I have a durable SVR since 04', geno 1B, but at same time was dx fatty liver. Most recently started feeling yucky, bloated, went for ultrasound. It said fatty liver, gallbladder polyp, hepatomegaly, and otherwise unremarkable. Labs-normal other than lower than normal cholesterol values and lower platelets. I was dx originally by bx in 01' as stage 2, grade 2..that was needle bx, not too reliable. Went back to hep doc after he ordered Fibroscan. Score was 15.1. He wanted bx the next wk, but when I went to see him, he said my bp was too low (its always low 80/50), I have allergies to certain opioids, and he scrubbed that idea, said too high risk. He said to get endoscopy (dont they use same drugs for that?), and MRI, and NASH Fibrosure test. Will these be able to at tell if I have late fibrosis/cirrhosis? I would think my labs would at least be slightly elevated, tho the only time they ever were was just at dx. He's top of the line hepatologist..I have breast cancer too, that as of last 3 mo. was in remission, and onco said she wouldnt want to have to give me chemo with my liver problems.. what should I be asking?
The biopsy would be the most reliable test that you could get to determine where your liver damage is at. The ultround could determine cirrhosis but I do believe that the bx is the best way to go if you can get your BP up.
I didn't really have (or need) opiods when I had my biopsy....I'm sure you could make due with just a bit of valium or something to help you relax, it is not a painful procedure (as you must know since you did have one before).
I'm sorry I don't know anything about chemo/breast cancer but if you are now not on chemo any longer perhaps they can begin to address the liver disease with treatment?
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