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Hepatic Fibrosis
Discover hepatic fibrosis causes, symptoms, and comprehensive advanced treatment options in Houston with Dr. Scott at GastroDoxs. Learn how early detection, lifestyle changes, noninvasive diagnostics, and personalized care plans can halt and potentially reverse liver scarring, protecting your long-term health.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Common Causes and Risk Factors
Hepatitis B or C infection
Regular alcohol consumption
Nonalcoholic fatty liver disease (NAFLD)
Long-term use of certain medications
Exposure to toxins or harmful substances
Autoimmune liver conditions
Obesity, diabetes, or high cholesterol
Family history of liver disease
Signs and Symptoms
Often none in early stages
Tiredness or low energy
Pain or pressure in the upper right abdomen
Swelling in legs or abdomen (advanced disease)
Itchy skin
Bruising or bleeding more easily
How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
Medical History and Exam
He reviews your full symptom history-onset of blisters, tingling or itching, fever, swollen glands and even any epigastric or abdominal discomfort that may accompany a primary outbreak. He performs a focused physical exam of the mouth, genitals or skin for characteristic lesions.
Lesion Swab (Viral Culture/PCR)
When active sores are present, Dr. Scott gently swabs the lesion to collect viral fluid. This specimen is sent for PCR testing or viral culture to confirm HSV and distinguish between HSV-1 and HSV-2.
Blood Tests (Serology)
If no sores are visible or you've had prior outbreaks, he orders HSV antibody panels. These detect past exposure and help guide management when lesions aren't available for swabbing.
Advanced Testing (if needed)
In rare or ambiguous cases-such as atypical lesions or immunocompromised patients-Dr. Scott may request additional PCR on blood or cerebrospinal fluid, or perform a Tzanck smear to look for multinucleated giant cells.
Treatment
Our Team Offers a Full Range of Care for Hepatic Fibrosis
1. Lifestyle and Diet Modifications
Customized nutrition plans to reduce liver stress and prevent further damage
Structured fitness programs to promote weight loss and metabolic health
Guidance on avoiding alcohol, processed foods, and excess salt to support liver function
2. Medications
We follow the latest clinical guidelines to manage and slow fibrosis progression
Medications may include antifibrotic agents, antivirals (for hepatitis), or treatments targeting the underlying cause
3. Minimally Invasive or Advanced Procedures
FibroScan to measure liver stiffness and track fibrosis severity over time
Enrollment in clinical trials for new therapies targeting liver scarring
Endoscopic or interventional support for complications of advanced liver disease, when needed
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What is the difference between fibrosis and cirrhosis?
Fibrosis is the formation of early scar tissue in the liver, while cirrhosis is advanced, widespread scarring that can lead to liver failure.
How is hepatic fibrosis documented for insurance and medical records?
Physicians use ICD-10 codes K74.0 through K74.6, depending on the cause and stage of liver scarring, to ensure accurate documentation and billing.
Can stage 3 fibrosis be reversed?
Yes. With early treatment-including lifestyle changes, diet improvements, and appropriate medications-some liver healing is possible and further damage can be halted.
How often should I have a FibroScan?
Most patients undergo a FibroScan every 6 to 12 months, based on their individual risk factors and disease progression.
Is surgery used to treat hepatic fibrosis?
No. There is no surgical cure for fibrosis itself, though related procedures (such as endoscopy for varices) may be needed in advanced disease.
What diet is best for liver health?
A Mediterranean-style diet-rich in vegetables, fruits, whole grains, lean proteins, and healthy fats-supports liver health and can slow fibrosis progression.
Do I need to stop drinking alcohol?
Yes. Even small amounts of alcohol can worsen liver damage. Complete abstinence is recommended to protect your liver.
