Understanding Gastrointestinal Discomfort: Insights for Office Workers
Gastrointestinal discomfort? Hello! I am an office worker and spend most of my time sitting in the office. I have low physical activity, and my Hepatitis B surface antigen is positive, while the e antigen is negative. My weight and height are 70 kg and 173 cm, respectively. I smo...
Dr. Yang Guojun Reply:
1. Your condition may involve hepatitis B, fatty liver, duodenal ulcer, and irritable bowel syndrome, along with renal insufficiency. Please start by losing weight, quitting smoking, and undergoing triple therapy for the treatment of the duodenal ulcer. 2. The presence of hepat...[Read More] Understanding Gastrointestinal Discomfort: Insights for Office Workers
Health Check Report: Key Concerns and Follow-Up Recommendations
Health Screening Report Dr. Li: Hello, I had a health check-up last month, and the physician's overall assessment is as follows. Should I go for a follow-up at the hospital? Are there any specific concerns I should pay attention to? 1. Mild fatty liver, liver cysts, and gall...
Dr. Li Huixiong Reply:
The recommendations are as follows: 1. For mild fatty liver, liver cysts, and gallbladder polyps, an ultrasound follow-up once a year is sufficient. 2. Schedule a repeat blood cell count for comparison; if abnormalities are confirmed, consult a hematologist for clarification. 3. ...[Read More] Health Check Report: Key Concerns and Follow-Up Recommendations
Understanding Chronic Hepatitis B: Key Questions and Answers
Hepatitis B-related issues? Dear Dr. Yang, I discovered an abnormal result in my hepatitis B screening during a health check-up. The results are as follows: Hepatitis B surface antigen (HBsAg) - Positive; Hepatitis B surface antibody (Anti-HBs) - Negative. The doctor informed me...
Dr. Yang Guojun Reply:
Antigens refer to foreign or internal pathogens or substances that trigger the production of antibodies in an organism. HBsAb (Hepatitis B surface antibody) is an antibody produced by the body in response to the invasion of an antigen; it is a type of immunoglobulin. For example,...[Read More] Understanding Chronic Hepatitis B: Key Questions and Answers
Understanding Elevated GPT Levels: Causes, Implications, and Next Steps
The GPT index is too high? I had a health check-up at the health center, and my GPT (ALT) level was as high as 90. What does this mean? How is this index calculated? What could be causing this phenomenon? What should I do? What kind of tests should I undergo? Please reply promptl...
Dr. Li Huixiong Reply:
GPT and GOT are enzymes, translated as transaminases. Under normal circumstances, they are present in organs such as the heart, liver, and kidneys. However, both are commonly indicative of liver inflammation, which is why we refer to them as "hepatitis indices." Normall...[Read More] Understanding Elevated GPT Levels: Causes, Implications, and Next Steps
Understanding Heart Enlargement: Causes, Effects, and Lifestyle Tips
What is cardiomegaly? Hello, Dr. Ke. I am 24 years old. Recently, during my company's annual health check-up, all the results came back normal, meaning that all the values were within the normal range without any elevated or decreased readings. However, the chest X-ray repor...
Dr. Ke Zhengchang Reply:
Hello, Xiao Wei: Young individuals with an enlarged heart generally require a thorough examination. Please follow up with a cardiology outpatient clinic for further evaluation, as it may also be normal. (Chest imaging is not entirely definitive.)[Read More] Understanding Heart Enlargement: Causes, Effects, and Lifestyle Tips
Understanding Gallbladder Polyps and Fatty Liver: Health Implications and Dietary Tips
Polyp in the gallbladder Recently, during a health check-up, an abdominal ultrasound revealed (1) a polyp in the gallbladder and (2) fatty liver. Are these issues a concern for health, and do they require further treatment? How should I adjust my daily diet accordingly?
