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Doctor insights on: Cirrhosis Fibrosis

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Are there any factors that can cause a fibroscan to underestimate fibrosis/cirrhosis, or is a low score generally reliable?

Are there any factors that can cause a fibroscan to underestimate fibrosis/cirrhosis, or is a low score generally reliable?

Fibroscan is new: "Fibroscan" is a technique and uses a machine which is relatively new It's backers claim that the machine measures the "elasticity" of the organ this picking up fibrous changes earlier than CT/MRI scanning. This data is too new to have much confidence in it and if you are worried Liver function tests/Imaging with standard tools is suggested Hope this helps Dr Z ...Read more

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How accurate is a Fibroscan in detecting advanced fibrosis/cirrhosis of the liver? Biopsy is out of the question

How accurate is a Fibroscan in detecting advanced fibrosis/cirrhosis of the liver? Biopsy is out of the question

Fibroscan: Liver biospy is the gold standard to diagnose liver issues. Fibroscan is a good alternative to screen for any liver fibrosis which may indicate liver disease. ...Read more

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Recently diagnosed with chronic hepatitis c, fibrosis, cirrhosis and renal disease.I need resources for alcohol treatment. Please and thank you?

Recently diagnosed with chronic hepatitis c, fibrosis, cirrhosis and renal disease.I need resources for alcohol treatment. Please and thank you?

Liver Disease: I am very proud of you for asking this question. Your health is at significant risk. It is time to stop drinking and it is easier with help. Without knowing much about your life my gut sense is that you need an inpatient program that also has a medical component to it. You have very good programs in california. The betty ford center is excellent. ...Read more

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What is the fibrosis and cirrhosis effect on portal blood flow?

What is the fibrosis and cirrhosis effect on portal blood flow?

It gets slowed down : and backed up. A scarred, cirrhotic liver will not allow for normal blood flow (kind of like a dry kitchen sponge) and thus the portal system gets backed up causing varices (big dilated veins). ...Read more

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My husbands liver biopsy showed ''cicken wire'' fibrosis bridging cirrhosis but was not staged. also mentioned something about ballooning. ideas?

My husbands liver biopsy showed ''cicken wire'' fibrosis bridging cirrhosis but was not staged. also mentioned something about ballooning. ideas?

Stage 4: If the pathologist is using the term "cirrhosis" by definition it's stage 4. Chicken wire may refer to mild fibrotic bands rather than thick bands and is potentially reversible depending on the cause. Ballooning can be seen in alcoholic liver disease as well as fatty liver disease known as NASH which is seen in non-alcoholics. Can also see in some viral liver diseases implying an acute process. ...Read more

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Husband has liver fibrosis bridging cirrhosis but stopped drinking. takes lactulose and stopped drinking three months ago.will disesase get better?

Husband has liver fibrosis bridging cirrhosis but stopped drinking. takes lactulose and stopped drinking three months ago.will disesase get better?

Hoping so!: I'm going to assume that alcohol is the sole cause, and that he's been checked for hemochromatosis, Wilson's, and hepatitis B and C. If he does choose to stop drinking, having a loving and forgiving wife will be the most wonderful support he can have. Cirrhosis does regress some on achieving sobriety. Hopefully his mind is still basically okay. Wishing you both the best. ...Read more

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Would an ultrasound show liver fibrosis or cirrhosis? does an enlarged liver (16.7cm length) with significant fatty infiltration mean cirrosis started

Would an ultrasound show liver fibrosis or cirrhosis? does an enlarged liver (16.7cm length) with significant fatty infiltration mean cirrosis started

Fatty infiltration: is a relatively common finding, is due to a number of various causes(sometimes there is no known cause), and is not necessarily a precursor to cirrhosis. Ultrasound can detect changes of cirrhosis, although it is not necessarily specific(other infiltrative processes might lok similar) unless there are advanced secondary signs, and biopsy or additional imaging(MRI) might be needed. ...Read more

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Husbands biopsy three months ago showed fibrosis bridging cirrhosis from alcohol.abdominal ultrasound came back normal last week.why normal ultrasound?

Husbands biopsy three months ago showed fibrosis bridging cirrhosis from alcohol.abdominal ultrasound came back normal last week.why normal ultrasound?

Nature of ultrasound: This is kind of subtle, and I'll try to explain as I'm a pathologist. Especially if your husband's disease is due to alcohol, all the little units of the liver are affected about the same, so ultrasound -- which lights up borders between areas of different consistency -- won't show a thing. This is actually good news. If I recall, he's sober now and I hope he recovers well. ...Read more

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How effective is the ultrasound at seeing small amounts of fibrosis or cirrhosis in the liver? Do radiologists get a good enough view of the liver, gallbladder, and bile ducts with this test to detect very early damage in these areas?

How effective is the ultrasound at seeing small amounts of fibrosis or cirrhosis in the liver? Do radiologists get a good enough view of the liver, gallbladder, and bile ducts with this test to detect very early damage in these areas?

See answer: Ultrasound is the imaging study of choice for gall bladder and bile ducts, as well as for the liver. Biopsy is the gold standard for fibrosis/cirrhosis.High resolution US is 90% sensitive and specific for the diagnosis of Cirrhosis. But it would not show early fibrosis. The Liver Fibrosis Panel (HepaScore) is a single blood test that estimates the likelihood and severity of cirrhosis. ...Read more

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