Abnormal liver test

[kymanne]

I had some abdominal pain under the sternum a few weeks ago that I thought was due to my gastric bypass surgery. The doctor ran a blood test and my liver test came back abnormal.  I have had gastric bypass, gall bladder surgery(2000) and I also suffered a miscarriage 5 weeks ago.  The week I had the test done I was taking Panadol Forte.  I smoke, but I do not drink.   The doctor told me not to worry and scheduled me for another test in 8 weeks.  They gave me no explanations on any of this, and I am really scared. I am a 38 year old female. All the other blood work came back normal.. should I be concerned?

ALB 51 g/l(38-50)  GGT 109 ul(5-50) Alt 83 (5-40)

[Enoch Choi, MD]

Intermittent abdominal discomfort is common after gastric bypass.  Minimally elevated liver function enzymes are not very concerning unless they are persistently and increasingly elevated.  If so, possible reasons can be: hepatitis (viral or drug e.g. acetaminophen (panadol)), common bile duct stones (even after gall bladder removal), or pancreas lesions.  Looking into the reasons for elevation can include more blood tests for viral hepatitis, ultrasound or HIDA scan to look at common bile duct, CT scan to look at pancreas, and a detailed history of medication and supplements.  Some herbs can even elevate liver function enzymes.  A second opinion is a good idea.

Enoch Choi,MD

[kymanne]

Also I was looking at the end of the paper which says this:  
Elevated GGT. Consider; hepatic enzyme induction,obesity,diabetes mellitus early/mild hepato biliary disease.  Lipase measurement may be helpful.

Please, i am going out of my mind with worry, should this wait 8 weeks?

[kymanne]

Just wanted to post an update. I talked to the doctor who said that he thought it was just a transient thing since my liver test was fine in Sept(when I was pregnant).  I just had another test and the results came back normal.

[grneweene]

A related discussion, ALK Elevation was started.

[flyersixer]

A related discussion, ALT rises 229 and AST rises 135 in 2 months. previously 50 and 61. was started.