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
Based on the information you’ve provided, it sounds like you’re dealing with a complex liver condition that started as fatty liver and has progressed into cirrhosis, which is a more serious stage of liver disease. Fatty liver typically begins as a buildup of fat in the liver cells, which can progress to inflammation (steatohepatitis), and further into fibrosis and eventually cirrhosis when significant scarring occurs. The FibroScan result indicating Stage 4 suggests advanced scarring, consistent with cirrhosis. Cirrhosis can be quite serious because it represents irreversible liver damage, and it can lead to complications such as liver failure, portal hypertension, and varices. The upper GI endoscopy results showing ulcers with blood accumulation suggest that the cirrhosis might be causing complications like portal hypertension, which can lead to these kinds of issues.
Your recent liver function test (LFT) results showing improvement or readings “under limit” can be encouraging. It might mean that the treatments you’ve started and lifestyle changes are having a positive impact, at least in controlling some aspects of the liver function for now. Perhaps abstaining from alcohol and any medications or lifestyle changes suggested have started to help stabilize your liver condition. It’s crucial to continue with your treatment plan as advised by your healthcare team, which might include avoiding any substances that can further damage the liver, nutritional support, and possibly medications to address symptoms or complications.
The seriousness of cirrhosis comes from its potential to lead to life-threatening complications without proper management. Continuous follow-ups with your gastroenterologist are essential in monitoring your condition and addressing any arising complications promptly. If you’re experiencing new or worsening symptoms such as jaundice, abdominal swelling, confusion, or significant changes in well-being, you should seek medical attention immediately, as these might indicate complications that require urgent assessment. Avoid self-medicating and always consult your physician before making any changes to your plan. The path forward involves careful monitoring and adherence to treatment to manage the condition optimally.
