Digestive Disorders / Gastroenterology Expert Forum
Under left shoulder blade pain elevated LFT's
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

Under left shoulder blade pain elevated LFT's

I’m a 49 year male (6’5” @ 290 lbs) with high blood pressure. I smoke 1 cigar & have 2 -3 drinks daily (wine or spirits) w/dinner. My meds are Toprol XL 50mg, lisinopril 30mg and aciphex 20mg daily. I have IBS (mild sigmiod diverticulosis colonoscopy 11/08), & a fatty liver for 6+ years. My CT scan 1 yr ago was unchanged from last 4 yrs: fatty infiltration of the liver with areas of relative hyperdensity adjacent to the gallbladder/fatty sparing and diverticulosis. Hepatitus (hepatitis) panel was normal 2 years ago. I’m experiencing mild pain under my left shoulder blade. It comes & goes daily, no pattern. I occasionally feel pain in the front (at the rib level 2 ½” or so from the middle of my chest even with the area under the shoulder blade) No change with position or meals. My bowels are lighter than 5 yrs ago & somewhat loose but not white or gray. They sometimes float but easily flush. I use psyllium daily. Dr says muscular and/or diverticulosis. Sometimes there are food particles in my stool: corn, lettuce & potato chips pieces. My recent LFT showed a got/ast of 56 and a gpt/alt of 122. Dr said  diet and repeat tests in 6 months. Over the last 6 months I lost 17 lbs 4 in the last 30 days. I’m not trying; haven’t made any major changes just some mild cut backs but no effort. The Dr is going to change my blood pressure meds (started taking lisinopril 5 yrs ago, toprol 2 yeas ago). He said they could cause elevated LFT's My elevated numbers have been: gpt, alt, bili(1.6) cholesterol(265), triglycerides(258) & glucose (106)The bili & glucose have been elevated for the past 4+ yrs. My concerns: pancreas (left shoulder pain & stools & weight loss. My Amylase was normal, 83 3 mths ago) & the progression of the LFT's over the last 5+ years. Are they being caused from my meds? Do I have pancreas symptoms? Out of the symptoms I have if they were pancreas related would I have other symptoms and if so what? I am scheduled for another CT scan and blood test next week.
Tags: Liver, pancreas, s, liver, pancreas, pancreaslft, pancreaslfts
Related Discussions
233190_tn?1278553401
I agree with the CT scan to exclude diseases of the pancreas, liver, gallbladder and biliary tract.

So-called "painless jaundice," where the bilirubin is elevated, can be due to pancreatic cancer.  If this is suspected, an MRI, or MRCP can be considered.

Food particles in the stool needs to be evaluated for malabsorption.  Sending the stool off for analysis can be done, as well as obtaining blood tests to exclude celiac disease.

If the tests remain negative, and the liver enzymes continue to be high, the next consideration would be a liver biopsy.

These options can be discussed with your GI specialist.

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 Pho, M.D.
www.kevinmd.com
www.twitter.com/kevinmd
Blank
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
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank