hepatitis and blood question please
Hello, l found that l have Hep. B chronic. also exams result as: X-Ray
(Pulmonory venous pressure and/or lung disease), CT (mosaic attenuation
pattern) other CT (mosaic perfusion), Ultrasound (enlarged liver), blood
hep. B and H. Pylori, Stress test (normal), EKG (normal) Now: another
blood test - alt 85 and ast 48 (what is that means in this situation?
/>My symptoms: upper abdominal chest pain (severe) with swollen on my lef
side under the rib cage. Chest and back pain radiating toward lower back with some symptoms of cramp. Deep mid chest towards left pain and lack of breath (breating seems to be normal but with difficult) and tiredness. DO YOU THING l HAVE ANY SERIOUS CONCERN LIKE: Cirrhosis, hepatocellular carcinoma, cancer. Please give me your opnion and knowledge. appreciate if you do not send me website. l just need your knowledge and opinion - thank you very much
From ur description it sound like you have cirrhosis, (we'd
worry about cancer if you had said ''I am losing weight'')
Your enlarged liver on the RIGHT SIDE may be causing what is called portal
hypertension which causes venous blood backflow (like a traffic jam) to the
spleen, (your spleen is on the left) it is a very vascularized organ & is
probably being inflatted like a water balloon, causing you pain on the LEFT SIDE. The cirrohosis which is (the breakdown/destruction of liver cells) caused by the Hep B. virus is the culprit behind the liver enlargement. The reason you have chest symptoms is also due to this cirrohosis, in all that destruction of liver cell, there are protolytic liver enzymes that are released. No longer confined to the liver they may react with the inner lining of ur body cavity called the pleura. This will cause the pleura to be stiffen or even inflammed, & since the liver is within proximity to the pleural lining of ur lungs (ex. diaphram), you develop a difficulty to breath & pain upon breathing, because of this inflammation. It also explains in small part to ur abdominal pain, but more due to the enlargement of ur liver. Paul R. did a great job of explaining to you what the labs were for, it is important to note the numbers (normal ALT & AST are 8-20u/L), the higher the numbers are the worse condition ur liver may be in. As for ur back pain, I am concern that you may have some sort of kidney involvement. But if you are on a Hep B medication called Adefovir (Preveon) then it is a side effect of that medication. While the liver is a hardy organ & will regenerate, you need to see a good doctor & stick with the prescribed regiment. Also please do not drink alcohol, or take tylenol (they are process by ur liver, which is on sick leave right now, & should not be stressed). Consult ur doctor if you are going to take any over the counter medication including those herbal medicines. Also be careful of what you eat, especially seafood & shellfish.
Ok let is start ALT & AST, these are liver function tests. Hep
B is a disease that attacks ur liver so naturally with a liver disease you
will have abnormal liver function, ALT & AST, results. Now you have left
side pain this can be caused by the enlarged liver. Your liver is a very
large organ that extends from left to right under the rib cage below ur
breast. This enlargement can also cause ur shortness of breath & chest
pain. This doesn't sound cardiac. Have you had ur gallbladder check? You may want to do that as a non-active gallbladder can cause these same problems( liver enlargement, abn ALT & AST, shortness of breath) You may also want to have a UBIT test done to test ur BREATH for H.pylori, it is an infection in the stomach that can also cause ulcers & these symptoms. Best of luck.
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