possible hep? please help...

Please help me determine what I might be dealing with.  I will describe chronologically what has transpired.

October 3

[Kevin Pho, MD]

Appropriate initial testing has been done.  I would test for hepatitis given the liver elevations.  The negative ultrasound is comforting.

With the itching, you can consider primary biliary cirrhosis - which can present with elevated liver enzymes and itching.  Testing the antimitochondrial antibodies and an ANA level can suggest the diagnosis.  

If the liver tests continue to be negative, you can consider other GI diseases.  Various causes of dyspepsia can be considered - this can include GERD, inflammation of the upper digestive tract and an ulcer.  An upper endoscopy or upper GI series can be obtained.

These options can be discussed 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.
kevinmd_

[yoshi]

Itchiness is also a symptom of kidney disease.