Recently Answered Questions
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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 »
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 »
Query: Hi doctor, I am 73 years old and had an ileostomy a year ago from ulcerated colitis I had. I take no medications for anything. My question is, if I get hepatitis C, will it affect my liver or organs before I normally die? Read Full »
Answer: Hello, Welcome to icliniq.com. I am reviewing your case history and will get back to you in a while. Kindly wait for my detailed response. Regards. Read Full »
My father has a chronic liver disease. Please help.
Query: Hi doctor, My father is suffering from a chronic liver disease. I have attached his case summary with this query. He is in the ICU for the last four days. As per the doctor, my father may remain in this state for an indefinite period of time because his liver is not functioning. So, I want to get a ... Read Full »
Answer: Hi, Welcome to icliniq.com. As per the records, he is suffering from stage-3 liver disease, that is an end-stage liver disease. His current problems need to be medically supported. This will result in temporary improvement of his condition. However, issues like infection, blood loss, fluid accumu... Read Full »
My ultrasound shows liver cirrhosis. Kindly help.
Query: Hi doctor, I am a 25-year-old and former heavy drinker who has reduced drinking in the past few months. I am also a diabetic type I patient who has good control over it with a healthy weight and normal blood pressure. I take insulin for diabetes type 1, Bricanyl inhaler which is used occasionally, a... Read Full »
Answer: Hi,Welcome to icliniq.com.I can understand your concern. As your recent report of ultrasound suggests mild echo texture and mild means less coarse, so we need to believe in recent reports only. I just want to ask a few concerning questions Are there any recent blood test reports of liver function te... 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 »
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 »
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 »
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 405 lbs 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. Lately, I was... Read Full »
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
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 »
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 »
Query: Hello doctor, My D-dimer is getting higher from 1.5 to 5.9 within the last four months. My heart has been checked, and I had a chest X-ray, CT of heart, aorta, abdomen, and pelvic floor and Doppler of my legs. All are clear. Blood work is normal apart from D-Dimer and c-reactive protein which is 12... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Following is my opinion about your asked question. D-dimer is usually elevated in some thrombotic events in the body like DIC (disseminated intravascular coagulation), deep vein thrombosis or pulmonary embolism. But your CT chest and Doppler leg are normal as per hi... Read Full »