Cirrhosis or Alcoholic Hepatitis???

Dec 2012 BLOOD WORK RESULTS
AST 139
ALT 39
BILI 1.8
ALK 277

5yrs ago results
AST 205
ALT 186
BILI .07
ALK 91

HUSBAND IS 47YRS AND A DRINKER FOR 12YRS...8-20 PER DAY
SYMPTOMS OF...
NOSE BLEEDS
BLOOD IN VOMIT
VOMITING 1-20 TIMES PER DAY (FOR 5+YRS)
FAINTING
DIZZINESS
YELLOW EYES AND SKIN
LOST ALL MUSCLE
LOSS 35LBS
BRUISING EASILY
BLOOD NOT CLOTTING WELL
SOME BLOATING IN STOMACH
STOMACH PAIN UNDER RIB ON RIGHT SIDE AND ACROSS THE TOP OF STOMACH
DARK URINE
MEMORY LOSS (SHORT TERM)
TIRED TO THE POINT OF ALWAYS IN BED (MIGHT BE UP FOR 1 HR THEN RETURNING TO BED)
CONFUSION (FEELS LIKE HE IS IN A FOG OR SOMETHING)

BOTH TIMES THE DOCTORS (EMERGENCY ROOM) SAID FATTY LIVER WITH SLUGG IN GALLBLADDER
DOCTOR MADE LIGHT OF IT AND GAVE NO INSIGHT ON IT...I HAD TO LOOK UP THE SYMPTOMS AND FOUND ALL OF WHAT HE HAS BEEN GOING THROUGH ALL THIS TIME...(YRS)...I NEED TO KNOW ...DOES HE HAVE CIRROHOSIS? OR ALCOHOLIC HEP.

[S. Kaul, MD]

Hi there!

It is difficult to make a diagnosis of cirrhosis or alcoholic hepatitis based on symptoms alone. Though most of the symptoms could be related to liver disease, these could be causes by other GI or non-GI causes as well such as gall-bladder issues, haematological causes etc. I would suggest considering a detailed evaluation by an internist initially and depending on the cause(s) diagnosed/ suspected, it can be managed accordingly or specialist(s) care may be sought.
Hope this is helpful.

Take care!