Dr. Schiano

[Otto44$]

Thank you for the quick response. I greatly appreciate it. I'm ecstatic to beable to go into our new pool, also for exercise seeing that I pulled a muscle in my groin walking the treadmill.  My fear of waiting till Oct. to see a gastro is that severe damage will happen to my liver in the meantime, until I get treatment. I picked up my ultrasound report and if you could please explain what all this means?

Abdominal Ultrasound-Limited:

Comparsion is made to the previous study of 8/28/08

1.  Diffuse fatty infiltration of the hepatic parenchyma.

2.  The gallbladder, pancreas, intra and extra hepatic biliary ducts, right kidney, aorta, inferior vena cava and common iliac arteries are normal.

IMPRESSION:

Fatty liver. The gallbladder is normal.


I'm now waiting for more bloodtest results from yesterday.

Would you recommend a gastro. or a  Hepatologist?

I have a procedure next Tuesday to remove a sebaceous cyst, I've read that a antibiotic is usually prescribed after to prevent infection. I've also read that antibiotic's aren't good to take with high liver enzymes. Would you recommend I reschedule the procedure for now? or would it be ok to take the antibiotic?

Not sure when I can resume taking Ibuprofen again for headaches, pulled groin muscle, ect. Please advise?

My PCP, he took me off the metformin and lipitor at this time thinking it's the med's that are causing the high liver enzymes. However, if they are the underlying cause, wouldn't the level's of went back down as time went on and not up?

I know this sounds like a weird question, but was wondering what your advice would be in coloring my hair? because of the toxins in hair dye

Also, would you recommend taking vitamin E and if so, what dosage?

Would it be ok to finish painting in my house?

Could untreated Hashimoto's and my high antibodies may have anything to do with my high liver enzymes?

[Thomas D Schiano, MD]

keep up the good work

[Otto44$]

Thanks for your quick response and assisting me in this matter. Again, I truly am very appreciative of your assistance. I've started a diet, not that I ate much before, probably just didn't eat enough veggies because they would just taste plain with nothing  on them seeing that I've never liked, margarine, butter, cream cheese, sour cream ect. I never realized how vital a person's liver is and how it can cause so many other diseases, until now that I've done alot of research. If I'd known, I would've changed my eating habits yrs. ago. Hopefully, this is just a warning for me. I purchased Dr. Sandra Cabot's liver diet book and gonna try fasting with juicing to detox my liver. Seeing a nutritionist on Friday. I must admit, I'm amazed at the weight I've lost on my strict diet consisting of just mostly fruits and veggie dishes & I've been able to keep my blood sugar level's way down without medicine, as if I'm not a diabetic.

[Thomas D Schiano, MD]

there should be no problem with dyeing your hair.  I think eitther a gastroenterologist or hepatologist would be OK.  If you made strides with diet and exercise i would hold off on Vitamin E (what would be the endpoint in starting it?).  if your thyroid disease was suboptimally treated it could make your liver tests abnormal.  there is no reason not to finish painting your house. A couple of days of antibiotics if need be should be OK to take.  remember that motrin and that family of medications can itself cause abnormal liver enzymes rarely.  Metformin really shouldnt cause abnormal liver enzymes.