Hello doctor, I am a 34 year old male. During recent times I am feeling a fear of having liver cancer due to my history of heavy alcoholism. I have mentioned my risk factors below: My body weight is 89Kg and my height is 166cm. I had mumps at an age of 5 years. I have kidney stones (as per the reports attached). I had hepatitis A in 2004. I was a heavy alcoholic from 2008-2012 with a daily intake of almost 300mL hard spirit daily. I reduced alcohol intake after being diagnosed by grade 1 fatty liver in 2013 October. Presently, I have pain or sensitivity on the upper right quadrant, a day after drinking alcohol. I have alcohol weekly twice and the pain goes away after 3-4 days of abstinence from alcohol. High calcium level as per attached blood report. Low vitamin D level as per attached blood report. I have sensitivity in the neck area. Although I have been having a good appetite, I still feel that I may have a very initial stage of HCC (Hepatocellular carcinoma) or any other liver complication. My questions are: What is your opinion towards the risk factor of having HCC on the basis of attached reports and above mentioned risk factors? I am using Livatone plus since last 4 months, one capsule 2 times a day. Do they interfere with alcohol drinking 2-3 times in a week? I have recently started to take multivitamin tablets (Ranbaxy Revital) once daily, without any prescription, after feeling tiredness and fatigue. Is it fine to take these tablets? Is tiredness and fatigue a cause of long term alcohol abuse? Do you suggest any further test and if yes, then within what time limit can I do it, as I am planning to go for a whole body check up only after 3 months due to insurance restrictions? If I have very initial stage cancer, will it reach to a complicated level after 3 months? I feel breathless after having food, is this due to the reason I am asthmatic as this symptom relieves once I take a puff of Asthalin? Or, is it due to any liver complication? I feel darkness under eyes, is it due to any liver disease which may be progressing? Do my high albumin level and low alkaline phosphatase levels signify any liver complication? Does a normal LFT rule out HCC or Cirrhosis at early stage?
Hi. Final advice is just forget alcohol and any other bad habits as well as HCC. Revert back to a medical gastroenterologist online for further follow up -->