Doctor insights on:
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
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
Not specifically: It is very good that you ate following up on your blood tests. I do not know which blood tests are elevated. An ultrasound can look at both your liver and gallbladder. Sometimes blood tests to check for hepatitis exposure is indicated. Some medications can also affect the liver & your doctor may change them if indicated. Not to worry about, but good to have checked. ...Read more
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
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
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
Elevated liver enzyme with normal other liver function and normal ultrasound and negative hepatitis b and c virus??
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
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
Healthy 60 year old female have had elevated liver enzymes for 20+ years, no health issues. Have had ultrasounds, mri, all that showed where 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
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
Why would liver enzymes fluctuate in and out of range in 3 months? Ultrasound clear but immunoglobulin m was slightly elevated with ast 60 and alt 100
See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it could be due to alcohol use, some medication you are taking or being overweight. Or you may have chronic liver inflammation. You should talk to the doctor who ordered the tests. ...Read more
Elevated liver enzymes (ALT- 85, AST- 75). Normal liver/gall bladder ultrasound. Amylase was elevated but has normalised. Pain on LEFT side.Pancreas?
All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, if you drink alcohol, stop entirely, if you are even slightly overweight, lose weight and discuss any medications, including over the counter ones, with your doctor.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more
Liver enzymes high normal ultrasound doctor wants me to go see stomach doctor but didn't say why?
Possibly Hepatitis: High liver enzymes suggest irritation to the liver. A normal ultrasound suggests it is not due to gallstones (that is why he did not send you to a surgeon). There are many things that can cause this. Vitamins, medications, alcohol, poisons or various infections are all possibilities. A "stomach doctor" or Gastroenterologist specializes in disorders of the liver. They can sort it out for you. ...Read more
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
For 2 negative ultrasound in chronic elevated liver enzymes, and running away from biopsy, can an MRI help and does it need contrast? R/o NASH nafld?
Need biopsy: If your enzymes have been elevated for a long period, the only definitive test is a liver biopsy, performed either under ultrasound or ct. It is a relatively painless procedure, done as an outpatient, usually with local anesthetic. You should be able to go home within 2 hours. Bleeding is a potential complication, but usually self-limited if you have normal clotting. Treatment follows dx. ...Read more
Been constipated for 2 weeks, used enema Sat. Had very small bm, have elevated liver enzymes and bilirubin in urine, ultrasound was normal. Now what?
Do this next: Are you on any meds? Get a thyroid check and porphyria screen. Drink plenty of water and read about fiber, consider a stool softener. Trust you have no toxic exposures (lead) or risk for Chagas. Colonoscopy may be in the future. How much bilirubin in the urine? How high were the liver enzymes? Has the liver workup proceeded (hep B/ c / iron overload, Wilson's, antinuclear antibodies)? ...Read more
Elevated liver enzymes. ALT- 72 AST- 59. ALL other labs are normal. Liver/gallbladder ultrasound is normal. Negative for hepatitis. What can cause it?
Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it may be due to alcohol intake, medications you may be taking and/or from being overweight. If you drink, stop entirely and discuss any medications you take with your doctor. ...Read more
Routine physical found elevated liver enzymes. Follow-up blood work showed lingering hepa antibodies. Ultrasound today, and I saw black spots on my liver — waiting for radiology report. Thoughts?
Elevated amylase (250) and liver enzymes (ALT, AST). Normal abdominal ultrasound & CBC. WHat could cause this if ultrasound is normal?
After my 2nd blood test came back that my liver enzymes came back elevated now my doctor wants an ultra sound done do I have to be worried?
Not enough info: You give no specifics as to why the tests were ordered, your medical conditions or your meds. You should direct your question to the doctor who ordered the tests. ...Read more
Elevated Liver Enzymes & White Blood Cell. Sonogram showed lesion and fatty. I don't drink alcohol. Hep. Was neg.
Need more info:
What is your BMI? Are you diabetic? Are you on any medications? If you are overweight, even if you are on the high side of normal, losing weight will help.
For good health — Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more
I am working in cambodia. I have elevated liver enzymes (alt 149) & GGT is 280. Is it safe to get hep a & b vaccines? Liver sonogram normal -
Get serology first,,: Before you even think of getting vaccinated it'd be good to get a serologic result to see if you've already been exposed and made antibodies to hep a, b or the other hepatitis viruses. You might have contracted one of them without knowing it. Next, liver tests/other tests would be needed to find out why your enzymes are elevated. You might have gone to an area endemic for malaria, etc. ...Read more
My liver enzymes were high they went from 67 to 103 from June 8 to July 31 is this bad whst could it be I go for an ultrasound tom?
Need more info: Do your drink alcohol? Are you on any medications? Are you overweight? Any recent history of travel? Any drug use history? What were the results of other tests? All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. ...Read more
Good idea: Ultrasound will pick up whether the liver is fatty; if so, we'll want to consider alcohol, metabolic syndrome (a fitness program might be a great idea) or something similar; regardless, expect to be checked for wilson's, hemochromatosis, the viral hepatitis family, autoimmune hepatitis, and medication effect. These are all deadly if missed, but treatable if caught. Good luck. ...Read more
Is high liver enzyme count something that turns out to be not too serious? Ultrasound tomorrow. What may he check for???
Depends on what lab: Routine liver function tests usually include: bilirubin, ALT and AST (transaminases), alkaline phosphatase. The concern level increases as the number and levels of these enzymes increase. An ultrasound will only look at the structure of the liver, gallbladder and bile ducts. It may look for gallstones or blockage of bile ducts, or liver masses, fat or scarring. Other blood tests may follow ...Read more
My liver enzymes are high. An ultrasound was clear. Now I have to go to a GI. What can I expect and what could be causing this?
Many causes: There are many reasons your liver enzymes can be high. If it was a one time test, lab error is possible. Some people have a benign disorder where liver enzymes are elevated due to a genetic disposition, and if this is the only symptom nothing more needs to be done. A blood test will tell. Many viral infections can cause elevated liver enzymes, again, blood tests can given an answer to this. ...Read more
Liver enzyme (alt only) abnormal at 68. Was normal previous two yrs. Hep. Panel negative, ultrasound normal. Should I worry? Moderate drinker (<14/wk)
Am 33. A bit overweight. Do no tdrink. Have fatty liver. Liver enzymes and ultrasound normal but fatty liver. No symptoms. What re the risk? What do?
I am having high liver enzymes as in and had ultrasound and it's all good...and my neutrophils n WBC are low n ferritin are high.
Need more info: You don't supply enough information to give you an answer. The best person to talk to is the physician who ordered the tests and what is suspected. Give him/her a call now. ...Read more
Easy and safe: Ultrasound is very safe and easy, and it can tell you if there is something wrong with your kidney (stone, dilated collecting system, etc). It can also look at the liver, if needed, at the same time. It is an excellent first step to visualize a problem. If you get an answer, you're done, and you don't have to go through a ct, mri, etc. ...Read more
No alcohol. Have high liver enzymes & ultrasound shows large liver. What can I do for a fatty liver?
Listen to doc.: You are already being seen by doc who needs to give you a comprehensive program of prevention and monitoring. Should include info on lifestyle (smoking, alcohol, diet), cholesterol / triglycerides. Avoidance of hepato toxins, etc. You should also get info on your prognosis. ...Read more
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
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