No lab test is 100% accurate. If the doctor
believes there is a problem, he would do
the blood testing again just to be sure.
Depending on what he see, he may do another one right away or wait a few months.
Blood tests can show if there is a problem
with the liver, also a medical examination
would also give a clue as well as your
medical history. The blood test shows the
results of the ALT, AST, and Alk Phos
levels...which would indicate if there was
damage to the liver cells. The Bilirubin,
INR, and Albumin results would show how
the liver is functioning.
You said the doctor was checking the abdomen. When there is a problem with
the liver, it usually starts out as inflammation
of the liver cells and this would enlarge the
liver. The doctor can feel, sometimes, when
the liver is enlarged.
Since Ascites occurs when a patient is in
the end stages of liver cirrhosis and failure...
it isn't likely that that is what you have unless you have other medical problems also. Ascites comes from the albumin level
going too low in the body...it is a protein that
the liver makes and when the liver isn't
functioning well because of the cells have
died...then this is when it occurs. If the
doctor suspected a problem with the liver
or the building up of this fluid...he probably
would have requested an ultrasound or Ct
scan to be sure. Albumin is the protein
that holds the fluid in our vasculature
system...when it goes low because the
liver isn't able to make enough because
of death of the cells, it leaks out and
collects in the abdominal area.
The doctor can tell if you have a fatty liver
by testing also. Just having high cholesterol
alone may not indicate your liver is fatty.
High cholesterol can occur because of
what you eat and even hereditary conditions.
Only the doctor can diagnose what may be
wrong....you could be referred to a
gastroenterologist or a hepatologist if
there is a liver problem. People that do
have fatty liver can sometimes reverse
it by losing weight and taking medications
the doctor prescribes. It is best to be
sure what is causing your problem first...
which the doctor will decide and then
be treated accordingly...as there are many
causes of liver disease and each one
type is handled in a different manner.
I hope this is of some help to you.