Inflammatory disease of the liver is called hepatitis. Hepatitis can be caused due to viruses or can be autoimmune or can be secondary to medicines, toxins, and alcohol. The different types of hepatitis are infectious hepatitis (hepatitis A, B, C, D, and E), noninfectious hepatitis, and autoimmune hepatitis.
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How can stage 4 liver fibrosis be managed?
Query: Hello doctor, Two years back, after a routine blood test I was diagnosed with fatty liver due to raised liver enzymes ALT 53 ALP 66 and GGT188. I later underwent a liver scan and the conclusion was Child A Cirrhosis-possibly secondary to NASH. Advised to lose weight with no medication prescribed. Y... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. You have investigated by fibroscan report (attachment removed to protect patient identity). The 19 kpa is suggestive of grade 4 fibrosis in liver. The fibrosis can from due to chronic inflammation. The NASH is form of hepatitis due to overweight. So, fibrosis can develo... Read Full »
I have tested positive for the hepatitis B virus. How to get rid of the virus from my bloodstream?
Query: Hello doctor, I am a 20-year-old and have tested positive for the hepatitis B virus. So, I want to know if there is anything I can do to get rid of the virus entirely from my bloodstream. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and will try to help you resolve your problems. If you tested hepatitis B positive, kindly get yourself treated with antibiotics. Ask your physician to treat you with antibiotics depending on your weight, and dosed accordingly. Antibodies us... Read Full »
What does high value of ALT, AST, and ALP indicate?
Query: Hello doctor, I want to show my LFT report. I was suffering from jaundice. In my first test result total bilirubin was 11.2 mg/dL (D: 2.1, ID: 9.1), and the values of ALT, AST, and ALP are 53, 41, and 162 u/l, respectively. Hepatitis B was negative. In my second test results, the total bilirubin c... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I can understand your concern and the following is my opinion about your asked question. ALT (alanine transaminase) or SGPT (serum glutamic pyruvic transaminase) is the liver cells' enzyme. So, raised the level of which is suggestive of liver cell (hepatocyte) damag... Read Full »
Does a cirrhosis patient require medicines to increase platelet count and Hb?
Query: Hello doctor, I am a liver cirrhosis patient. My platelet count is 72,000 and hemoglobin is 10. Everything else including protein and albumin are normal. The doctor is giving Ricovir 300, Pantosec 40, Udliv 150, Vitamin A to Z daily and Lasilactone 50 mg on alternate days. But, he is not giving any... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. In liver cirrhosis, chronic fibrosis occurs and such fibrotic tissue obstructs portal blood flow and so, because of portal hypertension splenomegaly can occur. An enlarged spleen traps platelet count and so your platelet count is low. With an improvement of cirrhosi... Read Full »
How does the hepatitis B virus spread?
Query: Hello doctor, I want to know about Hepatitis B virus. I have been affected by this disease. Is it a contagious disease? Can others use the things which I use? Can others drink water with my used glass? How does this virus spread? In people who have already taken hepatitis B virus vaccine, is there... Read Full »
Answer: Hi, Welcome to icliniq.com. Hepatitis B virus is transmitted through sexual contact with an infected person and through blood, mucous membranes, and wounds. Yes, other persons can use your things and drink water from your glass if they do not have any injury. You should not have sexual contact with ... Read Full »
I have pain in the upper right quadrant with high LFT values. How to manage it?
Query: Hi doctor, I am 30 years old and had a full body checkup. My liver function test showed the following values. Alanine transaminase (ALT) 104 U/L (method - UV with pyridoxal-5-phosphate), aspartate aminotransferase (AST) 60 U/L and Gamma-glutamyl transferase (GGT) 63 U/L. I am concerned about the LF... Read Full »
Answer: Hello,Welcome to icliniq.com.I can see that you are concerned about your laboratory test. You did not mention alcohol or medication use.Increased liver enzymes can be caused by fatty liver, viral infections, and some less common causes.I would recommend you to do a liver ultrasound, and if it was no... Read Full »
I got a small cut on my left thumb from a machine containing hepatitis and HIV samples. Will I acquire blood-borne pathogens?
Query: Hello doctor,I got a cut from a laboratory machine at work. My left thumb got a small cut on the skin that, when dry, looks like a small cut, and when wet, a tiny red spot is visible. I bet it shows the depth of the cut when my skin is wet with hot water. Hepatitis and HIV samples are run on the mac... Read Full »
Answer: Hello, Welcome to icliniq.com. I thoroughly read your query and understand your concern. The chances of HIV (human immunodeficiency virus) or hepatitis viruses being present in the gripper part is low. Moreover, the viruses do not survive in the environment beyond a few minutes. It also appears b... Read Full »
Will surgery for gallstones relieve my abdominal and back pain?
Query: Hi doctor, I am a 34 year old female, who weighs 97 kg, and I am 5.9 feet tall. I have extreme pain in my upper abdomen and back. I also feel nauseous. I have a fatty liver and pancreas, and gallstones. Please help. I am attaching all my reports. Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen all the attached reports (attachment removed to protect patient identity). With complaints of severe to moderate upper abdominal pain and vomiting and elevated liver enzyme levels, ultrasound findings of stones in the gallbladder, fatty changes in liver an... Read Full »
Can viruses transfer from clothes to other personal things they come in contact with?
Query: Hello doctor, I have concerns about hepatitis transmission. Yesterday I was with two ladies (sex workers), and they were lesbian (bisexual), and they used a dildo with a condom with each other. I have concerns because the lady removed the condom then she touched my thigh with the dildo) and also,... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Please check with the ladies, if still in contact, regarding their hepatitis B vaccination status and, if possible, undertake entire STI (sexually transmitted infections) panel tests (including hepatitis B, HIV (human immunodeficiency virus),... Read Full »
Could you please look into my hepatitis B test results and explain the same?
Query: Hello doctor, I want to understand in detail about my hepatitis B results. I have the result with me, but I need further clarification. Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. I am reviewing your attached reports (attachments removed to protect the patient's identity) and will get back to you. Thank you. Read Full »