I recently had a Fibroscan, blood test and consultation privately as a result of my chronic alcohol issue as my GP has not been helpful in supporting or diagnosing as a result of my symptoms even though I present with stigmata of alcohol abuse of Dupuytren's contracture, spider naevi and palmar erythema. I chose the Fibroscan as a non-invasive diagnostic tool and for quick results but had to go private to get this done.
I've drunk (although have stopped drinking alcohol now for 5 weeks) a bottle of wine a day for approx 10 years. All this the GP has known, however they never bring it up when i go in to the surgery...go figure.
So, my Fibroscan score is 6.6 KPa - which is obviously above normal, my LFT's are ok and have never shown up any issues with elevated enzymes even GGT at any point the GP has sent me for these. I understand my cholesterol is out of whack slightly but dont know the level as not yet received the results from the clinic I attended.
The consultant's letter states that I have presented with Steatohepatitis which is one step up from Fatty Liver which the clinical specialist nurse who undertook the Fibroscan said I was presenting with (a score of 350 showing significant fat accumulation?) So hence my confusion and alarm. The consultant has advised a Liver biopsy as he states that between 5 and 8 KPa on a Fibroscan score the general rule is now to still have the biopsy to be sure what changes have and are still happening.
I think I felt quite good about the Fatty Liver diagnosis but the Steatohepatitis diagnosis I received in the letter today has taken me aback.
Has anyone any advice or a similar sitation/diagnosis and how did you follow up on this diagnosis?
I am going to go back to my GP with this information, but was informed that it may be unlikely they would do a biopsy on NHS as there is strict guidelines on referral for this diagnostic method. Papers I have read suggest Seatohepatitis can progress quickly to Cirrhosis even with alcohol abstinence, especially in women.
Any feedback greatly appreciated.