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Liver Disorders Community
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Avatar universal

Liver Test Results HELP

I have no idea what to do right now. I have had 8 blood tests done in the past 3 months with various doctors and my LFTs have consistently remained very high. I would like to see if there is anyone out there to take a stab  with an explanation as to what could be going on.

I have attached a picture of the data I put into excel to keep track of my results.

A little medical history from this year other than the abnormal LFT:
-Ultrasound found gallstones 4/13
-I have hyperthyroidism and hashimotos (diagnosed on 6/24)
-No abdominal pain, swelling, jaundice/yellowing
3 Responses
Avatar universal
**Just to add:
- I have been tested for Wilson's Disease and other rare diseases and those are negative.
-Early March a dime sized portion of my facial hair turned white (whatever I am 26 and it has to start sometime) BUT when I shaved, my facial hair loss began growing and more spots have succumbed to loss of hair and it seems to not be stopping
Avatar universal
COMMUNITY LEADER
Your numbers look very familiar. And please keep in mind we're not doctors, we're just patients, family and friends dealing with liver disorders, like yourself. But your doctors should do a MRCP/MRI of your liver and specifically your biliary tree, along with some autoimmune tests (AMA, ANA, ANCA).

Just based on theses numbers (do you any earlier data?), I'd guess that you're dealing with a mild and likely chronic bile duct disease of some sort. You have a couple of small direct bilirubin elevations along with a constant Alp elevation. But nothing large enough to point to a severe bile flow blockage, as your total bilirubin always remains normal.

I'd also guess that the intrahepatic bile ducts are being mostly affected. Again, your total bilirubin remains normal, but you also have mild elevations of Alt while your Ast/Alp ratio is consistently low. So I'm guessing that you maybe dealing with some bile back flow into your lobules, which then destroys some of your hepatocytes that are being bathed in this toxic bile, and so mildly elevates your Alt levels.

Again, this is all just a wild guess and is likely wrong. But you're looking for any ideas, and this is what jumped into my head. Also, I am biased in this as well since I do suffer from this very thing. There are two main bile duct diseases: Primary Biliary Cirrhosis (PBC) and Primary Sclerosing Cholangitis (PSC). I have end-stage PSC.

Hopefully I'm wrong and you have nothing more than some type of temporary liver condition that will quickly pass. And you have your doctors already on top of your issues, so keep that interaction going until they nail it down for you. Take care.
Avatar universal
COMMUNITY LEADER
Forgot to mention that a simple bacterial infection can cause similar blood serum elevations as well. You would typically feel this though due to RUQ pain or aches and a fever is usually present. But this can cause cholestatic conditions too.
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