Liver Damage

The liver helps in digestion, rids the body of toxins, and produces cholesterol. Sometimes, liver diseases can be congenital (from birth) or get damaged due to infections, obesity, and excessive alcohol consumption. Damage to the liver can lead to scarring or liver cirrhosis and liver failure, a potentially fatal condition.

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Are my symptoms and elevated liver enzymes due to liver cirrhosis?

Query: Hi doctor, I am a 26-year-old male with a weight of 184 kilograms and a height of five feet seven inches. I am experiencing some weird symptoms for the past three months. I am a recovering binge eating addict. I use to eat fast food two to three times a day usually with meal size after work. Late...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. Your weight is slightly higher. Your body mass index is 27.2. Ideally, it should be less than 25. BMI is proportionate of your weight according to your height. So, you have a possibility of having fatty liver disease due to deranged liver function tests. Your FIB-4 (fib...  Read Full »

Based on the reports, please suggest the cause of the sudden changes in the liver.

Query: Hi doctor, I am a 53-year-old male. Before a year, I had painless jaundice. My MRCP report showed a mass on the head of the pancreas. My endoscopic USG showed a stricture in CBD and so a stent was inserted. My bilirubin came down and Whipple procedure was planned. As my TSH was more than 20 mIU/L...  Read Full »


Dr. Arbab Muhammad Kashif Khan

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. You can have two possibilities. You can have long biliary obstruction due to CBD (common bile duct) compression. It can lead to cirrhosis causing biliary cirrhosis. Any abdominal infection can cause portal vein thrombosis. It leads to have a nodular texture in the liver...  Read Full »

What can cause red hives to appear on the body after drinking alcohol?

Query: Hello doctor, I am a male aged 24 years with an overall healthy history. However, I have noticed in the recent past a bunch of red hives on (swollen red-colored, not-painful) different parts of the body (knees, legs, cheek, arms) appearing after drinking beer or wine. This happened now twice in a r...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. I am sorry, but the picture you uploaded (attachments removed to protect the patient's identity) seems a little bit taken far away, not giving me a full description of what it is. Yes, you should get your liver function tests. This will help us to detect any subtle...  Read Full »

Can abusing Co-Codamol result in liver damage and upper abdominal pain?

Query: Hi doctor,I have a history of abusing Co-codamol for two years. Often, I took 30/500 mg several times a day. I have some mild right upper quadrant stomach pain for a few weeks after stopping Co-codamol. Before a year, I took an abdominal ultrasound. My liver function test and urinalysis came back wi...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. You have stopped taking Co-codamol now. It is merely impossible to stop using opioid medicines. After stopping it, it is unlikely to have its effects on the body. You have stomach pain after stopping the medicine. It suggests narcotic bowel syndrome (NBS). In this, ...  Read Full »

Can liver failure cause blood in urine and weakness?

Query: Hi doctor,My 73 years old dad is becoming weak day by day, and he is 70 kg by weight and 5.2 inches by height. We consulted the doctor, who told us the urine contains blood, although it is not visible looking at urine. His leg was also swelling, and on medication, it became fine. He also added, it m...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. I can understand you must be very upset about your father. The history you provided provides a little clue of what exactly he is suffering with. Non-visible blood in urine is called microscopic hematuria. Some liver conditions can cause this problem, such as hepatiti...  Read Full »

Can you have hepatitis B without symptoms?

Query: Hello doctor, I am diagnosed with hepatitis B in the blood test. I am not feeling any symptoms right now. Please help me.  Read Full »


Dr. Babu Lal Meena

Child Health Specialist, Family Physician, General Practitioner, Medical Gastroenterologist, Paediatrician

Answer: Hi, Welcome to icliniq.com. Do the below investigations, and I will review the reports. Then we will decide on the treatment. 1. Liver functions tests (bilirubin, enzymes), HBV DNA (quantitative viral load), HBeAg (hepatitis B e-antigen), anti-HBe, anti-HCV (anti-hepatitis C virus), CBC (complete...  Read Full »

Could stage 4 fibrosis indicate a serious liver disease?

Query: Hi doctor, Please explain these results. I have a median ARFI of 2.17 m/sec, IQR of 0.28, and IQR median of 0.13, and METAVIR at stage 4.   Read Full »


Dr. Mian Shah Yousaf

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. It is basically a fibroscan result of a liver and it measures the severity of stiffness in the liver caused by a particular disease. The result shows F4 fibrosis and it is an advanced stage of stiffness. If it is not controlled properly, then it will lead to cirrhosis a...  Read Full »

What do elevated ALT, AST, and bilirubin levels indicate?

Query: Hello doctor, I am a 26-year-old male. I am very active and take a healthy diet. I do not take alcohol and never smoked for five years. I just did my bloodwork, and my ALT levels were 55, and bilirubin is 1.5. My AST levels are 31. I have been taking vegan protein and Ashwagandha (herbal supplement...  Read Full »


Dr. Sugreev Singh

Internal Medicine Physician, General Medicine Physician

Answer: Hi, Welcome to icliniq.com. Your reports are up to mark (attachment removed to protect patient identity), and there are slightly increased ALT (alanine transaminase), which is not significant to cause any symptoms. So you do not have to worry. It can be due to the medicine you are taking or...  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. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

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 »

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 enzym...  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. Your question is really genuine. Cirrhosis is a slowly evolving disease and it cannot occur in a matter of weeks. Hence, it is extremely unlikely that cirrhosis has happened in two weeks. In my opinion, either one of the scan report is interpreted wrongly. In my opinion, ...  Read Full »

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