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Steatohepatitis, Stage 3
Hello. My 53 yo husband has had severe fatigue, right quadrant pain,itching, no jaundice, no wieght loss for about 4 months. He is overweight, recently dx/ed eith Diabetes. Had CT scan: fat infilitration of the liver with mild splenomegly. No intra-abdominal fluids altho he has always had a big hard stonach. ALt/AST slightly elevated. Gallbladder and other organs of stomach unremarkable. Liver biopys dx: Steatohepatitis, stage 3 with bridging fibrosis and mild portal inflammation. Here is what the biopsy says: fatty change bot micro/macro fascicular. portal areas show mild chronic inflammatory infilitrate of lymphocytes. Interface of the portal tracts appear intact.Within lobules, focal necrosis. Individual hepatocytes show reactive features with bi-nucleated cells. Strands of fibrous tissue extend between some portal tracts. No nodule formation. Mild iron deposition within hepatocytes. No malignancy. Don't see the specialist for weeks. My question is does this indicate Cirrhosis? Treatment options?
Any information much appreciated. i am a RN and know only enough to be dangerous.
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Hi Kay
Sounds sort of like what I was told in July except that I have stage 4 cirrhosis with the steatohepatitis. The doc seems quite unconcerned at this time but strongly encouraged me to live a very 'clean' life...lots of exercise, good diet, no stress, lots of rest, no alcohol (I never drank anyway) & lots of prayer. All of this would prolong it's advancement but there's nothing to actually stop it. I don't even qualify for a liver transplant until my liver actually 'fails' so that's really something to look forward to...NOT.
Tell him to keep his chin up & live 'clean'.  Take care. I'll pray for you both.
Chevy1
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Chevy1
Thanks so much for the support. Just about what everything I have read says, "watchful waiting" to see where it goes.
He sees a liver specialist tomorrow so will know more.
Do you still work? My husband has to for our insurance, but from what I have read about his stage, increased activity is recommended. So he now walks on treadmill as golf was his only excercise and has modified his diet. No more of the foods he loves and I keep the old whip ready but seriously, this has scared him
So you have right side pain? fatigue? These are the only symptoms other than itching he has and that can be an early or late symptom.
Lets keep in touch
Shannon
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