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Doctors Lounge - Gastroenterology Answers
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| tdgang5
- Tue Oct 11, 2005 7:50 pm |
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I am 41 years old and have had high blood pressure for about 6 years. As part of my yearly blood work this month my liver enzymes were 70. My doctor ordered a hepatitis panel, which came back negative. She is satisfied with this and has ordered no more tests. I am scheduled for more blood work in 6 months to recheck my cholesterol (it is 205). I do not drink more than 3 or 4 alcoholic drinks a month, so I do not think this would be a cause for my elevated enzymes. I have had a lot of heartburn and diarrhea in the past couple of weeks. My question is, is it ok to wait 6 months and see what my enzyme level is then, or should more be done to figure out the cause?
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| Dr. Safaa Mahmoud
- Sat Aug 05, 2006 11:16 am |
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 Dear tdgang5,
Elevated liver enzymes can be due to many causes like:
- Medications phenobarbital, anti-convulsants, phenytoin, acetaminophen, vitamin A, cholesterol-lowering medications, and some antibiotics.
- Elevated triglycerides due to fatty liver
- Drinking too much alcohol
- Obesity and Diabetes also due to fatty liver
- Infection, such as viral hepatitis
- Autoimmune hepatitis and primary biliary cirrhosis
- Tumors in the hepatobiliary system.
- Metabolic liver disease, such as hemochromatosis.
Abdominal US can help in the d differential diagnosis.
Isolated mild elevation of liver enzymes is considered abnormality and significant if it continues for six months.
Since, there are no symptoms; your doctor advised a follow up test after 6 month. But, you have to inform him with any new symptoms. Follow up with your doctor is essential.
Hope you find this information useful.
Best regards,
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