Liver Test Results

MavinetteH

New member
It is my understanding that most kids with CF will have liver issues. At least that is what I was told a couple years ago when Hunters test kept coming up high. He takes urisdiol 300 twice a day. Everytime I asked about the liver thing to our docs at Hopkins, they always act like it is not a big thing. I would keep asking questions.
 

MavinetteH

New member
It is my understanding that most kids with CF will have liver issues. At least that is what I was told a couple years ago when Hunters test kept coming up high. He takes urisdiol 300 twice a day. Everytime I asked about the liver thing to our docs at Hopkins, they always act like it is not a big thing. I would keep asking questions.
 

MavinetteH

New member
It is my understanding that most kids with CF will have liver issues. At least that is what I was told a couple years ago when Hunters test kept coming up high. He takes urisdiol 300 twice a day. Everytime I asked about the liver thing to our docs at Hopkins, they always act like it is not a big thing. I would keep asking questions.
 

MavinetteH

New member
It is my understanding that most kids with CF will have liver issues. At least that is what I was told a couple years ago when Hunters test kept coming up high. He takes urisdiol 300 twice a day. Everytime I asked about the liver thing to our docs at Hopkins, they always act like it is not a big thing. I would keep asking questions.
 

MavinetteH

New member
It is my understanding that most kids with CF will have liver issues. At least that is what I was told a couple years ago when Hunters test kept coming up high. He takes urisdiol 300 twice a day. Everytime I asked about the liver thing to our docs at Hopkins, they always act like it is not a big thing. I would keep asking questions.
 

purplemartin

New member
Briceton has had elevated LFT's on several occasions and at first was just put on Actigall. He later had an ultrasound and CFRLD was diagnosed. From my understanding after talking to the director of my son's GI clinic, and director of the liver clinic, you need to have two "positive" tests to be diagnosed with liver disease-in most cases. For instance: high liver enzymes and a positive ultrasound, or high liver enzymes and a positive liver biopsy, and so forth. In most cases, a liver biopsy is always a last resort and often times not performed unless extremely necessary due to its invasiveness.
In most cases if a patient's LFT's are elevated on two occasions, further investigations is necessary.....and in your child's case, by ultrasound. I would definitely stay on top of your child's LFT's from this point forward and question them each time, but even though his LFT's are elevated a negative ultrasound is wonderful news! Still though, stay on top of it!
Also, CFRLD affects a relatively low amount of CFers, I believe its 3%, but due to the longer life span of CFers (which is a great thing of course!) CFRLD is being diagnosed more often---again another reason to stay on top of it!
Again, this is my understanding and someone else may be able to add more! Have they mentioned Actigall for your son?
Best wishes!
 

purplemartin

New member
Briceton has had elevated LFT's on several occasions and at first was just put on Actigall. He later had an ultrasound and CFRLD was diagnosed. From my understanding after talking to the director of my son's GI clinic, and director of the liver clinic, you need to have two "positive" tests to be diagnosed with liver disease-in most cases. For instance: high liver enzymes and a positive ultrasound, or high liver enzymes and a positive liver biopsy, and so forth. In most cases, a liver biopsy is always a last resort and often times not performed unless extremely necessary due to its invasiveness.
In most cases if a patient's LFT's are elevated on two occasions, further investigations is necessary.....and in your child's case, by ultrasound. I would definitely stay on top of your child's LFT's from this point forward and question them each time, but even though his LFT's are elevated a negative ultrasound is wonderful news! Still though, stay on top of it!
Also, CFRLD affects a relatively low amount of CFers, I believe its 3%, but due to the longer life span of CFers (which is a great thing of course!) CFRLD is being diagnosed more often---again another reason to stay on top of it!
Again, this is my understanding and someone else may be able to add more! Have they mentioned Actigall for your son?
Best wishes!
 

purplemartin

New member
Briceton has had elevated LFT's on several occasions and at first was just put on Actigall. He later had an ultrasound and CFRLD was diagnosed. From my understanding after talking to the director of my son's GI clinic, and director of the liver clinic, you need to have two "positive" tests to be diagnosed with liver disease-in most cases. For instance: high liver enzymes and a positive ultrasound, or high liver enzymes and a positive liver biopsy, and so forth. In most cases, a liver biopsy is always a last resort and often times not performed unless extremely necessary due to its invasiveness.
In most cases if a patient's LFT's are elevated on two occasions, further investigations is necessary.....and in your child's case, by ultrasound. I would definitely stay on top of your child's LFT's from this point forward and question them each time, but even though his LFT's are elevated a negative ultrasound is wonderful news! Still though, stay on top of it!
Also, CFRLD affects a relatively low amount of CFers, I believe its 3%, but due to the longer life span of CFers (which is a great thing of course!) CFRLD is being diagnosed more often---again another reason to stay on top of it!
Again, this is my understanding and someone else may be able to add more! Have they mentioned Actigall for your son?
Best wishes!
 

purplemartin

New member
Briceton has had elevated LFT's on several occasions and at first was just put on Actigall. He later had an ultrasound and CFRLD was diagnosed. From my understanding after talking to the director of my son's GI clinic, and director of the liver clinic, you need to have two "positive" tests to be diagnosed with liver disease-in most cases. For instance: high liver enzymes and a positive ultrasound, or high liver enzymes and a positive liver biopsy, and so forth. In most cases, a liver biopsy is always a last resort and often times not performed unless extremely necessary due to its invasiveness.
In most cases if a patient's LFT's are elevated on two occasions, further investigations is necessary.....and in your child's case, by ultrasound. I would definitely stay on top of your child's LFT's from this point forward and question them each time, but even though his LFT's are elevated a negative ultrasound is wonderful news! Still though, stay on top of it!
Also, CFRLD affects a relatively low amount of CFers, I believe its 3%, but due to the longer life span of CFers (which is a great thing of course!) CFRLD is being diagnosed more often---again another reason to stay on top of it!
Again, this is my understanding and someone else may be able to add more! Have they mentioned Actigall for your son?
Best wishes!
 

