Information on Hepatomegaly
Hepatomegaly (an enlarged liver) indicates potentially reversible primary or secondary liver disease. This sign may stem from diverse pathophysiologic mechanisms, including dilated hepatic sinusoids (in heart failure), persistently high venous pressure leading to liver congestion (in chronic constrictive pericarditis), dysfunction and engorgement of hepatocytes (in hepatitis), fatty infiltration of parenchymal cells causing fibrous tissue (in cirrhosis), distention of liver cells with glycogen (in diabetes), and infiltration of amyloid (in amyloidosis).
The lower edge of the liver normally comes just to the lower edge of the ribs (costal margin) on the right side. In its normal state, the edge of the liver is thin and firm, and it cannot be palpated (felt with the finger tips) below the edge of the costal margin. An enlarged liver usually causes no signs or symptoms. If the liver enlarges quickly, it may be tender to the touch.
Thirty-five patients were seen over a period of 50 years. The signs and symptoms of organ distress caused by hepatomegaly occurred in the lungs, kidneys, gastrointestinal tract (GI), the inferior vena cava (IVC), and the liver. A scoring scale reflecting organ compromise was developed, the scores ranging from 0 (0 compromise) to 10 (all 5 systems showing evidence of impairment). Scores were derived for 32 of 35 patients; 13 were 4 weeks old or under (neonates) when first seen, and 19 were aged 1-12 months (infants).
A positron emission tomography scan showed intense abnormal uptake in the liver and less specific uptake in the inframammary and bone marrow areas. A bone marrow showed reactive features with negative cytogenetics, making a myeloproliferative disorder unlikely. Two percutaneous liver biopsies and a mini-laparotomy with wedge biopsy and portal node biopsy were performed. The liver biopsies excluded lymphoma but all showed necrotizing granulomas with infiltration of eosinophils.
Causes of hepatomegaly may include:
Congestive heart failure
Glycogen storage disease
Hemolytic-uremic syndrome (HUS)
Hepatomegaly can be cured. Treatment depends on the cause of hepatomegaly. For example, abstaining from alcohol treats hepatomegaly caused by alcohol abuse. In all cases, regardless of the cause, appropriate medication can be taken to treat the underlying cause. Thanks to growing trust in herbal treatments survival rates have improved over the years. Herbal formulations to treat various types of liver problems have proven to be safe and very effective without any side effects.
The lower edge of the liver normally comes just to the lower edge of the ribs (costal margin) on the right side. In its normal state, the edge of the liver is thin and firm, and it cannot be palpated (felt with the finger tips) below the edge of the costal margin. If the liver becomes enlarged enough that it can be palpated below the costal margin, the patient may have hepatomegaly. The diagnosis must be confirmed by an imaging study of the liver. The liver is involved in many bodily functions, and is affected by a variety of conditions, many of which result in hepatomegaly.
The following drugs, medications, substances or toxins are some of the possible causes of Enlarged liver as a symptom. This list is incomplete and various other drugs or substances may cause your symptoms. Always advise your doctor of any medications or treatments you are using, including prescription, over-the-counter, supplements, herbal or alternative treatments.
Frequently Asked Questions
I need information on treatment of fatty liver?
I an a female caucasion 56 years old. I had a biopsy of my liver and I was found to have a fatty liver. I want to know what treatments are recomonded
the best i can do is send you this link.
Why do I have fatty live disease and is this a necessary procedure?
I came to the hospital last week with uncontrollable vomiting, the found that my gallbladder is inflamed and I have fatty liver disease. I'm skinny and I don't eat a whole bunch of fatty foods, why do I have fatty liver disease?
They also said my liver enzymes are high and the want to test for hepatitis, auto immune diseases, and they want to do a liver biopsy.
Are they just trying to get money from me by doing unnecessary procedures?
Yes, all these tests are routinely done to find out what is happening to your liver. The liver biopsy will be the definitive test that will show them the most. Hepatitis and the autoimmune disease testing will be nothing more than bloodwork. You want to find out what is going on so that you can correct it before permanent damage is done to your liver. This is very important when it comes to liver disease.
I have had 3 liver biopsies done and another one due next month. Mine were painless and took very little time. One time I was waiting for them to do it and they told me they were done. Other times all I felt is some pressure and a little discomfort. So don't worry about getting one done because it will be over before you know it.
Do I really need a liver biopsy?
I am a 35 year old male, overweight (5'10" and 280lbs). About 6 months ago, blood tests showed elevated liver enzymes. I was told to follow up with a liver specialist. 6 months went by (procrastination), another blood test was taken, and my enzyme numbers were even higher (sorry I don't have specifics).
I had an ultrasound done, which showed no lesions, and the diagnosis was "fatty liver". My liver doctor wants me to get a biopsy, since all blood tests for specific diseases have come back negative.
My question is: is this necessary at this point? In my research, it seems the result of the biopsy only affects treatment (which is usually weight loss) in a small percentage of cases. Others recommend a period of gradual weight loss for 3 months, followed by the enzyme tests again, to see if they have gone down, and only then to have a biopsy performed if they haven't.
My main concern is the 1 in 10,000 mortality rate for liver biopsy. Good odds, yes. Great odds? No. What are the risks of skipping the biopsy, starting a weight loss program, and checking back in in 3 months?
Biopsy is both the "gold standard" for diagnosis of liver diseases and yet still highly controversial.
I did a Google search for "role of liver biopsy" and came up with many articles discussing the pros and cons.
Like you said, you pretty much know that the very first thing you need to do is change your eating and exercise habits and lose weight. Being obese alone can cause elevated liver enzymes. It sounds like you are strongly leaning toward putting it off and I think you would find scientists who would support that decision.
Please check out my other answer about fatty liver, with more information about diet and treatment, here:
I hope that helps some!
Does a liver biopsy hurt? I have 2 questions.?
Ok. I have two questions. The most urgent one is does a liver biopsy hurt? I am supposed to have one on June 15th. My next question is do you know anyone who has had a liver transplant because of fatty liver? I was told several months ago that I had fatty liver and that my liver enzymes are very high indicating damage. 3 months ago, I was checked to see if I still had hep C(I was diagnosed about 3 years back). They told me that I didnt have Hep C anymore . The liver doctor I have been going to just told me that my lab results from 2 weeks ago were bad. He has then put me on Simvistatin(for high LDL) and scheduled a biopsy. I am so nervous and scared about it. Could anyone out there help me or give me some advice? I would appreciate it.
I think I can help you here. No, a liver biopsy does not hurt. I've had 3 of them and never had a problem with pain. There is some pressure when they go in to get the specimen, but it's not really pain. One time they did one to me and I actually did not know they did it. I was waiting to feel something, and they told me they were done. They will numb the area first. You are going to get through it just fine. The anticipation of waiting to get it done is worse than the biopsy itself.
Now, you asked about a fatty liver. Sometimes a fatty liver can progress to something called NASH (non alcoholic steatopathic hepatitis) which can lead to cirrhosis. No one knows why this happens to some people with fatty livers while others never have a problem with it progressing. It's a mystery. If I remember my statistics right, I think that about 15% of people having cirrhosis are due to NASH, but I'm not sure on that. Don't automatically assume you have NASH and even if you do, don't think you are going to die from liver failure. I have talked to a number of people with NASH and many have had it for quite a number of years that it stabilizes and does not progress to total failure. And yes, there are some that have to get transplants. You are doing the best thing you can do which is get a biopsy. That is the definitive test that will tell them the condition of your liver.
Now about the hep C. I don't know a whole lot about it, but it is my understanding that it does not go away and you have it for life. Now, the viral load can be so low that it is undetectable, but that can change throughout your life. It can come back. So I'm thinking that if you do have liver damage, that the hep C could be playing a part in this on top of the fatty liver.
I had cirrhosis and a liver transplant in 2006. I was shocked to find out I had liver failure caused by my autoimmune system attacking the bile ducts (called primary biliary cirrhosis) that damaged my liver. When diagnosed, the doctor just told me I would need a transplant and nothing else would keep me alive. No matter what causes cirrhosis (alcoholism, NASH, my disease, hep A, B, or C, etc.) the disease pretty much acts the same with everyone no matter what the reason is for having it.
Once you get the results of your biopsy, if you have any questions, you can email me. If I can answer any questions for you, I will.
How long for Liver Biopsy Results? (Do they always take so long!?!?)?
I had a liver biopsy on Feb 17th. The discharge paper they gave to me said that my primary doctor would call me within 7 days with the results. Today since I got no call from anyone I called the hospital back (The Cleveland Clinic) and asked if they knew anything. The receptionist said that she would ask the nurse and call me back shortly. I never got a call back!
I am sure if the results were normal they would call me back and just say I was okay, because that would take a lab only seconds to see that in my liver sample. If the lab wasn't done testing, couldn't she have just called me back and said that? And if it is not good news (fatty liver or Cirrhosis) it isn't like in 2 weeks it is going to change, so it isn't like they need to get me in right away. Someone I talked to said something about if it was bad they would call me right away.
If they found something, is it possible they needed more time to do more tests on the sample they took?
I know there is an old adage of "no news is good news", but in this case with the extent of the test that was done, don't you think they would want me to know if it came back normal?
(The reason I had this done was because my platelet count is high, I am always tired and a CT scan found fat in my liver.)
Sometimes, doctors underestimate the time it takes to get these back. 7 days is the norm but sometimes, unusual tissue samples can take pathologists longer to figure out what this tissue consists of. The nurse could have spent a lot of time searching for the lab results, even calling the lab and by the time someone called her back as to why the report was not completed (if they called her back), it might have been time for the clinic to close for the day. There are numerous situations that might have occurred which could delay your results. Waiting is hard but that is your only choice right now. And, since you have called them, I would guess that they will be calling you as soon as the report shows up on your biopsy. Give them some more time.
seeking a nutritionist to treat my fatty liver that has mild inflammation?
according to an ultrasound and blood tests, my doctor believes I have fatty liver with mild inflammation. I also have high bad cholesterol and triglycerides so the only treatment possible is to lose weight ,eat healthy, and exercise which I have been doing. I was once 190 but now 175lbs over the course of a month and a half from my lifestyle change. However, I feel that my gastroentereologists are giving me mixed information which is angering me mostly due to the fact that I think they don't really know much about fatty liver with inflammation since it's new. I believe by eating right I can treat and heal my liver and can avoid doing unnecessary procedures like a liver biopsy. How effective are nutritionists? Do you think they are of much help in terms of lowering my cholesterol/triglycerides and reversing my fatty liver with inflammation?
