Aa
A
A
Close
Avatar universal
Should I be having a liver biopsy?
Hi there,
Back in August I became very ill with high fevers, extreme nausea and vomiting.  Blood work showed low platelets, and wbc.  High liver enzymes AST, ALT around 6x the upper limit of normal.  Bili was elevated but I don't remember how much, and a Alk Phos I believe was around 600.  Also a slightly elevated creatinine at around 1.3.  Blood cultures, Hepatitis acute panel (A,B,C) ANA, Serum protein electrophoresis, Anti smooth muscle Ab, Antimitochondrial Ab, and RUQ ultrasound all negative.  I eventually got better, but it took weeks before I could eat, and walk normal distances with out feeling extremely weak.  All labs have normalized except for AST, ALT, and Creatinine.  I saw GI in October, he thought I had developed post partum hellp syndrome, and enzymes would eventually normalize.  I saw him again today due to the enzymes not normalizing.  oday he said he still thinks I was very ill due to post partum hellp, and now I possibly have NASH.  But he doesn't feel I need a liver biopsy.  I am questioning this because with hellp syndrome high BP is almost always reported, I never had that.  Also, this started 5 weeks post partum which is pretty far out for hellp to occur.  As for NASH, I'm not diabetic, don't have high cholesterol (total was 130 when last checked).  I don't eat high fat foods on a regular basis: red meat maybe 1 a month, otherwise poultry and fish for proteins.  I don't eat fried food, because I have celiac disease, and most fried food is breaded.  When I eat dairy (sour cream, margarine, yogurt, cheese, ice cream) I eat the low fat version.  I do however like sweets, and prob eat too much chocolate.  I am a little overweight, but am quite active and have lost 40 lbs since this started.  So my GI said to try cutting out sweets and recheck hepatic panel in 4 mo.  He feels that a liver biopsy is not necessary, and waiting and watching for now is fine.  I was just wondering if you agree with my GI's decision, and or if you have seen anything similar, or just any thoughts really.  Sorry so lengthy.  
Thank you,
Sarah
Cancel
2 Answers
2 Answers
Page 1 of 1
141598 tn?1355675363
My 2 cents. A liver biopsy is best to see the health state of a liver. However, due to the possibility of post biopsy bleeding your platelet count has to be within their ranges.

Not discounting your GI but a Hepatologist specializes in liver issues and who I would consider for a 2nd opinion.
Comment
Cancel
141598 tn?1355675363
Comment
Comment
Submit Comment
Avatar universal
Thank you very much for your advice! :)
Comment
Cancel
Avatar universal
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Recent Activity
406584 tn?1399591666
Blank
10356 commented on READY
1 hr ago
684676 tn?1458487571
Blank
onthefence commented on READY
2 hrs ago
5986700 tn?1380794980
Blank
spider6 commented on READY
3 hrs ago
Blank
Weight Tracker
Track your weight over time
Start Tracking Now
Top Digestive Answerers
Avatar m tn
Blank
fntn
MI
317787 tn?1460223707
Blank
Dee1956
DC
1530171 tn?1448133193
Blank
TheLightSeeker
London, ON
144586 tn?1284669764
Blank
caregiver222
Avatar m tn
Blank
me_just34
Avatar m tn
Blank
oxer
los angeles, CA
Liver Disorders Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1443740527
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Digestive Answerers
Avatar m tn
Blank
fntn
MI
317787 tn?1460223707
Blank
Dee1956
DC
1530171 tn?1448133193
Blank
TheLightSeeker
London, ON
144586 tn?1284669764
Blank
caregiver222
Avatar m tn
Blank
me_just34
Avatar m tn
Blank
oxer
los angeles, CA