What Does The Following Liver Test Report Suggest?

Posted on Sat, 6 Sep 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 6 Sep 2014 Answered on

Mon, 29 Sep 2014 Last reviewed on

Question : Dear Dr.
I am attaching my mother's report summary for your review and advise. I have summarised these in one XL sheet. Other detailed story I have already explained earlier.

Answered by Dr. Ajit Naniksingh Kukreja (3 hours later)

Brief Answer:
Improving

Detailed Answer:
Hi XXXXXXX

Hats off to you for the concern you have for your respected mother

It is one of the best reporting I have seen in my 27 years of practice

Can you please upload the sheet in xls format as the PDF page orientations have changed

Grossly I find improvement in liver function

With little bit of hypoprotienemia

Once I go through the excel I will write back to you
In the mean time prepare a list f queries you have in your mind

Wishing your mother a healthy life ahead

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Ajit Naniksingh Kukreja (17 minutes later)

Thanks for the complements. really I learnt so many things from doctors. Sir XL is not accepting for upload. I will try from my lapy after sometime.

Dear Dr.

Sending XL file and question in my mind to customercare. As report upload is not supported XL file.

Answered by Dr. Ajit Naniksingh Kukreja (43 hours later)

Brief Answer:
Liver Diseases take long time to respond

Detailed Answer:
Hi XXXXXXX

Liver diseases take long time to respond and they usually do not revert back to normal if fibrosis has occured

Albumin metabolism is also disturbed because of the altered liver function and the only way out is to supplement it in form of diet or parenteral infusion

Continue lasilactone

GO for an MRI Of spine to rule out existing disease

Dull pain can be because of the stretch in abdominal muscles secondary to ascites

She need to take low salt and fat free diet

Hope this helps
Do write back in case of concern
Wishing your mother a speedy recovery

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Ajit Naniksingh Kukreja (4 hours later)

Thanks Dr. for your valuable guidance. Our consulted doctor is still insisting for lever biopsy. considering the current improvement is it required to do so? Please advise.

Answered by Dr. Ajit Naniksingh Kukreja (3 hours later)

Brief Answer:
Wait for another 4 to 6 weeks

Detailed Answer:
Hi

Thanks for writing in again

Had I been in your place I would prefer waiting for another 4 - 6 weeks to come to a decision

Also ask your consultant what does he suspect that he wants to go for a liver biopsy

Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj