HomeAnswersMedical Gastroenterologyliver fibrosisWill abdominal ultrasound show fibrosis of the liver?

Can fibrosis of the liver be seen in abdominal ultrasound?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Nithila. A

Published At September 30, 2019
Reviewed AtAugust 4, 2023

Patient's Query

Hello doctor,

I had problems like gas, diahhrea, and abdominal pain. I had an ultrasound of abdomen and diagnosed with fatty liver. Will this ultrasound show fibrosis of the liver?

Hello,

Welcome to icliniq.com.

Ultrasound abdomen can only tell about the presence of fat. For fibrosis and quantification of fat, another imaging modality is used called Fibroscan. It is similar to ultrasound. For confirmation of fibrosis, sometimes a biopsy of the liver is needed, but it is an invasive procedure, so we mostly rely on Fibroscan. For pain abdomen gas you can use the following medicines,

1 Capsule Esomeprazole 40 mg (proton pump inhibitors) once daily before breakfast for four to eight weeks.

2. Tablet Mebeverine 135 mg (antispasmodic) twice a day before meals for four weeks.

3. Tablet Rifaximin 550 mg (antibiotic) twice a day before meals for two weeks.

Patient's Query

Thank you doctor,

Do you think I have fibrosis if my ALT is 31 and AST is 20? What is your opinion on this, but what do you think? I have had normal liver enzymes over the past 10 years.

Hello,

Welcome back to icliniq.com.

Keeping in view the ALT (alanine aminotransferase), and AST (aspartate aminotransferase) values I do not see a thing you have got liver fibrosis. So you should worry. Avoid fatty, oily food, and sweets. Do regular exercises.

Patient's Query

Thank you doctor,

I was so worried. I could not wait for a call from my gastroenterologist. Thank you for your response.

Hello,

Welcome back to icliniq.com.

You are always welcomed. Take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sultan Zeb Khan
Dr. Sultan Zeb Khan

Medical Gastroenterology

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