Alcoholic liver disease occurs due to excessive consumption of alcohol. Consuming excessive alcohol can damage the liver leading to fat buildup, inflammation, and scarring. Some of the symptoms include jaundice, edema, fever and shivering, blood in vomit and stools, and bleeding.
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What is the reason for my elevated liver enzymes and gamma GT?
Query: Hi doctor, My bloodwork has concerned me. I have elevated liver enzymes and high gamma GT. I also have seronegative RA, some joint pain and recently some nausea. I am currently on Vitamin D, Vitamin E, and Turmeric fish oil. Read Full »
Answer: Hello, Welcome to icliniq.com. Well you are right these test reports nonetheless are a concern to you as well to me (attachment removed to protect patient identity). Let us just sort out things one by one. First of all your weight is slightly overweight. Your current body mass index (BMI) which ... Read Full »
I developed a few symptoms after my recently diagnosed early stage liver disease. What to do?
Query: Hi doctor,I developed a liver disease due to alcohol consumption. However, it is in the early stage and my face has also turned black. I have a burning sensation in my stomach and I do not feel hungry. Also, I feel my stomach is not clear and I have had these symptoms for the past three months. I ha... Read Full »
Answer: Hi, Welcome to icliniq.com. Well, your liver function tests suggest that you might still be drinking alcohol, or have recently consumed alcohol (attachment removed to protect the patient's identity). The best treatment for alcohol-related liver disease is prevention, which means you have to stop ... Read Full »
There is a six-month waitlist for liver transplant. What are our options?
Query: Hello doctor, My brother, 46, has ALD cirrhosis. He was admitted to a hospital. Day-6 now. And is undergoing withdrawal and other treatment. MELD score is 22-24; ammonia 40 (down from 70). Low platelets, lot of bruises from falling pre-admittance. Signs of advanced hepatic encephalopathy. Treatment... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all, you need to understand that alternative therapies do not work in acute severe states. You can consider them later once he recovers. At this point of time, apart from medical management that is already being done, you can discuss with your doctor for liver ... Read Full »
Does black stools suggest liver failure in alcoholic cirrhosis?
Query: Hello doctor, I am 59 years old. I was diagnosed with hepatitis C alcoholic cirrhosis, acute pancreatitis and that was almost two years. I am currently taking Levothyroxine 50 mg once daily, Labetalol Hydrochloride 100 mg once daily, Lisinopril 20 mg once daily. I was in the hospital at first to st... Read Full »
Answer: Hello, Welcome to icliniq.com. Black stools are indicative of acute gastrointestinal hemorrhage. Melena or black stools can also turn into a medical emergency if a lot of blood is lost and hence my sincere advice to you would be to go see a doctor as soon as possible. This does not signify liver f... Read Full »
Are my liver enzymes elevated in my liver function test reports?
Query: Hi doctor,I had a liver function test and the results showing as AST-99, ALT 178, and GGT 84. How serious are these? Read Full »
Answer: Hello, Welcome to icliniq.com. Well, the seriousness of this depends upon what causing this nearly double rise in ALT (Alanine transaminase) and AST (Aspartate transaminase) levels. But generally speaking, they are not that much worse. The values above five times the normal are usually severe. You... Read Full »
Can I get a second opinion on my diagnosis of alcoholic liver cirrhosis?
Query: Hello doctor, A month ago, I was diagnosed with alcoholic liver cirrhosis based on the fibroscan result, which was 15 kPa, liver function test, and elevated ALT, AST, and Gamma GT, which were 145 U/L, 79 U/L, and 90 U/L, respectively. These tests were conducted three times. At the time of the test, ... Read Full »
Answer: Hello, Welcome to icliniq.com. I saw the reports you have uploaded, and well, this is cirrhosis. A kPa value of more than 12 is considered fibrosis or cirrhosis, and your kPa value is 15. So the current state of your liver function is assessed by some blood tests plus an ultrasound of the abdomen,... Read Full »
Can we get a definitive diagnosis by a histopathological examination?
Query: Hi doctor, I have a few doubts regarding the pathology reports. Please clarify. It seems like advances in pathology is increasing diagnostic confidence. Can alcoholic liver disease biopsy result ever be 100% accurate by itself? Labeling something as "consistent with" could be a real problem for all ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Histopathology examination by biopsy is the most confirmatory method for many pathological conditions. Hyperlipidemia can lead fatty liver condition, which can be because of alcohol as well. From histopathology examination, it can be surely said that whether it is an in... Read Full »
What is the most common reason for raised liver enzymes?
Query: Hi doctor,My husband is 26 years old. He is currently taking tablet Lamotrigine 25 mg, Alprazolam 1 mg, and Buspirone 5 mg. His blood investigations show ALT is 102, AST is 55, and alkaline phosphatase is 128. He does not have any symptoms. What do these values mean? What should we do now?Kindly giv... Read Full »
Answer: Hi,Welcome to icliniq.com.I understand your concern.The report shows that your husband's liver enzymes are raised.From the history provided in his reports (attachments removed to protect the patient's identity), he is overweight with a BMI (body mass index) of about 29 and consumes alcohol. He is al... Read Full »
What should I do to lower my raised GGT values?
Query: Hello doctor, I am 37 years old. My GGT value is high 330, and I am an alcoholic. I have stopped alcohol for 15 days. I do not have any symptoms regarding this issue. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the report (attachment removed to protect patient identity). Here GGT is not the only value that is raised, but other liver enzymes are too in abnormal ranges. If you are destined to stop alcohol, then I think you need not worry since these enzymes will... Read Full »
What does high ALT with heavy alcohol consumption indicate?
Query: Hello doctor, I have attached the files of my liver and wanted a doctor to review them. I am currently on Losartan 50 mg. Read Full »
Answer: Hi, Welcome to icliniq.com. It is very difficult to comment on your liver status just based on an image (attachment removed to protect patient identity). Have they not provided you a report of this scan? For what symptoms were these tests are conducted. Revert with the asked details for bett... Read Full »