ACTUALLY WHAT IS MY DISEASE, IS IT FATTY LIVER OR LIVER CRROHSIS - #10446
ON BEING TOLH MY PHYSICIAN ABOUT BEING ALCOHOLIC, SHE ADVISED ME TO UNDERGO AN L.F.T. MOST OF THE RESULTANT FIGURES WERE OVER OR OUT OF LIMITS. SHE ADVISED ME TO FURTHER SEEK OPINION OF A GASTROENTEROLOGIST. WHO ADVISED ME TO HAVE AN ULTRASOUND EXAM., WHICH SHOWED AN ENLARGED LIVER. FURTHER FIBROSCAN SHOWED FATTY LIVER STAGE 4, I.E. LIVER CIRROHSIS. FURTHER ENDOSCOPY OF UPPER G.I. SHOWED SOME ULCER GATHER LARGE QUANTITY OF BLOOD, WHEREAS LIVER WAS APPARENTLY NORMAL. IT WAS ALMOST 6 WEEKS AFTER FIBROSCAN AND STARTING OF TREATMENT FOR THE SAME. THE L.F.T. READINGS WERE ALSO UNDER LIMIT. WILL SOMEONE GUIDE ME THE EXTENT OF MY DISEASE AND IT SERIOUSNESS
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Hello sir Please be aware See as per clinical history it seems multiple organs gatting effected due to metabolism failure I suggest you to please consult both general physician and endocrinologist for exact clarification Regards
At 63, a Fibroscan showing fatty liver stage 4 means advanced liver cirrhosis, which is serious and permanent, even if LFTs are now normal. Cirrhosis increases risks of bleeding, infections, and liver failure, and the ulcer-related bleeding you had is a common complication. Consult a hepatologist regularly to monitor liver health, prevent further damage, and manage complications — lifelong alcohol abstinence is critical now.
You have compensated cirrhosis (if LFTs and clinical signs have normalized) — this is less severe than decompensated cirrhosis, but still serious. It means:
Your liver has scarring, but it is still able to perform its basic functions.
If complications like ascites, jaundice, variceal bleed, confusion (hepatic encephalopathy) develop → decompensated cirrhosis, which is more critical.
Treatment Strategy: 1. Immediate Stop alcohol completely – most important step
Proton Pump Inhibitor (e.g., Pantoprazole) – if gastric ulcer
Propranolol / Carvedilol – if portal hypertension or varices (after gastro consult)
Lactulose – if encephalopathy symptoms appear (confusion, drowsiness)
Low salt diet – if signs of fluid retention/ascites
2. Long-Term Vitamin B1 (Thiamine), B12, D3, Folic acid supplementation
Treat underlying diabetes, thyroid, BP, and ensure good control
Consider hepatologist follow-up every 3–6 months
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