It turns out that my condition is prevalent within my own ethnicity (asians) I figured seeking an asian nutritionist who has had experience treating ppl with my condition would be beneficial since they would understand our physiology much better than say someone who was non-asian and probably only seen people with this conition who are extremely obese
lee - was your liver inflammed as well? A liver can have fat in it but if its inflammed from the fat that's a different story. My liver ended up having A LOT of fat in it so I'm working on reducing it.
I had a little bit of fat in my liver about 6 years ago. The doctor just told me to lose some weight and that the body normally burns fat in the liver first. It's a pretty common condition and I'd be surprised if your doctors didn't understand it more. It has nothing to do with being fat, it's just a freak thing that happens. I wouldn't see a nutritionist. I would just exercise and eat healthy (don't starve yourself) and get tested every once in a while. I also had the biopsy. It was no big deal. Your abs hurt for a couple days. Good luck.
what can I expect from a Liver Biopsy?
I am 23 y/o, male. during the last 4 years my blood test liver function are always coming up and down from high to right above the normal. one year ago I got a liver ultra sound that didn't show anything abnormal. However, the most recent results are still coming above the normal range. A week ago I saw a gastroenterologist that told me that my cholesterol was not high enough to suspect a fatty liver, and that by the ultrasound it wasn't cirrhosis. During the conversation he said in low voice like thinking to himself "it could be immune liver disease". This Monday I will get a liver biopsy. Now my question is: do you think this is serious? what could this be? what should I expect? BTW blood test shows no Hepetitis.
The procedure will be done either with CT scan or Ultrasound guidance. The doctor will look at the liver to find a safe area away from large blood vessels.
He will use a local anesthetic to numb the area on your right side between 2 of the right lower ribs. After the skin has been numbed, he will insert a needle through your side into the liver, and take some pictures to confirm the location. Finally, he will take a sample by using a biopsy needle to capture a sample. This may be repeated 2-3 times to get a good sample. The Biopsy needle will be re-inserted through the localizing needle so you are really only "stuck" once.
After the needles are removed, pressure will be held on the site several minutes to control bleeding, and you will be watched 1-2 hours to make sure the bleeding remains controlled.
The Biopsy itself isn't very painful, because of the local anesthetic, but you may feel like you have been kicked in the ribs for several days after.
The whole procedure should only take around 15 minutes because you are having a "generic" biopsy, any part of the liver will do, he does not need to sample a specific lesion or mass.
i have a bad liver and i was just diagnosed with a fatty liver on top of hep c?
i have fatty liver on top of hep c and i was just wondering my doctor told me i have to loose at least 30 lb's becuase i have fat tissue on top of my liver, and i had a liver biopsy done and it showed that i have fibrosis on my liver, now i i have lost 15 lb's so far, and i want to know because when i found all this stuff out from my doctor, i asked my father if he could finf out from his doctor if he is a match to me and he said yes. I found out online that you can get a live donor to donate a part of their liver to you, and my dad said if he was a match he would donate part of his liver to me is this possible?
How will pregnancy affect my fatty liver?
I was diagnosed with a fatty liver in 2007 after gallbladder surgery revealed an enlarged liver. A biopsy determined it to be fatty liver. I have never drank, nor do i have any contributing medical conditions. I have my enzymes tested every 6 months and so far, so good. My question is, i am about 4 weeks pregnant and cannot find any information on fatty liver BEFORE pregnancy, just during. Am i at risk for liver complications because of my preexisting condition.
What if your liver only functioned at 22%?
If there are any professionals out there will you please tell me what would happen to a person if their liver was only functioning at 22%. What would their health be like and some symptoms, please. Is it true that you need to have a liver biopsy to find out how bad fatty liver disease is and at what % the liver is functioning at? This is important and urgent. Thank you in advance.
A fatty liver is only one of the reasons the liver may have problems...there are many more causes. Fatty liver can become a problem when the fat is in the liver cells or
between the liver cells. It puts pressure on the liver cells and can block nourishment and oxygen that the cells need and they can start to be in distress. Sometimes, a person who loses weight will help relieve
this pressure. However, if it is not relieved,
the immune system will step in and cause
inflammation inside the liver. When this occurs, it can lead to the liver cells not being able to do the functions they once did and it can also cause the cells themselves to die off. The dead cells form scar tissue inside of the liver and also block the flow of what the cells, that are left, need and it continues from there.
I am stating this because there is a difference between liver damage and liver function. Usually, when damage occurs to the cells, it isn't until the function of the liver goes down that it shows symptoms in the body.
The liver has many functions, over 500 of them.
The doctor can tell by certain blood tests done, how the liver is handling some of these functions. When the functions deteriate it can cause symptoms like the whites of the eyes and skin turning yellow because the liver cannot convert bilirubin into a soluble form anymore. It can cause a patient to bleed easily since the liver cannot make the factors that help the blood to clot well. It can cause fluid to build up inside the body cause the protein that the liver used to be able to make is decreased and it is what holds the fluids inside the vessels. It can cause the patient to be unable to think clearly because toxins that the liver once handled, get into the blood and go pass the blood brain barrier and into the brain.
A liver biopsy is the very best test for telling how the liver is. Seeing a specific specimen with their own eyes is much better than viewing films of the liver. They can see how much damage there is and also how far advanced the disease may be. It also gives them the idea of how better to treat the patient.
I'm going to give you some links to help you better understand about fatty liver disease and also cirrhosis. These are easy to read and may answer more questions you might have: http://www.medicinenet.com/fatty_liver/article.htm
If a patient only has 78% of their liver function left, it would be best for someone in the family to see about an advance directive being made up or a power of attorney. This way they can talk directly to the patient's doctor or handle the patient affairs when they are unable to do so.
The privacy laws now are strict, even when
it is family asking these questions.
I hope this information is of help to you.
Is Grade 3 fatty liver cureble and comes to normal position?
i am 36 years old my waight 73 my hight 5feet 5 inchs recently i have done an ultrasound which shows Grade 3 fatty liver,my blood test( LFT) shows SGOT 58,SGPT 72 ,i am taking 2 or three drinks a day since 5 year (not every day)and eat too much chicken,red chillys and red meat. but now i stop all these things completly my doctor says nothing to worry it is cureble in 3 to 6 months. but my question is :can my liver comes from grade 3 to grade 0 or grade 1,how I know my liver going to imprve.How i know i am not getting chirosis(i dont want biopsy) is it true liver can treat itself completly within 3 months.In aur locality high level iron in drinking water, is good for liver?,can i drink and eat chicken once in week, i am afraid too much and in depression please help
it is possible for the liver to repair itself, but:NO MORE alcohol!Drink clean water, without iron(maybe get water from the store, or bring water from another town).Too much iron is bad for the liver.Eat well, yes, eat meat, eat chilly or anything you like.No drinking.Don't feel depressed,you will get better, give it 6months!Go for a walk, ride a bicycle, relax.
what causes a "fatty liver"?
my friend shes in her fiftys she drinks a lot of alcohol manly strong spirits,shes just had a biopsy she said she had too many red blood cells and the results have shown she has a "fatty liver"shes told me the doctors have told her this is nothing to do with her drinking!im not to sure tho?any one had simular?thanks for answers
Alcoholics frequently have fatty livers, but she is going to kill her liver if she continues to drink. No doctor in his/her right mind would ever ignore the drinking aspect when it comes to liver disease. Apparently, she is having some symptoms of a problem since they ordered a biopsy of the liver for her. They don't do that unless they suspect a serious problem. Believe me, it has everything to do with drinking. She just doesn't want to admit that to you because she wants to continue to drink without anyone bugging her about it. I will add that it is an extremely difficult process to get a liver transplant for an alcoholic. In the U.S. they require at least 6 months of proven sobriety before they will even consider giving you an evaluation for one.
If an alcoholic stops drinking in the early stages of disease, then they can actually stop the progression of the disease (cirrhosis) and live out their life like a normal person. But if they ignore any warning signs and continue to drink, they will get past the point of no return which means they will need a liver transplant if they want to stay alive. Continued alcohol use just makes the disease progress much faster. Those red blood cells your friend is talking about is a sign of liver damage, so we know she already has a damaged liver. Many alcoholics are in denial and do not want others to know about their condition. They won't even face it themselves.
The graveyards have many people in them that were alcoholics that refused to stop drinking and would never admit they had a problem until it was too late. Your friend will join that group if she has liver damage and continues to drink. Sorry to be so blunt, but this is the way it is. I might add that in the U.S. an alocholic must have at least 6 months of proven sobriety before they will even consider giving you an evaluation for a liver transplant. It's a very difficult process for any alcoholic to receive a transplant.
If for some reason I have missed the mark here, and your friend is telling you the absolute truth, my answer would still be the same for her prognosis. Any fatty liver that leads to liver damage is called NASH (non alcoholic steatheopathic hepatitis) and it leads to cirrhosis also. You would never want to drink with this condition. No matter what causes cirrhosis, it is still cirrhosis and acts the same for everyone. Mine was caused by a biliary autoimmune disease, but it's all the same thing happening to the liver. Drinking will only make it much worse and progress it much faster to total failure. So that means your friend has every reason to NOT ever drink again. Also, tell your friend that cirrhosis is not an easy way to die. You just don't lie down and sleep away. It is quite miserable to say the least.
Will an educated doctor tell anyone that alcohol is not a cause of Fatty Liver?
