Check Liver

[offset]

Which is the best doctor to check for any liver problem near Hua Hin

[Sheryl]

Any GI specialist can do this. Try Dr. SUTHISIT LIKITLERSUANG at Bangkok Hospital Hua Hun or Dr. Janrung Sittiphong at Paolo Hospital.

 

It is a matter of some blood tests (ALT, AST, bilirubin) and an ultrasound. These can also be done as part of a check up package.

[rumak]

18 minutes ago, Sheryl said:

Any GI specialist can do this. Try Dr. SUTHISIT LIKITLERSUANG at Bangkok Hospital Hua Hun or Dr. Janrung Sittiphong at Paolo Hospital.

 

It is a matter of some blood tests (ALT, AST, bilirubin) and an ultrasound. These can also be done as part of a check up package.

should definitely add (in blood test) the test for  hep c  antibodies.   Actually i think everyone should as hep c is the untalked about disease that often has no symptoms for years or tens of years.   Often having over the normal enzyme levels (alt,ast)  are a possible indication of hep c. or liver damage

[offset]

56 minutes ago, Sheryl said:

Any GI specialist can do this. Try Dr. SUTHISIT LIKITLERSUANG at Bangkok Hospital Hua Hun or Dr. Janrung Sittiphong at Paolo Hospital.

 

It is a matter of some blood tests (ALT, AST, bilirubin) and an ultrasound. These can also be done as part of a check up package.

Thank you Sheryl I will try Bangkok hospital tomorrow

 

Rumak no need to do Hep C antibodies because I know I have them but 10 years ago I had a test to see if I had Hep C but the test come back negative they believed that i got Hep C while having a blood transfusion 30 years ago and self cured myself but thx for you comments

[sunnyboy2018]

The quality of life depends on the liver!

[madmen]

The quality of life depends on the liver!

It's such a powerful organ. From the age of 15 to 40 I drank heavily every day and double on weekends without a break.. Ever.
Then had to do a blood test and scared the hell out of me. Perfect! In normal range. Unbelievable

[nausea]

 

11 hours ago, madmen said:

hen had to do a blood test and scared the hell out of me. Perfect! In normal range. Unbelievable

Same here. Blood tests all normal. I'd almost be relieved if they found a problem. At least I'd know what's causing the problem. I'm sort of scratching around. Recently a friend died of the Celtic Disease, but as my parents are mixed it's unlikely. And I spent some time at Siriraj, where they did about every test available, including a spinal tap. Zero, negative, totally healthy. I'm gonna be the healthiest guy around when I die.

[rumak]

14 hours ago, offset said:

Thank you Sheryl I will try Bangkok hospital tomorrow

 

Rumak no need to do Hep C antibodies because I know I have them but 10 years ago I had a test to see if I had Hep C but the test come back negative they believed that i got Hep C while having a blood transfusion 30 years ago and self cured myself but thx for you comments

happy to hear...and not doubting you.   the one thing i would say is IF you are not feeling well and your enzymes are high, the test that will indicate for sure if hep c (hcv) is the cause is a VIRAL LOAD test.

you have not said why you want the check or if not feeling well..... but hope all is ok. 

For anyone reading this thread.....viral load test is not done as part of normal blood screening.   Need to find somewhere that can perform the viral load test.  Cost can be anywhere from 2000 baht minimum....up 

[offset]

I ended up at San Paulo hospital because they were more than 25% cheaper than Bangkok hospital I had a liver function test which came back ok except for the Alk phosphatase which was about 9% over the top of the range but the doctor did not seem too worried about it. The Hep A and B all came back clear of infection and the ultrasound was also clear

 

I did not have Hep C done because I know that I already have Hep C antibodies so that would have been a waste of money and it was the vial load test that I had done 10 years ago and that came back negative, and I have not done anything more that I could of coursed to be re affected by it ( if my memory is correct it cost me nearly 2500 baht 10 years ago so i hate to think how much it cost now)

[rumak]

ten years is a long time.   might be worth getting a viral load done just to see if anything has changed.

