Dr. ASHRAF MALEK

Hepatology
NJ

About

Bio

Hi, I am Dr. Ashraf Malek. I am a hepatologist with special interest in liver cirrhosis, liver cancer, liver transplantation and management of hepatitis C/B. I am here to help with all your liver related questions and concerns. I truly hope you will find my answer very helpful

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Hepatology

Internal Medicine

Languages spoken

Bengali, Hindi

Doctor Q&A

62 Answers
16 Agrees
The number of answers this doctor has agreed with.
A 33-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Several other things: I would also recommend that if you have diabetes, high blood pressure or cholesterol, make sure it is optimally controlled. Healthy diet, exercise, co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Yes, can be: Encephalopathy has 4 stages, diagnosed clinically. There is one more non-clinical stage, which needs special testing. Encephalopathy can be reversible... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Medication: If you have autoimmune hepatitis, you should see a liver specialist. This disease can be treated with medication that suppress your immune system. If ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Portal vein: doppler ultrasound of the liver was ordered to look at the portal vein, hepatic vein and inferior vena cava ( these are all veins around the liver). I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Really nothing: Hepatitis b carrier means low or no virus in the blood and persistent normal liver enzymes. Depending on your age you may probably need liver biopsy. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Depends: High bilirubin can be due to various type of diseases, including liver diseases, blood disorders. I am not sure whether your other liver tests are no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Depends: As a general rule, first avoid heavy drink, which is for female not more than 2 drinks/day and for male not more than 3 or 4 drinks/day. If stabbed in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
For confusion: Alcoholics, who develop cirrhosis can have "encephalopathy", which is predominantly due to high ammonia. This can cause several symptoms, such as forg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Nothing really: No specific recommendation with jaundice in terms of eating. First and foremost important thing is that you need to seek medical attention to find th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Yes: yes, liver can bleed if it is punctured, especially a blood vessel is injured. The most dreadful complication is if bleeding occurs between the capsul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
None: If hepatitis b positive person (positive hepatitis b surface antigen) receives vaccine for hepatitis b, it will not be effective. So, nothing will hap... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
See doctor: If you have high liver enzymes and more importantly if it is persistent, you need to see a physician for further evaluation and testing.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
May be: If your liver panels are high, which likely means your liver enzymes are high, you may have abdominal discomfort, because this could mean inflammation... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Depends: You can get hepatitis b through sexually, blood to blood contact and during birth . In us and other developed countries, because of universal vaccinat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Necrosis: Usually chemoembolization is done to treat liver cancer. When chemoembolization is done, it can affect non-cancer cells (liver cells), which can cause... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Serious condition: Acute fatty liver of pregnancy is a serious condition. It can be life threatening to both mother and baby. Treatment is immediate delivery. Unfourtuna... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Yes: Generally, untreated autoimmune hepatitis can cause cirrhosis over time.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Mainly liver cells: Within the lobule of the liver there are hepatocytes ( liver cells) and sinusoids ( channels that carry blood).
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
May be: There are some genetic factor causing autoimmune hepatitis. However, there is not a strong factor. Generally speaking if someone has autoimmune hepati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Possible: In most labs upper limit of normal AST is 40 U/L. Assuming this yours ALT is 57 suggest abnormal level. This could mean liver inflammation. The quest... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old female asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Treatment: There are two new drugs currently available for hep C. These are very very effective. If you have depression, you can be treated with these oral medic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
No: Hepatitis C should not cause false positive Marijuana. Certain medications can cause false positive test for marijuana
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Possible: Bile duct cancer is usually aggressive. Often times it is diagnosed at late stage. In selected cases, liver transplantation can be as option in specia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Several: In us there most common causes of cirrhosis are heavy alcohol use, hepatitis c and fatty liver disease. Hepatitis b is somewhat uncommon, because of u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old male asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Several things: I am not sure you are obese person or not. If so, you need to loose weight gradually with diet and exercise. If you have diabetes, high blood pressure... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Can be: Fibroscan is a type of ultrasound, where liver stiffness ( how much scarring) is measured without need for liver biopsy. This is helpful in detecting... