Could I Have Cirrhosis?

[Guitarlife91]

In 2018 I was drinking a lot, woke up with right upper quadrant pain and went to the ER. They said my liver was fine after blood work and ultrasound. I followed up with a gastroenterologist and got labs for everything under the sun and he thought my liver was ok too, but I wasn’t convinced but after 5-6 months of no booze I finally started feeling better....I was sick and tired and in persistent pain for months...tho the tiredness improved first. My ALT was 70, ast 30 and alk phos was 125 at their highest. All functions were normal. They got a lot better over the course of 5 months....so I here I am 3 years later and the same thing happens. Drinking post break up like an idiot. I explain to my doctor and get labs and they are complete normal. Alt 15 ast 15 and alk phos 110. Just wondering if it’s possible I could have alcoholic liver disease without the classic AST to ALT ratio? I’m in a lot of pain and am really worried about my liver. Gonna try to get a fibroscan soon.

[AyrshireK]

The higher than normal ALP might indicate something is off - ALP is often associated with gall bladder/gall stone issues which might also explain your pain.

[Guitarlife91 in reply to AyrshireK]

I have had a HIDA scan which ruled out gallbladder issues. It’s ejection fraction was very good lol.

[Hidden]

I'm not a doctor but I think you can still have liver disease without your blood work coming back abnormal, you might have fatty liver disease, I would try and get the fibroscan and in the meantime I would keep away from all toxins alcohol, smoking etc but I would also try a nafld diet and try to repair as much damage as you can in your liver and remove the excess fat that is stored there, I read before that drinking a pint of lager was equivalent to the sugar of eating a mars bar, so fat will build up.

Try eating paleo diet if God didn't make it don't eat it, stay away from refined carbohydrates and very fatty meals, try olive oil, plenty of fatty fish like salmon and see how you go, but the main thing to is working with your doctor and if you do not get any joy on the NHS and you still feel something is up then maybe think about seeing a private liver specialist.

Have a good day and stay safe.

[Guitarlife91 in reply to Hidden]

Yeah so I weigh 165 pounds and I’m 5’10” I also run around 20 miles per week. They said my liver was not fatty the first time around when I was around 180 and I can’t imagine it is now.

[Str8jacket]

Your drinking history doesn't suggest alcoholic cirrhosis, nor do your numbers, but anything is possible. That said, if you do not have a healthy relationship with alcohol, and it sounds like you're concerned about it, you may want to address that first and foremost. If like many folks on here (myself included) you cannot drink in a healthy manner, best to stop entirely before you regret creating a grim fate for yourself. Your future self will thank you.

[Guitarlife91 in reply to Str8jacket]

Yep life is short and it would only lead to my early death assuming I haven’t already melted my liver. I have drank a lot since I was 23. This happened when I was 27 going on 28. I’m 29 now. I guess I should just get a fibroscan and see what’s up but the persistent pain and fatigue is horrible.