Hi - I have been vaguely diagnosed with auto immune hepatitis by my doctor. When I say vaguely, she says that my lab test results are what you would see in auto immune hepatitis. Needless to say, I was surprised but have been feeling so poorly (exhaustion, joint pain, all over aching feeling, left upper abdomen pain) that it had to be something.
My question is: my ANA was positive, my ALT is 135. I'm having an ultrasound on Tuesday to look at my spleen and liver. My doctor is saying "let's wait another 4 weeks, re test blood work to see if it gets better". Meanwhile, I feel awful. It seems my throid has stopped working and I have hypothyroidism as well that I"m dealing with.
Is this a firm diagnosis at this point? Is it typical for a doctor to want to wait an additional 4 weeks to wait and see before starting treatment? Shouldn't I be having a liver biopsy? I'm 52 years old. Any information or opinions would be appreciated.