Ultrasound scanning of the abdomen can detect an abnormal texture to the liver and splenomegaly resulting from portal hypertension. Computerized tomography (CT) and magnetic resonance imaging (MRI) scanning is more sensitive and can also identify portosystemic vascular shunts (see Chapter 45).

Blood tests often show abnormalities, such as raised hepatic enzyme levels, raised bilirubin, lowered albumin and abnormal coagulation tests, although all of these may be normal despite advanced cirrhosis (see Chapter 43).

Liver biopsy, showing fibrosis and regenerative hepatocyte nodules, confirms the diagnosis and may demonstrate the cause of cirrhosis, especially when special histochemical and immunohistochemical stains are used.

Blood tests can identify some causes of cirrhosis: for example auto-antibodies to mitochondrial pyruvate dehydrogenase (antimitochondr-ial antibodies) indicate PBC; genetic testing for haemochromatosis is available and circulating hepatitis B DNAor hepatitis C RNAor antigen can be measured (see Chapter 41).

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Get Rid of Gallstones Naturally

Get Rid of Gallstones Naturally

One of the main home remedies that you need to follow to prevent gallstones is a healthy lifestyle. You need to maintain a healthy body weight to prevent gallstones. The following are the best home remedies that will help you to treat and prevent gallstones.

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