• question-icon

    Suggest treatment for stage 4 cirrhosis

Posted on Thu, 29 Jun 2017 in Digestion and Bowels
Question: Hello I am male 49yrs w/ stage 4 cirrhosis and stage 4 fibrosis HIV /AIDS CD4 <100 chronic Hepatitis B dx 17yrs recently cured Hep C for 10yrs w/ HarvonI TX current symptoms peripheral edema ascites severe fatigue. Question why are my AST & ALT < 40? Does this mean my liver is going to completely fail soon?
Answered by Dr. Ramesh Kumar 1 hour later
Brief Answer:
No as production is less level in blood is less.

Detailed Answer:

Have gone through your details and i appreciate your concerns.
As per your question answer is-
Liver consists of millions of small cells called hepatocytes.These hepatocytes produce liver enzyme.A small part of these enzyme diffuses into blood.This is termed as normal enzyme levels.
However due to grade 4 cirrhosis and fibrosis more then 70% of your liver is non functional hence amount of enzyme produced is also hampered leading to low enzyme levels in blood.
There is no correlation of liver enzymes with liver failure.
Serum ammonia and fibroscan are used to monitor that.

To see the exact picture you should get a
MRI scan of liver.

This will give a clear picture of working of liver.

However as of now there is no need to worry as production is less levels in blood is also less.

Hope i explained you the reason .
In case you have any confusion feel free to follow up.

Above answer was peer-reviewed by : Dr. Prasad
Answered by
Dr. Ramesh Kumar


Practicing since :1986

Answered : 2441 Questions


The User accepted the expert's answer

Share on

Recent questions on  Chronic hepatitis

doctor1 MD

Hi doc. I'm 30yrs , frm africa. Geno(aa). Bld gp(b-ve). 1.72m. Weight(72kg).i discover dat i had hbv 9mnths ago n have b takin lamuvidine,i want 2...

doctor1 MD

my father is caused by hepatitis b positive , please suggest , how to make it negative as well as liver is working fine

doctor1 MD

what causes HIGH white blood counts?

doctor1 MD

Good Afternoon Doc, I am XXXXXXX 27 Years old and would like to describe the events to you. Please share you expertise on the below incident this...

doctor1 MD

one of my collegues has suffering from chronic hepatitis, he is doing enough treatment, and almost all tests are done, but his SGOT level are not...

doctor1 MD

hello dr i m suffering from hepatitus my alt is117 & my bliurobin is 139 from last 2 months it is still condition dr advise me liver biopsy on the...

doctor1 MD

What could have caused me to have a false positive on a drug screen when I only took the percoset 10-325 I was prescribed plus vitamins that I have...

Get personalised answers from verified doctor in minutes across 80+ specialties

156 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Ramesh Kumar
  • Q - Suggest dosage for Morphine while suffering from liver cirrhosis

  • Q - Suggest treatment for vomiting and diarrhea

  • Q - What causes fluttering sensation in the abdomen?

  • Q - How can severe constipation with nausea, bloating and gas be treated?

  • Q - Suggest treatment for abdominal bloating and weight gain

  • Q - What does my ultrasound scan report indicate?

  • Q - Suggest treatment for hemorrhoids

  • Q - Suggest treatment for an anal fistula

  • Q - What causes abdominal pain, nausea and diarrhea?

  • Q - Suggest treatment for constipation and pain in the anal area