Liver function, Internal Medicine FAQ - Page 4

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Understanding Fatty Liver Disease in Chronic Hepatitis B Patients

excuse me? Hello, Doctor: I would like to ask you some professional questions. I am a carrier of hepatitis B and have regular follow-up examinations every six months. My liver function tests, including GOT, GPT, HBeAg, and bilirubin levels, are all normal. However, I have been di...


Dr. Sun Yizhen Reply:
Based on your description, your current liver condition is as follows: 1. Chronic Hepatitis B carrier 2. Fatty liver. The severe aspect of Hepatitis B should be regularly monitored at a gastroenterology outpatient clinic, where a clinician will determine if treatment is necessary...

[Read More] Understanding Fatty Liver Disease in Chronic Hepatitis B Patients


Understanding Sudden Weight Loss: When to Seek Medical Advice

My dad suddenly lost a lot of weight? My father suddenly lost 6 kilograms, but he is living normally. His food intake is the same, and his appetite has not decreased, nor does he feel unwell. He often has mouth ulcers, and he was bitten by a chigger last year, but he has already ...


Dr. Cai Yaozhou Reply:
Consult the endocrinology department to check for diabetes and hyperthyroidism, then schedule an appointment with the gastroenterology department for liver function tests and abdominal ultrasound.

[Read More] Understanding Sudden Weight Loss: When to Seek Medical Advice


How to Lower Your Cholesterol Levels: Tips for a Healthier Heart

Cholesterol is particularly high? A few days ago, my health check report came back, and my cholesterol level is particularly high at 238. The other values, such as uric acid, creatinine, and liver function tests, are all normal. What can I do to lower this level?


Dr. Yang Hongzhi Reply:
Cholesterol levels should ideally be kept below 200 mg/dL. Initially, dietary modifications can be implemented to manage this. It is advisable to reduce the intake of egg yolks, meats, seafood, animal fats, fatty meats, and whole milk. After 3 to 6 months, a follow-up should be c...

[Read More] How to Lower Your Cholesterol Levels: Tips for a Healthier Heart


Understanding Neck Swelling and High Uric Acid Levels: A Guide

I am experiencing some health issues? I recently experienced an unusual swelling in my neck, but it subsided after a few days. From the time I noticed it until it disappeared, it was approximately five days, although I'm not entirely sure of the exact duration since I am som...


Dr. Yang Hongzhi Reply:
The term "goiter" generally refers to an enlargement of the thyroid gland. For issues related to high uric acid, you may consult a specialist in metabolic disorders. Additionally, if there are abnormalities in liver function, it is advisable to see a gastroenterologist ...

[Read More] Understanding Neck Swelling and High Uric Acid Levels: A Guide


Understanding Health Issues: What Do Bloodshot Eyes and Pain Indicate?

Could you please tell me which part of the body is experiencing issues? (Asking on behalf of a friend) Hello, Dr. Hsiao! I have a friend who works 12-hour night shifts. Recently, I've noticed some slight redness in her eyes, and they appear a bit yellowish. She occasionally ...


Dr. Xiao Jingqin Reply:
The sclera on the inner side of the eyeball contains a rich network of blood vessels. People often mistakenly assume that a slight yellowing, especially when the blood vessels are congested or there is some subcutaneous bleeding, indicates jaundice caused by liver disease. Howeve...

[Read More] Understanding Health Issues: What Do Bloodshot Eyes and Pain Indicate?


Should You Consider Liver Biopsy and Antiviral Treatment for Hepatitis B?

Treatment for Hepatitis B with Medications Last year, I discovered that my liver function test showed GPT at 100, with positive E antigen. Three months later, follow-up revealed GPT at 60, and E antigen remained positive. Over the next year, GPT fluctuated between 50 and 70. This...


Dr. Hong Hongchang Reply:
Hello Mr. Chen: Thank you for your inquiry. I would like to respond to your question and provide the following recommendations: In accordance with health insurance and clinical principles, if Hepatitis B persists for more than six months or Hepatitis C for more than three months,...

[Read More] Should You Consider Liver Biopsy and Antiviral Treatment for Hepatitis B?


Cold Medications and Their Side Effects: A Guide for Patients with Hepatitis B

Cold medications and their side effects? Question 1: 1. Sulindac 2. BSN 3. Tagamet 4. Strocain 5. Urfamycin 6. Acetin 7. Nocough I visited the doctor for a cold last time, and he prescribed me these medications. What are the potential side effects? I have hepatitis B, bu...


