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Doctor insights on: Liver Enzymes Elevated Ultrasound

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My liver enzymes are elevated. My dr says I need an ultrasound. What else should I be doing?

My liver enzymes are elevated. My dr says I need an ultrasound. What else should I be doing?

First, repeat labs: It is very common for liver enzymes to go up and down slightly, even in healthy people, so always good to repeat the test and see if normalized. Must review meds list carefully, as this is common effect of drugs (e.g. Statins). Alcohol, esp. Binges but even moderate intake, can cause transient spikes in values as well. If stays high, need thorough evaluation for causes of hepatitis. ...Read more

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Dr. Michael Gabor
2,193 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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I had mildly elevated liver enzymes on two blood tests but ultrasound was normal. What could be causing this?

I had mildly elevated liver enzymes on two blood tests but ultrasound was normal. What could be causing this?

Many possibilities.: there are entire text books written on the causes of abnormal liver tests. It would be impossible to list all of them here. It is important if you have persistently abnormal liver tests to have an evaluation performed to determine the cause. Initially, your primary care doctor can start the process, but if no obvious answer is present, you should see a gastroenterologist. Good luck. ...Read more

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Ex-heavy drinker teens/20s. Quit 4 years ago. Liver enzymes continue to be mildly elevated. Ultrasound normal/hep neg. Should I have further testing?

Ex-heavy drinker teens/20s. Quit 4 years ago. Liver enzymes continue to be mildly elevated. Ultrasound normal/hep neg.  Should I have further testing?

Yes!: You need to talk with your doctor so that they can see if you are taking any prescriptions, drugs or supplements that can be harmful to your liver. You need test for Hep A/B/C/D/E/etc based on risk factors. You can be tested for other forms of liver disease such as autoimmune hepatitis. Since ultrasound was normal, you can have FibroSure blood test to detect any liver inflammation and/or fibrosis. ...Read more

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Mildly elevated liver enzymes 2 - 4 x upper limit 60% of tests for 3 years. Now liver enlarged on ultrasound. Episodes of edema and fevers. What now?

Consult hepatologist: Hi, the tests and the clinical symptoms that you describe warrant further work up by an experienced hepatologist. The possibilities are too numerous to discuss in the current setting. The main crux of the w/u would be to assess if the damage to the liver is not irreversible(cirrhosis); find the underlying cause to treat it. A liver biopsy may be indicated if all tests are neg. Hope this helps. ...Read more

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I am 24 years old with unknown cause of elevated liver enzymes for more than 6 months with negative ultrasound can I use milk thistle as a liver tonic?

I am 24 years old with unknown cause of elevated liver enzymes for more than 6 months with negative ultrasound can I use milk thistle as a liver tonic?

Yes: However, it is unlikely to benefit you; most studies show no value. Health doesn't come from taking pills. You need to discover the cause. I trust you've been tested for hepatitis b and c, hemochromatosis, wilson's, autoimmune hepatitis, and antitrypsin deficiency. Elite athletes tend to run high transaminases & that's healthy. If you're sedentary, think about a new focus on fitness instead. ...Read more

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Elevated liver enzyme with normal other liver function and normal ultrasound and negative hepatitis b and c virus ??

Elevated liver enzyme with normal other liver function and normal ultrasound and negative hepatitis b and c virus ??

2 thoughts:: A common cause of asymptomatic elevations in liver enzymes is fatty liver(Non alcoholic fatty liver disease: NAFLD). This is very common in obesity and is considered to be part of the metabolic syndrome. Ultrasound will be "normal" (i.e. falsely negative) in 17% of patients with NAFLD. A less common cause=choledocholithiasis(stones in common bile duct). Often missed on ultrasound. Can be asymptom ...Read more

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Healthy 60 year old female have had elevated liver enzymes for 20+ years, no health issues. Have had ultrasounds, mri, all that showed were liver cyst?

Healthy 60 year old female have had elevated liver enzymes for 20+ years, no health issues. Have had ultrasounds, mri, all that showed were liver cyst?

Many potential cause: Liver enzymes can go up due to hepatitis caused from one of many causes like excess of alcohol use, viral hepatitis, fatty liver in an overweight person and then some rare conditions which are familial/hereditary. Your primary care doctor can sort it all out for you.. A hepatologist is a specialist in case you wanted further advice. ...Read more

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Is it possible to have mildly elevated liver enzymes and some small spots on your liver during an ultrasound and have the two findings be totally unrelated? Could you have non alcoholic fatty liver disease and cysts or something similar?

Is it possible to have mildly elevated liver enzymes and some small spots on your liver during an ultrasound and have the two findings be totally unrelated? Could you have non alcoholic fatty liver disease and cysts or something similar?

Yes.: This is in fact common. Both liver cysts and liver enzyme abnormalities are very common. Therefore the overlap of those two is also common. It would be unlikely that a cyst alone would be responsible for liver enzyme elevations. ...Read more

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What do elevated liver enzymes and low sodium levels indicate? I have had scan, ultrasound of liver, and hepatitis panel. All of these were negative.

Not easy to answer: Elevated liver numbers can result from many things..Infection, obstruction, medications, drug use, fatty liver, carcinoma, alcohol consumption, gallbladder and pancreas problems. Its great that the us was negative..But i'd suggest a ct for further clarification. Low sodium can be from a number of reasons from drinking way too much water to losing sodium inappropriately from the kidney. ...Read more

Dr. Qamar Khan
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Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


Enzyme (Definition)

An enzyme causes the transformation of a compoond to another compound. In living structures, it is the transformation of a protein to another form. An example is from an inactive state ...Read more