At my father's 4 years ago, the blood results showed HCV. Liver scores were also increased. He was referred to the Academy where HCV RNA was taken and found to be an uncertain +/-. Then another test was done and no virus was found. Also, the biopsy did not confirm fibrosis, only a steatosis. The discharge showed non-alcoholic fatty liver disease and spontaneous remission of HCV. Since then, it has been under the supervision of a hepatologist. The anti-HCV result is negative all the time. His he alth is good. Besides, if he eats too much, he feels bloated. ALT and ASP are all the time elevated, ALT usually around 60, ASP slightly above the norm, the most exceeding the GGTP norm - ranging from 150-250. Dad has good blood counts (blood count, ESR), except for slightly exceeded cholesterol and high blood pressure, which has been successfully treated for many years. Gout was also diagnosed. Urine tests are normal. What could be the reason for the still elevated liver results, especially GGTP? I don't know if the hepatologist is neglecting something. Dad has not had a biopsy for 4 years.
The submitted description clearly shows that the patient had a very detailed diagnosis and is under the supervision of an experienced specialist. Liver biopsy is performed only in strictly defined diagnostic situations, always and only on the recommendation of a doctor. The lapse of one period or another from the moment of the biopsy is not an indication for a re-examination, but it determines the indications of the patient's he alth condition. If the biopsy is not performed, it means that there are no medical indications for such a procedure. However, even the best specialist is not able to guarantee the correct results of liver tests if the patient does not follow the diet - as you mention in the e-mail. I think that the most important thing is to follow the dietary recommendations that were certainly issued by the hepatologist. Only when the diet is followed 100 percent each day, with each meal, can you hope that your results will improve over time.
Remember that our expert's answer is informative and will not replace a visit to the doctor.
Krystyna KnyplInternist, hypertensiologist, editor-in-chief of "Gazeta dla Lekarzy".
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