Doctor insights on:
Why Might My Doctor Want Me To Get A Liver Biopsy
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
Does a liver biopsy hurt? My doctor says i’ll be awake, but i’m a real wimp about pain. How bad is it going to hurt?
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 moreSee 1 more doctor answer
Gold standard: Is the mass tumor, if so, what kind? How extensive is the inflammation / fibrosis of a viral hepatitis, information we need as a guide to treatment. Is this really hemochromatosis / wilson's / antitrypsin deficiency / plasma cell hepatitis? Is the transplant being rejected, if so how & what rx is best? If medication-related, what pattern & what to expect? Much i wish i could show you. Best wishes. ...Read more
How do i convince my doctor to send me for liver biopsy? he did 3 ultras and 2 bloods and refuses to send me for one. second opinion?
Why the need?: Other than moderate alcohol intake you have not provided any indication as to why you may have liver disease. Liver biopsy is not a trivial procedure and invasive procedures carry a risk. Could be that there is no need for a liver biopsy. If you are not satisfied with your doctor you may wish to see a different one. ...Read more
Liver biopsy months ago, got new pain which has not gone away. Pain has stayed at constant level, hurts more with movement. Doctors are stumped.?
Pain at site of bx?: need a bit more info - percutaneous, transjugular biopsy? have you had imaging tests after the biopsy? a bleed under the capsule and stretching/ nerve pain could certainly cause symptoms like this. could also be musculoskeletal or your IBS and totally unrelated. can you share more details? ...Read more
Is a liver biopsy accurate? The liver’s pretty big, so isn’t it likely it could miss something? How can the doctor be sure he’s getting a sample of the damaged part?
If : If the goal is to get a general sample of liver tissue to evaluate for cirrhosis, venous obstructive disease, abnormal deposits of iron, or similar organ-wide problems, then a biopsy is pretty easy and "missing something" is unlikely. The bigger the liver, the easier it is. On the other hand, if there is one specific spot in the liver that's abnormal, and your doctor is aiming for just that spot, then missing the target is more likely. In such situations, we usually have a pathologist present during the biopsy to look at the tissue as we collect it. The pathologist will not be able to make a final diagnosis in real time, be he or she should be able to say whether or not the tissue that's been collected will be adequate for making that final diagnosis. ...Read moreSee 1 more doctor answer
Less invasive: Knowing the amount of inflammation and level of fibrosis in the liver can help in deciding what hepatitis therapy a patient needs. Though the liver biopsy is considered the gold standard, the newer generation of tests, when taken in clinical context, can estimate the amount of inflammation and level of fibrosis in the liver. ...Read moreSee 1 more doctor answer
I have a polyp of 1.4mm on my gallbladder will i definately have to have my gallbladder removed? The doctor will perform a liver biopsy first, why?
Diminutive polyp: Greater than 1 cm ought to come out for concerns of malignancy but 1.4 mm doesn't need to be addressed unless there are symptoms consistent with cholecystitis or biliary colic. If your liver function tests are elevated and your blood has been tested and a cause hasn't been found then a liver biopsy may be needed. ...Read more
Why would a doctor insist on a liver biopsy for someone with elevated urinary copper even though a fibroscan came back normal??
Confirmation, stage: Abnormal blood levels of copper/ceruloplasmin?. Liver biopsy confirms Wilson's disease, extent of damage to liver, help in prognosis, detailing a baseline for effects of treatment. Fibroscan is most accurate at the "extremes" (normal vs cirrhosis), but much less accurate in the middle. Likewise, it may show fibrosis (reversible scarring), but does not give information re: stage of inflammation ...Read more
Diagnosed 10 yrs ago with hep. C., my doctors haven't once discussed treatments, nor a liver biopsy, nothing! how do I encourage him to do something?
Do I have to be awake for my liver biopsy? I know they want you to hold your breath when the doctor sticks in the needle, but is that really necessary? I’m afraid i’ll move or have a panic attack just as he sticks in the needle.
Awake & comfortable: You need not be fully awake but general anesthesia for a quick procedure such as a liver biopsy is not necessary. Moderate sedation is often used in this situation to relieve anxiety and pain. Also, the performing physician should make sure to use adequate local anesthesia. The combination of sedation and good local anesthesia should make this a very safe and comfortable procedure. ...Read moreSee 3 more doctor answers
Hit my head last friday, ER doc took a CT scan, said I had a concussion. Scheduled for liver biopsy tomorrow with general anesthesia. Is that okay?
Yes: I do not see this as a problem. However, if you have further concerns make sure your anesthesiologist knows about your concerns. ...Read more
Liver biopsy went wrong-bleeding, controlled w/angio/transfusions. Still blotted and pain mostly after eat or drink +than before should call my doctor?
Yes, call doctor.: Your doctor should know that symptoms are persisting and could be related to this episode. They may not be, but based on what happened your doctor needs to follow this closely. ...Read more
Good idea not to: the important reason not to eat is so that during the procedure you do not become nauseated and throw up food making you move during the procedure or aspirate the food into your lungs. It is better to be safe than sorry. Your physician may have other reasons so to maximize the results from the biopsy but the nausea and throwing up are great reasons to stop eating after midnight ...Read more
I am a chronic hep b inactive carrier. Dr said i'll get a liver biopsy at some point in my life. Does it mean liver cancer in my future for sure?
No: According to who, about 25% of people infected as infants with chronic infection develop liver cancer. Needle biopsy will reveal activity of disease allow a better estimate of the risk. See the following for more info. http://www.who.int/mediacentre/factsheets/fs204/en/. ...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
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