Patient's question:
On September 30th, a follow-up test was conducted at the county hospital. The DNA, AFP, and liver function tests were all within normal limits, except that the bile acid level was slightly elevated, at 11.8.Ultrasound findings: The liver section size was adequate, with an uneven capsule. Multiple slightly high echo nodules were observed within the liver, the largest measuring 1.00.9 cm, located in the left lobe. The liver parenchymal echo was coarse and enhanced, with uneven arrangement and unclear vascular network. The portal vein diameter was 1.4 cm.
The gallbladder size was normal, with a smooth wall, excellent bile transparency, and a common bile duct diameter of 0.4 cm. The pancreas was not thickened, with uniform parenchymal echo, and no dilation of the main pancreatic duct.
The spleen thickness was 3.8 cm, length 12.7 cm, and subcostal length 1.3 cm. The splenic vein diameter was 1.0 cm.
Doctor's answer:
According to your examination results, your portal vein is thickened, and your spleen is enlarged. However, your DNA, AFP, and liver function tests are normal, indicating that it is not viral hepatitis. Instead, it has progressed to cirrhosis due to some underlying cause. Therefore, medication is not required for treatment, and instead, you should follow a regimen tailored to cirrhosis. Currently, there is no specific medication for cirrhosis, so the main focus is on mental well-being. Avoid getting angry or overexerting yourself, and maintain a positive and cheerful mental state. Additionally, pay close attention to dietary management. The general principle is to consume foods rich in vitamins, high in protein, low in fat, and low in starch. For example, you should eat plenty of whole grains, black rice, millet, and soy milk.