hepatitis and blood question please?

Hello, I found that I have Hep. B chronic. also exams result as: X-Ray (Pulmonory venous pressure and/or lung disease), CT (mosaic attenuation pattern) other CT (mosaic perfusion), Ultrasound (enlarged liver), blood hep. B and H. Pylori, Stress test (normal), EKG (normal)
Now: another blood test – alt 85 and ast 48 (what is that means in this situation?
My symptoms: upper abdominal chest pain (severe) with swollen on my lef side under the rib cage. Chest and back pain radiating toward lower back with some symptoms of cramp. Deep mid chest towards left pain and lack of breath (breating seems to be normal but with difficult) and tiredness.

From your description it sound like you have cirrhosis, (we’d worry about cancer if you had said “I’m losing weight”)

Your enlarged liver on the RIGHT SIDE may be causing what is called portal hypertension which causes venous blood backflow (like a traffic jam) to the spleen, (your spleen is on the left) it is a very vascularized organ and is probably being inflatted like a water balloon, causing you pain on the LEFT SIDE. The cirrohosis which is (the breakdown/destruction of liver cells) caused by the Hep B. virus is the culprit behind the liver enlargement.

The reason you have chest symptoms is also due to this cirrohosis, in all that destruction of liver cell, there are protolytic liver enzymes that are released. No longer confined to the liver they may react with the inner lining of your body cavity called the pleura. This will cause the pleura to be stiffen or even inflammed, and since the liver is within proximity to the pleural lining of your lungs (ex. diaphram), you develop a difficulty to breath and pain upon breathing, because of this inflammation. It also explains in small part to your abdominal pain, but more due to the enlargement of your liver.

Paul R. did a great job of explaining to you what the labs were for, it is important to note the numbers (normal ALT & AST are 8-20u/L), the higher the numbers are the worse condition your liver may be in.

As for your back pain, I am concern that you may have some sort of kidney involvement. But if you are on a Hep B medication called Adefovir (Preveon) then it is a side effect of that medication. While the liver is a hardy organ and will regenerate, you need to see a good doctor and stick with the prescribed regiment.

Also please do not drink alcohol, or take tylenol (they are process by your liver, which is on sick leave right now, and should not be stressed). Consult your doctor if you are going to take any over the counter medication including those herbal medicines. Also be careful of what you eat, especially seafood & shellfish.

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