liver gone up

[Jamie2024]

hello all I went for my six month scans, and got letter saying my KPA gone up to 21.5 and my LQR is 7%. Can anyone please tell me what this mean has I don’t know much about the liver .

[AyrshireK]

Hello Jamie2024, it's sad that you haven't had a face to face chat with a doctor to explain any of your situation.

From reading your biography is says you have been told you have NASH - which stands for Non Alcohol Related Steato Hepatitis which basically means you have the more advanced form of Non Alcohol Related Fatty Liver - in NASH you quite often have ongoing liver inflammation (this is what Hepatitis means Hepa is liver, itis is inflammation).

It might be that your blood markers are still showing some ongoing inflammation and in this case the fibroscan you have had may potentially be falsely high.

The kPA score shows how dense the liver is or how much fibrosis/damage is present. In NAFLD (non alcohol related fatty liver disease) as score over 11.5 can indicate F4 liver damage which is cirrhosis. However, your score may not be accurate because the fibroscan technology can not tell the difference between fibrous liver tissue and that which is inflamed.

If you have not been told that this is cirrhosis then you need to get that clarified or not.

(the IQR figure is only important to doctors as it shows how accurate the spread of results is and anything under 30% is considered a safe result).

If you haven't seen it the British Liver Trust website has some excellent resources on Non Alcohol Related Fatty Liver and NASH at :- britishlivertrust.org.uk/in...

There is also a good downloadable leaflet about how you can help treat your own liver condition with healthy diet and exercise at:- britishlivertrust.org.uk/do...

There is information about cirrhosis at :- britishlivertrust.org.uk/in...

Do you have someone who can help you with medical appointments and help advocate for you so that you get all the information, help and support with your health care? This isn't something that can be managed by letters you need to be seen and supported properly through this and with this.

I hope that helps a little bit, if you have any questions just ask away but be aware we are not doctors but people who have lived experiences which may or may not be the same as your own. Doctor should be the one interpreting and explaining your results to you as they will have all your medical test results etc. which we do not.

All the best,

Katie

[Jamie2024 in reply to AyrshireK]

Thank you it helps and I will download the information Xx