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Proactive Care for a Healthy Liver

Liver screening detects early issues like fatty liver, hepatitis, and cirrhosis. This non-invasive assessment ensures timely intervention and personalized treatment for long-term liver health.

Close-up of a person wearing a white shirt with a blue graphic illustration of the liver overlayed on the shirt.

Prevention Starts with a

Liver Screening

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What is Liver Screening?

Liver screening is a series of tests and evaluations designed to detect liver diseases and assess your liver’s overall function.

Your liver plays a vital role in maintaining your overall well-being, so it is important to monitor its health regularly. Liver-related problems can often go unnoticed until they become serious, so proactive screening is essential.

When Liver Screening Becomes Necessary

Ongoing symptoms may indicate an underlying condition. Consider seeing a gastro specialist if you're experiencing some of these symptoms

Liver screening is recommended for individuals who have risk factors for liver disease, including:

A history of alcohol or substance abuse
 

Family history of liver disease

Chronic viral infections (such as Hepatitis B or C)

Elevated liver enzymes or abnormal liver function tests

Obesity or metabolic syndrome

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Key Components of Our Liver Screening

NAFL Evaluation

Non-alcoholic fatty liver (NAFL ) involves fat buildup in liver cells without alcohol consumption. Using advanced diagnostics like FibroScan, we measure liver stiffness to detect early fibrosis and fatty liver, providing tailored interventions.

Hepatitis B & C Screening

Hepatitis B & C involves a blood test to detect the presence of viral infection, antibodies, or viral particles.

Alcohol Use Assessment

Evaluating alcohol consumption patterns helps assess liver health. We provide guidance on reducing alcohol intake to minimize liver-related risks and improve overall liver function.

Fibroscan and Liver scan Assessment

Fibroscan is transient elastography, used to assess and quantify the amount of fat in the liver as well as severity of liver scarring (fibrosis). It is a quick and easy way to check the status of liver health without doing liver biopsy. It can be done in the clinic, obtaining results within 10 minutes. US Liver or CT scan can be used to detect early liver nodules or cancers as well as portal hypertension and liver cirrhosis.

Meet Your Endoscopy & Gastrointestinal Specialists

Dr. John Hsiang

Senior Consultant Gastroenterologist

MBChB(NZ), FRACP(Australasia), MD(Doctorate), FRCP(Edinburgh), FAMS(Gastro)

+ 20 YEARS

Dr. John Hsiang is a seasoned gastroenterologist and hepatologist with over two decades of clinical experience. His distinguished career includes training at Otago Medical School and the Prince of Wales Hospital in Hong Kong, specializing in liver disease and gastrointestinal disorders. Dr. Hsiang is dedicated to patient education, empowering individuals with the knowledge and confidence to manage their health.

Dr John Hsiang in blue scrubs seated, smiling confidently, representing professional gastroenterology care.

Common Questions about Liver Screening

  • How should I prepare for a colonoscopy?
    Discuss Medical History: Inform your doctor about your medical conditions and medications. Adjust or stop certain medications if needed. Adjust Your Diet: Avoid high-fiber foods two days before and switch to a clear liquid diet before the procedure. Take Necessary Medications: Inform your doctor of all medications, including over-the-counter ones. Adjust or stop certain medications as advised. Bowel Cleansing Preparation: Follow instructions to drink a special solution to flush out the colon for clear visibility. Fast Before Procedure: Fast for at least 6 hours before the procedure; clear liquids may be allowed up to 4 hours prior.
  • How soon will I receive the results after my colonoscopy?
    Your healthcare provider will discuss the findings shortly after the procedure. In some cases, biopsies may be taken during the colonoscopy, and results from these tests may take a little longer to process. Your specialist will follow up with you in clinic to discuss further results in detail.
  • Is there any possible discomfort or risk during and after the colonoscopy?
    While complications are rare, they may include bleeding, perforation of the colon, or adverse reactions to sedation. The risk of bleeding and perforation is usually around 0.1% (or 1 in 1000), these are usually related to the therapeutic procedure undertaken during the colonoscopy, for example, removal of polyps. Your healthcare provider will discuss the potential risks and address any concerns you may have.
  • Are there restrictions following a colonoscopy?
    It is recommended to avoid strenuous activities and heavy lifting for at least 24 hours after the procedure. Your healthcare provider may also advise you to avoid certain medications, such as blood thinners, for a period. If biopsies were taken during the colonoscopy, your doctor may provide specific instructions on how to care for the area where they were taken.
  • What can I eat after the colonoscopy?
    After the procedure, you may need some time to recover from the sedation. Your healthcare provider will provide guidance on when it’s safe to resume eating and drinking. Typically, it is recommended to stick to a light diet initially, and then gradually reintroduce solid foods. Avoid heavy or spicy meals that may irritate your digestive system. Foods that are easy to digest, such as soup, crackers, and toast, are usually recommended for the first meal. It is also important to drink plenty of fluids to flush out the remaining sedation medication from your system.
  • Do I need a second colonoscopy if my first one was normal?
    The recommended frequency for a routine colonoscopy depends on individual risk factors, such as family cancer history, personal health history and the number of polyps removed during the index colonoscopy. It is best to follow the advice of your healthcare provider regarding when to schedule your next screening. In some cases, a second colonoscopy may be necessary if there are abnormal findings or persistent symptoms after your first procedure. Your doctor will discuss the need for further tests or procedures with you.

Conditions

Understanding the Causes and Finding Relief

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