Dr. Xiao Jingqin Reply:
These medications include one antibiotic, two gastrointestinal medications (one antacid and two ulcer medications), one cough suppressant, one expectorant, and one anti-inflammatory analgesic. These are commonly used medications, and their side effects typically include abdominal...

[Read More] Cold Medications and Their Side Effects: A Guide for Patients with Hepatitis B


Understanding Military Physical Exams: Liver Function Concerns and Costs

Regarding military service medical examinations? The examination report indicates that the reason for the undefined posture is due to elevated liver function indices, which are twice the normal level, leading to a diagnosis of cirrhosis or hepatitis. Due to certain factors, I do ...


Dr. Xiao Yongxun Reply:
Hello: In response to your question, according to the "Military Conscription Physical Examination Manual," for conscripts with cirrhosis or hepatitis, in addition to a physical examination, liver function tests (ALT or SGPT) must be conducted, and if necessary, a biopsy...

[Read More] Understanding Military Physical Exams: Liver Function Concerns and Costs


Understanding the Differences: Pain-Free Endoscopy vs. Traditional Methods

Gastroscopy Hello, doctor. May I ask you about the differences between painless gastroscopy and colonoscopy compared to traditional examination methods? Is it really less painful? A friend's father had chronic stomach pain, and after an MRI, it was ultimately discovered to b...


Dr. Cai Yaozhou Reply:
It is indeed less painful. Individuals with a family history of liver cancer should undergo regular ultrasound and blood tests, and it is also recommended to have basic examinations such as gastroscopy and colonoscopy.

[Read More] Understanding the Differences: Pain-Free Endoscopy vs. Traditional Methods


Understanding Your Dizziness: Is It Related to Liver Health?

Is there a problem with the liver? I've been feeling dizzy for the past few days, with my blood pressure often around 86. However, when I went to the hospital, it was measured at 109, which the doctor said is normal. The doctor also suggested checking if I have a cold, exami...


Dr. Yang Hongzhi Reply:
Hello: Dizziness is a nonspecific symptom that many individuals do not have any correlation with underlying diseases. Generally, it is not significantly related to blood pressure, blood sugar, liver function, or thyroid function.

[Read More] Understanding Your Dizziness: Is It Related to Liver Health?


Understanding Hepatitis and Cirrhosis: Severity, Treatment, and Causes

Hepatitis. Liver Cirrhosis? Is this symptom serious? If it's just in the early stages, should it be treatable? Is this symptom related to diet, or is it due to something else?


Dr. Cai Yaozhou Reply:
In the early stages, liver cirrhosis may not present any symptoms, and liver function tests may appear normal. Diagnosis of liver cirrhosis can be made through liver function tests and abdominal ultrasound. The causes of liver cirrhosis include: 1. Chronic hepatitis B. 2. Chr...

[Read More] Understanding Hepatitis and Cirrhosis: Severity, Treatment, and Causes


Understanding Liver and Biliary Tumors: A Patient's Guide to Diagnosis and Care

Summary of Hepatobiliary Tumors Hello Dr. Lee, our family is really unfamiliar with medical issues. I have compiled the summary of my mother's condition and diagnosis from her recent visit to the clinic over the past 2-3 days, and I hope you can help us interpret it. Thank y...


Dr. Li Huixiong Reply:
AST and ALT are referred to as liver function indices. Your results are 162 and 66, respectively, with normal values typically being less than 40. Elevated levels indicate the presence of hepatitis. Since both HBsAg and anti-HCV tests are negative, I interpret this as non-B and n...

[Read More] Understanding Liver and Biliary Tumors: A Patient's Guide to Diagnosis and Care


Essential Daily Tips for Managing Hepatitis C in Your Life

Hepatitis C What should be taken into consideration in daily life for individuals with hepatitis C?


Dr. Xiao Jingqin Reply:
Diet: 1. A fresh, light, natural, and balanced diet is best. Artificial additives such as colorings, spices, and preservatives can burden the liver, so it's advisable to avoid excessive intake. Some patients with severe hepatitis may experience nausea and loss of appetite, m...

[Read More] Essential Daily Tips for Managing Hepatitis C in Your Life


Essential Care Tips for Managing Hepatitis C Effectively

Hepatitis C How to take care of oneself with hepatitis C? Thank you.


