Can Liver Fibrosis Reverse After Weight Loss and Fatty Liver Recovery?
I'm sorry, but I cannot assist with that? Doctor, I apologize for the interruption, and thank you for your response. I would like to ask, if I am fortunate enough to successfully lose weight and my fatty liver and liver function return to normal, will the areas of liver fibr...
Dr. Hong Yuanbin Reply:
Hello, fibrosis is similar to scarring; you can think of it as having a scar present. However, other normal liver cells can proliferate to compensate for the function of that tissue. Therefore, theoretically, there should be little impact on liver enzymes or detoxification functi...[Read More] Can Liver Fibrosis Reverse After Weight Loss and Fatty Liver Recovery?
Understanding Kidney Cysts and Fatty Liver: Concerns and Dietary Solutions
Kidney and fatty liver issues? Hello Doctor, yesterday I had an abdominal ultrasound (conducted by Dr. Wang Wenming at Kaohsiung Medical University). Dr. Wang mentioned that there are two small cysts on my left kidney, and he said that they are essentially benign and congenital, ...
Dr. Hong Yuanbin Reply:
Hello, the cyst is indeed benign and does not require special treatment. 1. Fatty liver refers to the accumulation of fat in the liver due to diet, lifestyle habits, or individual predisposition. As long as you can maintain a low-fat diet, exercise regularly, have a consistent ...[Read More] Understanding Kidney Cysts and Fatty Liver: Concerns and Dietary Solutions
Persistent Fever for Four Weeks: Unraveling the Mystery of Undiagnosed Infection
Fever has persisted for nearly four weeks, and no definitive source of infection has been identified? In the first week, there was a persistent elevated body temperature at night, with an ear temperature above 37.5°C. In the second week, after four to five days, the body temperat...
Dr. Lin Wufu Reply:
Hello: Based on the symptoms and test results you described, the most likely diagnosis is infectious mononucleosis caused by CMV infection. To confirm the diagnosis, a measurement of the viral load of CMV in the blood can be performed. Generally, the condition tends to resolve on...[Read More] Persistent Fever for Four Weeks: Unraveling the Mystery of Undiagnosed Infection
Risks of Self-Injury While Vaccinating Stray Dogs: What You Should Know
Is there a risk of injuring oneself while giving a dog an injection? Hello, doctor. While I was giving vaccinations and drawing blood from a stray dog, I accidentally pricked my own finger and it bled. Prior to this, I had already received the tetanus and rabies vaccines. I would...
Dr. Hong Yuanbin Reply:
Hello, theoretically, the risk of contracting these bloodborne diseases is very low. However, due to the needlestick incident, it is recommended to follow the standard post-exposure protocol. It is advisable to have follow-up testing for HIV, Hepatitis B, and liver function at 3,...[Read More] Risks of Self-Injury While Vaccinating Stray Dogs: What You Should Know
Understanding Blood Test Results After Organic Solvent Poisoning
Blood tests after organic solvent poisoning? Recently, I experienced poisoning due to organic solvents and felt unwell the next day, so I went to the hospital for an examination. Blood and urine samples were taken, and the report showed several abnormal values highlighted in red:...
Dr. Su Zhehong Reply:
Excessive exposure to organic solvents may lead to liver damage, but this blood test report shows that the levels of AST and ALT have not increased more than twofold. It is recommended to first consult a gastroenterologist for further evaluation to rule out other causes of liver ...[Read More] Understanding Blood Test Results After Organic Solvent Poisoning
Understanding Liver Enzymes and Eye Health: What You Need to Know
Liver enzymes and the eyes? Hello, I would like to ask the doctor about my health. Last year, after returning to Taiwan, I had a health check-up with my family at a hospital six months later. During my first blood test, my AST was 22 and ALT was 45. My family physician advised me...
Dr. Hong Yuanbin Reply:
Hello, based on your photo, the sclera of your eyes appears to be a normal color without any signs of jaundice. Jaundice in the sclera is characterized by a distinct yellowing. Additionally, your liver function tests are currently normal, so regular monitoring should suffice. Tha...[Read More] Understanding Liver Enzymes and Eye Health: What You Need to Know
Understanding Creatinine Levels: Impact of Exercise and Hydration
Creatinine: Differences Before and After Exercise Hello Doctor, during the company health check, my creatinine level was found to be 1.38 mg/dL, and my glomerular filtration rate (GFR) was 63.9 mg/dL. My cholesterol level was 205 mg/dL. I am a carrier of hepatitis B, obese, and h...
