r/autoimmunehepatitis

Image 1 — Autoimmune hepatitis? Please help
Image 2 — Autoimmune hepatitis? Please help

Autoimmune hepatitis? Please help

Labs and biopsy results

So about 6 weeks ago I got extremely ill with a stomach bug. About 4 days later I can't get my pee clear and I'm a big water drinker as I am very active. Well my liver values aren't super high but my bilirubin has climbed from an 8 to a 9.9 to an 11.6 to now 17.9. I did a liver biopsy, they can't seem to figure it out. I just barely tested positive on the smooth muscle antibody test. He started me on 40mg Prednisone a day to try and relieve the inflammation in my liver and spleen. Anyone see a situation like this before?

u/red101151 — 15 hours ago

Need to vent

I was recently diagnosed and started aza only 2 weeks ago and literally within a week I got horribly sick and have been to urgent care twice and am on two different antibiotics for sinusitis and conjunctivitis. Is this how being sick is going to be for the rest of my life? I’m so scared for my quality of life with this diagnosis :(

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Confused by "inconclusive" PBC biopsy results despite high AMA? Looking for overlap experiences.

Hi everyone, I’m looking for some insight from anyone dealing with AIH/PBC overlap.

I was diagnosed last year based on a FibroScan and bloodwork (ANA 1:1000, AMA 1:3200, and LFTs 5x the normal limit). I’ve been on Budesonide and UDCA for over a year, plus Azathioprine for the last 10 months.

I finally had a biopsy two weeks ago, and while it confirmed fibrosis and AIH-like damage, it came back inconclusive for PBC. Now I’m questioning everything. Is it possible it’s just AIH? Or is the biopsy just missing the PBC markers because the damage is patchy?

Has anyone else had a biopsy contradict their bloodwork? Should I push for a second opinion/biopsy at another facility, or just trust the original diagnosis?

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u/peacefuldev — 20 hours ago

Just had liver biopsy done

I had my liver biopsy done this morning and it was incredibly painful during the procedure. They had to double my meds through my iv. After the procedure they gave me a painkiller pill and i had relief for a couple hours. Now im home and I feel a constant stabbing pain at the bottom of my right ribcage. The kind of pain you get from a side stitch when you run, except its constant and going on like 7 hours now. It let's up only if I lay on my left side.

Was anyone else's experience also like this? I have been reading online that it was quite painless for everyone else. Just wondering if I should be concerned or if it is just because of the inflammation I've had on my liver or something. Thanks in advance

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u/verdugo713 — 5 days ago
▲ 2 r/autoimmunehepatitis+1 crossposts

Liver Enzymes

58 y F, 109 lbs, 5’4.5 tall, Have been chronically ill, extreme fatigue, since January 2025 with weight loss of almost 45 lbs, have not consumed alcohol since Feb 25, imaging ultrasound in January 2026 indicates mildly fatty liver, MRCP in October 2025 normal, MRI September 2025 normal, ultrasound April 2025 normal (gallbladder sludge). Diagnosed with Lyme disease in October 2025 and treated with antibiotics in January 2026 but could not continue as became too ill. Started a lot of prescription medication in November 2025 for query mast cell activation syndrome (Famotidine 20 mg twice per day, Bilastine 20 mg once per day, Ketotifen 1 mg twice per day, Singulair 10 mg once per day) In addition to all these medications, taking Ativan 1 mg, Melatonin 6 mg, DayVigo 10 mg and recently started Cromolyn 200 mg 4 times per day (started that about 3 weeks ago). Discontinued Singulair about 5 days ago as known to elevate liver enzymes. Also have chronic pain and aching, spasms in right side beneath ribs and towards flank. Medication induced elevating liver enzymes? Biliary ducts? (No jaundice or vomiting) possible cholestasis? Seen countless specialists, been told nothing physiological to possible occult malignancy.

u/Dexterislit — 5 days ago

Spiraling a bit with concern

Has anyone ever had a positive AMA-M2 result, bile duct injury/loss on liver biopsy, normal IgM results and normal ALP results and only diagnosed with classic AIH type 1 and no overlap of PBC? Please let me know as I’m deeply concerned and getting conflicting information online.

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u/Key-Money-4889 — 3 days ago

So I've been seeing all over the place where people are talking about this carnivore diet curing all types of autoimmune diseases. Has anyone here done any research or have experience with any diet curing or causing AIH to come down?

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u/MainSufficient2827 — 7 days ago
▲ 5 r/autoimmunehepatitis+2 crossposts

Liver is in compensated state but steroids caused Osteoarthritis

My Mother is diagnosed with Autoimmune Hepatitis. She is taking prednisone for 2 years now. Current dosage is 2.5mg alternate days alongwith Azathioprine 50mg daily. With this treatment, her liver disease is in compensated state but she is not able to walk properly and there is a lot of pain in her both of the knees. We went to Ortho and doctor said it is meniscus wear and painkiller is the only non-surgical solution to provide relief. Now, as the liver is already sensitive and weak, we cannot give strong painkillers to her and due to this, she is not getting much relief. This is really frustrating for me to see her like this because walking is the basic freedom and she is totally blocked. Can anyone please help here by providing some inputs? Also, does anybody going through such osteoarthritis?

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u/DryNet3664 — 6 days ago

Hi everyone, how are y’all doing? I’m seeking some logical insight.
My AIH labs are finally great (ALT down to 50!), but my quality of life is tanking. Ever since I hit my full dose of aza alongside budesonide, I’ve been struggling with fatigue, dizziness (feeling like I’m on a boat, especially indoors) and my HR jumps to 130 bpm just standing still (cooking/working), plus sudden heat waves and tremors.

Strangely, I feel better while working out (moving) than standing still. I feel like my autonomic nervous system is haywire hahahah

Has anyone else experienced dizziness or autonomic dysfunction on this combo? Could it be a side effect of Aza hitting full regime or a mineral imbalance caused by the steroids?

Thanks for any shared experiences! 🌸✨

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u/Then_Imagination_363 — 6 days ago
▲ 2 r/autoimmunehepatitis+1 crossposts

Hi,

i have overlap AIH&PSC plus UC in remission ( at least what they say ).
For AIH I’m taking MF Mofetil, and my IGG, which was 25 before treatment, now sits between 16 and 18. Sometimes it’s 17, or 18.
My ALT went down to 37 while I was taking antibiotics for gut microbiome, this is related to psc, but when I stopped antibiotics ALT went back to 80.

My hep says UC can increase IGG a bit, and PSC too. So I was wondering if any of you can share your labs in remission?

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u/Sudden_Weight_4352 — 9 days ago