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What Does This Fibroscan Report Indicate?

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Posted on Thu, 15 Dec 2016
Twitter Thu, 15 Dec 2016 Answered on
Twitter Sat, 7 Jan 2017 Last reviewed on
Question : What is your opinion of a fibroscan? My results were 4.8kph which the doctor said was normal f0 no scarring. I have had elevated indirect bilirubin on and off for 10 years. Total bilirubin fluctuates from high normal to elevated, usually between 1.0 and 2.3. Doctor said its Gilberts syndrome. More recently over the last 5 years my alt levels fluctuate sometimes elevated. It can be anywhere from 32 to 60. I have noticed when my alt is up bilirubin is down and when alt is down bilirubin is up. Its very odd. My entire other liver panel is normal and stable. Ggt - is 16, AST - 21, and alk phos is 45. The doctor thought i may have underlying fatty liver but ultrasound was showed normal liver and a very slightly enlarged spleen. It was rounded but XXXXXXX legnth was only 11.8 cm. My platelets are normal always in the 290 to 340 range. Said the spleen is not related to thr liver because if it was my platelets would be low. We considered hemolytic anemia but my hemoglobin and ldh were normal. I have been tested for pretty much every liver disease and everything is negative. The only thing that has come up that is abnormal is my cholestrol. Ldl is 159, hdl is 31, and vldl is 29. Triglicyerides are normal. Another doctor wanted to start me on 5mg of crestor. He thinks its possible i indeed do have fatty liver and lowering the lipids will reverse the fatty liver. Problem is no one can prove thats what it is and i am very reluctant to take a drug that i know can harm the liver if i have some other problem? Any ideas or advice you can give?
doctor
Answered by Dr. Dr. Klerida Shehu (10 hours later)
Brief Answer:
Please follow,,,,

Detailed Answer:
Hi and thank you for asking on HCM!
I read carefully all your concerns and I can say as follows:
1. Your bilirubin level is related with XXXXXXX syndrome. It is not harmful. There is nothing to be worried about that.
2. With regards to Alt level I can say that it may be related with :
- medication used such as pain killers, antibiotics or other chronic treatment
- fatty liver
- alcohol use before the test.
3. You are reporting to have had 159 LDL and VLD 29. It is not too high level , your cholesterol level is moderate elevated . This is why to my opinion you can try diet and lifestyle changes to improve your lipid profile.
4. You are reporting to have done all liver test and everything came back normal.
I need to know which exams you have done?
Did you perform hepatitis exam, autoimmune test ? If yes please upload them to me so I can check them by myself.

Hope it was helpful to you!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Klerida Shehu (1 hour later)
I was tested for hep a,b,c. also tested for pbc/psc. I had iron and copper studied as well. All were normal. had a fibroscan which gave a result of 4.8kph and ultrasound of liver didn't detect and fat.
doctor
Answered by Dr. Dr. Klerida Shehu (24 hours later)
Brief Answer:
Please follow. . .

Detailed Answer:
Hi back,
Thank you for providing more of your medical data.
Othwerise to my opinion you need to be examined with autoimmune test to rule out autoimmune hepatitis.
Meantime I suggest to quite alcohol and have a healthy diet.
After 12 weeks you should repeat Alt level.
Hope it was helpful to you!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Klerida Shehu (29 minutes later)
thanks. I had my lkm and sma antibodies checked and they were normal. Haven't really been a drinker in a few years. Maybe once a month I will a few drinks while out to dinner or something. later time my alt was tested it was 36
doctor
Answered by Dr. Dr. Klerida Shehu (24 hours later)
Brief Answer:
Please follow...

Detailed Answer:
Hi back,
As you prescribed you have done almost all liver exams and every thing came back normal.
At this point to my opinion there si nothing to be worried causing your mild accassional elevated ALt level.
With regards to bilirubine level it is probably related with Gibert syndrome.
Please try to firget liver issues and wnjoy your life.

Dr.Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Klerida Shehu (9 hours later)
thank you for the response. is alt found anywhere else besides the liver? the only thing that is odd to me is that if liver cells were inflamed wouldn't the ast also go up as well? to me it seems strange the ast sits at 21 to 24 regardless of the fluctuation in the alt. makes me wonder if it's not even liver related.
doctor
Answered by Dr. Dr. Klerida Shehu (18 hours later)
Brief Answer:
Please follow. .

Detailed Answer:
Hi back,
ALt is specific for liver issues , instead of AST that may be related with muscles too.
Otherwise your ALt level are not clinically significant elevated, this is why to my opinion there is noyhing to be worried.

Wish you health.
Dr.Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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What Does This Fibroscan Report Indicate?

Brief Answer: Please follow,,,, Detailed Answer: Hi and thank you for asking on HCM! I read carefully all your concerns and I can say as follows: 1. Your bilirubin level is related with XXXXXXX syndrome. It is not harmful. There is nothing to be worried about that. 2. With regards to Alt level I can say that it may be related with : - medication used such as pain killers, antibiotics or other chronic treatment - fatty liver - alcohol use before the test. 3. You are reporting to have had 159 LDL and VLD 29. It is not too high level , your cholesterol level is moderate elevated . This is why to my opinion you can try diet and lifestyle changes to improve your lipid profile. 4. You are reporting to have done all liver test and everything came back normal. I need to know which exams you have done? Did you perform hepatitis exam, autoimmune test ? If yes please upload them to me so I can check them by myself. Hope it was helpful to you! Dr.Klerida