This was the results of my biopsy back in December: non-alcoholic steatohepatitis, grade 6/8 activity with no evidence of autoimmune pathology. There is also advanced fibrosis with bridging septa (stage 3/4) but not conclusive features of cirrhosis. Given my high fibroscan reading (30.7 KPa) the doctor said he would be treating me for advanced fibrosis / compensated Cirrhosis.
At my last appointment the gastro said that if my blood results are the same in 6 months he would be downgrading me to NAFLD and has changed the time frame for my gastroscopy, was due in November this year but said now November 2017 (the last one showed early varices) and then last week I had my ultrasound. This was done by a doctor rather than a radiologist which was unusual, it was the briefest ultrasound I have ever had literally in and out within 5 minutes, his first comment "was my fatty liver alcohol related?" sort of got up my nose a bit but then he went straight on to say ahh good no gallstones. I then said that was really good as my last 4 ultrasounds showed large polyps that changed to gallstones, so within about 10 seconds he said ahh yes you do have gallstones. He then said that my liver looked "almost normal" and he would compare it to the last ultrasound, and then said ahh yes much better.
Can my liver really go from the biopsy results above to looking almost normal in the space of 8 months? There is a bit of me that is really happy, but then there is another bit of me saying dont trust this idiot as he changed his mind about gallstones within about 10 seconds.
I dont want to be raising my hopes to see yet another gastro at my next appointment, I have seen 3 different ones over the past 7 months - I know my lifestyle has changed but there approach seems to have been all very different as well, and for them to be really negative again.
Really trying to be positive