How do I know what I have dr dx NAFLD based on blood work but I had a clear ultrasound

[mtk0925]

How to know if you have NASH or fatty liver? Ultrasounds have been clear, blood work only normal when I’m off all meds my liver seems to get so irrated with meds so my dr says I have NFLD just based on that… my enzymes

ALT- 17

AST 18

Then going back on Prozac and Xanax

ALT 43

ALT 39

I’m at a loss I’ve seen 4 drs for this condition I’m getting another scan this month my most recent was in January of 2020

[nash2 Partner]

Those drugs are processed by the liver so could be you are particularly sensitive to them. You might try to get a FibroScan rather than an ultrasound as US doesn't tell you much about fibrosis.

[mtk0925 in reply to nash2]

Is that what NASH is? Fibrosis?

[nash2 Partner in reply to mtk0925]

Fibrosis is the result of NASH as the name describes the inflammation but they do go together. The fibrosis may or may not build up and it is the increase that leads to the different stages the docs use. An F4 NASH is cirrhosis.

[mtk0925 in reply to nash2]

Oh ok. Idk if that’s what I have… I’ll keep getting tests thanks so much for your response

[mtk0925 in reply to nash2]

I wonder if I’d have more symptoms if I am stage 4 NASH? I’m not sure if what your suggesting is what I have…. I don’t have symptoms but if that’s what I have would I have symptoms?

[nash2 Partner]

You would probably have symptoms at stage 4 and your docs would be concerned. Could it be that Dr Google has got you scared? Blood tests can jump around for a lot of reasons but if you have reason to think you have advancing liver disease get a second opinion from a hepatologist or perhaps your primary can take the time to explain why NASH isn't a concern.