Elevated liver numbers

[bline210]

Hello, I have been having strange symptoms recently and I am worried that they could be related to the liver. I am a 24yr old male.

About 2 months ago my right arm started to feel weak when I was driving, and within the next few days it had spread to my face. This lasted for about a month until the weakness spread to my legs, other arm and hand, and neck. For the past two weeks, my muscles have been twitching primarily in the right knee and shoulder area. Yesterday, my hand and feet started to twitch as well and they've been going ever since.

I have had a CT scan of head, MRI of head, and multiple blood scans. I just took a lyme test today as well. The only thing that was strange was an elevated liver number of some kind. I saw a neurologist about a week ago and he didn't seem to be worried about my symptoms. My GP is sending me to a liver specialist since the neuro wasn't too concerned about something lie ALS.

Should I be concerned about these symptoms? Could this be a liver issue?

[Paderla Anitha, DNB]

Hello and hope you are doing well.

Understand your predicament. Neuropathy is a disorder of the nerves which causes numbness, tingling, unusual sensations and sometimes pain. Diabetes Mellitus can cause neuropathy. Hope this has been ruled out. Other causes like vitamin deficiencies, alcohol consumption and certain medications can cause neuropathy. So, please take adequate precautions, take a balanced diet and follow up with EMG/NCV at intervals to see for changes.

Hope this helped and do keep us posted.

[bline210]

Thanks for the input, I am curious about what role my liver is playing in my current issues. The liver specialist was not very helpful, he said not to worry about it and not to drink alcohol( which I haven't for years). On a good note, I haven't gotten worse for about 3 months or so. Perhaps I should just hold off on the sweets and get used to this as the new normal. Thanks again for the thoughts.

[acv032408]

Hello,
   You have been going through exactly what I dealt with a few years ago.  I had elevated liver enzymes with no cause.  I was accused of being a drunk because of it.  The pains began in 2005, again with no cause for them.  I went to numerous doctors, and ended up at the Mayo clinic where they did a biopsy.  Found mild fibrosis in the liver and diagnosed as fatty liver disease.  Gave me a diagnosis of fibromyalgia for the pain.  Two months ago began experiencing pain in the abdomen and had ultrasound done and found enlarged spleen.  I was then told my liver has progressed into Cirhosis.  Come to find out my liver issue was actually NASH and my high fat , high sugar diet led to the progression.  Keep an eye out for what you eat.  Most people do not progress as I have, but I guess you can never be too careful.  Good luck and good health.  Tom

[bline210]

Hello, I was given my biopsy back and it showed mild fibrosis and inflammation of the liver. I don't drink but have a high sugar diet. The liver specialist didn't seemed worried at all and basically told me to walk it off. After getting an EMG/NCV, it showed I have minimal peripheral neuropathy from the shin down. My feelings have been stable for the past 2 months. I  had nearly every test imaginable but the only issues was elevated liver enzymes sporadically. I hope to solve this before I go overseas in about 3 months.  Any ideas what could have caused this?

[Paderla Anitha, DNB]

Hello and hope you are doing well.

Good to see you are doing well. You could follow up with your results. In the meantime you could follow certain precautions. Avoid smoking and alcohol. Avoid drugs like paracetomol and sedatives. Get vaccinated for hepatitis A and B. Take a good protein diet.

Hope this helped and do keep us posted.

[bline210]

Thank you very much for your input. I visited a liver specialist and had a liver biopsy performed. I am waiting on the results. On a positive note, my symptoms have been very stable for the past month, no worsening. I visited a second neurologist who also said als would be extremely unlikely. Thank you again for your thoughts.

[Paderla Anitha, DNB]

Hello and hope you are doing well.

Elevated liver enzymes levels can occur with liver disease, but other causes for the enzyme elevation could be muscle disease or injury. Some medications can also raise these levels. If you are worried about Amyotrophic lateral sclerosis (ALS), then CPK levels, EMG and sometimes a muscle biopsy may be needed to diagnose this condition. Discuss these options with your consulting doctor.

Hope this helped and do keep us posted.