Does a low MELD score rule out Cirrho... - Living with Fatty...

Living with Fatty Liver and NASH

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Does a low MELD score rule out Cirrhosis?

Johnnyjaundice profile image
4 Replies

Used a few different meld calculators and my score is low with as far as I know fatty liver. Where do compensated Cirrhosis patients usually end up on the scale? Is it possible you can still have cirrhosis and test really low? Thanks.

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Johnnyjaundice profile image
Johnnyjaundice
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nash2 profile image
nash2Partner

MELD is designed for the seriously ill in the transplant system. It is supposed to predict the risk of death in the near future. Trying to use it as a general tool doesn't tell you very much about your level of fibrosis since it looks at blood and kidney factors. If you want easy calculators try NAS or FIB-4 as they relate to fibrosis. Like all of these they aren't diagnostic but can give you probabilities.

fattyliverfoundation.org/no...

Johnnyjaundice profile image
Johnnyjaundice in reply tonash2

Thanks. There is also an ast/alt calculator one can use to plug your numbers and see if they are consistent with cirrhosis. I did a little while ago and my ast/alt numbers/ ratio is not consistent with Cirrhosis. What's your take on this? Thank you.

nash2 profile image
nash2Partner in reply toJohnnyjaundice

Docs use AST/ALT ratio as one data point. It isn't highly predictive since those values change due to a lot of things but it can be a flag to take a closer look. Just be aware that normal values don't necessarily mean your liver is OK. If the disease is slow they may not change much.

nettl1 profile image
nettl1

Don’t look at blood levels on one test. Follow all blood results for improvements. Make sure you treat your body right with diet and exercise. Believe me, I’m living it. I feel much better today than the time I was first diagnosed, three years ago. Good luck to you!

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