Conversation: The conversation between human and AI assistant.
[|Human|] hi ,i have type 1 diabetes and an auto immune doctor leaning to psoriatic arthirits.will not put me on immune suppressants , o haveliver enzym AP LEVEL 314 .but i also have hemangioma liver.my diabetes is well controlled at 5.8  3 month blood w0rk .but doctors insist on livert byopsy.
[|AI|]  Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Hemagioma should be treated if it is larger than 10 cm or there are symptoms present. Otherwise, it should not be surgically removed since there is no risk of complications. Your high ALP may be caused by hematoma if it presses biliary duct but also some other causes of obstruction should be ruled out with ct scan or biography. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor.