I have proven NASH cirrhosis, with portal hypertension and had grade 2 varices banded a few months ago.

[gamesmaker]

My fibroscan result was 27 kPa. More recent check endoscopies (since the banding) have shown no further problem with varices and I am due my next endoscopy in June. However a recent blood test by my GP (routine) showed the regular long-standing LFT abnormalities. It also showed abnormalities in other blood results - low Hb (105g/L), Low haematocrit (0.318 and high RBC distribution width (16.5%. ).The GP doing my diabetic check never commented on these - but when I requested a print out of the results to take to my next liver OPD appointment, he printed them out for me. So I only got a chance to look at them in detail when I got home. I have had a recent age related routine stool screening for FOB (a month ago) and that was negative, so no apparent bleeding in the gut. I now have a dilemma - do I make another GP appointment (with my regular GP who was on holiday when I had my diabetic check). My gut feeling says yes - especially as I have never had a low Hb before - but I do not want make an unnecessary fuss!

[judyt]

105 Haemoglobin is low and really needs seeing to. You don't say if there was a Ferritin score on your results. In case you don't know Ferritin is an indication of your Iron Stores and if they get low as well as the Haemoglobin then you have Anaemia as far as I understand it. Ferritin score less than 20 is too low. Normal range is 20 to 380 I think. Recently my score has been 10, 369 after an Iron Infusion, 88 and then 56 so next month I wouldn't be surprised if it is back to near 20 again.

[gamesmaker]

Many thanks Judyt. There was no ferritin recorded in my results as the blood test was not particularly looking for any problem in that field - just part of my routine annual diabetic check up. I am going to try and get an appointment with my regular GP to discuss - rather than the one I saw for my diabetic check. My regular GP seems to understand NASH - but he is also one of the most popular GP's at the practice - and I do not want to have to start explaining NASH to yet another GP in a large practice!