My sister just recently visited the local medical clinic due to severe pain and bloating on her right side.
She has consumed a good amount of alcohol daily for last 7 or 8 years. When she slows down she still binge drinks, which can be worse than drinking daily. I think she even hides how much she actually drinks, so she has always been scared that her alcohol consumption has affected her health.
Well, the doctor examined her and told her that she could feel that her liver is enlarged (which to my understanding must be fatty liver, correct?)
Anyway, my sister got her lab results back today and they came back negative, which means that her liver is functioning...so...what? Her liver is enlarged, and her lab results are negative... should she not go in for a biopsy? The doctor did not even recommend that. Let's remember this is a medical clinic doctor, so hopefully they graduated from med school...another thing which alarms me is that the doctor even told her that fatty liver is caused only from obesity, and that she has no need to worry because she is not overweight... this is rediculous! How could a doctor tell someone who is potentially a heavy drinker that fatty liver is not caused from alcohol!
Does anyone have any experiences they can share to help me understand how doctors can be so stupid? Now my sister thinks she is in the clear, and that all she needs to do is cut down her drinking... great!
I am so upset, because now my sister thinks that she has no need for a second opinion. BTW, she does not have medical insurance, so she does not have a regular doctor.
First, there are two types of fatty liver disease...
one is the non alcoholic kind and the other is
caused by alcohol. The non alcoholic kind
is caused by weight gain or hereditary reasons.
However, all liver patients are told not to drink
alcohol. Alcohol is the number one reason for
a problem with the liver.
If her liver is enlarged, she has inflammation
inside the liver cells. This is not good. If
the inflammation is treated and the cause is
eliminated..she has a good chance of
recovery. If this is not treated and the cause
cannot be eliminated, then it may advance to
death of the liver cells and this is then a
progressive disease that only the doctors can
try to slow down.
Lab work is not 100% accurate. Some people
don't show a problem when there is one.
It usually takes a series of blood tests to be
sure of the results. There are different tests
that the doctors do: the liver enzymes, the
liver function tests and the viral tests to see
if the problem is caused by a virus.
Your sister should be seeing either a
gastroenterologist or a hepatologist.
This inflammation can lead to death of the
liver cells that form scar tissue inside the
liver that will block the flow of blood through
the liver...this is known as cirrhosis.
A liver transplant costs in the range of
0,000 and up and the drugs to take
afterwards are quite costly also.
Cirrhosis of the liver is a horrible disease and
many who have it because of alcoholic problems, wish they would of known way back
so they could do something about it before
they ended up on the transplant list hoping to
receive a donor liver.
The best thing for a patient to do now, since
she has inflammation of the liver, which causes
an enlargement of the liver...is to only take
drugs prescribed by her doctor and to tell
the doctor all drugs she is taking whether it
be over the counter, cough/cold medications,
herbs, herbal teas, vitamins, minerals and
those prescriptions prescribed by other doctors.
She should not take any medication with alcohol.
If she has trouble stopping the alcohol, the
hospital usually has a detox program where
they give the patient medication to help control
the symptoms she may have coming off the
alcohol. If your sister is addicted, she has
now two hurdles to take care of. Hoping she
doesn't get cirrhosis and also overcoming
this addition. She will need support and
not criticism to do this.
There are many causes of cirrhosis of the liver
some being: alcohol consumption, medication
toxification, mushroom poisoning, chemical
exposure, biliary obstruction or mal formation,
fatty liver, viral (virus) like Hep A,B,C,
and there are others.
I hope this is of some help to you.
The doctor usually starts out with a series
of blood tests and an exam to feel the liver
by hand...than an ultrasound is usually done
to confirm the enlargement and check for
growths, blood flow through the liver, and
any abnormalities. They usually don't
do a liver biopsy unless they suspect it
is cirrhosis of the liver. Cirrhosis of the
liver is the death of the liver cells that form
scar tissue inside the liver and blocks the
flow of blood through the liver. As the cells
die off, the liver will start to shrink in size and
become harder in texture.
Here is a link to learn more about this disease.
It never hurts to get a second opinion.
liver disease question any nurses or people onhere have this or know.?
my sister has liver disease came back as fatty liver per doctor and numbers are high so she needs a liver biopsy. wont have it, wants to do milk thistle diet change and other natural stuff for 1 month then test again. If her numbers were like in a deadly stage the doctor would say go to the hosp immed instead of come to his office wouldnt he. (shes afraid she will bleed out during a biopsy as she doesnt clot well) nurses?
I was going to tell you that waiting and taking the test again would be fine, but when you told me her blood doesn't clot well, that stopped me.
Why doesn't her blood clot well? Unless she has another reason for blood clotting problems, that is a sign of liver disease or liver failure. Milk Thistle is not going to help her with a serious liver problem. It has some qualities that can help a liver, but it's not effective when there is a more serious problem. I took it for years and it did nothing for me.
There is really no deadly number with liver enzymes. If they are high, then they must find out why. She could have a condition called NASH. This is when a fatty liver will progress to being cirrhosis. They don't know why this happens to some people.
She should get a biopsy done to see what is going on. If she has a blood clotting problem, then she will need that checked before she gets the biopsy. They can give her something that will cause the blood to clot like it should and therefore, there is no risk of her "bleeding out." Without a biopsy, they are not going to be able to find out what is happening to her liver. If she has a serious liver problem, it's best to find out ASAP so she can get treatment. Ignoring the problem is not going to make it go away. It will only get worse.
could you have liver damage and not know it?
i know i have a fatty liver im not sure what the cause is ive had blood work done and all my enzymes are normal and i had an ultra sound done and they found no damage to my liver other than its fatty we dont know what the cause is yet i still have to get a liver biopsy but i do take a lto of medication is it possible to have liver damage and it not be detected?
has anyone had elevated liver function tests after having Mirena inserted?
I have always had slightly elevated ALT and AST test results but after having Mirena put in in May, my doctor I saw on June 6 said I needed to see a gastro doctor because they were more elevated. The gasto doctor now wants to do a liver biopsy. All hepatitis's have been ruled out and I still have a fatty liver. In researching Mirena, it is contraindicated for people with liver disease which might include metabolic disorders. I have metabolic syndrome and pre-diabetes. I am wondering if anyone else has shown elevated liver function tests after using Mirena.
I had elevated liver function tests aswell, but in the end i was fine.
What is wrong with my husband's liver? Please help.?
My husband was diagnosed with a bit of a fatty liver over a month ago. He's had blood tests, but it showed nothing else. He's had stomach problems since he was a mid-teen (he's now 27). These have gotten worse in the past 9 mo. (severe cramping & diarrhea 3-5/day). He had a liver biopsy done over a wk. ago; he had severe right shoulder pain after, then w/pain meds. he was fine. 3 days later, he had severe side/stomach pain- a CAT scan and X-rays found nothing. His dr. now says he wants to see him to discuss the biopsy. My experience is that dr.'s will usu'lly tell you over the phone if nothing is wrong. But since he wants to see him, I'm worried to death. What kinds of things could be wrong? (He's also been having pain again today). He doesn't drink or smoke.
The biopsy should just confirm that he has Fatty Liver Disease. While there are no cures for this, and no surgeries to fix this, the only oprion prescribed by doctors is a healthy lifestyle change: diet and exercise. Not treating Fatty Liver Disease can result in cirrhosis, liver failure, and death.
From what I have seen, the best option is diet and exercise. Check it out here:
Hope that helps!
question's about fatty liver disease?
i have nafld can a doc tell if it has inflammation Components with it by and ultrasound or do you need a biopsy?
Are liver biopsies safe?
I was told my enzemes were up and I have a fatty liver.
There are risks with a biopsy being done, just
like any other procedures that are invasive.
After the procedure, you will be told to stay
still for long while after to prevent bleeding.
Here is a link that explains biopsies and half
way down the page, there is a video with
a gentlemen receiving a biopsy.
They usually use spring loaded needle that
goes in and out very fast. It doesn't take long
at all. (This is a hepatitis viral site...but it is
the same for any liver patient)
You can click on this link to go to the page:
Some people have fat infiltration in the liver.
It can be caused by: alcohol consumption,
certain kinds of medications like steriods,
weight gain, diabetes, insulin resistance,
high cholesterol/triglyceride levels,
metabolic disorders, hereditary conditions
When fat is in the liver, it can cause pressure,
since the liver is surrounded by a membrane
capsule. Stopping the cause by losing weight,
changing medications, stopping alcohol
consumption...can reverse the problem.
The doctor will tell you what can be done.
This is usually when it is Simple fatty liver.
If the cells of the liver become damaged by
the increased fat in the liver, them the immune
system of the body will respond to this damage
and cause inflammation to develop inside the
liver. Which will cause the liver to enlarge in
size. This has then progressed to
Steatohepatitis. Steato means fat, hepat means
liver, and itis means inflammation.
This can still be reversed so the liver cells can
heal, by following doctors order, depending
on the cause.
It is only when the liver cells die off, that it no
longer can be reversed. The cells die and
form scar tissue inside the liver that block
the flow of blood...this is known as Cirrhosis
of the liver...it is progressive.
Here are a few links to learn more about this:
I hope this information has been of some help to you.
Can a doctor tell if a person has cancer by MRI/CT scan? or does a biopsy have to be done?
Is it possible that if the lymphnode is possitive for cancer, it can spread because of exposure to air? Also his liver has a spot on it and fatty tissue around it, does this have any connection?... He went for results, but I learned nothing but he needs a biopsy. Do you think theres something hes not telling me?
well basically a mri/ct scan will tell you if there is a mass. When the doc sees the mass he will order a biopsy to see if it is a cancerous mass-that is normal procedure, so no i do not think he is lying to you-you both will have to wait till the results come back from the biopsy to see whats going on?
