Appointment prep
Prepare for a primary biliary cholangitis evaluation
Fatigue, itching, and elevated liver enzymes in middle-aged women are frequently attributed to stress or menopause. Medvo helps you document symptoms and request antimitochondrial antibody testing and hepatology referral.
Symptoms patients describe
- · Profound fatigue and debilitating itch (pruritus), worse at night
- · Dry eyes/mouth, joint pain, and elevated alkaline phosphatase
- · Family history or other autoimmune conditions
Tests & referrals to request
Framed as evaluation — your clinician decides what is appropriate.
- · Antimitochondrial antibodies (AMA), liver enzymes, and possible liver biopsy
- · Referral to hepatologist experienced in autoimmune liver disease
- · Discussion of ursodiol and monitoring for progression
If you've been dismissed
- · Itching and fatigue called 'just stress' or 'hormones'
- · Abnormal LFTs ignored for years without autoantibody testing