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What Does My MRI Scan And Blood Test Reports Indicate?
Question: I went to the doctor because I had pain on my legs while sitting and also because I had some discomfort on my left side (light burning sensation) while urinating. So the doctor ask me to get some tests done like x-rays, sonogram of my kidneys, MRI and also blood tests.
Doctor found I have a high ALT and he did more tests and found that
- HEP A Antibody IGG-IGM Total was positive
- HEP A Antibody IGM was negative
I had another doctor in Canada that diagnosed 2 year ago with "fatty liver" and she told me to eat well, avoid foods with fats, and exercise. But this new doctor just game the reports and has practically abandoned my case to the point that he does not want to see me anymore.
I would like to get advise about what the reports say about the HEP A antibodys and also on how to proceed about my doctor as he is not showing interest on seeing me or caring for me anymore.
Doctor found I have a high ALT and he did more tests and found that
- HEP A Antibody IGG-IGM Total was positive
- HEP A Antibody IGM was negative
I had another doctor in Canada that diagnosed 2 year ago with "fatty liver" and she told me to eat well, avoid foods with fats, and exercise. But this new doctor just game the reports and has practically abandoned my case to the point that he does not want to see me anymore.
I would like to get advise about what the reports say about the HEP A antibodys and also on how to proceed about my doctor as he is not showing interest on seeing me or caring for me anymore.
Brief Answer:
Passed hepA infection. ...
Detailed Answer:
Hi,
I have gone through your medical history carefully and understood your concerns.
1. Having high ALT level is indicating that you have fatty liver and / or do consume alcohol.
2. With regards to positive hep-A antibodies they are indicating that you have had hep A in the past and you are protected from future infection. There is nothing to worry about it.
3. I advise to :
- make healthy changes in your diet and lifestyle regimen. That will help lose weight and reduce fat from your liver
- practice good hygienic measures as hep A is usually transmitted from water and food
If your actual GI doctor won't help, advise to change doctor.
All the best!
Dr.Klerida
Passed hepA infection. ...
Detailed Answer:
Hi,
I have gone through your medical history carefully and understood your concerns.
1. Having high ALT level is indicating that you have fatty liver and / or do consume alcohol.
2. With regards to positive hep-A antibodies they are indicating that you have had hep A in the past and you are protected from future infection. There is nothing to worry about it.
3. I advise to :
- make healthy changes in your diet and lifestyle regimen. That will help lose weight and reduce fat from your liver
- practice good hygienic measures as hep A is usually transmitted from water and food
If your actual GI doctor won't help, advise to change doctor.
All the best!
Dr.Klerida
Above answer was peer-reviewed by :
Dr. Raju A.T
Dr. Klerida;
Thank you for your prompt answer; I truly appreciate it as I was very concerned about it.
I would like to ask you as well if Hep. A can become chronic or if someone can carry this for its entire life.
I am asking this because the doctor did said this on a letter he send me (see attached).
I can tell you that I am from Peru but work in USA since 1998; and so I have travel to Peru every year.
On my last visit on April I stayed for 2 months and I got really sick of my stomach after I ate food from a street vendor (eggs and potatoes that were peeled by the vendor himself)... I had nausea, dizziness, fever, diarrhea and vomiting. A friend that is a doctor saw me and told me that I had a stomach infection but the medication he gave me did not work.
I have also been working for the last 3.5 years in Canada because of a special assignment from the company I work for. It was there were a Doctor diagnosed me with 'fatty liver'.
I have never drink on my entire life but starting 2005 (last 9 years) I got into drinking heavily on the weekends (usually hard liquors either Sat. or Sun. until I will past out). Now that I know what could have been the cause I had stopped completely the drinking, as well as, have changed my eating habits, stopped drinking coffee and went back into running in the mornings.
I only know one person that got Hep. A from traveling to Mexico.
Please let me know if this infection can become chronic and also if that with my good new habits I can reverse the fatty liver condition.
