Digestive Disorders / Gastroenterology Expert Forum
Second screening following raised liver enzymes
About This Forum:

This is a place to ask questions about digestive problems and receive a personal answer from a highly qualified doctor. You will also find support from other members who share your interest in digestive disorders. Digestive Disorders include: Anal and Rectal problems, Barrett’s Esophagus, Bleeding in the Stomach and Digestive Tract, Constipation, Crohn’s Disease, Gastritis, GERD, Heartburn, Proctitis, Short Bowel Syndrome, Ulcers, Whipple’s Disease, Zollinger-Ellison Syndrome (and many more).

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Second screening following raised liver enzymes

Hello,

After being found, 2 weeks ago, with high levels of liver enzymes:

Gamma Glutamyl Transferase of 143
Aspartate Transaminase of 64
Alanine Transaminase of 180
bilirubin 12 micro mols per liter ("normal" range shown as between 0 and 22.)

I had a screen for Hep A, B and C which came out negative.

The physician first suggested to redo liver screening within 3 months but has now decided to do it within 3 weeks. Is she right as I believe GGT can remain in the blood for a long time?

Also, are there other enzymes or any other blood tests that would be useful to assess the situation?

Finally, I nearly fainted at work last week. I was queasy on that day and could not eat at lunchtime. In the afternoon, I became very clammy, my face turned white. The air conditioning had not worked properly all day and I "recovered" by staying next to a fan for an hour. At home, I found my temperature to be 102F. I did not have any significant abdominal pain, and felt fine the next day. Does this episode have any relevance with my liver enzymes (gallstones maybe?) or was it just an unrelated viral infection?

Best regards
Related Discussions
233190_tn?1278553401
The next test for evaluation would be an abdominal ultrasound.  This can screen the liver and gallbladder for the major causes of elevated liver enzymes - including fatty liver as well as gallstones.  With the fever, I would also consider a HIDA scan to evaluate for cholecystitis.  It may be possible for a virus to cause an elevation of the enzymes but before attributing to that I would get the ultrasound first.

If you drink alcohol, I would abstain.  Make sure that you are not taking any medications that could be causing the symptoms.  If the enzymes continue to stay elevated, despite normal follow-up tests, I would consider a liver biopsy for a more definitive diagnosis.  

I would suggest discussing these options with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b
0 Comments
Blank
Avatar_n_tn
I too had elevated enzymes.  Abstain from Tylenol or any OTC pills.  Most are processed through the liver.  My enzymes seemed to be elevated by the med's I was taking.  I abstained from alchohol, all med's, etc and the enzymes came down.  Mine have been slightly elevated for over a year.  After having normal ultra sound in Oct by GI wanted to do a liver biopsy.  I guess its better to be safe than sorry.  good luck
Continue discussion Blank
This Forum's Experts
351246_tn?1379685732
Dr. Kokil MathurBlank
Consultant
,
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank