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I'm Self Diagnosing Again But

jasonD2

By jasonD2
in Coping with Celiac Disease

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jasonD2 Experienced
jasonD2
Posted

Now I am convinced that I have non-alcoholic steatohepatitis. I read that it can be caused by bacterial overgrowth. my liver ALT was a bit high this time last year and interestingly enough it went down 10 points after completing a course of alinia, which probably helped w/ my bacterial overgrowth. all the more reason to address the overgrowth once and for all but does it seem like i may actually have this?

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burdee Enthusiast
burdee
Posted

Now I am convinced that I have non-alcoholic steatohepatitis. I read that it can be caused by bacterial overgrowth. my liver ALT was a bit high this time last year and interestingly enough it went down 10 points after completing a course of alinia, which probably helped w/ my bacterial overgrowth. all the more reason to address the overgrowth once and for all but does it seem like i may actually have this?

Obviously something is causing your elevated ALT. Your observation that your ALT decreased after taking Alinia is significant. What does your doc say about your decreased ALT after Alinia treatment? I agree that you need to kill off your bad bacteria ASAP. However your elevated ALT may be a clue to why you keep getting gut infections. So that's worth investigating.

butterfl8 Rookie
butterfl8
Posted

NASH is marked by both elevated liver enzymes and fatty deposits.

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The diagnosis is confirmed with a biopsy.

I dealt with this diagnosis with my husband, and in my opinion, it is the diagnosis for alcholics in denial and a way for Drs. to allow them to stay that way. Just like Drs. can tell people "oh, you have IBS" as a generic catch-all term so that they can walk around with a label (diagnosis) and feel better that they "know" what is wrong with them.

NASH is a cheater diagnosis, and unless you have a serious drinking problem that you refuse to acknowledge, I doubt that this is the answer. Oddly enough, my husband's liver tests all came back normal once he stopped drinking.

Sorry Jason, maybe others will have more insight for you, but this comes from my personal experience, and what I researched during that time.

If you do think you have NASH, I do encourage you to stop all drinking, even just if it is 2 drinks a week. Elevated liver enzymes indicate a damaged liver, and putting your liver through more strain with processing liquor is not a good thing.

Best of luck.

-Daisy

jasonD2 Experienced
jasonD2
Posted
  • Author

Thanks but I don't have an alcohol problem..trust me ;)

butterfl8 Rookie
butterfl8
Posted

Didn't think so!! But I'm also not one to presume--safer that way! :D

Take care.

-Daisy

Emilushka Contributor
Emilushka
Posted

Usually with an alcoholic person, the AST will be elevated more than the ALT. Often the AST will be twice the ALT in an alcoholic.

ravenwoodglass Mentor
ravenwoodglass
Posted

How elevated is it and is your doctor concerned? Too much self diagnosis is not always a good thing especially when someone tends to worry a lot. If it is high talk to your doctor about it and see if they can help figure out why. That is what you are paying him/her for.

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    • trents
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      Welcome to the celiac.com community @pothosqueen!   Can you be more specific about which IGA test was run that resulted in 114 score and said to be "normal" and could you please include the reference range for what would be normal? By the size of that number it looks like it may have been what we call "total IGA" but that test is not usually run without also running a TTG-IGA. Total IGA tests for IGA deficiency. If someone is IGA deficient, then the celiac-specific IGA tests like the TTG-IGA will be inaccurate. Was this the only IGA test that was run? To answer, your question, yes, a positive biopsy is normally definitive for celiac disease but there are some other medical conditions, some medications and even some food proteins in rare cases that can cause positive biopsies. But it is pretty unlikely that it is due to anything other than celiac disease.
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