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What Do The Following Test Reports Indicate?
Question: coarse echotexture of liver no focal lesion CBD normal portal vein prominent -- to rule parenchymal liver disease..
spleenomegally with multiple collaterals.
gall bladder is moderately
distented..
kidneys,pancreas,postate all normal
3 months i have taken treatment..
my tablets are udiliv,zincovit,liveril forte..
first my spleen was 19.5cm , recent report shows 16cm
bilirubin-1.9
albumin-4.5
globulin-2.5
sgot-27
sgpt-13
serum alkaline phosphate-59 my liver size was 9.5cm. And three months aftr my spleen reduced to 16.5cm and collaterals size reduced
These r my report sir in 2015 XXXXXXX Tell me whether it is controllable or it surely progress to cirrhosis.. so i need transplant... i won't drink or smoke.. and absence of hep b,c d.. . Then due to work i went to another hospital.. there after one yr i took scan now again my spleen goes to 20cm .. here they stopped udiliv tablet jst they giving only one tablet propanol for last three months .. another pblm due to spleen was platelets 32000 and wbc 2000.. kindly help me what i should do for this.. reason for my liver problem was unknown.. but now here they are saying may after 5 or 10 yrs you need transplant... in first hospital they told it is controllabe you CNT get your older size liver but u can postpone your degradation of liver.
spleenomegally with multiple collaterals.
gall bladder is moderately
distented..
kidneys,pancreas,postate all normal
3 months i have taken treatment..
my tablets are udiliv,zincovit,liveril forte..
first my spleen was 19.5cm , recent report shows 16cm
bilirubin-1.9
albumin-4.5
globulin-2.5
sgot-27
sgpt-13
serum alkaline phosphate-59 my liver size was 9.5cm. And three months aftr my spleen reduced to 16.5cm and collaterals size reduced
These r my report sir in 2015 XXXXXXX Tell me whether it is controllable or it surely progress to cirrhosis.. so i need transplant... i won't drink or smoke.. and absence of hep b,c d.. . Then due to work i went to another hospital.. there after one yr i took scan now again my spleen goes to 20cm .. here they stopped udiliv tablet jst they giving only one tablet propanol for last three months .. another pblm due to spleen was platelets 32000 and wbc 2000.. kindly help me what i should do for this.. reason for my liver problem was unknown.. but now here they are saying may after 5 or 10 yrs you need transplant... in first hospital they told it is controllabe you CNT get your older size liver but u can postpone your degradation of liver.
Brief Answer:
Need more information
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
I need some more information before I can give my opinion.
I would like to have some more information before I can give my opinion.
1. Was fibroscan or a liver biopsy done?
2. Was endoscopy done?
3. Are you a diabetic?
Regards,
Dr.R.K.
Need more information
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
I need some more information before I can give my opinion.
I would like to have some more information before I can give my opinion.
1. Was fibroscan or a liver biopsy done?
2. Was endoscopy done?
3. Are you a diabetic?
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
ANTI HCV - NEGATIVE
HIV I&II - NEGATIVE
PROTHROMBIN TIME
TEST 18 SEC
CONTROL 14 SEC
INR 1.29
SERUM AFP(ALPHA FETO PROTEIN) - 3.29 0-8
SERUM CERULOPLASMIN - 23.6 15-45
SERUM FERRITIN -111.8 20-250
TOTAL IRON -107.8 70 TO 180
Doctor also ask me to take these following test sir DATED ON 6/8/15
ANTI LIVER KIDNEY MICROSOME - NEGATIVE
ANTI SMOOTH MUSCLE ANTIBODY - NEGATIVE
ANTI NUCLEAR ANTIBODY -NEGATIVE
TOTAL IRON BINDING CAPACITY - 291.6 (171-504)
TRANSFERRIN SATURATION - 10.2 ( 15- 50 )
IRON -29.82 (59-158) these are some other reports taken.. no liver biopspy taken till now. Fibroscan was taken three months before and result was 6.9kpa... endoscopy was taken 8 months before result was fundal varix and grade 1 esophagel varices 2 column.. i am not diabetic
HIV I&II - NEGATIVE
PROTHROMBIN TIME
TEST 18 SEC
CONTROL 14 SEC
INR 1.29
SERUM AFP(ALPHA FETO PROTEIN) - 3.29 0-8
SERUM CERULOPLASMIN - 23.6 15-45
SERUM FERRITIN -111.8 20-250
TOTAL IRON -107.8 70 TO 180
Doctor also ask me to take these following test sir DATED ON 6/8/15
ANTI LIVER KIDNEY MICROSOME - NEGATIVE
ANTI SMOOTH MUSCLE ANTIBODY - NEGATIVE
ANTI NUCLEAR ANTIBODY -NEGATIVE
TOTAL IRON BINDING CAPACITY - 291.6 (171-504)
TRANSFERRIN SATURATION - 10.2 ( 15- 50 )
IRON -29.82 (59-158) these are some other reports taken.. no liver biopspy taken till now. Fibroscan was taken three months before and result was 6.9kpa... endoscopy was taken 8 months before result was fundal varix and grade 1 esophagel varices 2 column.. i am not diabetic
Brief Answer:
Answer given below
Detailed Answer:
Hi,
Thanks for additional information.
The fibroscan value is not suggestive of cirrhosis.
But since you already have varices, it is more likely that you have probably developed cirrhosis.
As far as the cause is concerned, HBsAg report is not there in your post.
The other causes like HCV, Auto immune liver disease, metabolic liver disease are negative.
You have to be on regular follow up.
Regards,
Dr.R.K.
Answer given below
Detailed Answer:
Hi,
Thanks for additional information.
The fibroscan value is not suggestive of cirrhosis.
But since you already have varices, it is more likely that you have probably developed cirrhosis.
As far as the cause is concerned, HBsAg report is not there in your post.
The other causes like HCV, Auto immune liver disease, metabolic liver disease are negative.
You have to be on regular follow up.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I took those test also sir hep b,c also negative...i visited three doctors they CNT find the reason for my liver damage because they tested all major reasons which affects liver but all are negative..... i want know onething sir whether in future i have to do transplant or it can be controllable by medicines .... tell about this clearly.... if i have to do transplant by chance how many years after i will get cirrhosis and please tell me about survival chance after transplantation... can i live normal life.. or transplantation can be avoided by followups tell me frankly ..
Brief Answer:
Answer given below
Detailed Answer:
Hi,
Thanks for the additional information.
Yes, all the tests are negative.
In a small percentage, the cause could not be found. We call it cryptogenic.
This is irreversible. The affected liver will not revert back to normal with whatever treatment options are available as of now.
Liver transplant is the only option available. You can consult your Hepatologist and register yourself for Liver transplant.
There is a certain scoring system your Hepatologist will use to decide on your need for liver transplant. You can discuss with him about it.
The survival rate after liver transplant is 90% at 1 year and 75% at 5 years.
Yes, you can live normal life.
Regards,
Dr.R.K
Answer given below
Detailed Answer:
Hi,
Thanks for the additional information.
Yes, all the tests are negative.
In a small percentage, the cause could not be found. We call it cryptogenic.
This is irreversible. The affected liver will not revert back to normal with whatever treatment options are available as of now.
Liver transplant is the only option available. You can consult your Hepatologist and register yourself for Liver transplant.
There is a certain scoring system your Hepatologist will use to decide on your need for liver transplant. You can discuss with him about it.
The survival rate after liver transplant is 90% at 1 year and 75% at 5 years.
Yes, you can live normal life.
Regards,
Dr.R.K
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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