Liver problems after hepatitis preventive injection?
in 1994 [age 12] when i was about to enter middle school, i was required to get a shot for hepatitis to be allowed in. to prevent hep. i have never had it. although within a year after getting that shot i was diagnosed with a fatty liver.my liver enzymes were sky high and i had a biopsy. no one could ever tell me why i had that. my liver never got better. has anyone ever heard of this happening or have had it happen to them? my liver is still enlarged and messed up. i have other health issues now but somehow dr's like to say that it has to be these conditions when i did not have them at that age.
There's a vaccine for hepatitis B and Hepatitis A. If it was only one shot then it was A. If it was a series of three shots then it was B.
Your fatty liver (steatohepatitis) is likely not due to the vaccine (but I don't have enough info to absolutely sure). There are many conditions that cause a fatty liver and most are not infectious.
The most common cause is due to alcohol (or other liver toxin ingestion like tyleonol). If it is not due to alcohol then it is called nonalcoholic fatty liver disease.
The major risk factors for nonalcoholic fatty liver disease (NAFLD), central obesity, type 2 diabetes mellitus, dyslipidemia, and metabolic syndrome are common in western societies. NAFLD is the most common liver disorder in Western industrialized countries, affecting 20 to 40 percent of the general population. Estimates of current prevalence range from 5 to 30 percent in the Asia-Pacific region, depending on the population studied
Liver test High ALT(SGPT)?
This test has been fluctuating for awhile. The high was a 62 and then down to 46 . I was tested for Celiac that is not it. I am on Atenolol, Diovan, Allopurinol, and Prilosec. Now I had another test and it came back at 82. I had an ultrasound and there were no masses or anything like fatty liver. Now I'm getting set up for a biopsy. I started working out again hoping that would make a difference but all it did was make it go up.
You should be with either a gastroenterologist or
Some drugs are very hard on the liver and as you
can see by this list of drugs that can be...you are
on some of them:
Allopurinol and Atenolol
You can see on this RX list site, under the heading of side
effects/drug interactions (click on area on left hand side of page) and then look at the gastrointestinal portion on the page that comes up..that Prilosec can cause elevation of liver enzymes:
With Diovan...there is a chance of elevation:
Also see the heading of side effects/drug interactions, look
here at liver function tests:
The doctor has to weigh the pros and cons of the
medications you are prescribed and he has to also
take into account if they may cause an elevation of the
liver enzymes while you are on them.
Also, you stated you have been working out...this can
also effect the results of the blood tests, if you work
out right before they are done. It can also cause
a rise in blood tests: exercising before having the test
done, an intramuscular injection, or having a muscle injury.
These may be a couple things you might want to ask
your doctor about and tell him about the exercise.
Problems with the liver can occur from a number of
alcohol consumption, medication toxification,
chemical exposure, fatty liver disease,
viral infections (like Hepatitis A,B,C),
parasite infections, hereditary conditions
where the body holds onto too much copper
or iron, metabolic disorders where the liver
lacks a certain enzyme or cannot process
glucose efficiently, cardiac/vascular problems,
auto immune disease like biliary cirrhosis or
sclerosing cholangitis, mushroom poisoning,
When the liver cells become damaged,
the immune system of the body responds to
this and causes inflammation to develop
inside the liver...this will cause the liver to enlarge
in size and can be seen on an ultrasound.
Usually, a biopsy is not done...unless they
see the inflammation in the liver.
If the cause can be found and stopped and
the inflammation is treated...then the liver
cells may heal.
Medications that are prescribed, should not
be stopped, unless approved of by the doctor
who prescribed them.
Here is another link that may be
beneficial to you about liver biopsies..
this show a movie on how the biopsy
is done directly on the patient...it
is about half way down the page:
I hope this information has been of some help
this is a response from a yahoo post I just saw not too long ago on liver enzymes and conditions?
This is due to what I read on a yahoo post that I saw not too long ago...I too have been diagnosed with this "steatohepatitis" which is fatty liver with a little bit of inflammation but not from alcohol but from high fat foods that I used to consume. What made me post this is if anyone knows that this "steatohepatitis" is reversible? I'm not obese but once overweight but now through changing my habits I am exercising more, eating better and lost weight (now ideal weight) I do have to retake a blood test in feb. but I'd like to try an avoid doing a biopsy. Can anyone tell me if my liver enzymes would go back to normal (rid of inflammation) simply because I am in my ideal weight and I eat right? Is this easier to treat on overweight people rather than the morbidly obese or obese?
To the last response:
1. No beef or pork (chicken and fish only)
2. NO late night eating, I used to eat potato chips, cookies, soda LATE at night. I completely quit all of that
3. I ate less carbs but it doesn't mean I cut it out completely
4. I made sure I ate breakfast, lunch, and dinner and made sure I didn't overeat.
5. I consumed a lot of vegetables, fiber (fiber one cereal and fiber bars) and fruit
6. I did cardio 40 minutes for like 5-6 days a week
When I took that blood test with elevated liver enzymes I was 190lbs. with HIGH cholesterol an triglycerides For some strange reason this lifestyle has dropped my weight to 173 in the course of 2 months. I'm not starving myself I'm still full after I eat, I just consume a lot of veggies, fruits, and fiber over meat and potato chips.
6. I don't want a biopsy either, I hope my liver will heal and go back to normal. No thank you to cirrhosis and this "steatohepatitis"
The less excess weight, the better period. I don't know there is a definitive answer to if NASH (non-alcoholic steatohepatitis) is reversible, but by dropping weight, you've done the major work of treating it at the least. No alcohol is also probably smart as your liver's been stressed. Outside of that, I think just bide your time, making sure to practice good nutrition, avoid smoking, alcohol, and any unnecessary drugs. Exercise would be good as well. Hopefully your blood work will make the biopsy unnecessary; if not, they do have treatments that look promising.
what exactly does the fibrosis stage of 1-2/4 mean.?
I just dont know exacty what the 1 means or the 2/4. This is my friends liver biopsy. He has chronic hep c. The inflammation is mild, the fibrosis stage is 1-2/4 (does this mean treatment) and steatosis is present , mixed micro and macrovesicual type, 30% of parenchyma (fatty liver). But I really need to translate what the 1-2/4 is exactly saying. Please help. Thanks
I conclude that your friend is between Stages 1 and 2, out of the 4 possible stages--the 4th being cirrhosis. Cirrhosis is a consequence of chronic liver disease characterized by replacement of liver tissue by fibrotic scar tissue as well as regenerative nodules, leading to progressive loss of liver function. In advanced stages of cirrhosis, the condition is irreversible and the only option would be a liver transplant.
To help clarify, I found this on the web:
Histological (biopsy) diagnosis classifies the severity of fibrosis into five stages, S0 to S4. Note: The letter S simply stands for stage.
S0 means no fibrosis. S4 is cirrhosis. In between,
S1 is a mild fibrosis only seen at the portal area.
S2 is a moderate stage of fibrosis, between portal areas, but without the destruction of the lobular structure.
S3 is severe fibrosis. At this stage, there is fibrostic bridging between portal areas and between portal areas and center veins.
At S4, in addition to S3's changes, there are pseudo-lobules formed and this stage is the final stage, cirrhosis.
In cellular pathology, STEATOSIS is a condition which is a marker of sublethal cellular injury. It is also known as fatty change. It is characterised by the presence of abnormally large quantities of fat within a cell. Steatosis may affect the cells of a variety of tissues and organs. It reflects an impairment of the normal process of constant synthesis and breakdown of triglyceride fat. It may occur in the liver as a result of a variety of stresses, including hepatitis C and exposure to poisons such as ethanol (alcohol) and in obesity. The fat accumulates in vesicles that displace the cytoplasm. When the vesicles are sufficiently large that they distort the nucleus, the condition is known as MACROVESICULAR STEATOSIS. Otherwise the condition is known as MICROvesicular steatosis.
"The need for liver biopsy in HCV infection should be predicated on the type of information that is being sought for an individual patient. The presence or absence of cirrhosis is clinically relevant in many cases where THERAPY WITH ANTIVIRALS is being considered. All other features being constant, the PRESENCE of bridging fibrosis or cirrhosis markedly REDUCES the expected response rate to antiviral therapy." Furthermore, Hepatitis C leads to chronic liver infection in 90% of its victims, and can develop cirrhosis or liver cancer after 20 years of being infected with the virus. It causes up to 10,000 deaths yearly in the U.S., and is the No.1 reason for liver transplantation.
Anyone ever heard of this happening to a liver patient?
My husband's liver is damaged..although we don't know the extent because he doesn't want to have a biopsy performed. He is a heavy drinker and won't slow down. I've asked a of questions about liver failure already but here is something really interesting about my husband's case:
He was diagnosed with fatty liver back in December but since he was an active drinker, the doc suspected the damage could be pretty bad. Anyway...I'll leave out all the details...but over time, since December, the skin surface around the area where his liver and pancreas are, is covered with bloody lesions that continually scab over and then bleed again. It is as if they cannot heal. Skin biopsies and tests have come back negative. I personally believe that the skin is literally responding to the toxins that have built up in his liver and pancreas and the skin is reacting. But I've haven't been able to find anyone else out there who has heard of this.
People who have liver cell damaged, the functions
that the liver cells usually does start to deteriorate.
One of the functions of the liver is to make clotting
factors. If the liver cannot make this, the liver
patient will bleed and bruise very easily. Just a
minor bump can cause what looks like a major
bruise just under the layer of skin. If the patient
is itchy and they scratch, they may also develop
Some people have spider veins. These look like
tiny little veins in the shape of a spider. When you
press on them, the will blanche and then become
red again when released and the blood flows
through them. (known as spider angiomas)
Fat inside the liver can come from alcohol consumption.
This puts pressure inside the liver that can damage the
liver cells. When the cells become damaged, the immune
system of the body responds to this damage and cause
inflammation inside the liver which will cause the liver
to enlarge in size. If the alcohol is not stopped and
the inflammation isn't treated...it can lead to where the
liver cells die off and form scar tissue inside the liver
that blocks the flow of blood...this is then known as
Cirrhosis of the liver and it cannot be reversed, only slowed
down in advancement by following doctor treatment.
