Hello, (I appeciate your patience as I have to describe my background)
My name is Dave and I don't know where to turn. I am 37, am Obese for 4 years (6'4'' 280) and have Metabolic Syndrome (A1c 6.3, LDL 150, HDL 33, Trig 199, Total Chol 230. BP 125/80) since 2006. I don't drink or smoke/use drugs. But I eat.
For the past 3 years I have had Neuropathy in my left foot (just tingling), since 2006.
Over the past year my symptoms have seem to have worsened as I am now having twitching everywhere, Neuropathy in both hands (tingling and pain) as well as my foot, pain in my feet when I walk etc. I have also felt Right upper abd pain for the past 6 months and light brown stools/also dark sometimes. It also feels as though my muscles are a bit weaker, but I can't say for sure as it isn't totally noticeable. I also cutmyself shaving and it took 30 min for the bleeding to stop (although this could be from taking asprin everyday).
I had a CT Scan of the Abd in Feb 2007 (Fatty Liver, enlarged) and one in june 2008 (came back normal, but I am not sure if it said Fatty liver again).
The real puzzle are my liver enzymes. I am worried about NASH or Cirrhosis but my liver function tests have been normal the past 3 years on several occasions.
Jan 2006 AST/ALT normal
Jan 2007 full liver tests normal (also Esoph Endoscopy, no Varicies)
Feb 2007 full liver tests normal (the month of the fatty liver)
Jan 2008 AST/ALT normal (also Esoph Endoscopy, no Varicies)
June 2008 AST/ALT normal
Sept 2008 Full liver tests, normal
I went to the GI in Sept of 2008 and he said he doesn't think I have NASH yet but if I don't change my ways, I could develop it. He felt my abdomen and doesn't think I have NASH or Cirrhosis yet and doesn't want to do a Biopsy at this point.
My ? is (and I really appreciate your patience)
1. If I had Nash or Cirrhosis, wouldn't something be off with the liver tests? I mean I know they can be normal sometimes and things can still be wrong, but everytime over 3 years on 6 tests?
2. My GI doesn't think I need a Biopsy at this point as he doesn't think I have NASH based on exam, history and liver tests.
3. Can this much Neuropathy be caused by slight Diabetes? Additionally, if my liver was causing this much Neuropathy, wouldn't I have some MAJOR other symptoms closer to ESLD? (The NLA told me your Neuropathy that would be caused by your liver would be in addition to some MAJOR other symptoms like Acities, Varacies, distended Abdomen etc., not just on it's own)
Thank you for your help!