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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High ALT Level, Ultrasound Shows Fatty Liver, History As Heavy Drinker. Could I Have Cirrhosis ?

I have had a high alt level in the 70s for 5 years or so now. US shows fatty liver, all other enzymes are normal and no hep. I used to drink heavy from age 15 to 25 i am 29 now and no longer drink. Could i have cirrhosis or would my blood work look different? Gi doc says we should do a biopsy just to see what's in there but i would rather not. Please help with any thoughts. Thank you.
Sat, 29 Jun 2013
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General & Family Physician,  's  Response
hi.. you have high liver enzymes levels, and USG shown the fatty change.. as your doctor has rightly said.. biopsy is needed for the diagnosis of cirrhosis... since you have fatty change in USG, which is the early stage of liver injury due to alcohol intake... but fatty change is reversible if you abstein from the alcohol.. wish you best of luck for the stopping of alcohol intake...
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High ALT Level, Ultrasound Shows Fatty Liver, History As Heavy Drinker. Could I Have Cirrhosis ?

hi.. you have high liver enzymes levels, and USG shown the fatty change.. as your doctor has rightly said.. biopsy is needed for the diagnosis of cirrhosis... since you have fatty change in USG, which is the early stage of liver injury due to alcohol intake... but fatty change is reversible if you abstein from the alcohol.. wish you best of luck for the stopping of alcohol intake...