Here are some links that may be of help to you, that
you can click on:
hi, I just recently had a bone marrow biopsy and waiting for results, what I would like to know is that I have
low white cell count, and red cells are low but big, almost twice in size, I have been going to one hospital to another, so I am dealing with 3 hospitals and about 10 different docs.....can anyone shed some light on the the bigger red cells and bonne marrow and what it all is going towards or looking for...thank you...confused too many cooks in the pot..p.s. also have a tumour near ovary waiting to be operated and was told I have a non viral hepititis, fatty liver..
I have not been very clear as to what I wanted to be answered , so I am to blame....I really only wanted to know....why my red cells are huge but not enough.... thanks you next time I will know to keep it short and to the point.....
Your case does not sound simple. There seem to be multiple medical problems.
My best advice is to stick to the advice of your doctors who,Iam sure is doing their best.
10 BRAINS ARE BETTER THAN ONE.
A 44-year-old male with early Type 2 diabetes mellitus is found to have a markedly increased serum ferritin...?
A 44-year-old male with early Type 2 diabetes mellitus is found to have a markedly increased serum ferritin concentration. He is overweight and has smoked cigarettes for 20 years. He undergoes a liver biopsy and the microscopic appearance of the liver shows blue cytoplasmic inclusions with Perls stain. Based on the information you have been given, what is the main advice would you give this patient?
A.He needs insulin injections
B.His siblings are at high risk of developing the same condition
C.He will most likely develop acute inflammation of the liver
D.Obesity may have contributed to the condition and he should lose weight
E.He is likely to develop congestive heart failure from this condition
If you know can you explain why as well please? I don't know much about this, but I think the blue inclusions would be iron? This could be haemochromatosis, I found links between cirrhosis and haemochromatosis and diabetes, and something about fatty liver disease as well. But can't think what the answer would be.
This is quite the nasty question! I think the answer is (E), but I know others may not agree. This is clearly Haemochromatosis. Perls stain is for Iron, and Type II diabetes is linked to the disease (pancreatic deposition of Iron) which presents in men in their 30's-50's and elevated Ferritin is a marker for the disease (albeit not a good one since it is an acute phase protein and TSATs are better). It is autosomal recessive. I am assuming that this is a Single Best Answer question.
Firstly (A) is rubbish... if he is controlled, then he doesn't need insulin injection.
(B) is a dodgy answer... his siblings have at least 25% chance of developing the conditions since this man's parents must have at least been carriers. If one of his parents had the disease, then the siblings have an increased chance. However, some people never actually present with symptoms even though they have both recessive genes. This applies especially to females, who are protected by menstual bleed. After menopause they then have a period of about 30 years or so when the Iron gathers, but that may not be long enough for them to present. In summary, whilst (B) may be true, it is not the BEST answer.
(C) is not the answer... Hepatitis does occur in Haemochromotosis, but it isn't common or likely at this stage. He is more likely to develop cirrhosis.
(D) is also true. However it is not the mainstay of treatment and will not benefit him as much as other treatments. Obesity tends to exacerbate liver disease but is not a key feature of the disease, thus not the best answer.
(E) refers to Cardiomyopathy associated with Haemochromotosis. This is due to Iron deposition in the Heart. I don't know how common it is, but is commonly taught as a feature/symptom of Haemochromotosis and is thus the best answer of the options.
I hope this helps.
I'm scared I have got cirrhosis?
I'm only 25, and have been a heavy drinker for several years now. About 8 years ago I started drinking heavily, 6 pints or more each night in the pub. I was diagnosed with depression aboout 5 years ago and so didn't drink at all when I was on anti-depressants for 9 months or so. Since I came off antidepressants I have been drinking heavily again, at one stage about 2 bottles of red wine each night, and sometimes drinking all day at weekends (up to ten cans of lager). I am now terrified I have cirrhosis, I have no symptoms other than that I am tired all the time, and more worryingly I have red palms of the hands and feet, also some minor jaundice in my eyes, but not so bad that anyones commented on it. I am seeing the doctor on Friday on an unrelated manner but wonder if I should mention it to her. I am scared of hospitals and dont want to be sent for a liver biopsy. I am quite prepared to stop drinking from today, but I am worried that the damage may now already be done and irreversible. I'm too young to die, its seems that everything that could have gone wrong in my life has gone wrong and now this looks like it could be the final nail in the coffin. I totally regret the way I have been drinking over the last few years and if I could turn the clock back I would. :'( Do I have cirrhosis or could the damage have not gone that far yet? Everywhere I've looked, red palms (palmar erythema) is associated with cirrhosis and not any of the preceeding conditions (fatty liver, hepatitis). Dear God help me
Forgot to say, a couple of years ago my liver was noticabley enlarged (fatty liver?) I am now concerned because my drinking has only reduced slightly, but I can no longer feel my liver at all which makes me think its shrunk due to cirrhosis
If you continue to drink, I guarantee that liver failure is going to kill you and it's not an easy way to go. I hate being so blunt, but you are playing with fire here and need to know the truth. Everytime you drink alcohol it is poison to your liver. Remember that everytime you take a drink.
You could have cirrhosis, but from what you tell me, it would indicate the early stage of the disease. You should at least get some labwork that would determine whether or not there is a serious problem. There are 4 stages of cirrhosis. In the early stage, when the source of the problem is taken away such as alcohol, people can get better. If they ignore the warning signs and continue to drink, the disease will progress to the later stages at which time only a transplant will keep them alive. You never want to reach that stage.
Let this be your wake up call. Tell your doctor. Get the bloodwork done and stop drinking forever. I think you can get well again if you stop drinking NOW. You are very young and have your entire life ahead of you. Don't make it a short one. Good luck and wish you the best.
26 Old Male : Why am I always ill?
I am a 26 year old male whom for the past 3 years seems to be constantly ill. In the past 6 months I have had pnumonia, then viral meninigits, a number of stomach bugs and flue like symptoms.
I have been diagnosed with a fatty liver in the past year but have had the high enzyme count for 5 years. I should be having a liver biopsy done soon but is there any other things that could cause my diminished immune system? I eat healthy, exercise, don't take vitamins tablets and cant find any reason why i'm ill a lot any ideas?
enviroment is ok i guess, i do travel around 2 hours on public transport (trains) to and from work
I drink plenty, have had no diets at all, eat plenty of fruit and veg and I only drink still flavoured water or squash never fizzy drinks.
Forgot to add I don't drink alchohol at all, haven't done so for 8 years
Simple fatty liver, no problem - the outlook is good.
Caused by alcoholic excess, diabetes, obesity - cut out or severely restrict alcohol, control diabetes, reduce weight
But it can also be caused by high lipid levels in the blood, or can develop following a crash diet.
You are having a tought time for a young man, your doctor will know much more than we can guess at.
As for your immune system, stress, lack of exercise to boost the circulation and smoking can affect it.
You say you are eating fruit, vegetables, wholegrains (healthy), do you drink lots of water and fruit juice?
No-one knows why non alcoholic steatohepatitis (inflamed fatty liver) develops, can be a complication of the above listed causes. There is no specific treatment - the usual limit alcohol, eat a low fat diet.
I was just told that I have metabolic syndrome and I am insulin resistant.?
I am not diabetic but am worried that I could become diabetic in the future. My liver functions are also high and I have recently had a biopsy and was diagnosed with fatty liver. I am on medformin and I am hoping that it helps me lose weight in the process of controling my insulin. Anyone else out there going through same thing? Any body pains along with this condition also?
I am a working Mom at a Navy Hospital, and I have a daughter in her 2nd year of college. Several of my daughter's friends have this same thing. You can beat this! Take it one step at a time. Don't try to do all of these changes in one day.
People with the metabolic syndrome do have an increased risk of coronary heart disease and other diseases related to plaque buildups in artery walls, like a stroke and type 2 diabetes. The metabolic syndrome has increased a lot in the United States lately. I think there is an estimated 50 million Americans that have it, and this number is growing.
Your liver is working overtime, trying to filter out the junk food you are taking in. The liver produces enough natural cholesterol for your body already. Adding to that, is causing a huge build up. It's no wonder you don't feel well. Your body is working overtime.
This is because most of our foods are processed with refined sugars. It is a quick and easy way to prepare food, and the sugar in it is addicting. Therefore, making you come back, and this adds to increased sales. You actually get addicted to the sweet taste and crave it. This generation has been brought up on McDonald's, Wendy's, Hardee's and Burger King. All of that processed food, leaves a lot to be desired when it comes to health. Also, any time you eat starchy foods, like fries, rice, bread - your body turns that starch into sugar - sending more sugar throughout your body. If we all had a sugar meter on our heads, it would probably stay in High Alert for most people. We live on caffeine and sugar in order to keep up with our busy schedules. Work, college, children, etc.
The best way to "move" that sugar, is to walk at least 3 times per week. You don't have to run, you don't even have to walk fast. Just a nice stroll, (without stopping to shop) through the mall will do it. If you don't get this under control, then yes it is possible to be diabetic in the future. Walking is the key.
Change your diet to limiting fast food restaurants,and switch to diet coke with Splenda. The taste is remarkable, and I got used to it by the end of my first can. Opt for more vegetables and less meat in your diet. Switch your milk to 1%, because dairy products tend to make blood sugar higher for some reason. Eat whole wheat bread, the White Wheat bread taste better than regular white bread. Try using "Splenda" instead - it taste the very same as sugar. If you want ice cream, Edy's No Sugar Added brand is delicious.
It's going to take a life style change for this adjustment, but I can promise you - you'll live longer and feel better because of it. Most people can overcome this and not have to take the medicine the rest of their life.
My husband is diabetic and I've had no problems adjusting to his diet whatsoever.
Hope this helps...
Can liver cancer or a small tumor cause tenderness of a mass near the liver area?
