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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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 »

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

Query: I am a 26 year old male weighing 184 5'7. I have been experiencing weird symptoms over past 3 months. I should mention I am a recovering binge eating addict. I used to eat fast food 2-3 times a day usually meal size after work. Lately I have been eating healthier but have been experiencing weird sym...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello. I welcome you to icliniq. Your concerns are quite reasonable but let me tell you some of the facts about this. Your weight is slightly to the higher side. Your BODY Mass Index BMI is 27.2. Ideally it should be less than 25. The BMI is the proportionate of your weight given to your height. So ...  Read Full »

Can a high LDL cholesterol level lead to liver damage?

Query: Hi doctor, I had a blood test yesterday, and it shows that I have the following results: My question is (do I have to worry about my liver function while GPT (ALT) is 52 U/L and LDL cholesterol is 169 mg/dL?). Do I have any liver damage? My fasting blood sugar 83 mg/dl, Hb A1c 5.41 %, creatinine 99...  Read Full »


Dr. Sandeep V Nair

General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. LDL (low-density lipoprotein) of more than 150 shows that you have bad cholesterol in your body. It should ideally be less than 100, but less than 150 is desirable. I think you can consider cutting down fried items and processed food and try a low-fat diet for a month a...  Read Full »

Is hepatocellular disease a general term for liver damage?

Query: Hi doctor, I received the following results from an ultrsound: Diffusely increased echogenicity of the liver consistent with chronic hepatocellular disease. The presence of focal sparing in the gallbladder fossa indicates that this is at least in part related to fatty infiltration. When I searched ...  Read Full »


Dr. Sugreev Singh

Internal Medicine Physician, General Medicine Physician

Answer: Hi, Welcome to icliniq.com. Thank you for writing, and I understand your concern. Still, it is not confirmed that it is cancerous or not, so do not worry. Yeah, there are changes in liver tissue which can be suspected as liver cirrhosis or fatty liver disease. And to specifically say about it, yo...  Read Full »

How to know whether hepatitis B is acute or chronic?

Query: Hello doctor, My younger brother is 27 years old. He is diagnosed with hepatitis B. Hepatitis delta antibody is non-reactive and quantity of HBV DNA is 7000 IU/ml. We have done the following tests for him. 1. ALT (SGPT) =50. 2. Total bilirubin ( 1.90). 3. Direct bilirubin (0.41) is not nor...  Read Full »


Dr. Mian Shah Yousaf

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. It looks like your brother has chronic hepatitis B, which is in inactive carrier state. I will like to see his USG (ultrasound) and platelet count. I do not think that there is anything serious in it, and he also does not need any treatment for it at the moment. As ...  Read Full »

Kindly suggest a permanent solution for my repeated vomiting episodes.

Query: Hello doctor, I am suffering from vomiting for a long time. I had a consultation with an MD, and they gave me medicine for the same. They told me that I am affected by gastric problems and acidity. Still, I am suffering from the same problem with forceful vomiting. Sorry, I forgot their prescriptio...  Read Full »


Dr. Rahul Rathee

General Medicine Physician, Internal Medicine Physician, Radiologist

Answer: Hello, Welcome to icliniq.com. I completely understand your concern and I know it can be very frustrating to suffer from repeated episodes of vomiting since long time. There are numerous causes of repeated vomiting since long like 1. Obstruction in esophagus, stomach, and intestines. 2. Chronic...  Read Full »

How to bring down the levels of liver enzymes?

Query: Hi doctor,I have undergone routine CBC, LFT and pancreatic test. In the report, I can see some enzymes are high. I do not have any fever or other symptoms. I often smoke and drink. I have started Alpha-Liv syrup. How can I bring the higher level to normal? Should I take any medicine?  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com We are here to help you. You do not need any medicines for these raise in enzyme levels. I would recommend you strongly to stop alcohol consumption and within a month, your enzymes would return to normal levels. For further information consult a medical gastroenterologist...  Read Full »

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