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Very unlikely: Generally, for men more than three drinks ( in gram more than 30 gm) and female more than two drink ( in gram more than 20 gram) can result in cirrho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Not really: I am assuming you are asking about hepatits c treatment. Infergen is an old type of interferon. Data suggest that Infergen has little or no benefit af... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Treatment: I assume your question is treatment of primary biliary cirrhosis. In that case, treatment is ursodeoxycholic acid. This medication slow down the progr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Fatty liver: It can be only fatty change or NASH (meaning fat with inflammation) or even could be early stage of cirrhosis. Only way to know by liver biopsy. About... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Yes: You can conceive if you have autoimmune hepatitis. But you need to have close follow-up with your hepatologist and gynecologist, since it is considere... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Depends: It depends on reason for which you are having liver biopsy. There are risks with liver biopsy procedure itself. But overall risk is low, especially it... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Interferon: Interferon alfa-2a in pegylated form (brand name is either Pegasys (peginterferon alfa 2a) or peg-intron) is used for hepatitis c infection. This is a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
SGPT/ALT: If you have persistent high sgpt, meaning something is not right. I would strongly recommend to see your doctor and get blood test and probably ultras... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Further workup: This could mean any type of liver disease or could be medication/herbs related (if you are taking it). You need further blood tests to evaluate for ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Many problems.: I am assuming liver showed slightly inflammed either on ultrasound/ct/mri. If this the case, first you should be check your blood tests, which include... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Ignore: Avoid alcohol, excessive salt, Advil, Motrin, ibuprofen, raw seafood, and shellfish.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
None to pain, fever: When liver bile ducts decrease in diameter, this is called "stricture". It can be due to several reasons. There are also diseases which can cause decr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old female asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
You can: To my knowledge, there is no reports of injury to liver with this medication. Chronic liver disease, especially cirrhosis can cause osteoporosis, so ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
? Fatty liver: I assume your enlarged liver is due to what is called Non-alcoholic fatty liver disease, and that is the reason probably ursodeoxycholic acid prescrib... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
May not: With most common staging system, Stage 3 cancer means the cancer still in the liver and has not spreaded outside the liver. Someone with stage 2 canc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old male asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Probably: High lipid especially triglycerides can cause fatty liver, a disease called non-alcoholic fatty liver disease. But this is a diagnosis of exclusion, s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
No: I am not aware of any data suggest cranberry get rid of inflammation of the liver. Inflammation of the liver can be from various causes. Treatment is ... Read More
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A 24-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Also depends: Agree with dr. Puppala. In addition, it may also depends on the geographic location of the patient. For instance, with the same score (model for end s... Read More
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A 50-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Varies: Liver transplant life expectancy depends on the type of liver disease someone has prior to transplant. Such as, for hepatitis C 5 years life expectanc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Iron overload: Iron overload are the diseases that cause excess accumulation of iron on various organs and in the long run cause serious damage to those organs. The ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Many: There are several reasons for enlarged liver, such as fatty liver (from obesity, diabetes etc), virus (hepatitis), alcohol, mediations etc. Occasional... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Depends: Chances of liver cancer in patient with cirrhosis depends on their cause of their liver disease. Estimated risk ranges between approximately 2 to 7 %... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Probably negative: What i understand from your question is that normal value of hepatitis C antibody is between 0.0 to 0.9. If your level is 0.1, which meaning it is neg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. ASHRAF MALEK
Specializes in Hepatology
Depends.: It depends on your your sex, type of drink ( different drinks has different concentration of alcohol) and pre-existing liver problem. For female more... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
214
Thank you notes
HealthTap member
Mar 30, 2015
Dr. MALEK is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Malek is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. MALEK is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This made me feel good. Thanks! Thank you for this, I too also have depression and tested positive for her c
HealthTap member
Thank you, your answer was very helpful! Lost 40,still 200lb.Diet good.Still feel rough but disch '14! Thx :)
HealthTap member
Thank you, your answer was very helpful! I appreciate any informed information about PBC
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