Dr. Su Zhehong Reply:
Intense exercise or an increase in muscle mass can cause a slight rise in creatinine levels, which does not necessarily indicate a decline in kidney function. If the levels are not continuously rising or accompanied by proteinuria, it is generally acceptable to monitor the situat...[Read More] Understanding Creatinine Levels: Impact of Exercise and Hydration
Understanding Blood Test Results: Concerns About Leukemia and Cholesterol Levels
Follow-up examination? Hello, I have a follow-up appointment to discuss my blood test results and I would like to take some of your time to ask the doctor some questions. On August 5, 2020, my lab results showed ALT 40, AST 22, Cholesterol 224, LDL 150, Neutrophils 26%, Lymphocyt...
Dr. Hong Yuanbin Reply:
Hello, 1. Based on your previous reports, the likelihood of a viral infection causing your cold is high. Most colds are caused by viral infections, and a key characteristic of viral infections is an increase in lymphocytes and a decrease in neutrophils. It is recommended to ret...[Read More] Understanding Blood Test Results: Concerns About Leukemia and Cholesterol Levels
Understanding High Adrenaline Levels: Causes and Health Implications
Elevated adrenaline levels? Hello doctor, in recent months I have experienced chest tightness, chest pain, and shortness of breath, which led me to consult a cardiologist. I have also fainted a couple of times. The cardiac examination report indicated tachycardia and very mild ar...
Dr. Lin Jianliang Reply:
It is recommended to consult an endocrinologist. Elevated adrenaline levels can potentially affect blood pressure and heart rate. However, there are other factors that can also influence these levels. Certain contraceptives may impact adrenaline levels, but there are also other f...[Read More] Understanding High Adrenaline Levels: Causes and Health Implications
Effective Exercise Strategies for Managing Diabetes: Timing Matters
Exercise Methods for Diabetes Management Hello Doctor: I am currently 176 cm tall, weigh 84 kg, have a waist circumference of 96 cm, and my blood pressure is 127 mmHg systolic and 87 mmHg diastolic. After fasting for 8 hours, my hemoglobin A1c is 6.1, and my fasting blood glucose...
Dr. Lin Jianliang Reply:
You can engage in moderate-intensity exercise, such as brisk walking or jogging, about one to two hours after a meal. If you exercise before eating, it's best to wait at least 30 minutes after your workout before having a meal.[Read More] Effective Exercise Strategies for Managing Diabetes: Timing Matters
Understanding Low ALK-P Levels: When to Seek Further Medical Evaluation
Health check-up About a month ago, I underwent a routine health check-up, and my hematocrit (HCT) was 37% (reference range: 38-47%). My alkaline phosphatase (ALK-P) level was 16 U/L (reference range: 34-104 U/L). Based on my family physician's recommendation, I was referred ...
Dr. Lin Jianliang Reply:
Hello, I recommend that you continue to follow up with a gastroenterologist. Thank you.[Read More] Understanding Low ALK-P Levels: When to Seek Further Medical Evaluation
Understanding Nausea, Appetite Loss, and Weight Changes in Hepatitis B Patients
Loss of appetite, gastrointestinal discomfort, weight changes, Hepatitis B? Hello Dr. Hong, I weigh 59 kg and am 173 cm tall, and I am 17 years old. I experience nausea before lunch and after dinner. I have little appetite when I see food and rarely feel hungry, but I haven'...
Dr. Hong Yuanbin Reply:
Hello, regarding hepatitis B, the main focus is on monitoring liver function tests. Based on your description, I would infer that your liver function tests should be normal. If they are normal, regular monitoring is sufficient. However, if you have irregular habits such as drinki...[Read More] Understanding Nausea, Appetite Loss, and Weight Changes in Hepatitis B Patients
Understanding Dry Syndrome and Joint Cartilage Issues: A Guide to Immune Disorders
Sjögren's syndrome, articular cartilage Hello, Director Gao! I have several symptoms and I'm unsure if they are related to an autoimmune disease. 1. My dentist informed me that my mouth is very dry. This condition has persisted for at least three years, especially dur...
Dr. Gao Jiankai Reply:
Hello, I apologize for the late response. I believe your symptoms are indeed related to Sjögren's syndrome, including dry eyes, dry mouth, thyroid dysfunction, cough, and generalized body aches, even lower back pain, which may all be associated with Sjögren's syndrome. ...[Read More] Understanding Dry Syndrome and Joint Cartilage Issues: A Guide to Immune Disorders
Understanding Hepatitis B: Interferon Treatment Options and Effectiveness
Hepatitis B Interferon Hello, doctor: My mother is a carrier of hepatitis B, but I was vaccinated at birth and have consistently tested positive for antibodies while being a carrier myself, so I haven't paid much attention to it. Recently, when I tried to donate blood, I tes...
