16 doctors weighed in:

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

16 doctors weighed in
Dr. Alon Gitig
Internal Medicine - Cardiology
7 doctors agree

In brief: 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.

In brief: 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.
Dr. Alon Gitig
Dr. Alon Gitig
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1 comment
Dr. Rodney Samaan
ask for a second opinion. money magazine just published an article that indicates insurance companies will pay for a second opinion
Dr. Jamie Berkes
Internal Medicine - Hepatology
2 doctors agree

In brief: Blood work

Your doctor should be checking for viral hepatitis as well as other causes of liver disease.
Most causes can be identified with blood work and imaging, but sometimes a biopsy is needed to make the diagnosis. A biopsy can also provide additional information in terms of the severity of the disease which cannot always be provided from blood testing.

In brief: Blood work

Your doctor should be checking for viral hepatitis as well as other causes of liver disease.
Most causes can be identified with blood work and imaging, but sometimes a biopsy is needed to make the diagnosis. A biopsy can also provide additional information in terms of the severity of the disease which cannot always be provided from blood testing.
Dr. Jamie Berkes
Dr. Jamie Berkes
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Dr. Arvind Reddy
Internal Medicine - Gastroenterology
2 doctors agree

In brief: Labs and blood testi

Make sure there is no hepatitis b or c.
Alcohol is another thing to ask your self. Ultrasound is a good idea.

In brief: Labs and blood testi

Make sure there is no hepatitis b or c.
Alcohol is another thing to ask your self. Ultrasound is a good idea.
Dr. Arvind Reddy
Dr. Arvind Reddy
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Dr. Visalakshi Vallury
Family Medicine

In brief: Liver enzymes

Elevated liver enzymes can be caused by fatty liver, alcohol, medications, inherited disorders, autoimmune diseases and infection.
Until testing has been done to evaluate for underlying cause, avoid using any medications which can increase liver enzymes (acetaminophen etc) and alcohol. All the best!

In brief: Liver enzymes

Elevated liver enzymes can be caused by fatty liver, alcohol, medications, inherited disorders, autoimmune diseases and infection.
Until testing has been done to evaluate for underlying cause, avoid using any medications which can increase liver enzymes (acetaminophen etc) and alcohol. All the best!
Dr. Visalakshi Vallury
Dr. Visalakshi Vallury
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Dr. Holly Maes
Pediatrics

In brief: Possible Hepatitis

Many middle age to older adults are at risk for Hepatitis C due to this not being detected in the blood supply for years and realizing it's risk with tattooing, etc.
Avoid consumption of alcohol and TYLENOL (acetaminophen) (acetamenophen), and check what other drugs you are on o make sure not processed primarily by the liver. Refrain from use of IV drugs of abuse as well. Good luck!

In brief: Possible Hepatitis

Many middle age to older adults are at risk for Hepatitis C due to this not being detected in the blood supply for years and realizing it's risk with tattooing, etc.
Avoid consumption of alcohol and TYLENOL (acetaminophen) (acetamenophen), and check what other drugs you are on o make sure not processed primarily by the liver. Refrain from use of IV drugs of abuse as well. Good luck!
Dr. Holly Maes
Dr. Holly Maes
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Dr. Vivek Huilgol
Internal Medicine - Gastroenterology

In brief: Liver enzymes 'up'

This is such a potentially complex problem. You asked what you should do.
One - avoid all alcohol (beer, wine, spirits, liquor). Two - statistically speaking - based on america's growing obesity problem - you should probably lose weight. Three - don't blow it off. Elevated 'enzymes' = inflammation. Inflammation leads to scar formation. This can lead to cirrhosis - regardless of whether you drink.

In brief: Liver enzymes 'up'

This is such a potentially complex problem. You asked what you should do.
One - avoid all alcohol (beer, wine, spirits, liquor). Two - statistically speaking - based on america's growing obesity problem - you should probably lose weight. Three - don't blow it off. Elevated 'enzymes' = inflammation. Inflammation leads to scar formation. This can lead to cirrhosis - regardless of whether you drink.
Dr. Vivek Huilgol
Dr. Vivek Huilgol
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Dr. Sidney Vinson
Internal Medicine - Gastroenterology

In brief: Labs

There is a fairly extensive battery of labs which should be done as well.

In brief: Labs

There is a fairly extensive battery of labs which should be done as well.
Dr. Sidney Vinson
Dr. Sidney Vinson
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