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Doctor insights on: Andrea Vascan

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Liver diagnosis 60 f -ast302/alt438 ANA pos. Us neg liver biopsy 1st dr diagnosis pri biliary cirrhosis. 2nd dr autoimmune hep. diangosis ursodiol 5wk retest. Do you agree?

Liver diagnosis 60 f -ast302/alt438 ANA pos. Us neg liver biopsy 1st dr diagnosis pri biliary cirrhosis. 2nd dr autoimmune hep. diangosis ursodiol 5wk retest. Do you agree?

Yes, need follow up: You have a combination of primary biliary cirrhosis (pbc) and autoimmune hepatitis (aih). The treatments are different, ursodeoxycholic acid is used to treat pbc, but may not bring down the ast/alt elevation associated with aih. If the urso does not bring down the ast/alt, you may need additional medications, such as steroids or azathioprine, to control the aih. ...Read more

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Veey scared have liver hemangiomas had ultrasound of gallbladder tech mentioned cyst on liver I heard blood flow is rhis cancer I am 46?

Veey scared have liver hemangiomas had ultrasound of gallbladder tech mentioned cyst on liver I heard blood flow is rhis cancer I am 46?

Speak to the doctor: When ever sonograms are done for gall bladder disease incidental findings like small cysts and hemagiomas will also seen routinely, only your doctor(s) has expert knowledge, and management skill of findings not the technician, speak to your doctor. ...Read more

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Should I stop taking pancreatic supplement creon tablets as my PANCREAS r NORMAL in abdomen scan. 40dys ago MRCP rprt showed CHROpancreatdilated duct?

Should I stop taking pancreatic supplement creon tablets as my PANCREAS r NORMAL in abdomen scan. 40dys ago MRCP rprt showed CHROpancreatdilated duct?

Maybe: Best advice is to consult whomever prescribed Creon for you, And check http://www.creon.com for important information. And LISTEN TO AND FEEL YOUR BODY. If you are not digesting properly, your body will let you know; if you are, you should feel good and not have diarrhea or lots of gas or be losing weight. Avoid all junk and processed food or any food that upsets your stomach or makes you feel low ...Read more

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Remaining months after chemoembolization wiz tumor in liver 15 &7.5cm wiz fatigue & disfunction liver? I wanna know any hope pls? She is65 yrs old

Remaining months after chemoembolization wiz tumor in liver 15 &7.5cm wiz fatigue & disfunction liver? I wanna know any hope pls? She is65 yrs old

Need more info: More information is necessary to answer this question. What type of tumor (hcc, neuroendocrine, etc)? How large was the tumor before chemoembolization? How many treatments have you had? How serious is the liver dysfunction? You might want to consider starting a private chat through healthtap to answer your question in more detail. ...Read more

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Sir, my liver tests are:billiribun is0.9, sgot28, sgpt30, albumin 4.0, pti 15seconds, globlin3.2, plalelets155000 but ultra sound has coarse texture?

FATTY LIVER.: Your liver tests look normal. Coarse liver texture does not necessarily indicate liver disease. Sometimes it could suggest fatty liver.Check liver function tests in 3 months.Your platelet count is low re-check CBC in 3 mon ths. ...Read more

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Can i relax about cancer?34yrold w urq disc.&floating stool.Normal blood/stool tests, CT scan, colonoscopy, ultrasound and hida scan, endo(gerd/gastritis

Why are you worrying: No great answer except that digestive symptoms are common at your age and related cancer is not. Most cancers do not cause your symptoms but some can affect digestion. What did your doctor tell you? You should ask a doctor who knows you. Maybe there is a specific reason you worry about cancer and not the usual causes of these symptoms? Do you need to be worried for some personal reason? ...Read more

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Got ultrasound n mrcp.It shows i don't ve a gallbladder.It showed mild steatosis on liver.Ve weakness, weired feelin.Takin med for fat in liver.?Help

Got ultrasound n mrcp.It shows i don't ve a  gallbladder.It showed mild steatosis on liver.Ve weakness, weired feelin.Takin med for fat in liver.?Help

Need eval: It sounds like you have some congenital anomalies that maybe contributing to your condition. I would highly suggest seeing somebody especially a gastroenterologist who specializes in the liver. ...Read more

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Pain RUQ-x6mos- dr says gall bladder but HIDA, CBC,CMP,lipase,amalyse,EGD and abdom US 6m ago nml- can this pancreatic cancer? 30 yo. No Weight loss

Pain RUQ-x6mos- dr says gall bladder but HIDA, CBC,CMP,lipase,amalyse,EGD and abdom US 6m ago nml- can this pancreatic cancer? 30 yo. No Weight loss

No...Second opinion: Not likely to be pancreatic cancer given the imaging you've had so far. There is a blood test you can get that you that might be reassuring. I suggest a second opinion to evaluate for something more usual such as sphincter dysfunction. In the meantime avoid foods that induce symptoms ...Read more

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Had Abd/Pelv CT Scan in Sept'13.Had Abd/PelvMRI in Nov'13.Had Colonoscopy Oct'13.Had numerous hem/anal checks.Doc says no AnalCancer.Still reason2wry?

