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Cirrhosis Concerns!

Hello

First of all, I want to thank you for the wonderful work you do on this forum!  

Health history

I have had high cholesterol for about 10 years.  Im 35 years old now. In 2010 I was having some stomach issues and lead me to see a GI doc.  After endoscopy, full abdominal ultrasound and physical examination, nothing was found.  I was told to watch my diet and limit my alcohol intake. Like a idiot that I'm I continue to eat bad and drink on weekends.  Fast forward to 9/2013 I was out the country visiting family and since I had no medical insurance in the US I decided to get a complete physical which included endoscopy, ultrasound and liver function test, CBC and lipids.  This time I was told I had chronic gastritis and a moderate fatty liver and high cholesterol.  Spleen, Portal Vein, Pancreas, kindney's all seem to be normal.  Again I was told to change my diet and cut back on alcohol. All my lab work associated with my liver has always been within normal range.  6 months later which was a month ago I started getting a discomfort (sort of pain) on my URQ which come and goes. Sometimes it feels superficial, sometime it feel and very spotty with like a 3 inch radius.  It's never really my entire side.  I been a binge drinker for at least 10 years and last couple of years I average about 24 beers per week. My father passed away from cirrhosis and was also a diabetic.  He started to drink 17 years prior to passing away when he was diagnosed with diabetes.  

My ques; are the following

1) Could this pain be associated with cirrhosis with no other symptoms?
2) I understand cirrhosis could be sneaky, but would any previous lab work have raised any red flags?
3) Could I have advanced to cirrhosis from 6 months ago, with lab work within normal range and a fatty liver US?
4) Does diabetes play a big roll on cirrhosis?  I don't feel my father abused alcohol long enough to have developed cirrhosis. Could diabetes speed this process up?
8 Responses
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Avatar universal
but what i have heard is that tenefovir first to lower hbsag so that interferon response can boost up
thanks dr does it reduces our life expectancy ?
Helpful - 0
517301 tn?1229797785
MEDICAL PROFESSIONAL
you can although tenofovir is not ideal for HDV, interferon is a better treatment
Helpful - 0
Avatar universal

hi i have hep and delta virus active too,i have compensated cirhosis. taking tenefovir since one month will takke it for about three years as per my doctors advice am i on the right meds please advice me will i be able to regress my cirhosis? or die?
Helpful - 0
1580703 tn?1651904887
you should get another ultrasound of the liver I need to get one too.  I've been taking NAC at 3g a day and choline hoping it will treat my fatty liver.  I don't exercise at all because I'm on oxygen from sleep apnea/asthma
Helpful - 0
517301 tn?1229797785
MEDICAL PROFESSIONAL
I agree with the above as well
Helpful - 0
1580703 tn?1651904887
you really need to quit drinking completely.  I feel nauseous after drinking one beer and only had NAFLD and high AST ALT 80/260 or higher.  all of those terrible alcohol companies make millions making us sick
Helpful - 0
Avatar universal
Thank You Doc!
Helpful - 0
517301 tn?1229797785
MEDICAL PROFESSIONAL
i dont think you have cirrhosis--you must cut back drinking or with your family history it is possible to develop it. the concurrent presence of diabetes could accelerate the course of chronic liver disease of any cause.  You have not advanced to cirrhosis
Helpful - 0

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