. Cai Anshun Reply:
Hello: (1) An increase in abdominal size likely indicates an increase in waist circumference. It is important to check if there is also a corresponding weight gain, and consider weight loss, exercise, and a light diet (metabolic syndrome). (2) Smoking, drinking alcohol, and weigh...[Read More] Understanding Abdominal Distension: Causes and Solutions for Men
Understanding Changes in Stool Size: When to Seek Medical Advice
Narrowing of stool? Hello Doctor: My bowel movement frequency has always been quite good, typically once a day or at least every two days. Since June of this year, I have been focusing on weight loss and health maintenance. In addition to drinking over 2000cc of water daily, I ha...
Dr. Chen Qifeng Reply:
Hello, there may be recent occurrences of gastroenteritis. It is recommended to consume less oil, less dairy, and fewer raw or cold foods. If your stool returns to a normal consistency, there is no need to worry. Polyps generally do not grow large enough to cause a change in stoo...[Read More] Understanding Changes in Stool Size: When to Seek Medical Advice
Homemade Yogurt and Its Benefits for Stomach Ulcers
Homemade Yogurt and Gastric Ulcers 1. My colleague previously had a gastric ulcer and now often experiences discomfort related to diet. Would you recommend that he consume more homemade yogurt to restore a healthy gastrointestinal system? 2. So there isn't a specific recomm...
Dr. Cai Anshun Reply:
Hello: Yogurt should avoid excessive sweetness, as high sugar content may lead to weight gain or increased gastric acid secretion, resulting in adverse effects. If you are making yogurt at home, it is important to pay attention to the strains of yogurt cultures used, ensure a con...[Read More] Homemade Yogurt and Its Benefits for Stomach Ulcers
Understanding Liver Health: Efficacy of Liverall and Other Treatments for Fatty Liver
Please provide the content you would like me to translate into English? Hello, Doctor! Recently, during a health check-up, my liver function index was tested (normal range: 33-55) and the result came out to be 177. After visiting the outpatient clinic, hepatitis B and C were rule...
Dr. Cai Anshun Reply:
Hello: It is not recommended to take over-the-counter medications during an outbreak of hepatitis until the cause is determined. The doctor will provide appropriate treatment, and it is advised not to rely on folk remedies or take medications indiscriminately. The treatment for f...[Read More] Understanding Liver Health: Efficacy of Liverall and Other Treatments for Fatty Liver
Understanding Crohn's Disease: Symptoms, Diagnosis, and Treatment Options
Treatment methods for Klippel-Feil syndrome? Hello doctor, I recently experienced discomfort in my lower right abdomen, often feeling air trapped in my abdomen. I underwent a colonoscopy and found that area to be inflamed and swollen. I've been experiencing diarrhea for a wh...
Dr. Chen Qifeng Reply:
Hello: Crohn's disease is a chronic, transmural inflammatory condition that can affect any part of the gastrointestinal tract from the mouth to the anus. Approximately half of the patients will have rectal involvement, and it is often associated with various extraintestinal ...[Read More] Understanding Crohn's Disease: Symptoms, Diagnosis, and Treatment Options
Understanding Bloating: A Case Study of Gastrointestinal Challenges
Persistent bloating..? Hello doctor, my father is 63 years old and was diagnosed with diabetes last October. Since then, he has been strictly controlling his diet and exercising, but it seems he has gone a bit overboard, as he cannot tolerate any sugar or oil. His weight has drop...
Dr. Cai Jinji Reply:
It is advisable to discuss with your physician (whether there are other underlying causes?) and to treat the underlying condition in order to effectively resolve the issue.[Read More] Understanding Bloating: A Case Study of Gastrointestinal Challenges
Understanding Right Lower Abdominal Pain: Causes and Specialist Guidance
Right lower abdominal pain? I have been experiencing pain in my lower right abdomen (near the groin, which is the lowest part of the lower right abdomen). The pain has woken me up at night, and I feel more discomfort after eating or when I am anxious. This has been ongoing for qu...
Dr. Chen Qifeng Reply:
Hello: You can arrange for an upper gastrointestinal series or a colonoscopy with the gastroenterology department. If the results are normal, it would be classified as a functional disorder. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Gastroenterology Department, ...[Read More] Understanding Right Lower Abdominal Pain: Causes and Specialist Guidance
Understanding Loose Stools After Internal Hemorrhoids: Causes and Solutions
Internal hemorrhoids with loose stools? Hello Doctor: About two weeks ago, I started experiencing diarrhea, possibly due to gastroenteritis (there was no blood in the stool). I also felt weak all over. After a day or two, I felt slightly better, and my strength gradually improved...
Dr. Cai Anshun Reply:
Hello: After gastroenteritis, the intestinal function and mucosa need some time to recover, so there may be temporary changes in bowel habits. It is important to pay attention to the types of food consumed, avoiding high-fat, high-protein, and low-fiber foods. If the issue is pur...[Read More] Understanding Loose Stools After Internal Hemorrhoids: Causes and Solutions
Understanding Bloating and Weight Changes: Gastrointestinal Health Insights
Bloating after eating and significant weight loss? Hello Dr. Chen: Following up on my previous question, my abdominal bloating has significantly improved over the past week. I can eat normally now, and my weight has stabilized at 72.5 kg without further decline. The gastroscopy s...
Dr. Chen Shidian Reply:
Hello, Sir: It is advisable to discuss with your outpatient physician and patiently cooperate with observation, follow-up, and dietary adjustments. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Bloating and Weight Changes: Gastrointestinal Health Insights
Understanding Bloating and Weight Loss: Gastrointestinal Health Insights
: Bloating after eating and significant weight loss? Hello Doctor: Following up on my previous inquiry, I experience abdominal bloating after eating, and my weight has decreased by 6 kilograms over the month from early November to early December. An endoscopy showed mild gastriti...
Dr. Chen Shidian Reply:
Hello, sir: It is advisable to discuss with your outpatient physician and patiently cooperate with monitoring and dietary adjustments. Changhua Hospital cares about your health. Chen Shidian[Read More] Understanding Bloating and Weight Loss: Gastrointestinal Health Insights