Elevated ALT/AST levels and Lightheadedness

[tennisman]

This January I was diagnosed with Gastroparesis. I was on a psychotropic drug for about 4 months for an acute psychotic episode I experienced in the fall. While on the drug I experienced muscle tension and lightheadedness all the time, which got worse when I went from sitting to standing. I was only on a moderate dose.  I was told to get off the drug by my gastroenterologist. I've been off of the drug for a month and a half now. I've had no further psychotic sypmtoms while off of the drug, but I'm still experiencing muscle tension and lightheadedness. The muscles in the back of my leg feel tense and my toes want to keep wiggling, as well. I had an MRI of my brain and liver which were both normal. I've had lots of blood work, which only revealed elevated ALT and AST liver enzymes. I don't drink. My Copper is fine, so they ruled out Wilson's disease. My Neurologist referred me to a movement disorders specialist for further evaluation.

Any ideas what could be causing me to feel lightheaded and have this persistent muscle tension?

Thank you for your time.

[Thomas D Schiano, MD]

markers for autoimmune hepatitis.  the pattern of the liver test abnormalities are that of fatty liver.

[tennisman]

Thank you very much for the reply.
I'm not diabetic and I don't have hepatitis. My thyroid and electrolytes are normal.
Do you know of any other tests I could ask my doctor about that could be helpful?
Thanks.

[Thomas D Schiano, MD]

are you diabetic?  the liver test abnormalities could be consistent with fatty liver but also with a mriad of other liver conditions that could potentially be realted to neurological disorders. You should have a work-up for the abnormal liver tests.

[tennisman]

The Liver enzyme levels were
AST: 74 IU/L
ALT: 136 IU/L

Also, my Osmolality Calculated was low at 267 mOs/Kg