Ultrasound showed a 16mm tumor (yet to be determined if it is malignant or benign, taking CT next week) as well as other smaller lesions in the liver. Feel more tired than usual, but regain energy after napping. Certain loss of appetite, and can feel mild upper right abdominal pain. Can feel a mass underneath rib cage, the liver area, when pressing down on it, extreme tenderness and pain.
Doctor only mentioned tumor during ultrasound and immediately scheduled me for a CT and biopsy. Does that rule out fatty infiltration and other liver diseases? Does that mean I have cancer?
It means they found a mass and several smaller lesions and they don't know what type of cancer or something else without a biopsy.
As it is liver cancer is frequently a secondary cancer (i.e. it spreads from somewhere else) they are also doing a CT scan to see if there are any masses anywhere else.
Citrate and fatty acids?
A farmer discovers his cattle on his new range are dying. It is found that the plants are producing 16-chloropalmitic acid. Liver biopsies also show that the sick cattle have highly elevated levels of citrate compared to healthy cattle. What metabolic pathway is being affected and at what step?
doc's dont know whats wrong?
i have had pain under my right rib cage for about 21/2 years now and the docs don't know what is wrong. i have had mri's ct's hidascan's bloodwork biopsy on liver, and they told me that i have a fatty liver. now i have numbness under my ribs. the army wants me to choose deployment or med board, and still i have pain and no answers. i need help bad.
If you have a fatty liver, the only cure for it is to lose weight by diet and exercise. No surgeries or medication's can cure it. Seek out your doctor for advice, here are some resources:
I hope this helps, good luck!
Live function question?
4 yrs ago my liver enzimes came back alittle elevated. My doctor test me for hep A,B,&C came back negative. He then reccomended me to a liver specialist, and did a ultra sound, normal,still my liver ALT test results where coming back still elevated alittle, did a biopsy to see if I had a fatty liver and it came back normal. He told me to come back in 6 mos to have a liver test done and this time everything was normal. Im 30 now and I have been drinking beer since Ive been 17 maybe 3x a week average some nights heavier than others. All of these test took place a couple years ago, it had me very worried to say the least but when my last test came back ok I felt I was fine. Ive been drinking for the last 2 yrs and now I find myself feeling tired alot esp after drinking, some ab pains, headaches, could it be my liver even after all my test came back normal just 2yrs ago? Can the liver be damaged in just 2 yrs? Sorry for long post had to add alot of detail.
I can't believe how everyone seems to think that there is automatically a serious problem here. It depends on how much this person is drinking those 3x/week...if you're having 6+ drinks 3x/wk, then there is a reason for concern.
Have you been taking Tylenol or other pain medication? Taken in combination w/ alcohol, Tylenol is a really potent liver toxin.
A biopsy to test for a fatty liver at 30??? Your doc should be able to just do a simple test: lie on your back on an exam table while he/she applies a little pressure on the liver. If you have a fatty liver, your jugular vein in your neck will protrude from blood emptying from the fatty liver into the vena cava....something seems fishy here....
My cat has just been diagnosed with lymphopa?
My cat is almost 11 yrs old and has just been diagnosed with lymphoma. He had stopped eating and was taken to the vet who took bloodwork, initially put him on antibiotics because he had a high wbc count and bilirubin level but nothing else remarkable. We took him back this past week for f/u and repeat bloodwork and xray.....x-ray showed an enlarged liver and bloodwork now showed elevated liver enzymes as well as high wbc and bilirubin. We took him to the emergency hospital who admitted him, put him on IV fluids and did an ultrasound. They called to say it appears to be lymphoma but would need to do a needle biopsy to confirm the diagnosis. We elected to just bring him home yesterday and to keep him as comfortable as possible. Now I am having second thoughts about not having the biopsy done, what if they are wrong and he dies from say fatty liver disease which is treatable. Anyone with insight or feedback on this, would be appreciated.
Thank you very muc
I wouldn't spend to much time deciding what to do because you could risk the little kitties life.
Go to this website.
It has a lot of good info on the disease.
Male breast cancer - high ALT AST values?
We recently discovered a lump in my husbands breast. We have had a mammogram, in which the radiologist looked at it and ordered an ultrasound. Those came back with him requesting "Additional imaging" and "abnormal cell growth" Our doctor said its time to see a surgeon and dismiss further imaging. We see a surgeon on Wed. (I assume then they will take a look and decide rather or not they should remove or biopsy)
Here is the kicker. Within the last two months, he has also been diagnosed with type II diabetes. AND he's had what our doctors called a "fatty liver" . Diagnosed with that 3 years ago. HOWEVER, his cholesterol is good. Both his good and bad. His ALT and AST levels (liver function) has gradually went up over the last three years. He HAS had a liver CT scan that showed "NORMAL". I was reading that cirrhosis of the liver could cause elevated ALT and AST levels. And also have read that cirrhosis is not always detected in CT scans.
I'm wondering if this coudl all be related?
I've read that cirrhosis of the liver can be a factor for male breast cancer.
He's recently lost 13 lbs in the last three weeks. However, he has changed his diet for diabetes too. So its hard to say rather or not that is from diet or something more serious.
I know I'm probably jumping the gun here. I'm just concerned and worried. And the mammogram and ultrasound took him almost 2 weeks to get in for. Then another week for results. Another week to see a surgeon. I imagine another week for surgery and another week for results! UGH!!!!!!!
Its getting more difficult to stay calm and collected here. We have four small children.
I too was actually saddened by the "WOMANS breast health center" here in our town. When he went to have his mammogram, we were walking toward the entrance, and a sweet lil' old lady (volunteer) gently grabbed my husbands arm, and told him " I'm sorry sir, there are no men allowed back there" This not only saddened me, but emabaressed my husband because there were men there waiting for their wives, or partners in the waiting room. And of course they all looked up and knew that he was the one having the mammogram. My husband made light of the situation, however was clearly embaressed! He really had to pull his 'man card' and suck it up that day! Its sad that breast cancer is not recognized in both men and woman. I realize it happens 99% of the time, more in woman. But there is still that 1-2% of men who have it. They really should recognize those men too!
I can't give you any medical advice unfortunately as I am not qualified to say so.. However.. I do know people are shocked when men get Breast cancer as the majority of women think only women get it.. obviously it's rarer in men but I wanted to take part in a breast cancer fun run last year and was told I couldn't because I was a man... I was saddened and outraged by this and it just shows you how ill informed some people are.
All I can say to you is I wish your husband a speedy recovery and that everything gets sorted for both of you.
Gastritis......h. pylori bacteria bacteria/infection?
It all started 5 months ago, my mother was always tired and could not eat a single thing....went to the doctor, found out she has gastritis. The lining in her stomach is gone and the bacteria is still present. She cannot eat a thing as she gets extremely fatigued after eating whatever it may be. If she does eat, she gets very swollen from her stomach, then the pressure pushes up on her heart and she begins to have an anxiety attack. She has lost 40 lbs in a short while. She is always tired, she has no strength.
About a month and a half ago she was placed on PrevPac (14 days of medication). She began taking it but got very ill to the point where she had to stay off the medication. Just recently about 2 weeks ago the doctor told her to just take 2 in the morning and 2 at night of the amoxillan, which she is doing but she still feels fatigued, has anxiety, her heart races during the day and wakes her up in the middle of the night. She still cannot eat anything except for a small amount of vegetables, fruit or a small bowl of soup.
We have tried alternative remedies as well but nothing seems to work. She has been drinking cabbage juice for a while as that is supposed to slowly heal her stomach as helping the lining of the stomach come back. She is drinking coconut water too. We have tried Pepto-Bismol as well. We are even going to try Manuka Honey, we are still waiting for it to arrive from New Zealand.
I guess I would like to know if anyone knows of any other types of medications she could possibly take. She does have fatty liver disease so any type of medication will do harm to her liver. I think she should get a second opinion even though they already did an endoscopy and took a biopsy of her stomach.
My family and I are very worried because we are helpless to her. Nothing we do seems to help. She is tired as well.
I had the same issue, having the swelling and pressure along with weight loss. Although I tested negative for h.pylori (big name for the bacteria that causes ulcers.) I was put on prescription Prilosec to treat it. It went away in about a month. The manuka honey is also a great idea. That stuff has so many uses!
Whats happening with me?!?
Hello am a 25 years old male with a long story, at July i started having this itchy redness on my chest I first ignored it for some time but it did not go away I went to the doc he gave me a cream and pills for the itching I finished my medications and still it was still there! later on at November something started I had a cold and was watching tv when suddenly i felt very sleepy and I could not walk in a straight line! later that night i started having numbness in my hands and legs & feeling my heart is skipping a beat! I went to the ER they said am having these symptoms becuz I use the computer a lot since am a graphic designer! Bullshit I know they had me do a diabetes test and it came back normal. my symptoms began to become worser every night I wake up 2 - 3 times with little finger and ring finger numb! (in both hands) and the rash turned into little bumps and 2 to 3 moles turned red I also had trouble walking and focusing I went to a neurologist who asked for MRI for the brain and for the cervical spine and they both came back normal so my neurologis gave me relaxing pills and said it was all stress!! I went to an ENT doctor who said that I had infections both in my ears and nose gave antibiotics and spray I finished my medications and felt a little better i could walk again! the problem of course did not stop it went to my digestive system I had bad acid refluxes and stomach pain I went to the doctor who preformed a gastroenterology and found that I had an inflamed esophagus and infection in my stomach and tearing in my diaphragm plus urinary tract infection! I am on 4 medications for that now stomach pain is gone but I barely fart and have solid stools! I did a stool test which came back normal. Later on i started having pain in my left kidney I did two ultra sounds which revealed 7mm kidney stone and during the second ultra sound it showed that i had a fatty liver! i also had some pain in my middle rip cage bone when I inhale i did a chest xray which came back also normal. I went to two demonologists who also gave me creams and pills for my rash but i did not go away as well the first one told me that my moles were infected gave me antibiotics as well did not do anything to me ofcourse i went back for a check up and he said my rash is better when it was the same the second doctor told me i have nothing to be afraid of my moles are normal! I also had 4 cbc tests one showed my WBC was 5900 and then 10400 and then 11400 and then 8500 ! everything else was normal! I also checked my b12 and Potassium and creatine also normal! I also had a thyroid gland test which also came back normal! I did 2 ECGs for my heart which came back also normal ! am losing weight in a very weird way and I have no appetite to eat my rash is still there and has spread to my back and if touch my skin it turns to a big patch of redness and i can see little purple veins on my chest my fingers still get numb at night (sometimes my legs 2) plus muscle twitching all over one night i woke up with whole body numb and getting gos pumps all over. I have drumming sensations and ringing in my ears at night I have no fever at all! its very frustrating to the point that it made me cry! its effecting my whole life! I dont know what to do please help me with you suggestions! I am going to have my kidney stone removed tom. and am going to ignore what my demonologists said and have a skin biopsy of these moles!
