alt 143...

[terrywillbeok]

my last lab alt 70 , last 5 years 40 to 90 highest , but i have done a lab test my alt up to 143.... what is goin on with me? i dont drink for last 6 months . i am kind of worry now.

[mike9111]

Dr Lok did tests every 3 months for the past 9 months and she said no treatment is necessary at the moment. I have a meeting with her in March and she will do fibroscan and repeat my tests. My tests are fluctuating in one months different i get different results. She told me because my hbsag is low im more likely inactive or slightly active and when i mentioned to her why my fibroscan show 7.6 which mean F2 she told me fibroscans are more accurate for hepatitis C than B and my next fibroscan could show different results so it is just a marker. She told
Me to relax and i will not die soon lol

[mer971]

Mike, since you are patient of Dr Lock, are you taking any medication. I see that your Hbsag is 200 iu

[mer971]

Terry, once again don't go to general or family doctors, they don't know too much about Hep b. I am patient of Dr Thomas Schiano, he is the only doctor who answers the questions on our forum, not on this page, go to another page where it says liver transplant forum. You can give to him all your test lab and explain your situation. I see that he answer to everyone. Maybe he can give you any name of any doctor in your area

[terrywillbeok]

yup , i have to get a 100% clear answer.

[mike9111]

Ok so that might be a fatty liver and another ultrasound might just say the same. Your best option is fibroscan or biopsy

[terrywillbeok]

I have another ultrasound on march, if they still seeing something on the liver . i will push them to do a biopsy .

[terrywillbeok]

yes i am a little fat , big stomach =D . too  much junk food

[liverlee]

It is very cut and dry when it comes to livers.There are a lot of things you can do for your liver that Docs do not tell you,They are to busy.

[mike9111]

Ok let me tell you my story. On ultrasound it say coarsened liver but with fibroscan 7.6 no cirrhosis. Are you overweight? If so it could be fat otherwise push for fibroscan and get a good hepatologist who will test your hbvdna just to see if you are active. If you are hbeag negative and hbvdna  2000 iu/ml then i will worry a bit given the fact that your medication should make your hbvdna undetectable within 6 months

[terrywillbeok]

and also i asked him at least 5 times do i have cirrhosis , he answered no no no no. and yesterday i call him again he said " u canot have cirrhosis" so that is why i am so confused. and i call another doctor , he say probably so fat on ur liver so ur ultrasound report shows something.....

[terrywillbeok]

i have been taking baraclude 0.5mg since 2010.  my specailist look at my lab and told me i dont have cirrohsis , and i ask him to do a biopsy ,he told me i dont need to do a biopsy. but he have done a endoscopy for me. and give me a letter " we suggest no cirrhosis of the liver"

[mike9111]

Sorry just read your top post so you are on medication and that is interesting that they didn't test your hbvdna and with medication usually you should have underected hbvdna. How long you have done medication?

[mike9111]

So what they are saying is you don't have cancer but you have cirrohsis. I would do fibroscan to confirm if cirrhosis is present. Don't wait i would act fast to eliminate cirrhosis and if exist then you try and reverse it.

I'm interested to know your genotype and it depends on your origin are you from an asian origin? For example my origin is mideterrenean so im genotype D.

Also are you on any treatment?

[terrywillbeok]

report says there is no evidence mass/lesion on your liver. cirrhosis on liver. on recently ultrasound . that is all on my report.

[mike9111]

I thinks someone mentioned once you could donit using an indian lab but honestly i wouldn't count much on that. Hbsag quantity is available in europe and asia but not here in states. I did my only hbsag quant when inwas in germany last year. I will be doing another one in june when i travel there to see if it is still at 220 iu/ml

[Ibro982003]

Mike911 Is there any way you can ship your blood to your Europe to figure out your Hsbag quantity? Thanks!

[mike9111]

Hbsag quantity you will not know in the states. I got mine wheb i travelled to europe.

[terrywillbeok]

thanks for ur information . i will call my doctor to ask what is my hbvdna and hbsag if they knows..

[melcul]

even if it's early chirosis, the studies show that in this phase you can reverse it, but knowing for sure your status.. so, find out what's your fibroscan score(although if you have high alt it may be a bit higher because of inflamation in the liver ) for example my first fibroscan showed f2 fibrosis, than the second one, a month later was f0 . and after that check hbsag and hbvdna and for sure you will have a clear view of what treatment is needed.

[terrywillbeok]

i have been doing ultrasound for every 6 months , this is the first time showing something. this is bothering me and my family so much, when i look at my kids my tear is out. i really need a clear i mean 100% clear answer from the doctors. i dont care what they say , i just need a biopsy or fibroscan.

[terrywillbeok]

i live in san francisco, i wanna go to the ucsf on monday . thanks

[terrywillbeok]

you are the best, thank you very much, i will call ucsf on monday .

[mike9111]

Here is the list of fibroscan facilities in the state of claifornia per your request ibro98023

California
University of California San Francisco 415-353-2318
AIDS Healthcare Foundation, Laveeza Bhatti, MD, LVN Beverly Hills 323-913-1033
Franco Felizarta, MD Bakersfield 661-324-3128
Cedars Sinai Medical Center Los Angeles 310-423-6000
Southern CA Research Ctr Coronado 619-522-0399
NCIRE - VA Research San Francisco 415-221-4810
Scripps Clinic Torrey Pines La Jolla 858-554-8879
Peter J Ruane Los Angeles 323-954-1072
UC Davis Sacramento 916-703-2154

[stef2011]

the only way to see cirrhosis thru US is when it is advanced like mine with a lot of nodules.micronodules is the most advanced and research said not reversible, mine did, less advanced macronodular.this said other diseases can make nodules too so fibroscan is the best tool to see damage of any stage (less sensibility at mild stages but who cares for the mild stages) and highest sensibility for staging cirrhosis

if terry check US report and no nodules are reported, no adanced cirrhosis, but early cirrhosis which can be regressed can be seen by FS only