Patient symptom-free with rare liver disorder

DEAR DR. GOTT: I have been reading your column for years and have a question about Caroli’s disease. I was diagnosed with it a few years ago and am currently in remission or symptom-free at this time. I found out I had it by accident when I had a CT scan for some pain on my left side. The technician did a full scan of my abdomen and then over to my right side and told me to see a specialist. I went through a series of blood tests and then an MRI scan. The process took about two months before I was diagnosed.

My father and grandfather are now believed to have had the disease, but we did not know it at the time of their deaths. They both had liver and kidney problems and cancer. I have had my boys tested through a blood test, and they are negative for the disease. I have other siblings who also tested negative for it. They have children, but not all have been tested. So far, I am the only one in the family.
[Read more...]

Does hepatitis patient belong in restaurant?

DEAR DR. GOTT: Should a person with hepatitis be a restaurant cook? Is there any danger to the customers?

DEAR READER: Hepatitis refers to inflammation of the liver and to a group of viral infections that affect the liver. There are actually five types: A, B, C, D and E.

A is contracted from the hepatitis A virus. It is spread through the ingestion of food or drink contaminated by infected feces. This is one reason why it is mandated that employees in the food industry wash their hands following a visit to the lavatory during their work shift.
[Read more...]

Should reader find a new physician?

DEAR DR. GOTT: My doctor has told me that I have lymphedema and should take a water pill. When the 20 milligrams wasn’t sufficient, she put me on 40 milligrams. Because I wanted to know more about my condition to better educate myself about things to do and not do, I looked online. It appeared to me that my doctor should be looking for the cause of the swelling, not just treating it. So I pressed her into doing more. She ordered a CT scan of my pelvis, a heart echo and a venous Doppler. My CT scan showed a lesion on my liver and no abnormalities of the kidneys. The Doppler was negative, and I don’t have the results of the echo, even though it was done more than a month ago. [Read more...]