Do you have any symptoms?
Are you there?
No systems of anything out of the ordinary.. WHat do you mean for symptoms?
Any fatigue, lethargy,sense of being unwell or loass of appetite?
Since he quit drinking he has been very tired but his apetite has gotten to be alot more
he says he doesn't feel real well but not bad
Can you please specify amount which he used to drink?
He would drink about 12 to 24 beers a day than had added hard alcohol to it in the latter few months
he also would drink the energy alcohol drinks in binges for energy.. He claims for years a beer gave him energy when he was tired
He's now drinking lots of water, juices and milk
The pattern of liver enzymes here with elevation of GGT of 195 (Normal range of 65 max) and associated ALT of 82 is typical of ALCOHOL INDUCED LIVER INJURY which is obviously secondary to more than normal alcohol intake
taking milk thistle with dandelion root also has for years taking prilosec every day
Any difficulty in chat session...........We can switch over to question and answer mode if you like?
Do you think he has done irreversible damage
and what should he be doing besides stop drinking?
Any other tests done? Albumin levels or Prothrombin time? Any ultrasound scan of liver to see its function and structure?
I'm lookin at his tests right now just aminute
is there any other name for those.. I don't see a ALbumin level his cholestral HDL was 64 and LDL was 191.2
over all cholestrol was 276
creatine is 1.4
Is he overweight?
He's 6 ft and 225 so not by very much
bilirubin is .8
Well here all the labs with liver enzymes elevation and raised cholesterol fit in with heavy alcohol ingestion. What it looks like that it is NOT in irreversible stage and all these abnormal lab values WILL return to normal once he stops drinking....SO ABSOLUTE ABSTINENCE IS STRONGLY SUGGESTED here
He's not had an ultrasound as he wanted to stop drinking first to see if that would help
that is good news..
Besides stooping alcohol achieving ideal or near ideal body weight with icreasing intake of vegatables and fruits and water will help here
He wants to quit for 6 months and be tested again
How much do you think he should lose as he doesn't even have a tummy so does not look overweight
Thats what should be next plan.......Stopping alcohol altogether and getting lab tests done after 6 months is usual plan of action
he's never been much for sugar things but lately has been eating more I figure that is to replace the alcohol