I really feel for you, that all sounds like a complete nightmare.
I've had a lifelong fight with my own health - the reason they couldn't find anything wrong was because I was getting so many different and varying symptoms that nothing made sense. Once we found one problem the others unravelled one by one.
All I can say to you is keep pursuing this with your doctor and as many other doctors as you possibly can. The minute you give up, so will they.
Good luck with everything.
Could doc be wrong about my husband NOT having ascites?
Okay...so my husband has liver disease...although we don't yet know how far it has progressed. He was diagnosed with fatty liver after an ultrasound and blood work but no biopsies have been done yet.
He drinks heavily and since that diagnosis, for months ago, appears to have gained a lot of weight mainly on his stomach. His stomach is very hard and round and he often has shortness of breath. To me, it seemed like typical ascites....however....a few days ago our doc checked him while my husband laid on his back and side. The doc thumped his stomach in several places and checked to see of any fluid "moved" or shifted during different positions. Our doc said this didn't appear to be ascites.
So, my question is: Could our doc be wrong about this NOT being ascites? Is this an easy thing to diagnose manually, as our doc did, so to speak?
I know my husband and have never seen him gain weight quite like this..and the shortness of breath mystery still lingers for him.
What is your opinion: ultrasound findings of Diffuse Hepatocellular Disease?
I went to a gastroenterologist back in Oct of 2010 because of pain and bloating that I was having in my upper abdomen and a 12 year history of almost daily diarrhea. I had a colonoscopy in about 1992 and again in about 2004 (all different doctors through the years because of changing of insurances) and both colonoscopies were negative for disease, even the couple dozen biopsies the one gastro dr took in 2004.
The gastro dr I saw this last Oct '10 ordered an ultrasound of my abdomen and a liver function test (blood test). The dr told me that the report said that I have a "very very fatty liver" and "everything else looks good". He said because of my age (female, 51 yr old), that I should have a colonoscopy. I've been putting it off because I don't like this dr. And he said that because of my pain and fatty liver, I should get a hepatitis test, so I did and came back normal.
I got to thinking about how important it probably is for me to get a colonoscopy done but because I don't like this gastro dr, I am going to go to a different one. (Yes I know I should have taken care of this last October) So I called his office last week and asked for a copy of my ultrasound report so I would have that in hand when I go to see a different gastro dr. I got the report in the mail the other day and was shocked to see that it says "Impression: 1. Increased echogenicity of the liver consistent with diffuse hepatocellular disease and raising the possibility of fatty infiltration. 2. Otherwise unremarkable ultrasound examination of the abdomen."
That dr never discussed "diffuse hepatocellular disease". He only said I have a fatty liver. By the way, I had other blood tests done at the same time that my regular dr had ordered and the lab sent ALL of the blood test results to the gastro dr AND my PCP. I saw the gastro dr first and he told me that ALL of my tests were all normal, when they clearly are not. Here are my blood test results:
RDW 15.4 (11.5-14.5 %)
Monocytes 0.7 (0.11-0.59 thou/uL) (I have not been sick)
Carbon Dioxide 33 (22-30 mmol/L)
AST 52 (14-36 U/L)
ALT 63 (7-56 U/L)
And my GFR-MDRD is 70 (Greater than 90 mL/min/1.73 m2)
(I read that a score of 70 means that I have mild kidney damage)
These results were normal but at the high end of normal:
WBC was 9.1 (4.8-10.8)
Sodium 145 (137-145 mmol/L)
Glucose 100 (70-110 mg/dL) (this was after a 13 hour fast)
Cholesterol was good at 159 but the other lipid results were not good.
I read that Diffuse Hepatocellular Disease is either caused by infection or cancer. So since my blood test for Hepatitis was normal... does this mean the possibility for cancer is raised? What do you think of all this? As mentioned in another yahoo answers post I made last year, I did have an ANA test done in about 2004 and it showed 1:80 Speckled Pattern.
I drink alcohol maybe 1 to 3 times a year at the most. When I do drink, I usually don't even drink half of a bottle of beer or half a glass of a margarita (Mexican Restaurant). My husband always finishes it for me LOL. I did get flat out drunk one time when I was a teenager but that's the only time I can ever remember getting drunk.
I do take about 6 prescriptions daily for a bad heart valve, allergies, asthma, etc. I do not take street drugs although I experimented with drugs as a teenager (mostly marijuana) and I have never used intravenous drugs.
I am approx. 100 pounds overweight, most of it gained in the last 12 years. Before that, almost my whole life I was extremely thin..... I am 5' 8" and 251 pounds with a medium build.
abijann, are you saying that Diffuse Hepatocellular Disease can also just be a simple case of Fatty Liver? I thought it only means infection or cancer...
Fatty liver disease can be caused by different
weight gain, fast weight loss, obesity,
malnourishment, diabetes, insulin resistance,
certain types of drugs (like steriods),
high cholesterol/triglyceride levels,
alcohol consumption, chemical exposure and
Fat inside the liver usually starts out as being
"simple fatty liver" that doesn't cause a problem.
However, if the fat continues to build up inside
the liver, the fat causes pressure inside the
liver and causes liver cell damage.
The immune system of the body may respond
to this damage and cause inflammation to
develop inside the liver. This is then known
as Steatohepatitis. Steato stands for fat,
hepat stands for liver, and itis stands for
inflammation. It is much more serious, then.
[Hepato means liver, and cellular means the
The inflammation inside the liver caused
by the fat build up can lead to the liver
enlarging in size. This is best seen on
an ultrasound or Ct scan.
Fatty liver is just one of the causes of liver
cell damage; some other are alcohol
consumption, medication toxification,
chemical exposure, mushroom poisoning,
biliary problem, metabolic disease,
hereditary conditions, viral or parasite
and many others.
If there is inflammation inside the liver,
if the cause isn't found and stopped...
it can lead to where the liver cells die off and
form scar tissue inside the liver...this then becomes
an irreversible, progressive disease known as
Cirrhosis of the liver.
I believe you need to find a doctor who you are
comfortable with and can trust and follow whatever
advice he give you...he may place you on a special
diet; if this is the true cause. It would be best to
be referred to a dietitian who will take into account
all your medical conditions. Your liver enzymes:
the ALT and AST are slightly high. However, they
also check the liver function tests and liver viral
tests and also the liver cancer test...before making
Here are some links to click on to learn more about
fatty liver disease:
Some terms to understand while reading:
NASH is non alcoholic causes of steatohepatitis (which
I mentioned above)
NAFLD is non alcohol causes of fatty liver disease
Hepatitis is inflammation of the liver because of any
number of reasons.
Hepatitis with a letter after it (like Hepatitis A,B,C) is
a virus that enters the body and uses the liver cells
to replicate itself
Cirrhosis is Death of the liver cells and scar tissue
formation inside the liver.
The ANA test is usually done to determine if you have
an autoimmune disease. That means that you immune
system may be attacking your own living cells. Each
cells has its own marker that the immune system
recognizes as being us....most of the time, they don't
know why the immune system turns on its own patient.
Here is some information from this site that explains
your results a little better:
Quoting from this site; something to think about and ask
"ANAs are present in approximately 5% of the normal population,
usually in low titers (low levels). These persons have no disease.
Titers of lower than 1:80 are less likely to be significant.
Even higher titers are insignificant with aging over age 60 years.
Ultimately, the ANA result must be interpreted in the specific
context of the symptoms and other test results for the patient.
It may or may not be significant in an individual.
All liver patients are told, No alcohol. To be sure each
and every doctor knows what medications you are taking
(as medications goes through the liver first, to be broken
down, before going to the rest of the body).
When stating medications, this includes over the counter,
herbs, vitamins, minerals, supplements, etc...besides
your prescribed ones. Medications have to be watched
closely for the dosage if there is liver cells damage.
The liver cells are what does the function of the liver.
I hope this information has been of help to you.
help i donno what this is!?
hello am 25 years old male I am a smoker and stopped drinking alcohol since the start of 2010 been suffering weird things lately, symptoms began with itchy redness on chest that wont go away even with creams , that was in July 2010, later in November i started experiencing numbness in hand fingers and legs while sleeping, itchy red eyes, drumming sensation in my left ear (only when i try to sleep) pain in my leg bones, urinary tract infection,high heart pulse, difficultly balancing myself while walking, moles turned red (i have so many of those) I had night sweats for a couple of days no swollen lymph nodes. I also had a high fever for couple of days as well, acid reflux with changes in bowel movement, i also suffered from loss of appetite for a while also a cough with green septum, fatigue, Oral thrush and weight loss & waking up many times at night. some of these symptoms subsided but some are still there, what i am suffering from now is weight loss, oral thrush, drumming sensation in my left ear, itchy red eyes, constipation, itchy rash with blusters on chest, numbness sometimes in my hand fingers at night, slight bone pains, I had many tests done these tests were:
CBC x 5
The first one was normal WBC 5000
Second test showed elevated WBC 10400.
Third test showed also elevated WBC 11400.
