Hi Doctor I need your assist please . Every thing started 2 years ago .Many symptoms including fatigue loss of appetite ...for2 months then get healthy spontaneously . I did many tests then I found only hbcab +ve hcvab -ve hbsag -ve hiv - ve .I guess I infected with HBV then resolved since I found also hbsab +ve hbeab +ve .. The only symptom that I got 1.5 year ago up today is a mild pain in the URQ in the back and infront of .( I am not a drinker not a smoker ) . This made me try to find out the cause of pain and if there is a bad reason . I did a CT scan last year and some ultrasounds during the last 18 months .all were normal and not show any thing bad . I did several HBV DNA all were undetectable ( unless the last one I did six months ago which showed a tiny number 10 IU/ml .) . I did lab.tests last year and this year as next : Last year : ALT =21 AST =28 ALP =58 T.BILI.=0.9 DIRECT B. =0.5 INR=1.24 TOTAL PROTEIN=6.9 ALBUMIN=4.2 GLUBULIN = 2.7 CHOLESTROL=140 . This year : ALT =17 AST =23 ALP =68 T.BILI.=0.3 TOTAL PROTEIN=6.9 ALBUMIN=3.7 GLUBULIN = 3.2 Also I did CBC six months ago all show very normal. And finally I did U/S this week and the doctor said my liver is completely normal . I am worried about continuous mild pain URQ and albumin decrements this year comparing to last year ( although bilirubin is improved ) .. Can I have chirrosis (cirrhosis) that is not shown by U/S and CTscan or even toward to have chirrosis (cirrhosis) ( because of pain and because of albumin decrement ) ? My appetite is very normal .
2015-05-19 10:39:02
i wouldnt worry too much about the albumin as the other liver tests are normal--check a urinalysis to make sure you are not developing any protein. i definitely dont think that you hve cirrhosis. as long as the CT scan had IV contrast you should feel secure. if the pain persists you may need an endoscopy
2015-05-19 10:39:29
