I have a question about liver failure.

I have a close relative who shows many signs/symptoms of liver failure.  He has been an alcoholic for the past 20 years.  Recently, he's been having severe stomach pain, nausea, weight loss, and has a "gray" look to him.

I have looked over his blood test results; the "alkaline phasphatase" and "GOT/AST" numbers are quite high -- much higher than the "normal" range.  Does anyone know if these are indicators of liver failure or cirrhosis?  I'm looking for help -- my relative won't reveal anything.  I think he's in serious denial.  Thanks, everyone.

[Thomas D Schiano, MD]

these definitely can refelect liver damage from drinking or other liver conditions associated or unasociated with alcohol use.  He should be worked up further with at least a CT scan.