A member asked:

Why would 16 yr old son have elevated ast 55, alp 199, bilirubin 3.7, low vit d, fatigue and irritable bowel symptoms. no tylenol (acetaminophen) use, also no mono.

A doctor has provided 1 answer

more info is needed: Many viruses can cause mono-like symptom--cytomegalovirus, ebv, hiv--also many different types of hepatitis--a, b, c can certainly be associated with stated symptoms. Auto-immune hepatitis is also in the list. Careful hygiene and a careful examination are needed. Feel better.

Answered 10/18/2013

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