In august i had a blood check up and my liver enzymes were tripled. Docter wanted me to come back in a month. So in september did a new check, and still too high. Got an ultrasound to check it and the result gave Fatty Liver.
I am now doubting if it might be more serious and the Ultrasound didnt catch it. I am having symptoms as dull/small pains near liver area, fatigue, somedays light edema at ankles, sock marks (might also be from sitting too much) and i am also noticing some hairloss on my legs (which is a liver problem symptom as well?)
Is the ultrasound reliable, or did they maybe miss (worse) liver problems? Are my symptoms common for fatty liver or more common for cirrhosis?
I am 33. Only drinked 1 or 2 wine glasses in the weekends (well not anymore )so its due to bad diet and i am already changing that up.
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barrelandro
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Can I ask - did you have symptoms before you had the blood tests , the high results and the scan?
Your liver is inflamed just now hence the high blood results, fatty liver would tie in with niggly pain BUT you have to be careful that you don't start reading all the literature and convincing yourself you have symptoms or tying odd wee things into your now known about liver issue.
Like you say if you are in one position for two long it won't help circulation so you might find sock marks - oedema is a serious side effect of decompensated cirrhosis and without any other major symptoms (jaundice, itching, ascites) you haven't got oedema. Fatigue will come with stress, if you are stressing about this new found condition.
Cutting out your wine (even though that's a small amount), eating better and exercising more should hopefully bring down your readings and improve your liver health no end. Have a read at the BLT publication on Non Alcohol Related Fatty Liver Disease for advice.
Hopefully you are going to be retested in another month or three to see whether your lifestyle changes have had the desired positive effect . britishlivertrust.org.uk/in...
If they haven't reduced you'd want even more in depth follow up.
To answer your question: Yes i had a few symptoms when i got to the docter first. It was the very light pain near liver area. Also because of the slighty sock marks- but the doc didnt seem to be concerned with that and told me it was probably from sitting to long because of working from home etc.
So i got a full blood test with everything fine cept the liver ones.
What would be the best option to get the best diagnosis for liver damage? A CT, MRI or i have also heard of FibroScan or Biopsy?
At the moment you've had the best tests, only if your bloods remain out of sync would you need any further follow up. Fibroscan is good for establishing if there is any fibrous tissue BUT when you have ongoing inflammation it can exaggerate the kPa reading as it can't tell the difference between fibrous tissue and inflammation so this would be a false high. Ultrasound will generally be sufficient - certainly it has always clearly shown my hubbies cirrhosis.
Biopsy would be used if the cause of the liver illness wasn't obvious, to try and establish what is going on at a cellular level.
In 8 years my hubby has only ever had a CT scan to check out his whole body at t/p assessment & only ever had an MRI scan to check out some abnormal lesions.
Symptoms, bloods and ultrasound all confirmed his illness & biopsy to establish cause - in his case and auto immune condition.
I'd push for more investigations if I were you, Fibroscan/review by a hepatologist, maybe a biopsy. I was diagnosed with fatty liver via ultrasound a few years ago and raised ALT/AST, for 2 and a half years I was just told to come back for 4 monthly bloods and nothing much else. Finally I was referred to a hepatologist earlier this year and they found fibrosis via a fibroscan and a biopsy. Ultrasounds rarely pick up fibrosis/scarring until it's very severe. I'm younger than you as well - 24.
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)so its due to bad diet and i am already changing that up.
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