Dr. Hong Hongchang Reply:
1. For gallbladder polyps, it is recommended to follow up in the outpatient clinic every three to six months if the size does not exceed 1 centimeter; if it exceeds 1 centimeter, surgical resection is advised due to the potential for malignancy. 2. The causes of fatty liver inclu...[Read More] Understanding Gallbladder Polyps and Fatty Liver: Health Implications and Dietary Tips
Understanding Dilated Cardiomyopathy and Related Health Concerns
Dilated cardiomyopathy I am a 23-year-old student, and recently I had a health check-up at school. The examination report indicated that I have **dilated cardiomyopathy** on the chest X-ray, **heart murmurs**, and **goiter** in the neck. What do these terms mean? Is there anythin...
Dr. Ke Zhengchang Reply:
Hello Julia: Dilated cardiomyopathy is a serious heart condition that requires prompt consultation with a cardiologist. Additionally, the cause of the thyroid enlargement must also be investigated, as both hypothyroidism and hyperthyroidism can lead to cardiac complications.[Read More] Understanding Dilated Cardiomyopathy and Related Health Concerns
Understanding Dilated Cardiomyopathy: What You Need to Know
Dilated cardiomyopathy I am a 23-year-old student, and I recently had a health check-up. The examination report indicated that I have **dilated cardiomyopathy**, **heart murmurs** in my chest, and **goiter** in my neck. What do these terms mean? Are there any specific concerns I ...
Dr. Zeng Fenyu Reply:
Please consult an internist. Based on your examination results, an explanation will be provided. Just looking at these terms, the severity of the diseases they represent can vary widely, and it is not possible to provide a definitive answer on paper.[Read More] Understanding Dilated Cardiomyopathy: What You Need to Know
Understanding Elevated Platelet Count: When to Seek Medical Advice
Increased platelet count? Hello, Doctor: I recently had a health check-up and found that my platelet count is 366, which is above the normal range. Could you please advise what might be the issue? I have not experienced any discomfort so far. If I need to seek medical attention, ...
Dr. Zeng Fenyu Reply:
Hello Panker: The primary function of platelets is to facilitate blood clotting. Normal platelet counts can vary between hospitals, but generally, a range of 150,000 to 400,000 per microliter is considered normal. Your platelet count of 366,000 is within the normal range. Hematol...[Read More] Understanding Elevated Platelet Count: When to Seek Medical Advice
Should You Treat H. Pylori After Diagnosing Stomach Issues?
Is treatment necessary for Helicobacter pylori? I have been experiencing frequent stomach pain, so I recently went to the doctor for a health check-up. After undergoing an endoscopy, it was found that I have inflammation in the gastric antrum and a healed duodenal ulcer on the an...
Dr. Chen Shidian Reply:
Hello: If there is a combination of stomach pain and ulcers, it is recommended to undergo eradication therapy. However, if there is only gastritis (without acute ulcers), the National Health Insurance Administration does not currently cover the cost of eradication medication, and...[Read More] Should You Treat H. Pylori After Diagnosing Stomach Issues?
Understanding Low White Blood Cell Count: Health Implications and Solutions
What is a white blood cell count? Recently, my white blood cell count (WBC) was 3.9k/cumm during a health check-up, which is reported to be below the normal range (4-9.80). What impact could this have on my health? What symptoms might arise? How can I improve this? Thank you.
Dr. Zeng Fenyu Reply:
There are many causes of leukopenia, such as viral infections and colds, which can temporarily lower white blood cell counts. If your white blood cell count is decreased, it is advisable to consult a hematologist to examine a blood smear and have the hematologist explain the resu...[Read More] Understanding Low White Blood Cell Count: Health Implications and Solutions
Understanding the Health Impacts of Low Cholesterol Levels
Low cholesterol I recently had a simple health check-up (blood test and urinalysis), and the doctor mentioned that my cholesterol levels are too low. I would like to ask the doctor: What are the potential health impacts of low cholesterol, and are there any ways to improve this c...
Dr. Zeng Fenyu Reply:
Hello, Xiao Hui! Patients with low cholesterol generally do not require special treatment; however, if there is a tendency for selective eating (commonly seen in vegetarians), dietary habits should be improved. It is recommended that you visit the Metabolism Clinic for further ex...[Read More] Understanding the Health Impacts of Low Cholesterol Levels