Had Abd/Pelv CT Scan in Sept'13.Had Abd/PelvMRI in Nov'13.Had Colonoscopy Oct'13.Had numerous hem/anal checks.Doc says no AnalCancer.Still reason2wry?

Why so worried? : It sounds like you have already undergone an extensive evaluation. Rectal and colon cancer are very rare at your age. Typically, a flexible sigmoidoscopy is sufficient in your age group. Given your young age, and extensive studies, I think your risk is low. Are there other symptoms or lifestyle choices that make you worry about anal disease? ...Read more

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Asymptomatic w/ fluctuating lipase for years MRCP & CT clear. I'm hypochondriac & persistent. dr. reluctantly ordered EUS after I told Dr I'm pre-diabetic A1C 5.8. Go through with EUS - dangerous?

Asymptomatic w/ fluctuating lipase for years MRCP & CT clear. I'm hypochondriac & persistent. dr. reluctantly ordered EUS after I told Dr I'm pre-diabetic A1C 5.8. Go through with EUS - dangerous?

Don't treat tests : Investigations should be guided by your symptoms and signs and not only By abnormal test result. The risk of complications is significant. So don't insist in unnecessary tests if your doctor does not think it necessary. ...Read more

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Elevated lfts been on crestor (rosuvastatin) 1yr+ dr suspects liver damage worried crazy. Liver ultrasound schd 10 days. Is it serious?

Elevated lfts been on crestor (rosuvastatin) 1yr+ dr suspects liver damage worried crazy. Liver ultrasound schd 10 days. Is it serious?

Liver tests: Do you know whether your liver enzymes were normal before starting crestor (rosuvastatin)? If so then it is likely that the liver abnormalities will clear after weeks off Crestor (rosuvastatin) and there will be no permanent damage. Your physician will followup. ...Read more

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I have 2 alcoholic family members who have liver cirrhosis.. concerned about haemochromatosis. But cbc, lft, CT scan,mrcp normal. GI dr said not worry?

I have 2 alcoholic family members who have liver cirrhosis.. concerned about haemochromatosis. But cbc, lft, CT scan,mrcp normal. GI dr said not worry?

You don't have it: If all of those tests are normal, and hopefully including a normal iron panel, then you don't have hemochromatosis. The only other concern would be if you knew that your relatives had the genetic mutation for hereditary hemochromatosis. Doesn't sound like it though. Their alcoholism was probably the cause. ONLY get the genetic test IF they are positive. ...Read more

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Whole abdomen scan shows livr outlin wit increasd echotxtr, urinary blader pvr vol 43ml.?N scan impresion says very early fatty changes liver?

Whole abdomen scan shows livr outlin wit increasd echotxtr, urinary blader pvr vol 43ml.?N scan impresion says very early fatty changes liver?

Fairly normal.: Liver has a little fat in it. Bladder is normal. Why did we do the test? What were we looking for. I'll bet that neither of those two items are related to your problem - whatever it was. ...Read more

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Pancreatic cancer?I had a pancreatic protocol ct/hida/liver, pancreas, CBC blood test/stool test/colonoscopy.All perfect.I still have light/yellow stool

Pancreatic cancer?I had a pancreatic protocol ct/hida/liver, pancreas, CBC blood test/stool test/colonoscopy.All perfect.I still have light/yellow stool

Stop worrying: You have nothing to worry about except that fact that you are still a smoker, which i hope you'll stop. If everybody with light-colored stools consumed health-care dollars searching for pancreatic cancer, it'd be a huge waste. Evidently you're not even jaundiced. Please stop reading internet scare stuff, look for another cause of your abdominal pain ; stop reading internet scare stuff. ...Read more

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Hello, I've has ruq, epigastric pain had a hida scan gb ef was 89%. GI doc recommended I see surgeon, I'm unsure, why would they take out healthy gb?

Hello, I've has ruq, epigastric pain had a hida scan  gb ef was 89%. GI doc recommended I see surgeon, I'm unsure, why would they take out healthy gb?

"They": would not..perhaps your GI Doctor has something else in mind or knows of some other finding that your Scan disclosed...ZIMON RULE #1 IF IN DOUBT ASK!!!!!!!!!!!! Call that GI Doc NOW! Hope this helps Dr Z ...Read more

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How to confirm acalculous cholestitis? I was referred to surgeon-Tests done 6 mos ago were nml- CBC, CMP,lipase, amalyse, EGD,abdom US,HIDA-pain RUQ

How to confirm acalculous cholestitis? I was referred to surgeon-Tests done 6 mos ago were nml- CBC, CMP,lipase, amalyse, EGD,abdom US,HIDA-pain RUQ

Acalculus GB prob: Take a good history. Do Ultra sound and other tests. You just said tests were normal what were they. I can assure you that if the gall bladder needed to come out surgeon would have moved. ...Read more

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CT/MRCP shows inflammation of gallbladder,liver and spleen. Sev RUQ pain. 18yo. ANA positive,IgG low, no stones. Dr ordered hida scan. Ideas?

See rheumatologist: You appear to have an autoimmune and/or immune deficiency problem. I note that you are already on Plaquenil (hydroxychloroquine) (SLE?). If you are already under the care of a rheumatologist, consider getting an immune evaluation as well because of the low IgG (how low?). If the problem progresses, you need to go to an university center for further workup. ...Read more

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