In CM there is a special clinic in same location as Sripat hospital where one can walk in and ask for the test.

They charge about 5k baht which includes genotype determination.   If only checking viral load it is around 2500 baht.   quick and easy....but results take a week

[Sheryl]

As his enzymes were OK I don't see any indication for doing a VL unless symptomatic.

[offset]

3 hours ago, Sheryl said:

As his enzymes were OK I don't see any indication for doing a VL unless symptomatic.

Thank you Sheryl for your comment

Is there anything to worry about that the Alk phosphatase was high, the result was 108 with a reference range of 20-95 only the doctor said the results were all ok but i did not notice this higher reading at the time

[Sheryl]

Very slight increase like that is in itself not particularly significant. Often due to a medication.

 

 

[offset]

9 minutes ago, Sheryl said:

Very slight increase like that is in itself not particularly significant. Often due to a medication.

 

 

Thank you again it may be that because I do take paracetamol, allopurinol, nurofen and dicloferoc (spellings) when i have problems with my gout but i have not taken any for the last few weeks should I try avoid any of these medicines

[Sheryl]

It is always best to not take medications unless necessary. I assume you do not take both nurofen and diclofenac at same time? As should be one or the other, not both.

Allopurinol on the other hand should be taken daily, not when you experience flare ups as its purpose is to prevent them. it should be taken at the lowest dose that adequately controls uric acid levels.

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[Sheryl]

It is always best to not take medications unless necessary. I assume you do not take both nurofen and diclofenac at same time? As should be one or the other, not both.

Allopurinol on the other hand should be taken daily, not when you experience flare ups as its purpose is to prevent them. it should be taken at the lowest dose that adequately controls uric acid levels.

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app

[offset]

2 minutes ago, Sheryl said:

It is always best to not take medications unless necessary. I assume you do not take both nurofen and diclofenac at same time? As should be one or the other, not both.

Allopurinol on the other hand should be taken daily, not when you experience flare ups as its purpose is to prevent them. it should be taken at the lowest dose that adequately controls uric acid levels.

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I only take Nurofen for headache and Diclofenac (never together) when I feel I have an attack of gout coming on after which I take some Allopurinol for a couple of days which seems to control my gout as my Uric acid levels are only slightly high and i do not like taking to much medicine

[Vacuum]

On 12/10/2018 at 5:43 PM, madmen said:

It's such a powerful organ. From the age of 15 to 40 I drank heavily every day and double on weekends without a break.. Ever.
Then had to do a blood test and scared the hell out of me. Perfect! In normal range. Unbelievable

Indeed.

[rumak]

9 hours ago, Sheryl said:

As his enzymes were OK I don't see any indication for doing a VL unless symptomatic.

Higher-than-normal levels of ALP in your blood may indicate a problem with your liver or gallbladder. This could include hepatitis, cirrhosis, liver cancer, gallstones, or a blockage in your bile ducts.

 

just read previous posts......agree that probably just the meds he takes.  only slightly elevated and just the one enzyme.

[offset]

I have just found my last liver test results from 2 years ago the ALT reading was 109 u/l which seems the same as the last results but the range is different it was 46-116 and I was wondering why there is a different range

[offset]

double posting

[Sam8521]

The basic liver workout includes the so called liver function tests (ALT, AST, γGT, Alkaline phosphatase and birirubin -direct and indirect). An upper abdominal ultrasound is all you need from the  imaging standpoint. If the results are abnormal there are more tests to do. Any internist can order and interpret the above, no need for a gastrenterologist at this stage. If you go , like for a yearly checkup, include also in your blood tests a CBC (complete blood count), creatinine, glucose and electolytes. (not expensive to do, give a better general picture of your health). Add also a urine test for good measure.