Thank you again,
Sincerely; XXXXXXX
Thank you for your prompt answer; I truly appreciate it as I was very concerned about it.
I would like to ask you as well if Hep. A can become chronic or if someone can carry this for its entire life.
I am asking this because the doctor did said this on a letter he send me (see attached).
I can tell you that I am from Peru but work in USA since 1998; and so I have travel to Peru every year.
On my last visit on April I stayed for 2 months and I got really sick of my stomach after I ate food from a street vendor (eggs and potatoes that were peeled by the vendor himself)... I had nausea, dizziness, fever, diarrhea and vomiting. A friend that is a doctor saw me and told me that I had a stomach infection but the medication he gave me did not work.
I have also been working for the last 3.5 years in Canada because of a special assignment from the company I work for. It was there were a Doctor diagnosed me with 'fatty liver'.
I have never drink on my entire life but starting 2005 (last 9 years) I got into drinking heavily on the weekends (usually hard liquors either Sat. or Sun. until I will past out). Now that I know what could have been the cause I had stopped completely the drinking, as well as, have changed my eating habits, stopped drinking coffee and went back into running in the mornings.
I only know one person that got Hep. A from traveling to Mexico.
Please let me know if this infection can become chronic and also if that with my good new habits I can reverse the fatty liver condition.
Thank you again,
Sincerely; XXXXXXX
Brief Answer:
No need to worry for hepA;check for intestinal parasites...
Detailed Answer:
Hi back,
Thank you for providing the reports.
Now, I have gone through them carefully and found nothing worrisome. Your ALT is 42 (slightly elevated and not of big significance). Taking into account that your cholesterol level is high, this makes me think over fatty liver.
Drinking alcohol, especially occasional, during the weekends and heavily is also a contributing factor to slight increase in ALT and can make your liver become fatty.
I am happy to know that you are stopping alcohol and avoiding other foods that can aggravate your condition. I am also happy to know that you are going back to running and other physical activity.
Now, with regards to hepA testing, I'd say as following:
- the total antibodies are increased, once again, speaking about you being protected from hep A
- IgM are the antibodies responsible for a recent infection. It is negative, so, you had a previous exposure to hepA and are completely protected. This infection is not becoming chronic. Instead, hep B and C have more chances to get chronic; but they are both negative in your test reports.
With regards to the diarrhea and sick stomach, it might be due to:
- food poisoning (consuming bad food from street vendors)
- intestinal parasitic infection which is common in countries like Peru and Mexico. I advise to get your stool examined for ova/parasites to rule them out and/or get treated completely.
Hope it was of help!
Dr.Klerida
No need to worry for hepA;check for intestinal parasites...
Detailed Answer:
Hi back,
Thank you for providing the reports.
Now, I have gone through them carefully and found nothing worrisome. Your ALT is 42 (slightly elevated and not of big significance). Taking into account that your cholesterol level is high, this makes me think over fatty liver.
Drinking alcohol, especially occasional, during the weekends and heavily is also a contributing factor to slight increase in ALT and can make your liver become fatty.
I am happy to know that you are stopping alcohol and avoiding other foods that can aggravate your condition. I am also happy to know that you are going back to running and other physical activity.
Now, with regards to hepA testing, I'd say as following:
- the total antibodies are increased, once again, speaking about you being protected from hep A
- IgM are the antibodies responsible for a recent infection. It is negative, so, you had a previous exposure to hepA and are completely protected. This infection is not becoming chronic. Instead, hep B and C have more chances to get chronic; but they are both negative in your test reports.
With regards to the diarrhea and sick stomach, it might be due to:
- food poisoning (consuming bad food from street vendors)
- intestinal parasitic infection which is common in countries like Peru and Mexico. I advise to get your stool examined for ova/parasites to rule them out and/or get treated completely.
Hope it was of help!
Dr.Klerida
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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