purplemartin

New member
Briceton has had elevated LFT's on several occasions and at first was just put on Actigall. He later had an ultrasound and CFRLD was diagnosed. From my understanding after talking to the director of my son's GI clinic, and director of the liver clinic, you need to have two "positive" tests to be diagnosed with liver disease-in most cases. For instance: high liver enzymes and a positive ultrasound, or high liver enzymes and a positive liver biopsy, and so forth. In most cases, a liver biopsy is always a last resort and often times not performed unless extremely necessary due to its invasiveness.
<br />In most cases if a patient's LFT's are elevated on two occasions, further investigations is necessary.....and in your child's case, by ultrasound. I would definitely stay on top of your child's LFT's from this point forward and question them each time, but even though his LFT's are elevated a negative ultrasound is wonderful news! Still though, stay on top of it!
<br />Also, CFRLD affects a relatively low amount of CFers, I believe its 3%, but due to the longer life span of CFers (which is a great thing of course!) CFRLD is being diagnosed more often---again another reason to stay on top of it!
<br />Again, this is my understanding and someone else may be able to add more! Have they mentioned Actigall for your son?
<br />Best wishes!
<br />
 
U

usedtobeinca

Guest
Thanks everyone for your input! It certainly helps our nerves to gain some perspective. We've learned a ton this week about the liver and what the issues really are with CFers - so I suppose more knowledge is always a plus <img src="i/expressions/face-icon-small-smile.gif" border="0">

Our little guy hasn't been on IVs or TPN for more than 2 years, but he did have his first course of Augmentin in the late spring - which is one of the meds that can cause elevated ALT/AST for weeks or months after the course is completed. The elevated levels did first appear after the Augmentin. Hard to pin that as the cause, but it is one of the possibilities I suppose.

We have yet to hear back on what interventions/follow-up, if any, the CF team will recommend. I plan to contact them for a check-in if we haven't heard back by mid-day today.

Thanks again.
 
U

usedtobeinca

Guest
Thanks everyone for your input! It certainly helps our nerves to gain some perspective. We've learned a ton this week about the liver and what the issues really are with CFers - so I suppose more knowledge is always a plus <img src="i/expressions/face-icon-small-smile.gif" border="0">

Our little guy hasn't been on IVs or TPN for more than 2 years, but he did have his first course of Augmentin in the late spring - which is one of the meds that can cause elevated ALT/AST for weeks or months after the course is completed. The elevated levels did first appear after the Augmentin. Hard to pin that as the cause, but it is one of the possibilities I suppose.

We have yet to hear back on what interventions/follow-up, if any, the CF team will recommend. I plan to contact them for a check-in if we haven't heard back by mid-day today.

Thanks again.
 
U

usedtobeinca

Guest
Thanks everyone for your input! It certainly helps our nerves to gain some perspective. We've learned a ton this week about the liver and what the issues really are with CFers - so I suppose more knowledge is always a plus <img src="i/expressions/face-icon-small-smile.gif" border="0">

Our little guy hasn't been on IVs or TPN for more than 2 years, but he did have his first course of Augmentin in the late spring - which is one of the meds that can cause elevated ALT/AST for weeks or months after the course is completed. The elevated levels did first appear after the Augmentin. Hard to pin that as the cause, but it is one of the possibilities I suppose.

We have yet to hear back on what interventions/follow-up, if any, the CF team will recommend. I plan to contact them for a check-in if we haven't heard back by mid-day today.

Thanks again.
 
U

usedtobeinca

Guest
Thanks everyone for your input! It certainly helps our nerves to gain some perspective. We've learned a ton this week about the liver and what the issues really are with CFers - so I suppose more knowledge is always a plus <img src="i/expressions/face-icon-small-smile.gif" border="0">

Our little guy hasn't been on IVs or TPN for more than 2 years, but he did have his first course of Augmentin in the late spring - which is one of the meds that can cause elevated ALT/AST for weeks or months after the course is completed. The elevated levels did first appear after the Augmentin. Hard to pin that as the cause, but it is one of the possibilities I suppose.

We have yet to hear back on what interventions/follow-up, if any, the CF team will recommend. I plan to contact them for a check-in if we haven't heard back by mid-day today.

Thanks again.
 
U

usedtobeinca

Guest
Thanks everyone for your input! It certainly helps our nerves to gain some perspective. We've learned a ton this week about the liver and what the issues really are with CFers - so I suppose more knowledge is always a plus <img src="i/expressions/face-icon-small-smile.gif" border="0">
<br />
<br />Our little guy hasn't been on IVs or TPN for more than 2 years, but he did have his first course of Augmentin in the late spring - which is one of the meds that can cause elevated ALT/AST for weeks or months after the course is completed. The elevated levels did first appear after the Augmentin. Hard to pin that as the cause, but it is one of the possibilities I suppose.
<br />
<br />We have yet to hear back on what interventions/follow-up, if any, the CF team will recommend. I plan to contact them for a check-in if we haven't heard back by mid-day today.
<br />
<br />Thanks again.
 
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