Dr Hilary Jones' Healthcare Guide - West Midlands - (Page 49)

GASTROENTEROLOGY – DIGESTIVE SYSTEM DR JOHN WONG MBBCh, MD, FRCP graduated in the UK in 1993 and trained in the West Midlands. He is now a consultant liver specialist and gastroenterologist at University Hospital Coventry. He has a special interest in liver disease, performing interventional endoscopies and liver FibroScan. Liver tests: taking the silent hint Picture caption here here hre aut acipis null utet, se 1. There are several ways to investigate possible liver trouble. Liver function tests (LFTs) are some of the most common ‘routine’ blood tests carried out. These tests examine your liver enzymes (or proteins), and any abnormality can offer a clue to underlying liver problems. Similarly, an abdominal ultrasound scan is often performed for a number of abdominal complaints. For patients with acute liver disease, severe disturbances on LFTs will indicate overwhelming liver cell damage, resulting in symptoms such as jaundice (yellow eyes and skin). In chronic liver diseases, however, LFT abnormalities may be mild and the symptoms may not appear until the liver becomes damaged to the point of cirrhosis (scarring) or liver failure. A liver ultrasound showing any irregularity may sound worrying, but it doesn’t always offer a diagnosis or indicate a specific liver disease. Abnormal liver test results The most common causes of abnormal LFTs include alcohol abuse and fatty liver disease. Chronic viral infections such as hepatitis B or C also need to be considered. Abnormal LFTs may not indicate a primary liver problem. They may also be due to a condition where the liver is one of several organs affected. If you have bowel issues, these may be relevant. For instance, coeliac disease (gluten allergy) can cause LFT abnormalities. 1.Giat, consenim erostrud dolore doluptatet, sequipsum zzriure dipit lorper in henim iure er amet at wiscipsum et. 2. Etue vel iriustrud er se feum quam dolore delessis nullandit, conseni sciduis alit niam amet landiat. Duis aliquat.Wismolob oreratu mmolor sit dolum illamconum zzrit lut enim alisl iure commy niam, sectetu mmodit dolor irillum veliquisisit aut amet atie commodignis numsan venisl ut ing enim vel irilis atum eraese consequ ismolobor Boxout heading heading boxout sell here del digniscilla core dignim Re dolobore modit lam con Liver problems are also closely associated with those of the bile duct system. Liver test abnormalities may be due to a cancer that is causing congestion in the small bile channels within the liver, or gallstones causing a blockage in the main bile duct. Further investigation A patient's medical history may suggest a cause for abnormal test results. For instance, a recent new medication may be to blame. This could be discontinued and follow-up tests performed to monitor the effect on the liver. Similarly, lifestyle changes such as cutting down on alcohol that lead to improved LFTs indicate that alcohol abuse may be an issue. Further imaging tests such as CT scans or liver MRIs, and sometimes a liver biopsy (taking a liver sample), may be needed. When a problem with the large bile duct is suspected, a specialised endoscopy (tube) test or endoscopic ultrasound (EUS) can be helpful. Visit www.endoscopyplus.co.uk or contact Dr John Wong at the following hospitals: BMI The Meriden Hospital, Coventry, call Jacqueline Wright (secretary) on 02476 647065 or email jwright@ bmihealthcare.co.uk For Nuffield Health Warwickshire Hospital, Leamington Spa, call Anna Potts (secretary) on 01926 436359 or email anna.potts@ nuffieldhealth.com http://www.endoscopyplus.co.uk http://www.endoscopyplus.co.uk

Table of Contents for the Digital Edition of Dr Hilary Jones' Healthcare Guide - West Midlands

EDITOR’S LETTER
A HEALTHY HELLO FROM DR HILARY
NEWS AND VIEWS
THE BIG INTERVIEW
QUESTION TIME
A WEIGHTY ISSUE
FITNESS FOR FREE
THE HEART OF THE MATTER
TOP NOSH
DR HILARY'S WELCOME
MAKE THE RIGHT DECISION
CHOOSING THE BEST
BREAST CANCER
COLORECTAL
COSMETIC SURGERY
DERMATOLOGY
EARS, NOSE AND THROAT
FERTILITY
GASTROENTEROLOGY
HAEMATOLOGY
NEUROSURGERY
OBESITY
OBSTETRICS AND GYNAECOLOGY
OPHTHALMOLOGY
ORTHOPAEDICS
PAIN MANAGEMENT
PLASTIC SURGERY
PLASTIC SURGERY
UROLOGY

Dr Hilary Jones' Healthcare Guide - West Midlands

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