Elevated Liver Enzyme

  I am a 29 year old female who has had elevated liver enzymes for probably the last 15 years.  I have seen 2 Gastroentorologists one when I was a teenager who ran all "normal" tests (hep A,B,C, ultrasound of the liver and other tests whose names I cannot recall)  everything was fine.  He suggested I lose weight and retest.  Needless to say 15 years later I didn't lose the weight and retested with the same problems, again had all the tests done including the ultrasound and everything is normal.  I was recently diagnosed with hypothyroidism and am now on synthroid.  Could this be the cause of my elevation?  With no other tests coming back abnormal what is my next step?  If there was damage to my liver would it show in an ultrasound?
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Dear Robyn,
It is difficult to comment regarding the cause of your elevated liver tests without knowing which tests were elvated and what was done recently to investigate your problem.  In general terms, deposition of fat (steatosis) in liver cells is a very frequent cause of elevated liver tests in individuals without symptoms of liver disease and without risk factors or obvious cause.  Hepatic staetosis can be associated with obesity, diabetes mellitus and hypothyroidism.  It is necessary to know which tests are abnormal before commenting on the ultrasound results.
The normalultrasound is reassuring but unfortunately does not help indetermining the cause of your liver problem.
HFHSM.D.-rf
*keywords: elevated liver tests, fatty liver
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