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Doctor insights on:
Reasons For Liver Ultrasound
1
What are some reasons behind elevated liver enzymes? Tested negative for hepatitis and diabetes. Going for a liver scan soon. Possible outcomes?
Fatty Liver: Liver is the main organ that gets all of the blood supply to remove nutrients and also process unwanted food and send it via bowels or kidney. If there is elevation and no evidence of infection or autoimmunity it may be and fatty liver which comes from our modern diet of processed foods and sugary diet. ...Read more
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Sonogram (Definition)
An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more
2
What other tests can be done for tenderness to right side of stomach had scan for g/bladder, liver, kidneys, pancrease (pancrelipase) and blood tests?
Hida scan: The normal tests for abdominal pain in the right upper abdomen can include a sonogram and a ct scan. A hida scan with an ejection fraction will evaluate the function of the gallbladder. I will refer patients to a gastroenterologist, as well, for evaluation of the stomach for ulcer disease, gastric reflux and other stomach problems. ...Read more
3
Elevated liver enzymes. ALT- 72 AST- 59. ALL other labs are normal. Liver/gallbladder ultrasound is normal. Negative for hepatitis. What can cause it?
Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it may be due to alcohol intake, medications you may be taking and/or from being overweight. If you drink, stop entirely and discuss any medications you take with your doctor. ...Read more
4
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
5
Hematologist ordered ultrasound of spleen. What are typical reasons for this test?
To check size: The spleen is tucked under the left rib cage, & so examining it is rather difficult. There are blood disorders & problems with the immune system which cause the spleen to enlarge, so I imagine your hematologist is trying to figure out whether he should be treating these or not. A good ultrasound tech will measure the exact size of the spleen, & also tell if there's a cyst or infarct in the spleen. ...Read more
6
For what reasons ultrasound is preferred to x-rays for ovarian tumour?
See answer: Plain x-rays do not identify the ovary - ultrasound particularly endovaginal ultrasound not only identifies the ovary accurately but also the bloodflow/vascularity which is a concern in ovarian torsion. ...Read more
7
What are all the reasons for having a liver ultrasound?
There are many: But common ones include abdominal pain (in the right upper quadrant where the gallbladder is located) or for evaluation of elevated liver enzymes. ...Read more
8
Sonogram shows fatty liver and gall polyps on 2 sonos 6 months apart. I don't drink much. Looking for liver specialist in nyc/li to see. Suggestions?
Good gi doc: Will be more than adequate. Fatty liver and polyps are both pretty common. You can call to discuss. ...Read more
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9
Liver enlarged 16.5 consulted doctor CT scan not cerrotic used to be drinker, stopped alcohol lft lipid normal, how long for liver to be normal.
There is: A margin of error in ultrasound measurement and, while 15.5 cm is considered upper limit of normal (measured at the level of the mid clavicle), 16.5 cm is close to this measurement. I would not be too concerned given normal lft's. Lastly, the best test to see liver size and fat content is mri. You might consider this exam in followup. ...Read more
10
What are the tests for bilary cirrhosis?
Autoantibody &: Biopsy. In addition to abnormal blood tests due to malfunction of liver, patients with primary biliary cirrhosis have peculiar autoantibodies, anti-mitochondrial antibodies. Blood tests and imaging suggest cirrhosis, confirmation requires biopsy (usually needle biopsy) and examination of the tissue by a pathologist. ...Read more
11
What can a hida scan find that an ultrasound cannot find? Aren't there multiple things other than gallbladder dysfunction? Ultrasound was normal.
A lot.: After the tracer is injected into a vein, it must circulate to the liver. The liver must remove it from the blood and put it into the bile, liver circulation and function assured. The tracer, now in the bile, travels through the bile system and into the gall bladder, checking patency of these. A gall bladder stimulant can be used to measure gall bladder function and ejection out into bowel. ...Read more
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12
Yellow stool, but blood test for liver in nov 2013 clear, and abdominal ultrasound clear, any other possible explanation? Pancreas or gallblader?
Not abnormal: Yellow stool is not abnormal. If you have no other symptoms, there is no reason to be concerned. ...Read more
13
If a ultrasound blood tests and CT scans of the liver and gallbladder are normal can there still be problems with the liver or gallbladder?
May be...: Fact: despite medical advance, all care is still based on indrect evidence resulting from continual collection and analysis from available experience so we apply current knowledge, skill, technology, drug, common sense, and wisdom at reasonable time in reasonable way to reasonable patient hoping to optimize self-healing process for optimal functional recovery with patient's residual strength. ...Read more
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14
Have had abnormal liver function tests for 20 years, no health issues, except thyroid. Could sun thyroid medication affect blood tests for liver?
Thyroid and the live: The thyroid is unlikely source of liver inflammation. Consider fatty liver and autoimmune liver disease -- see a physician. ...Read more
15
Fatty liver biopsy is it normal for doctors to do a liver biopsy for fatty liver, it was found when checking for pancreatitis?
Biopsy gold standard: In response to an earlier question i raised the issue of alcohol and overweight since these are the commonest issues in fatty liver. Please consult the following site for details on fatty liver. Biopsy is needed to confirm the diagnosis especially in a difficult circumstance. http://www.webmd.com/hepatitis/fatty-liver-disease. ...Read more
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16
Would blood tests for gloucose and thyroid reveal liver ussues?
No: There are specific tests for liver function and those are different from glucose and thyroid function tests. ...Read more
17
For liver failure from metastic colon cancer , would the liver function readings be abnormal ?
Most likely: It's very common to have abnormal liver enzymes when cancer is present in the liver. ...Read more
18
Liver ast/alt test was elevated, now they are normal; liver us was normal. Bilirubin is slightly elevated and i'm going for a GI consult. Causes?
Many possibilities: You may already know the answer by now, if you have seen the GI specialist. Elevated bilirubin may be side effect of drugs, excessive destruction of red cells, blockage to the flow of bile and more. ...Read more
19
D dimer .63, negative ultrasound of leg. Please explain WHY the test is elevated with NO other reasons for elevation. Should I ask for CT scan?
Unremarkable : First off there are multiple reasons for d dimer elevations other than a DVT or pe. Also- the number you quoted (63) to my knowledge is not considered to be a positive result for the test. Ct scan of the chest is a good test if you have suspicion for a pulmonary embolus or if you have a very hight risk score. If symptoms are minimal and risk is minimum then you are likely ok without a ct scan. ...Read more
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20
Boyfriend has scarring on liver, got ultrasound, spleen enlarged, liver smaller than usual, enzyme levels normal, negative for Wilson's, hepatitis, copper, iron, etc. Has a ct scan this week, pain by liver, whats the likelihood it's stage 4?
Advance cirrhosis : Advanced cirrhosis
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Liver (Definition)
This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more
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