Liver disease anxiety / Lebererkrankung Angst

For any members wishing to reply in English, here is a loose translation of the post. A previous post from this member is no longer visible (nor the several helpful replies made in response to it).

Dear members, I am concerned that a serious diagnosis has been overlooked, so I am writing here and asking if one can rule out something worse with the examinations regarding liver cirrhosis:

Ultrasound, diagnosis of fatty liver II was carried out Fibroscan 6.1 kpa IQR 0.8 Portal vein blood flow 26 cm/sec.

Blood values: no abnormalities, complete blood count with liver values, thrombocytes, coagulation, bilirubin, etc.

I drank at least 6 beers every day for 30 years.

Symptoms: yellow stools, red palms, itching, dizziness when getting up, sleep disturbances.

I haven't been drinking for over a year.

I would be grateful for answers as to whether a worse disease of the liver can be ruled out with the tests made.

You read so often that cirrhosis is overlooked.

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Sehr geehrte Mitglieder,ich habe Bedenken das bei mir eine schwerwiegende Diagnose übersehen wurde,daher schreibe ich hier und frage ob man mit den untersuchungen etwas schlimmeres bez. Leberzirrhose ausschließe kann:

Durchgeführt wurden Ultraschall, Diagnose Fettleber II

Fibroscan 6.1 kpa IQR 0.8

Blutfluss Pfortader 26 cm/sec

Blutwerte: keine Auffälligkeiten, grosses Blutbild mit Leberwerten,thrombozyten,Gerinnung,billirubin usw

Ich habe 30 jahre lang jeden Tag mindestens 6 Bier getrunken.

Symptome: gelber Stuhlgang, rote handinnenflächen, juckreiz,schwindel beim aufstehen, schlafstoerungen

Ich trinke seit über einem jahr nicht mehr.

Über antworten ob mit den gemachten tests eine schlimmere erkrankung der leber auszuschliesen ist waere ich dankbar.

Man liest so oft das eine zirrhose übersehen wird

[Fibro2021]

Hello, Ananymprivat.

Your regular and long term drinking looks unsafe.

Let me ask you, have you already examined the level of ammonia in the blood and the level of bile acids in the morning on an empty stomach and 2 hours after eating?

Have you measured the linear velocity of blood flow in the splenic and superior mesenteric veins? The blood flow in the portal vein appears to be accelerated, but your doctor will need to make a more accurate interpretation.

[Hidden in reply to Fibro2021]

guten Tag,Danke ihnen für die antwort

Es wurde keine gallensäure und kein ammonikspiegel untersucht

Ebenfall wurde auch keine milz und keine mese terialvenen gemessen.

Der arzt sagte die geschwindkeit ist nur geringfügig zu schnell und lies dies ausser acht

[Fibro2021 in reply to Hidden]

It's strange that your doctor said about increased blood flow and ignored it for further investigation. Increased blood flow may be a sign of portal hypertension and requires further study. Perhaps you have already had a gastroscopy to look for varix in the esophagus?

Regarding the other results, the absence of abnormalities, including liver function and bilirubin levels, is a good sign that there is no significant liver dysfunction at this time. However, cirrhosis can develop silently in the early stages, and normal blood test results do not rule out its presence. The result of the fibroscan reduces the likelihood of cirrhosis but indicates the presence of fibrosis, which requires regular monitoring and possible lifestyle adjustments to prevent disease progression.

Fatty liver disease of type II is already a sign of liver damage, but at this stage, it can still be reversible if harmful factors, such as alcohol and poor diet, are eliminated.

Yellow stool may indicate disturbances in the bile ducts or liver function, related to problems in bile processing and excretion.

Dizziness upon standing and sleep disturbances may be a result of both liver diseases and other issues (such as blood pressure problems or neurological conditions). In the context of liver disease, these symptoms may be related to liver dysfunction, and in this case, it would be advisable to check the ammonia level, as an elevated ammonia level in the blood may indicate the development of hepatic encephalopathy.

While ultrasound and fibroscan provide certain information, if there are doubts about the diagnosis, additional tests can be considered, such as: Laboratory tests for autoimmune liver diseases, viral hepatitis (e.g., Hepatitis B and C).

Liver biopsy may be required for more precise morphological interpretation if there are doubts about the diagnosis of cirrhosis or for diagnosing non-cirrhotic liver diseases, such as nodular regenerative hyperplasia (NRH). A liver biopsy is often considered as a last resort when other diagnostic methods do not provide a clear picture, and in the context of NRH, it may be the only method that allows for an accurate diagnosis. In the case of diagnosing nodular regenerative hyperplasia (NRH), it is important to note that this disease can be difficult to distinguish from cirrhosis based on other diagnostic methods (blood tests, US, MRI, CT, Fibroscan), and biopsy may indeed be the only way to achieve an accurate diagnosis.

Since you have already stopped drinking alcohol, this significantly improves the prognosis. It is also important to follow a balanced diet, avoid fatty foods, and consult a doctor about possible liver treatments to minimize the risks of developing fibrosis or cirrhosis.

Regards

[Brochachoe]

Hello! Any update on this? How are you doing now? Also think doctors have missed something, as I also have yellow stool and blotchy/red palms. Hope you are doing well.