Day of surgery 5/3/18, a biopsy was done of my liver and it was perfectly normal. No problems. Last year, 6 months post op, I had an abdominal ultrasound and was told I had gallbladder sludge, no mention of fatty liver. 18 months out, another abdominal ultrasound and I got a copy of the results. It shows a fatty liver, unchanged from 1 year ago and GB sludge. The doctor didn't even mention the liver damage to me and when I asked about it was told not to worry, it happens with WLS. I've researched and I've seen it can happen to people who lose a lot of pounds fast. I lost 55 pounds first 7 months (10 of it pre op). since then another 12, for a total of 67 pounds. This just isn't making sense to me. How could I have a normal liver on surgery day, after enjoying whatever foods I liked for years, and now that I'm eating MUCH better, have liver disease??? It's not that I never have fat or sugar (had some yesterday, but not a lot), but if I eat even 1/10th of what I used to, that would shock me. Like a have a bite of something, maybe two bites. Even that's once or twice a month. Does anyone have any ideas about how this happened and what I can do about it? I'd really appreciate hearing from the community on this as my doctor doesn't want to address this. I don't drink ANY alcohol.

Thank You,

Lisa

Edited November 29, 20196 yr by HopefullXOXOXO

Yeah, MGH is one of the top hospitals. I was very surprised they weren’t being more helpful.

I've been going to Mass. General for many years and have always had wonderful care there. So I've been very surprised by the weight loss center. Like I said though, the nutritionist who led the support group after surgery, retired last year and I think her heart just wasn't in it. I do think the weight loss center should have doctors available for after care. I've told this to several people at MGH. I really appreciate all the responses and now feel like I'll be able to get somewhere. I do have to take some responsibility though since I didn't even know there are doctors that specialize in liver disease. Now that I know what to ask for, I hope I'll get the answers I'm looking for.

Hello Lisa, how are you doing?

first, what is the grade of your fatty liver?
Garde 1 doesn't even count my dear.. grade 2 is also mild..

Did you take medication for your GB during your wl? I have no stones but I receive ursodeoxycholic acid once a day as prophylaxis..

Also my dear do you have any pain in your upper right side of tummy? Or even the upper middle part?
Do you vomit or have GB stone symptoms?
If not, it doesn't matter at all.. no worries hon[emoji173][emoji173]

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Azin,

I don't know the grade of liver disease. I'll be sure to ask this question as I wasn't even aware there are grades.

I was not given the meds for GB because surgeon said there are a lot of side effects and didn't recommend it. I do have pain under my ribs on the right side. I've also had GB "attacks", where I get shooting pain up into my chest and in my back. I get nauseous but haven't vomited, yet. I'm more worried about my liver since you can live without a GB, can't live without a liver. A few people have commented on my color being off too. My liver was fine through biopsy day of surgery and now I'm told it's "fatty liver disease". Trying to figure out why so I can do something about it.

Azin,

I don't know the grade of liver disease. I'll be sure to ask this question as I wasn't even aware there are grades.

I was not given the meds for GB because surgeon said there are a lot of side effects and didn't recommend it. I do have pain under my ribs on the right side. I've also had GB "attacks", where I get shooting pain up into my chest and in my back. I get nauseous but haven't vomited, yet. I'm more worried about my liver since you can live without a GB, can't live without a liver. A few people have commented on my color being off too. My liver was fine through biopsy day of surgery and now I'm told it's "fatty liver disease". Trying to figure out why so I can do something about it.

Under abdominal sonography (ultrasound) it tells you the stage (grade) of your fatty liver.. mine was grade 1, my surgeon said not to worry about it..

My father has both sludge , small stones and fatty liver grade 1; so far he's been doing good..

Fatty liver grade 1 is nothing.. so try to ask them for the grade of ur fatty liver..

If your biopsy is good then your all set and it's not cuz of liver failure or something. Your liver enzymes must hit 2ice a normal or around 500+ to say something around hepatobiliary tract might be wrong..

Your symptoms could be cuz of ur GB and not the liver..

Hang in there hope you feel better soon and hear some great news[emoji173][emoji173][emoji7][emoji847]

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Do you have anyone looking into your gallbladder issues??? I had severe pains for awhile ,long story short I actually ended up having gall stones blocking my liver. I started turning yellow. If your having color problems you may need to just go to an er. They will get you the doctors you need. Without having to wait to see one.

It sounds like your in the Boston area. You have one of the top Liver specialist in the USA at Lahey Clinic Dr. Roger Jenkins. He has been voted top in his field by Specialists in his field . He has his own wing at Lahey. Above all he is the sweetest physician you will ever met. He has managed me for over 12 years and I'm still healthy. As a FYI Brigham and Women in Boston gave me 3 months to live with metastatic Pancreatic Cancer from IPMN. He was a second opinion I went to and never left. Good luck