Fourth Test Showed Normal results WBC was 8000
Fifth test showed also normal results WBC was 7000
3 abdominal ultra sounds
First one showed normal results except a 7mm left kidney stone
Second one showed enlarged liver due to fatty infiltration and the kidney stone
After having the stone removed the ultra sound showed normal results.
Brain and cervical spine MRI
All normal no abnormalities.
2 chest xrays
first one was normal
second showed the bronchovascular lungs land markings are increased associated with peribronchial walls thickening
Chest CT Chest CT
all normal except for : collapse consolidation is seen at the inferior segment.
One Mole Biopsy
Showed irritated compound nevus and the immunostaining revealed that less than 1% of the nevus cells are positive which is consistent with the benign nature of the lesion .
Urine Analysis x2
first one showed mucus with wbc count 30 and rbc 5
second one showed normal results wbc was 2 and rbc was 2-3 (ghost) with few mucus.
Thyroid stimulating hormone
Glucose, Fasting serum
Small hiatus hernia
peptic esophagitis (GERD, grade a)
Chronic gastritis with antral erosions
Heart Electrocardiography x3
Uric Acid serum
CRP high sensitivity serum
was 12.07 MG/L
Electrolytes serum ( sodium, potassium, chloride)
Urea & creatinine serum
Protein, Bilirubin, alkaline phosphatase, aspartate aminotransferase, alanine aminotransferase, blod urea nitrogen
were all normal
I have been treated for my abnormal results but i sill feel generally unwell with my rash, oral thrush, weight loss, red eyes are still there please help me tell me what should i do next!! I am dying to find an answer and get back to my life as it was!
There are so many symptoms, but some of them sound like shingles.
electrical heart malfunction. what tests, scans?
we [me and my husband] went to my HMO so i could see the head of cardiology, Dr X. very peculiar man. started out nice and funny. he asked me about my heart history so i told him:
=unpredictable angina which began when i was 23
=1998 hole in atrial wall via bubble echo
=year of TIAs and visual distortions as thyroid Rx was not at right dose; diagnosed by Johns Hopkins [not non-painful migraines]
=3 heart attacks since thyroid removed in 1997 due to cancer, first one was 2 months after surgery when thyroid Rx not working
=other HMO branch, in hospital overnight to investigate weird heart beats associated with TIAs--flat line 6 times and heart fibrillates itself to start up, thereby churning up blood which goes through the atrial hole in the heart all lumpy, causing the TIAs and visual distortions. when the heart stops, i cannot breathe in or out
=2005 CHF diagnosed, put on Digoxin and Spironlactone [can finally sleep lying down flat and pee 12lbs water overnight on first digoxin dose]. heart is reasonably OK till 2008 when it periodically goes wacko again, palpitations, fluttering, missing beats, extra beats, no beats, aching.
=bad oedema 2009: face hands and legs and feet and ankles...
=lungs fill up at night with fluid and i cough a weird cough for the past 3 years
=[plus I have two swollen spleens [instead of just one] and my liver is swollen at 25cm with 4 masses which HMO says are fatty, Europe says are not. and i have new thyroid tissue regrowth as of 2008 which aches, feels like the cancer did in 1997 and makes fluttery feelings in the blood vessel in my neck base down to my chest, then to my heart. and he knows i am a diabetic 1.5 LADA, with gastroparesis stomach nerve damage, and have lymphoblastic leukaemia since bone/marrow biopsy 2006]
so he tells me: ''forget about your heart history, i can't access your other records. a heart ultrasound here was fine last year, as well as a nuclear treadmill test. there was no sign of a hole.'' he also says ''tests last year had your liver at 18cm, i can't pay attention to a May MRI from Europe that says it's 25cm.'' [even though i told him i had the 2009 MRI with me] um hellooo ???? forget my heart history? i ask him if a hole can heal, twice, he will not reply.
he gets a bit uppity, feels the swollen liver and spleens, hears something in my lungs. tries to tell me the stomach reflux is making my lungs fill up, except i get reflux maybe once every 10 days and take a Losec that stops it in about 20 minutes, and yet the lung fill up happens EVERY night; he does not get the logic of this statement. I take Cilroton for the gastroparesis [European Rx not available in the USA] as I was taken off Reglan as it gave me terrible side effects and nerve damage after taking it for a over a year.
then asks me if i exercise, i say "i can't, as i get out of breath and gasping for air just walking from car port to the apt". so he says, ''OK if you can't walk i want to see you on a treadmill right now!'' like some kind of challenge. makes me do a treadmill test, mostly, i intuitively feel, so he can say f-you there is nothing wrong, his coup on top of last year's tests, like go away and stop bothering everyone here.
except i can barely do it, gasping, dizzier [dizzy before i began, and all the time], high BP, i can't keep my feet at the front of treadmill, i'm hanging on, my feet keep drifting back so i am getting more and more stretched out and almost horizontal while struggling to walk and stay upright; they keep telling me to keep my eyes open, and then the tech doing the machine says, ''come here, come here, look at this!'' so Dr. X goes over to the machine with the heartbeats graph and the big print out, goes absolutely purple as a beet and has to admit that there is some kind of ''electrical malfunction of the heart''.
he wants me to have a cardiac cauterization in the groin test, but i cannot do iodine in the dye, highly allergic to it.
is there another kind of heart test to show the inner workings of the heart, possible clogged arteries/veins, valves that aren't working, etc etc and whatever ''electrical malfunction'' they are looking for? something that is less invasive and less dangerous with their past propensity to mess up any internal procedure, both in Hawaii and California??? some kind of scan, an MRI, MRA or whatever, colour doppler? anything other than them thrashing about in my veins and heart with catheters?
CT scan uses an x-ray beam that slices through you like a knife carving a spiral ham.
Radiologists are the doctors that specialize in reading images of the body and therefore know which test is best for showing anatomy according to the reason for the exam. Very experienced CT and MRI technologists will also know from working with Radiologists.
MRI ( magnetic resonance imaging) uses a magnetic field with radio frequencies introduced into it.
When your body is placed inside the magnetic field, the molecules of water in your body (hydrogen molecules) will start to spin like a kid's top when he spins it. The top will begin to wobble as it slows down.
Your hydrogen molecules will start to wobble just like the top does at a certain rate of speed; the stronger the magnetic field, the faster they will wobble and the weaker the magnetic field, the slower they will wobble; it depends on the strength of the magnetic field.
Then a radio frequency is introduced into the magnetic field at the same rate of speed at which the "tops wobble" causing the wobbling tops and radio frequency to sing out together sharing the same signal frequency. That signal is used by the MRI computer to produce the image.
An MRI that focuses on the heart or blood vessels can assess: The size and thickness of walls in your heart's chambers.The extent of damage caused by heart attack or heart disease. The buildup of plaques and blockages in your blood vessels. Structural problems in you aorta, such as aneurysms or dissections.
An MRI typically lasts about an hour. You must hold very still because movement can blur the resulting images. In some cases, contrast agents are injected into your veins to enhance the appearance of certain tissues or blood vessels in the images.
Take care as always!
How do I get a diagnosis? I am desperate.?
I'm so desperate, I'm asking an internet forum.
I have been sick for six months. This illness continues to get more painful and more debilitating. I have seen multiple doctors, to no avail. Is there ANYONE out there with advice? My doctors are seeming to get sick of me. My life is non-existent. I can't leave my house. I can't function. I am constantly in pain, all over my body.
I am a 20 year old female. I have had digestive symptoms for months.
I have frequent bowel movements (7+ times per day), most of which are diarrhea or extremely loose. Anti-diarrheal medications do not work; the only thing that "works" to solidify my stool is Vicodin, but this constipates me, which doesn't help either.
My stool contains a great deal of undigested food - vegetables (lettuce, tomato, etc), meat, grain (rice cereal, etc.).
I have severe abdominal distension.
I have sharp pains throughout my abdomen constantly.
My stool is usually extremely fatty, foamy, and foul-smelling.
Nearly every bowel movement is painful.
I am nauseous daily. I never know if I will be able to keep down food. Accompanying food with milk seems to ease the nausea.
My weight fluctuates extremely. My typical weight is 140 (I am 5'11") and it drops down to 125 and back up within a week or two.
This is accompanied by many other symptoms - joint pain, extreme fatigue, chest pain, heart palpitations, inability to control body temperature (alternating quickly between sweating and shaking with cold chills), muscle weakness, hand tremors, hypoglycemia, low blood pressure, blurred/distorted vision, memory loss, confusion, frequent urination, near-daily low-grade fevers, constant headache.
I have seen an internist, a gastroenterologist, and a gynecologist.
In May, I went in for surgery to remove a ruptured ovarian cyst, at which point they also noticed appendicitis and removed my appendix. The biopsy of my appendix returned somewhat normal, except they had found multiple stones and stool within the appendix, but said it seemed normal.
During a follow-up gynecologic exam, my doctor did an ultrasound due to my abdominal distension, and saw that my large intestine was in between my uterus and my bladder.
I have since had a colonoscopy, an endoscopy, a great deal of bloodwork (vitamin levels, ANA, CSR, RA,H.pylori, liver and kidney panels, CBC) an EKG, and a stool study to test for bacteria and parasites.
All of these tests have come back clean/negative.
What do I do next? My doctors are literally guessing. I'm currently taking meclizine, in the off chance that I may have an inner ear infection that they can't see? The medicine is not helping.
They have not given me any more medicine.
I am completely lost, and constantly miserable. Any advice would be appreciated.
I'm sorry to hear all that you are going through. I don't know if your gastroenterologist or other docs checked you out for this (doesn't sound like they did) but I'd have a GES (gastric emptying scan) done to rule out Gastroparesis. Most of the symptoms you've listed are the same ones I deal with and I was diagnosed with Gastroparesis. Also, have your hormone levels checked too. If your estrogen levels are off it can cause some of the symptoms too. A possibility with your bowels is that you probably have IBS-D (irritable bowel syndrome - diarrhea dominant). I'd ask your gastroenterologist about that. I hope this info helps.
Praying you get a diagnosis soon and feel much better soon.