Doctor insights on:
Is It Possible For A Doctor To Diagnose Cirrhosis Without A Biopsy
Yes, clincal dx: Although cirrhosis is classically a biopsy diagnosis, it is not always needed if there is sufficient clinical, lab, and radiologic data to suggest the presence of cirrhosis. For example, accumulation of fluid in the abdomen (ascites), bleeding disorders, jaundice, lab abnormalities, confusion and certain appearance of the liver on imaging may suggest cirrhosis without the need for biopsy. ...Read moreSee 1 more doctor answer
Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more
Yes and no: Cirrhosis is a histologic diagnosis but can made without a biopsy with almost certainty based on lab data, imaging studies and physical exam. Liver cancer (hcc) is also a histologic diagnosis, but in the setting of cirrhosis it can be made based on MRI or ct imaging criteria without a biopsy with >95% certainty. ...Read moreSee 1 more doctor answer
I did a search for diagnosis of some of my symptoms and came up with cirrhosis of the liver. What do doctors look for to diagnose it?
Give me a hint. What kind of hassle am I facing if doc suspects biliary cirrhosis? What is required to diagnose?
Serologies, liver bi: If you are referring to primary biliary cirrhosis, this is a type of autoimmune disease of unknown cause. Most commonly found in females. In the past, it used to be diagnosed very late in its course and usually when there was liver failure. Nowadays, and with the frequent use of blood test is diagnosed very early. Actigall/urso is the mainstay of treatment. Hematologist or gastro should monitor yo. ...Read more
Had biopsy, the report says "consistent with AIH with impending Cirrhosis(inflammation grade 2 out of 4, fibrosis stage 5 out of 6)" what is this?
Liver biopsy: The report indicates you have cirrhosis, a disease of your liver which can have many different causes. Cirrhosis is most commonly caused by alcohol, hepatitis B, hepatitis C, and non-alcoholic fatty liver disease. Speak with your doctor for more information and treatment options. ...Read more
Very serious: This is so serious that you would do well to have ie read by.a second pathologist. You also need to determine the cause of the cirrhosis. Usually it is partly reversible if you find and can treat the cause. ...Read more
You are okay man!: A Biosy that is adequate and that does not show cirrhosis rules out cirrhosis and our question is how to help a thoughtful guy like yourself to be comfortable. A second pathologist reading is available if you wish, or a consult with a specialist in emotions. ...Read more
Cirrhosis: Nothing is 100% in medicine but all 3 of these tests are normal making it improbable that you have cirrhosis. ...Read more
Is there anything that can mimic cirrhosis symptoms? fibroscan and biopsy was negative for liver scarring
Liver cirrhosis: Cirrhosis of the liver has a large number of symptoms, many of which occur in other ailments. Severe swelling occurs also in heart failure & certain kidney diseases, itching occurs with allergy, jaundice can occur with hemolysis (breaking of red blood cells within blood stream), confusion has a large number of causes. Many other symptoms also exist for cirrhosis. ...Read moreSee 1 more doctor answer
I am convinced i have cirrhosis despite normal liver biopsy and fibroscan. i can't stop thinking about it. could this be psychological?
You're a wise man!: It's quite common for a person to have an idea that they have a particular, serious illness and not be able to get that idea out of their head -- even if they rationally know that it's wrong. Truth be told, you're far more clever than most such folks simply to recognize that this is happening to you. These thoughts can be treated like any other illness, with a good outcome expected. Ask your Dr. ...Read more
Biopsy shows liver fibrois bridging cirrhosis. how long until progress to cirrhosis if drinking one shot of vodka every other day.months or years?
What are you asking?: Please forgive my frankness. And listen to yourself. Are you trying to kill yourself? Or are you playing chicken with your liver? Surely you are not unable to live without vodka? If it fills some emotional need, there are other med that can give you a similar good feeling that won't make your awful disease speed up? With total sobriety your liver may heal. Dying from cirrhosis is horrible. ...Read more
How many liver biopsies are needed to rule out cirrhosis caused by alcohol? does it damage the liver evenly or in patches? is a fibroscan a good alt?
Bx and cirrhosis: Repeated liver biopsies are not necessary. Liver may be affected in heterogeneous fashion. Fibroscan is a good noninvasive test if available in your area. Blood tests can be helpful. Platelet count less than 150,000 is suggestibility cirrhosis. Fibrosure blood test or ultrasound can be helpful as well. ...Read more
Had a biopsy which determined cirrhosis does this procedure itself injure a liver further; my protein and bilirubin went high for the very 1st time?
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
QUESTION FOR HEPATOLOGISTS: Could two Fibroscans and 3 ultrasounds miss advanced liver cirrhosis? Biopsy is out of the question
Reasonable test: If biopsy if unreasonable, the a fibroscan is a reasonable alternative. It is quite specific, meaning that if you are low value/result that it's unlikely that you have advanced fibrosis/cirrhosis, the actual percentage or specificity value, depends on your cut off point. So if you provide your specific results docs here may be better able to guide you. ...Read more
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