Recently Answered Questions
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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 (kilopascal) 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... Read Full »
Why is there pain in leg and restlessness in an alcoholic?
Query: Hello doctor, My brother is an alcoholic. He has been drinking from past six to seven years. I had convinced him to take certain medical tests. One test was conducted four months back and the second test after four months. During the first test, he was drunk the last night and the sample was taken t... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post and investigation (attachment removed to protect patient identity). The person in question has transaminitis (raised liver enzymes) which means there is some minimal necrosis of liver cells on a daily basis which in long run over a period of ... Read Full »
I have enlarged liver with grade 3 fatty changes. Is it life threatening?
Query: Hello doctor, I am 51 years old and have been diagnosed with an enlarged liver showing fatty changes grade-3. Is it life threatening? Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. Fatty liver change is a progressive condition that leads to liver cirrhosis after years if not managed properly. Risk factors include obesity, high cholesterol, and alcohol. Please provide me with your alcohol intake history and your lipid profile and liver function ... Read Full »
Does normal diet cause edema in a liver cirrhosis patient?
Query: Hi doctor, The patient is suffering from liver cirrhosis. Will the liver remain enlarged? Or do come back to its normal size after some time? Does having a normal diet develop edema? Read Full »
Answer: Hello, Welcome to icliniq.com. I had gone through the details posted. Edema in cirrhosis patients is mainly due to low oncotic pressure in blood vessels because of low albumin.Cirrhosis compromise the synthetic function of the liver and so albumin production gets decreased. It is the albumin, whic... Read Full »
Are CAT scans with contrast more reliable than without contrast?
Query: Hi doctor, I had a CAT scan done two weeks ago with dye. It showed that my liver was normal. I had another one done yesterday as I am having problems with diverticulitis with dye and oral white drink. This one showed subtle roughness of liver, suggesting cirrhosis. I have had elevated liver enzymes ... Read Full »
Answer: Hi, Welcome to icliniq.com. Your concern is valid. cirrhosis typically develops gradually and isn't likely to occur within a couple of weeks. It seems improbable that cirrhosis could manifest in such a short timeframe. It's possible that there might be an error in interpreting one of the scan repor... Read Full »
Is it advisable to give LMWH to treat PVT?
Query: Hello doctor,The patient was diagnosed with autoimmune hepatitis for 27 years and portal hypertension for at least 10 years and was recently diagnosed with portal vein thrombosis (almost complete thrombosis to the level of confluency) through a CT scan. The patient takes Azathioprine for treatment f... Read Full »
Answer: Hi, Welcome to icliniq.com. The information given here (attachment removed to protect patient identity) shows that she has liver cirrhosis. Also, she has portal hypertension. In this setting, treatment should be directed at liver cirrhosis which has ultimately resulted in portal vein thrombosis. T... Read Full »
My ultrasound abdomen shows fatty liver grade 1. Is it harmful?
Query: Hello doctor, My age is 30 years. Height is 5.6 and weight is 160 lbs. Recently, I underwent with ultrasound abdomen. In that, the result came as fatty liver grade 1. Is this any harmful and I do not have a habit of alcohol drinking. What should I do? Can this be reversible? What is the diet that I... Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, fatty liver can be harmful because it causes non-alcoholic steatohepatitis and cirrhosis in case of a long-standing fatty liver with a contribution of various other factors. It can be reversed by loosening of the weight. Dietary modification with exercise is the ma... Read Full »
Is Quinine safe in liver cirrhosis patient with low platelets?
Query: Hello doctor, My husband has an advanced stage liver cirrhosis and gets muscle cramps in legs from time to time, at night time or when he wakes up in the morning. Other patients with similar issues recommend drinking tonic water that contains Quinine or taking Calcium Magnesium supplements. He has v... Read Full »
Answer: Hi, Welcome to icliniq.com. Cramps happen in cirrhotics due to nutritional insufficiency, mineral deficiency, mainly calcium and magnesium. My suggestions would be: Calcerol sachet (Vitamin D3 60000) once weekly for six weeks. Tablet Magnical (Magnesium with Calcium) twice daily for a month to ... 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 »
Patient has excreting problem. Is it a fissure and does it need surgery?
Query: Hello doctor, My brother is 38 years old and he is obese. His weight is more than 330 lbs. He has been found with liver cirrhosis few years back and he has taken medicine for that and all went normally. Later, he found with balanitis but after medicine he was normal. At present, he used to drink but... Read Full »
Answer: Hi, Welcome to icliniq.com. I could find three issues with your brother. They are obesity, cirrhosis, and fissure. All these are related. He needs to lose weight. He has to be motivated with regular physical activity, modified diet and restrict fluid to 2 liters a day. Regarding cirrhosis, he need... Read Full »