Aa
leaking bile duct or gastritis. Elevated Liver functions
Hi
I have been unwell for over 3 weeks with attacks of upper quadrant pain and a constant dull ache in my middle uper abdominal area.Also feel nausea a lot but no vomiting. My liver functions are up and also my thyroid are borderline. Ultrasound was done showing nothing. I had my gallbladder out 2.5 yrs ago. My doctor now thinks I may have a leaking bile duct. I have been taking buscapan which helps but Im still on Zantac which Im sure is giving me anxiety issues. Has anyone else had this problem. Please help.
I have been unwell for over 3 weeks with attacks of upper quadrant pain and a constant dull ache in my middle uper abdominal area.Also feel nausea a lot but no vomiting. My liver functions are up and also my thyroid are borderline. Ultrasound was done showing nothing. I had my gallbladder out 2.5 yrs ago. My doctor now thinks I may have a leaking bile duct. I have been taking buscapan which helps but Im still on Zantac which Im sure is giving me anxiety issues. Has anyone else had this problem. Please help.
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I am not sure what you mean by elevated liver levels. Many a times AST (SGOT) and ALT OR SGPT (both are collectively called transaminases) rise without any cause. Because AST is found in many other organs besides the liver, including the kidneys, the muscles, and the heart, having a high level of AST does not always (but often does) indicate that there is a liver problem. For example, even vigorous exercise may elevate AST levels in the body. However to reach at that conclusion the medical causes of these raised transaminases have to be ruled out. Causes of liver transaminase elevations include viral hepatitis, alcohol use, medication use, steatosis or steatohepatitis, and cirrhosis. Steatosis and cirrhosis are ruled out by the ultrasound. Other common health conditions, such as diabetes, heart disease, pancreatitis, hemolytic anemia and thyroid disease, can also cause liver transaminase elevations. Most liver diseases are characterized by greater ALT elevations than AST elevations except cirrohsis and alcohol abuse. ALT also rises in bile duct obstruction due to stone. High concentrations of GGT are found in the liver, bile ducts, and the kidney. Hence kidney and urinary problems could be causing the high GGT level. Greater-than-normal levels of GGT may indicate: congestive heart failure , cholestasis (congestion of the bile ducts) , cirrhosis, hepatitis , liver ischemia (blood flow deficiency), liver necrosis, liver tumor, high alcohol intake, use of hepatotoxic drugs (drugs toxic to liver).
Hence consult your doctor, preferably a hepatologist and discuss this. You will need specialized scans for the liver. Hope this helps. Take care!