NASH and cirrhosis of the liver.
I have type 2 diabetes and have been diagnosed with chronic non-alcoholic steatohepatitis with mild intracytoplasmic cholestasis. Minimal lobular actvity. Scattered lymphocytic infiltrates noted within the portal tracts with minimal hepatocyte necorsis and mild portal fibrosis. Due to also having portal hypertension, gastric varices and stomach polyps, it has been suggested that I may have cirrhosis of the liver as well. Does anyone else have this diagnosis and should I be greatly concerned? Is there treatment for this? Any help would be appreciated.
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I see the doctor in October. I will start making a list of things I need to know. Thank you again for your help. This means a lot to me.
I will. I especially need to know what some of the terms are. They sometimes act like they are afraid to tell you anything. Answers will only inform me and maybe I can find something I can do to help this disease.
I feel confident that you will learn more when you return to your October appointment. . And it is not easy to wait and wonder. I am happy that this chat has helped you. I remember me and my husband feeling completely alone and frightened because no one was available at the beginning to talk to outside of the doctor office. I look forward to ongoing conversation with you. Rosemary
Thank you for tagging me in this discussion, @colleenyoung! And hello to you, @mollyb1968.
Getting a diagnosis of any type can certainly be scary, especially when it comes as a surprise. A range of emotions, including shock, sadness, and even angry are common. I can tell you that when liver disease came up in my family recently there was alot of denial and resistance to making changes/seeking care, which of course is not very productive.
It sounds like you are being proactive and very motivated, which is so wonderful. Ultimately you are your own best advocate. Yet navigating all the information being thrown at you can be a lot to digest.
As Colleen mentioned, there are a lot of great resources out there that may assist in learning more about NASH and feeling prepared for upcoming appointments. Mayo Clinic has a guide of high level questions to ask the doctor here. These are a great starting point!: http://www.mayoclinic.org/diseases-conditions/nonalcoholic-fatty-liver-disease/diagnosis-treatment/preparing-for-appointment/ptc-20211651
The American Liver Foundation has a wealth of information and resources. For example, here is a guide they have for those newly diagnosed with NASH. This may have useful information. http://www.liverfoundation.org/downloads/alf_download_921.pdf
-Melody
Thanks Melody! I always appreciate your guidance to resources.
I have a question: My sister-in-law had recent lung surgery and has to be careful regarding who and what she is around. Is NASH, in any way, contagious or something she should stay away from. Is this a form of hepatitis A, B, or C. Thank you for your help in this matter.
@mollyb1968 - No, NASH is not contagious. This is from Saint Louis University's NASH Research Center: "No, NASH is not contagious. “Hepatitis” simply means inflammation in the liver. Although some people have liver inflammation (hepatitis) because of infections by viruses such as hepatitis B and hepatitis C, NASH is not caused by an infection of the liver and is not contagious. "
nashresearch.slu.edu/index.php?page=take-care-of-your-liver
Thank you so much for the info.
Does anyone know what the term: intracytoplasmic cholestasis means? or lymphocytic infiltrates within the portal tracts means?
Hi Molly,
Here are some explanations I found through a Google search. I would confirm these interpretations to understand how these results apply to you.
From the book "Biopsy Interpretation of the Liver" by Stephen A. Geller and Lydia M. Petrovic
"Cholestasis is the presence of visible bile in liver tissue... In prolonged cholestasis, the cytoplasm of liver cells also contains bile pigment (intracytoplasmic cholestasis)."
The portal tract is sometimes also referred to as the portal triad. It gets its name from the lliver's triangular shape and its three major components: the hepatic artery, the hepatic portal vein, and the hepatic ducts, or bile ducts. http://www.wisegeekhealth.com/what-is-a-portal-triad.htm
Lymphocytes are seen in portal tracts in the normal liver, and infiltration increases in many inflammatory diseases. http://www.nature.com/icb/journal/v80/n1/full/icb20027a.html
Did you get these results from a liver biopsy?