[Sheryl]

I have just found my last liver test results from 2 years ago the ALT reading was 109 u/l which seems the same as the last results but the range is different it was 46-116 and I was wondering why there is a different range

Every laboratory has its own "reference range" depending on the precision of its equipment and reagents.





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[offset]

1 hour ago, Sheryl said:

Every laboratory has its own "reference range" depending on the precision of its equipment and reagents.





Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
 

Thx again Sheryl i was just surprised that the 2 readings where the same so does that mean my levels went up or what?

[grifbel]

21 hours ago, Sheryl said:

It is always best to not take medications unless necessary. I assume you do not take both nurofen and diclofenac at same time? As should be one or the other, not both.

Allopurinol on the other hand should be taken daily, not when you experience flare ups as its purpose is to prevent them. it should be taken at the lowest dose that adequately controls uric acid levels.

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
 

allopurinol is highly toxic and stressful for the liver.  Better to drink unfiltered apple cider vinegar

[offset]

10 minutes ago, grifbel said:

allopurinol is highly toxic and stressful for the liver.  Better to drink unfiltered apple cider vinegar

I have noticed when a gout attack is about to happen so I only take allopurinol after any sign of an attack and then only 1 every other day for a week then stop, a few diclofenac (but no more than 2 a day) before I get an attack seems to stop a major problem

 

[Sheryl]

1 hour ago, offset said:

Thx again Sheryl i was just surprised that the 2 readings where the same so does that mean my levels went up or what?

No. Your levels are essentially unchanged.  Just done in different labs with difference reference ranges

[Sheryl]

55 minutes ago, offset said:

I have noticed when a gout attack is about to happen so I only take allopurinol after any sign of an attack and then only 1 every other day for a week then stop, a few diclofenac (but no more than 2 a day) before I get an attack seems to stop a major problem

 

Taking allopurinol in this manner is not effective. It should  be taken regularly or not at all.  It takes weeks of regular usage to get a therapuetic blood level, so what you are doing has no benefit at all. 

 

Also I am nto sure how much you are taking as  it comes in both 100 and 300 mg strengths. Normal dosage would be to start with 100mg (taken daily) and adjust upward only if uric acid levels indicate the need.  Please see the attached document for more information on this drug.

 

There are no scientific studies validating the sue of apple cider vinegar for gout (though it won't do you any harm). There are many showing that other dietary modifications can help.

Allopurinol_2016_002.pdf

[MyFriend You]

3 hours ago, Sheryl said:

Taking allopurinol in this manner is not effective. It should  be taken regularly or not at all.  It takes weeks of regular usage to get a therapuetic blood level, so what you are doing has no benefit at all. 

 

Also I am nto sure how much you are taking as  it comes in both 100 and 300 mg strengths. Normal dosage would be to start with 100mg (taken daily) and adjust upward only if uric acid levels indicate the need.  Please see the attached document for more information on this drug.

 

There are no scientific studies validating the sue of apple cider vinegar for gout (though it won't do you any harm). There are many showing that other dietary modifications can help.

Allopurinol_2016_002.pdf

I take it daily 1 & a half tablets, have to brake one in half, so 150mg per day, Do was concerned as the levels went up on my last blood test  BTW - I do not have Gout, never had any kind of gout attack, have asked friends that have it, whats it like - they all say - "when it happens, you'll know about it, the pain is excruciating" one guy gets it in his toes, and can;t walk for days.

[offset]

1 hour ago, TunnelRat69 said:

I take it daily 1 & a half tablets, have to brake one in half, so 150mg per day, Do was concerned as the levels went up on my last blood test  BTW - I do not have Gout, never had any kind of gout attack, have asked friends that have it, whats it like - they all say - "when it happens, you'll know about it, the pain is excruciating" one guy gets it in his toes, and can;t walk for days.

I can only say if to have a bad attack of gout you will know all about it even the weight of bed covers on your toe hurts, but I am surprised that you are on that much meds without have the problem