Dr. Xiao Yongxun Reply:
1. The hepatitis C virus is an RNA virus, and its primary mode of transmission is through contact with the blood and bodily fluids of an infected person, such as sharing needles, blood transfusions, or sharing razors. Due to chronic inflammation over time, it can lead to cirrhosi...

[Read More] Essential Care Tips for Managing Hepatitis C Effectively


Managing Jaundice in Patients with Alpha-Thalassemia: Options and Insights

How to reduce jaundice in patients with type A thalassemia? Hello Doctor, I believe I have Alpha-thalassemia with Hemoglobin H disease! Since I was 20 years old, I have gradually experienced jaundice. I went to a hematology clinic for liver function tests and ultrasound, and all ...


Dr. Cai Zonglong Reply:
Hello: The jaundice caused by thalassemia is primarily due to increased destruction during the production of white blood cells, and it is less related to the spleen. Splenectomy or embolization may provide some benefit, but it can also weaken the immune system, so it is not advis...

[Read More] Managing Jaundice in Patients with Alpha-Thalassemia: Options and Insights


Managing Fatty Liver: Diet and Exercise Tips for Recovery

Fatty liver disease I have been diagnosed with fatty liver. I often eat fried chicken, but I have started to avoid it. I run 600 meters daily and do sit-ups. Is this effective? Can you provide dietary recommendations?


Dr. Hong Hongchang Reply:
Fatty liver treatment: 1. Diet should consist of low-fat and unsaturated fatty acid foods. 2. Exercise 3.3.3 (three times a week, each session lasting more than 30 minutes, with a heart rate exceeding 130 beats per minute) to help metabolize fat. 3. Avoid social drinking, and und...

[Read More] Managing Fatty Liver: Diet and Exercise Tips for Recovery


Understanding Abnormal Liver Function: A College Student's Guide

"Health report shows abnormal liver function. Please help me, doctor!" I am a college student this year! Our school conducted a health check for us freshmen! After waiting for two months, the report came out! It indicated that I have abnormal liver function with GPT (al...


Dr. Xiao Jingqin Reply:
According to the examination, you have hepatitis. Common causes of hepatitis include viral hepatitis, drug-induced hepatitis, autoimmune hepatitis, and fatty liver, which can lead to liver function abnormalities. The first step is to rule out viral hepatitis, specifically acute h...

[Read More] Understanding Abnormal Liver Function: A College Student's Guide


Managing Hepatitis C: What to Do After Diagnosis

How to cope with hepatitis C? My mother, who is in her sixties, was tested at a health clinic and found to have a hepatitis C index of 5. The clinic only advised her to return for a follow-up test in five weeks. Should we just wait for that?


Dr. Xiao Jingqin Reply:
Currently, there is a new treatment for hepatitis C that involves a combination therapy of long-acting interferon and antiviral medications. Generally, treatment is considered for individuals under 65 years of age who have persistent liver function abnormalities for more than six...

[Read More] Managing Hepatitis C: What to Do After Diagnosis


Understanding Hepatitis B Immunity: Antibodies, Antigens, and Lifelong Protection

Hepatitis B Hello Doctor, I would like to ask: I previously underwent a hepatitis B test, and the results showed hepatitis B surface antigen (-), antibodies (+), and hepatitis B e antigen (-). Does this mean that I have had hepatitis B and have lifelong immunity, so I will not ge...


Dr. Xiao Jingqin Reply:
1. A positive Anti-HBs (Hepatitis B surface antibody) indicates that an individual has either been infected with Hepatitis B or has received the Hepatitis B vaccine. Generally, this confers lifelong immunity. Hepatitis B is transmitted through body fluids (such as blood and genit...

[Read More] Understanding Hepatitis B Immunity: Antibodies, Antigens, and Lifelong Protection


Understanding Abnormal Liver Function: Essential Tests and Recommendations

Liver dysfunction Hello, doctor... This month I suddenly feel extremely fatigued, and during most of my working hours, I often feel very sleepy. Additionally, my previous health check indicated abnormal liver function... Therefore, I would like to undergo further tests to confirm...


Dr. Xiao Jingqin Reply:
The standard tests for abnormal liver function include liver biochemical function tests, which consist of AST (aspartate aminotransferase) and ALT (alanine aminotransferase). These are the most basic tests. If there are abnormalities in these function indices, further testing for...

[Read More] Understanding Abnormal Liver Function: Essential Tests and Recommendations


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