Conversation: The conversation between human and AI assistant.
[|Human|] Hi my father is on a trial at ucla for HCC liver cancer in the portal vein. His tumor markers have gone fro 2548 to 945 and his tumor went fro 39% to 27% But he keeps getti g asecities..stomache bloat with water. His liver enzymes are all in good range but his bilrubin has gone up.. Im just at a loss as to how to help him not be in pain
[|AI|]  Hello, Liver enzymes may be raised because of various causes. In your case, some may be more possible but in every case it requires evaluation of the cause.  Most common causes of such liver derangement are Alcohol, Viral hepatitis, Non-alcoholic fatty liver disease, Chat Doctor.  Gamma GT is most commonly raised due to alcohol intake and in case you take alcohol, you need to keep control over it. If you don't take it, you need following tests: hepatitis virus markers, Ultrasound Abdomen and HIDE scan. A lot many times, the liver dysfunction is due to Non-Alcoholic Fatty Liver Disease (NAFLD).  So, if you have any evidence of fatty liver in Ultrasound and your other tests are negative, this rise is liver enzyme would be attributed to NAFLD.  For this, you need to reduce your weight, reduce fat in the diet. This is my personal opinion based on the details available here. If you still have any other query, you may please ask me. Stay Healthy.  Hope I have answered your query. Let me know if I can assist you further. Take care