Aa
Fibrous an results
fiboscann 17.6 , latest blood wrk ast 49 alt 68. Tr. 169 . Anyone have an idea how bad shape I,am in? No hep..... From drinking. Female 56 , overweight. Bp 140/89. Md appt Tuesday .
Thank you for your time and information. I will et you know how things go on Tuesday. I do take an anti an for panic attacks. Could that keep my enzymes elevated? Thank you again.
Hi There
As hector has said the score is indicative of F3 or F4 depending on the cause, it may alcohol alone or you may have metabolic syndrome which has been exacerbated by the alcohol. F3 and F4 is usually permanent damage and will likely be progressive. Some people do however stop progression and live a long life.
here is a scoring card;
http://upload.wikimedia.org/wikipedia/commons/d/de/FibroScan_Scoring_Card_for_Liver_Stiffness_Diagnosis.png
Your enzymes are indicating that there is still some inflammation and therefore some damage is still occurring. With stopping alcohol, losing weight and eating healthy this should subside.
As hector has said the score is indicative of F3 or F4 depending on the cause, it may alcohol alone or you may have metabolic syndrome which has been exacerbated by the alcohol. F3 and F4 is usually permanent damage and will likely be progressive. Some people do however stop progression and live a long life.
here is a scoring card;
http://upload.wikimedia.org/wikipedia/commons/d/de/FibroScan_Scoring_Card_for_Liver_Stiffness_Diagnosis.png
Your enzymes are indicating that there is still some inflammation and therefore some damage is still occurring. With stopping alcohol, losing weight and eating healthy this should subside.
COMMUNITY LEADER
Hi and welcome to the cirrhosis community.
According to the FibroScan scoring card which converts (kPa) into the Metavir scale F1-F4, you have either advanced fibrosis (F3) or cirrhosis (F4).
Alcoholic liver disease (ALD) is caused by decades of alcohol excess or dependency. In those with ALD about 90% of those individuals also develop Fatty Liver Disease. The two go hand and hand.
Typically ALD does not exist in isolation, other organ dysfunction related to alcohol abuse may co-exist with ALD, including heart muscle disease, muscle wasting, pancreatic dysfunction, and alcoholic neurotoxicity. Evidence of these should be looked during the clinical examination, so that if found appropriate treatment can be provided. Malnutrition and deficiencies in a number of vitamins and trace minerals is common with ALD and should be tested for and nutritional therapy prescribed if needed.
Abstinence from all forms of alcohol is the most important therapeutic intervention for patients with ALD. Continued alcohol ingestion results in an increased risk of progression of liver disease and worsened short-term and long-term outcomes.
Complete abstinence from alcohol, a healthy diet and lifestyle can reverse advanced Alcoholic Liver Disease (ALD).
Questions you may want to ask your doctor:
* Should I see a specialist? A gastroenterologist (GI system specialist) or hepatologist (liver specialist).
* What further tests can be done to assess my liver disease?
* What other medical issues could be caused by alcohol use?
* What can I do to reduce my risk of further liver damage?
* Do I need nutritional therapy?
* Are there any medications, vitamins or supplements that I should avoid because they can cause further damage to my liver? (NSAIDs, iron, etc.)
* What local support and other resources are available? AA, etc.
* When and how ofter will I be have surveillance for liver cancer (HCC)? (Ultrasound and AFP blood test typically every 6 months).
* How often will I need to be to seen to have my liver disease monitored?
Continue doing what you are doing.
Continue to abstain from all alcohol to prevent further damage to your liver and have a doctor monitor your liver disease.
Best of luck to you!
Hector
According to the FibroScan scoring card which converts (kPa) into the Metavir scale F1-F4, you have either advanced fibrosis (F3) or cirrhosis (F4).
Alcoholic liver disease (ALD) is caused by decades of alcohol excess or dependency. In those with ALD about 90% of those individuals also develop Fatty Liver Disease. The two go hand and hand.
Typically ALD does not exist in isolation, other organ dysfunction related to alcohol abuse may co-exist with ALD, including heart muscle disease, muscle wasting, pancreatic dysfunction, and alcoholic neurotoxicity. Evidence of these should be looked during the clinical examination, so that if found appropriate treatment can be provided. Malnutrition and deficiencies in a number of vitamins and trace minerals is common with ALD and should be tested for and nutritional therapy prescribed if needed.
Abstinence from all forms of alcohol is the most important therapeutic intervention for patients with ALD. Continued alcohol ingestion results in an increased risk of progression of liver disease and worsened short-term and long-term outcomes.
Complete abstinence from alcohol, a healthy diet and lifestyle can reverse advanced Alcoholic Liver Disease (ALD).
Questions you may want to ask your doctor:
* Should I see a specialist? A gastroenterologist (GI system specialist) or hepatologist (liver specialist).
* What further tests can be done to assess my liver disease?
* What other medical issues could be caused by alcohol use?
* What can I do to reduce my risk of further liver damage?
* Do I need nutritional therapy?
* Are there any medications, vitamins or supplements that I should avoid because they can cause further damage to my liver? (NSAIDs, iron, etc.)
* What local support and other resources are available? AA, etc.
* When and how ofter will I be have surveillance for liver cancer (HCC)? (Ultrasound and AFP blood test typically every 6 months).
* How often will I need to be to seen to have my liver disease monitored?
Continue doing what you are doing.
Continue to abstain from all alcohol to prevent further damage to your liver and have a doctor monitor your liver disease.
Best of luck to you!
Hector
Sorry iPad keeps auto correcting fast than I can type. Songram - fatty liver. This all started in February. When my Gnyo thought my rash was from liver damage? No wine since Easter . What questions should I ask doctor. I have already started low salt, sugar , fat, b complex , fish oil , milk thistle
And prayers. Thank you . Jez
And prayers. Thank you . Jez
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