Can you tell if you have any type of liver problem through a blood test? Like fatty liver?

I went to my physician and for my blood results and they all came back normal except high cholesterol 196. My stomach tends to get a bloated after eating and I am afraid i might have ascites. My physician did what she had to do like tap on stomach and other things but did not say anything. Do you think it could be ascites or liver prob?

6 Answers

  • 1 decade ago
    Favorite Answer

    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 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 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 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.

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  • bt
    Lv 4
    1 decade ago

    ascites does not come and go without being drained (or it takes days to weeks to reabsorb...). a person with ascites looks pregnant, not just a little bloated. you can tell if there's ascites by tapping on the stomach. why do you think you have a liver problem? fatty liver may not show up on lab tests, but is not really dangerous in itself. it can come and go, like after a weekend of binge drinking. liver function test can be told through your blood. usually the LFTs don't increase until late stage liver disease or in cases of hepatitis or damage from medications (such as tylenol overdose).

    ps- high cholesterol is over 200. you have to consider your other tests too though. if you have a real high HDL, then a little over 200 is okay.

    Source(s): PA
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  • Anonymous
    4 years ago

    Fatty liver disease affects a whopping 30% of the population. That's 30 out of every 100 people! And some estimates have it at 33%.

    And if you're overweight, it's even worse overweight people are extremely more likely than healthy weight individuals to develop this condition.

    In other words, you're not alone. Not by a long shot.

    Other fatty liver sufferers have reversed their condition, lost weight, and rediscovered their energy, using completely natural remedies. And that means you can, too!

    Keep reading to discover more...

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  • 1 decade ago


    There are very specific tests that show liver disease and/or ascites. I suspect your GP would have conducted these. However, if they only did a lipid screen, and you are still worried, you can always ask for them to conduct LFTs.

    Dr P

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  • 1 decade ago

    yes. alkaline phosphatase and sgpt test are specific for liver test. however, in your case it is more of gas.

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  • Anonymous
    1 decade ago

    talk to a doctor they can give you some good information

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