iCliniq logo

Ask a Doctor Online Now

HomeAnswersMedical Gastroenterologyalcoholic hepatitisDo I need an immediate liver CT scan as per my report?

According to the reports, do I need an immediate liver CT scan?

According to the reports, do I need an immediate liver CT scan?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At July 23, 2018
Reviewed AtFebruary 26, 2024

Patient's Query

Hi doctor,

I am a 46 year old male. I had gastric bypass surgery 7 years ago. Earlier, I was 540 lbs and now, my weight is 300 lbs. About 5 years ago, I started drinking hard alcohol (Vodka) weekly. As of three weeks ago, I started getting a tight, bloated, tingly sensation from my chest down to my pelvic area. There is no real pain. It just feels as if there is a wide band wrapped around me and numbness. It almost feels as I may be collecting fluid in my abdomen and thighs. I also have burning and tingling sensation that runs down my inner legs from my thighs to my ankles. Some days, it is better than others. I feel fatigue and it is a bit hard for me to get out of a chair due to being weak at times. I do have energy though to perform daily activities once I am up.

I stopped drinking two weeks ago. I eat daily. There is no nausea, vomiting, bleeding, spider veins or yellowing of skin and eyes, I have normal bowel movements and there is no blood in stool. The stool color is normal. I do not feel hallucinations or loss of memory. My urine is dark yellow or brown and cloudy at times. I am a bit pale, but I have always been that way. I sleep regularly and have not lost any weight on the scale. But, I feel my muscle may have been replaced with fat.

I went to a GI specialist and he just thinks it is malnutrition issues due to my gastric bypass. My GI specialist ordered blood work and it indicates that I have some liver issues based on my research. Is there a way to determine the stage my liver health based on the laboratory reports below and the symptoms? Is it an emergency that I go to the hospital right away? Do I need to get a CT scan of liver immediately? The flags on my laboratory reports are, RBC 3.64 (low - ref 4.14 - 5.80), MCV 108 (high - ref 79 - 97), MCH 38.2 (high - ref 26.6 - 33.0), RDW 16.3 (high - ref 12.3 - 15.4), serum creatinine 0.56 (low - ref 0.76 - 1.27), serum chloride 94 (low - ref 97 - 106) serum calcium 8.4 (low - ref 8.7 - 10.2), total bilirubin 9.5 (high - ref 0 - 1.2), serum alkaline phosphatase 241 (high - ref 39 - 117), AST 196 (high - ref 0 - 40), ALT 61 (high - ref 0 - 44) and vitamin D, 25-Hydroxy 4.4 (low - ref 30.0 - 100.00). I also attached the full laboratory report. I started Vitamin B12 injections last week, Vitamin D3 drops, B1 and B complex supplements to hopefully help raise my low D3. Thank you.

Hello,

Welcome to icliniq.com.

I can understand your concern towards your abnormal laboratory values.

  • Yes, you need a CT scan of the liver. Even, I suggest consulting your GI doctor for hospitalization.
  • Your symptoms of tingling sensation and numbness are due to vitamin deficiencies. As you started taking vitamin supplements, these symptoms would recover in the next few days.
  • Your symptom of burning pain from chest to abdomen might be due to alcohol associated gastritis, which requires prompt treatment as you had a history of gastric bypass.
  • As your liver tests are very abnormal, you require prompt supportive treatment and further evaluation also. You must undergo CT scan. Primarily, it might be associated with alcohol induced hepatitis. But, your history of drinking vodka since many years may produce chronic changes in the liver (cirrhosis).
  • Acute damage to the liver due to alcohol is hepatitis, which is recoverable by medical treatment (might require steroid). The chronic damage (cirrhosis) is irreversible and medical treatment would only relieve symptoms and cure can be achieved by liver transplantation only.
  • It is not a proper time to give you advice on treatment without confirming diagnosis. But, based on the severity of liver dysfunction and need of further evaluation I strictly recommend you to consult a surgical gastroenterologist as soon as possible.

The Probable causes

Alcohol.

Investigations to be done

CT scan abdomen and coagulation profile.

Differential diagnosis

Cirrhosis of liver.

Probable diagnosis

Alcohol induced hepatitis.

Regarding follow up

For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kagathara Happy Kumar Devkaranbhai
Dr. Kagathara Happy Kumar Devkaranbhai

Medical Gastroenterology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Medical Gastroenterology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy