Doctor insights on:
Tests For Chylous Ascites
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 moreSee 1 more doctor answer
Is possible that ca125 to be elevated in an abdominal sarcoidosis (peritoneal, hepatic sarcoidosis plus ascites)?
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
Last yr CT scan n yesterday abd ultrasound shows diffuse hepatocellular disease in liver. Prognosis, treatment, further testing? Crohns patient
Crohn's complication: Many Crohn's complications. Granulomatous hepatitis (non infectious) And Amyloidosis of liver two rare but known problems. Please see your gastroenterology specialist soon. This could be due to some drug as well, such as sulfasalazine. Check Alkaline Phosphatase levels. ...Read moreSee 1 more doctor answer
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
Mom has jaundice w elevated liver enzymes, and elevated amylase and lipase. Ct w contrast was done, no tumors seen. Could this be pancreatic cancer?
It is unclear: Hi kitten40047. The jaundice and elevated enzymes are concerning. It is reassuring to hear that the ct was negative. There may be other reasons for her symptoms. However, in the absence of any other explanation for the symptoms she has, you may want to have mom undergo additional tests, including perhaps MRI or endoscopy, which may shed more light on the pancreatic and liver areas. ...Read more
Can TACE be done on the liver for liver mets if there are peritoneal mets for metastic colon cancer ?
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
Are normal cbc, billuprin, amylase and lipase levels, CT scan and qualitative fecal fat test a good indication against pancreatic cancer?
What can cause fluctuation in lipase serum from asymptomatic person? MRCP, CT scans, autoimmune, celiac all neg. EUS recommend? Lipase elevation found incidentally 4 yrs ago. Test ED over 10x @ labs
Serum lipase : Elevations in serum lipase can be caused by medication, intermittent gall bladder obstruction or slow emptying of the gall bladder, alcohol excess, pregnancy, testosterone or steroid therapies. Asymptomatic pancreatitis also causes elevations of lipase and amylase. I would have your clinician review all of your medications, and your cholesterol and triglyceride levels which can elevate lipase. ...Read moreSee 1 more doctor answer
Can anything be done to cure advance liver cancer patient after jaundice and ascites sets in.Tumor is large(NV upto 15-16 cm) & liver size is 21 cm.
Treatment: The treatment for this depends on the type of cancer (hepatoblastoma and hepatocarcinoma are most common) and whether or not the tumor has spread (metastasized) to other areas. Late stage disease is usually not curable, but there may be treatment to reduce the size of the tumor and control symptoms for some time. This is best cared for by a pediatric oncologist. ...Read moreSee 1 more doctor answer
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
What other tests could be done after urine stool tets, blood tests ultrasound with 2 CT scans and upper endoscopy for abdomen and pelvis pain?
It depends: At time it is difficult to elucidate the cause of pain. It sounds as if you have had multiple tests performed with no answer? It is best to speak with your physician about any further testing. If he/she can`t seem to find a cause i always tell my patients to consider speaking with another doctor for a second opinion. ...Read more
Stage 3 ovarian cancer diagnosed 2 weeks ago spread to abdomen. Drained fluid only. Docs say liver&kidney too poor for chemo. What are next options?
Get other opinions: If you were my patient i would recommend getting another opinion especially at a center that may have access to experimental protocols. Ask if there is anything to do to improve your chances for getting chemo. Surround yourself with supportive family and friends. ...Read moreSee 2 more doctor answers
Fluid in abdomen (uterus enlarged (15/40), deep dyspareunia) waiting for vaginal ultrascan. What other than cirrhosis & cancer causes ascities?
Hcc stage 4, portal vein thrombosis and vascular participation AFP 70 GGT 350, age 80, no treatment is done. No physical symptoms. Prognosis?
Many factors: PVT and and age alone does not indicate prognosis. Child's score, performance status and the BCLC scoring system can help determine this. A multi-disciplinary team should review. In a patient with good performance status and PVT, with good liver function. AlB above 3.0, Tbili less than 2.0, could be treated with Y-90 therasphere and or Sorafenib. ...Read moreSee 3 more doctor answers
My mother has ovarian cancer, c. diff., pulmonary vascular congestion, bibasilar pleural effusions and cardiomegaly. Is prognosis days, weeks, etc.?
Poor, but...: Clinically & obviously, sorry to say your mom's life expectancy would be not long, but how long specifically is beyond someone online can suggest. In fact, asking her attending doc would be most decent to get pertinent answer since s/he know more about her than anyone online. Best... ...Read moreSee 1 more doctor answer