PSC concern

Hi guys. I have just recently been diagnosed with mild UC in the rectum through colonoscopy. I am a 29 year old male from Qld in Australia. After getting my diagnosis, I, of course went to google and stumbled across PSC and the link with UC which really has me concerned. When I first saw my Gastro she saw my High liver function, in particular the ALT levels and recommended my GP do some further tests on my liver, but when I saw him he said this is not needed because I was diagnosed as having a fatty liver over ten years ago, and my Liver Function tests have always been high since then and I have had ultrasounds to confirm that this is fatty liver.

I also have health anxiety so this has me worried constantly and I am also feeling pain now in my liver. Luckily I have no other symptoms such as itching or anything like this. Basically I am wanting to know from some of the knowledgable folk here what are my chances of having/getting PSC? Is this something I should be worried about? Can a fatty liver lead to PSC?

On another note the foam the gastro prescribed me is working really well in conjunction with a change of diet is really helping me. So far the worst part is the abdominal pain, but other then that so far this disease has not been bad at all. Praying it stays like that.

PSC and UC "can" be related.  Not all with UC have it, not all with PSC have UC.   Which comes first is an interesting question, however.

Fatty liver doesn't cause PSC, but I'm sure one could possibly have it with PSC

Is your fatty liver non-alcohol related? What changes have you made regarding food intake, etc?

Is your cholesterol high?

What exactly are your liver enzyme numbers...not only the one?

I would suggest, however...at this point...that if you are extremely worried, request the doc to send you for an MRCP. It's an MRI for the abdomen that focusses on the biliary system of the liver, gallbladder, pancreas.

What you do NOT want to do is worry yourself about something in which you have no control....but get realllly smart about your blood testing results, the fact that you do have fatty liver (and how the tests relate), and that any invasive tests have extreme side effects that you do not want.

I've been through the PSC scare and possibility of having it since 15 years ago. I do, however, have PBC, but am not clear on the PSC. It matters not...I refuse any invasive testing and continue to have MRCP every so many years...as well as blood testing. I am on URSO and my liver enzymes are perfect. cholesterol is on the higher side, which can be indicative to liver disease. So far...all is good. not to say I'm not fearful for the future...I do feel in control of what not to do.

q

I understand what you meant, and it "can be true".
It's also more often in males than in females...but that's certainly not a determining factor either.
Statistics are one thing...reality is certainly another.

q