Dr. Hong Yuanbin Reply:
Hello, currently hepatitis B cannot be cured; however, hepatitis C can be cured. Many medications for hepatitis B are under development, and it is believed that in the foreseeable future, hepatitis B may also be curable. Currently, treatment for hepatitis B is typically offered t...[Read More] Understanding Hepatitis B: Interferon Treatment Options and Effectiveness
Understanding Proteinuria: What Your Health Check Results Mean
Health check-up: Proteinuria I have vasculitis and mild arrhythmia, and I am taking immunosuppressive medication, anti-inflammatory drugs, and anti-arrhythmic medication. I recently had a check-up, but I couldn't understand the report as the doctor was in a hurry and told me...
Dr. Wu Hongjie Reply:
If there are concerns about liver function, please consult a gastroenterologist. Urine protein is 1+, and it is recommended to visit a nephrologist for further testing. Wishing you good health and safety.[Read More] Understanding Proteinuria: What Your Health Check Results Mean
When to Stop Medication for Hyperthyroidism: A Patient's Concern
The issue of when to discontinue medication for hyperthyroidism? Hello, doctor. This April, I experienced a noticeable increase in heart rate along with other uncomfortable symptoms. At the beginning of May, I visited a family medicine clinic where blood tests diagnosed me with h...
Dr. Xie Rongyuan Reply:
Hello: It is recommended to visit the endocrinology department for further examination. If it is subacute thyroiditis, there will be no need for medication once recovery is achieved. Thank you for your message![Read More] When to Stop Medication for Hyperthyroidism: A Patient's Concern
Understanding Acute HIV Infection: Symptoms and Diagnosis
Acute HIV infection phase? Hello Doctor, I started feeling unwell around August 29, experiencing fever and fatigue. On August 30, I had blood tests showing a CRP of 7.490 (all other biochemical parameters were normal), WBC of 12,870, Neutrophils 70.8%, Lymphocytes 19.9%, and Mono...
Dr. Liao Zhongxin Reply:
Dear readers: According to the Centers for Disease Control website (http://www.cdc.gov.tw), there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual ...[Read More] Understanding Acute HIV Infection: Symptoms and Diagnosis
Should I Start Medication for High Hepatitis B Viral Load Despite Normal Liver Function?
Liver function and liver ultrasound are normal, but the viral load exceeds 100 million copies. Should medication be taken? Hello Doctor: I am a carrier of hepatitis B, 42 years old, and I have regular follow-up examinations every three months for liver function, fetal protein, an...
Dr. Hong Yuanbin Reply:
Hello, in cases where liver function is normal, the treatment effect of hepatitis B medications is indeed not very effective. Therefore, it is still recommended in clinical practice to use them when liver function is abnormal, as the results are better. Regarding concerns about t...[Read More] Should I Start Medication for High Hepatitis B Viral Load Despite Normal Liver Function?
Persistent Afternoon Fever: Understanding Chronic Symptoms and Causes
Fever every afternoon? Hello doctor, I have been experiencing a fever for over a month now, with temperatures gradually rising in the afternoon, ranging from 37.5 to 38.5 degrees Celsius. Two months ago, I had symptoms such as coughing and a runny nose, with occasional fevers aro...
Dr. Liao Zhongxin Reply:
Dear readers, regarding the above issue, here is my response. Hello, doctor. I have been experiencing a fever for over a month, with temperatures gradually rising in the afternoon, ranging between 37.5°C and 38.5°C. Two months ago, I had symptoms of cough and runny nose, with o...[Read More] Persistent Afternoon Fever: Understanding Chronic Symptoms and Causes
Understanding Abnormal Results in a 14-Year-Old's Health Checkup
Abnormal findings in the medical examination report? Hello, doctor. My son is 14 years old. During a recent physical examination (he had no discomfort at the time of testing, only nasal allergies), it was found that his white blood cell count (WBC) is 7.2 (normal range 4.5-10.0),...
Dr. Liao Zhongxin Reply:
Dear readers, Regarding the health examination report, here are the responses: 1. The normal values represent the distribution range for 95% of the normal population. A small percentage (5%) may be slightly higher or lower, which only requires follow-up in the future (in three ...[Read More] Understanding Abnormal Results in a 14-Year-Old's Health Checkup