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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Coarse Liver And Elevated ALT Levels?

I had a test for hbv in March and it was positive and my ALT was 568, I w told I was in acute phase. I went on to do another test end of April and reading was 123. I had blood test again on 25 July and waiting for results. I have had a US scan today 4 Aug 2011 and doctors said there aren't any tumors, but liver is a bit coarse. Im just nervous to be honest and beginning to think my chances for recovery are slim. Where do I stand??
Fri, 27 May 2016
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Gastroenterologist 's  Response
Thank you for posting query at HCM.

HepB diagnosis.
HBsAg positive means that your have been infected with HepB virus.

you need to be chacked for HbeAg and viral load to know your "infectious state".
ONLY positive or high HBeAg and/or viral load will mean that your highly infectious.
Results of all these together with HBsAg will give a clear picture for treatment. Take results of viral load (PCR) and HBeAg and LFT to your treating physician / hepatologist.

advice:
- abstinence from "Alcohol"
- NO fat diet should be followed for 6 weeks ( atleast)
- NO red meat
- vegetables should be ingested daily
- Moreover, less activity should be carried out (no sports), REST more.
- use lemon juice (lemonade) once in a day
- udiliv or Liv52 maybe taken (consult hepatologist/ treating physician)

It is possible that the virus remains in dormant phase throughout and causes no harm to liver. Only one fourth of patients infected with HepB virus develop liver cirrhosis.
therefore, one cannot be sure about your status. the viral load should be monitored and he needs to repeat test every 6 month or atleast once a year.

meanwhile, people close to your friend needs vaccinated and also test for HBsAg.

if any further questions, feel free to ask.

Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .
wish you good health.
regards,
Dr Tayyab Malik
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What Causes Coarse Liver And Elevated ALT Levels?

Thank you for posting query at HCM. HepB diagnosis. HBsAg positive means that your have been infected with HepB virus. you need to be chacked for HbeAg and viral load to know your infectious state . ONLY positive or high HBeAg and/or viral load will mean that your highly infectious. Results of all these together with HBsAg will give a clear picture for treatment. Take results of viral load (PCR) and HBeAg and LFT to your treating physician / hepatologist. advice: - abstinence from Alcohol - NO fat diet should be followed for 6 weeks ( atleast) - NO red meat - vegetables should be ingested daily - Moreover, less activity should be carried out (no sports), REST more. - use lemon juice (lemonade) once in a day - udiliv or Liv52 maybe taken (consult hepatologist/ treating physician) It is possible that the virus remains in dormant phase throughout and causes no harm to liver. Only one fourth of patients infected with HepB virus develop liver cirrhosis. therefore, one cannot be sure about your status. the viral load should be monitored and he needs to repeat test every 6 month or atleast once a year. meanwhile, people close to your friend needs vaccinated and also test for HBsAg. if any further questions, feel free to ask. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited . wish you good health. regards, Dr Tayyab Malik