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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High Level Of Liver Enzymes. Ultrasound Normal. Chances Of Advanced Liver Disease?

Hello, I am writing because I have had diahrea like symptoms for about a year. My liver enzymes were slightly up and last year I had an Ultrasound of the abdomen , which came back normal. What is the chances I might have advanced liver disease? I used to drink quite often. I am 28 years old and have had about 5 years of excessive drinking.
Sun, 31 Mar 2013
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Internal Medicine Specialist 's  Response
Your chances of having advanced liver disease are low, if I call advanced liver disease "cirrhosis". However you may have some scarring in your liver which might be irreversible depending on the degree of inflammation you have had throughout the years, secondary to your alcohol intake or other reasons (such as viral hepatitis, medications, etc).
You should get follow up liver enzymes and liver synthetic function tests (such as albumin, coagulation tests, etc), platelet count (the platelet count goes down when there is portal hypertension or scarring in your liver) and these would reflect how is your liver working.
Talk to a gastroenterologist or hepatologist for further information. Hope that helped.
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High Level Of Liver Enzymes. Ultrasound Normal. Chances Of Advanced Liver Disease?

Your chances of having advanced liver disease are low, if I call advanced liver disease cirrhosis . However you may have some scarring in your liver which might be irreversible depending on the degree of inflammation you have had throughout the years, secondary to your alcohol intake or other reasons (such as viral hepatitis, medications, etc). You should get follow up liver enzymes and liver synthetic function tests (such as albumin, coagulation tests, etc), platelet count (the platelet count goes down when there is portal hypertension or scarring in your liver) and these would reflect how is your liver working. Talk to a gastroenterologist or hepatologist for further information. Hope that helped.