Very worried & in hospital

[Stana34]

Hello, it's day 7 in a hospital whilst on holiday in Cyprus and I am very worried about my latest blood results. Please tell me I am not getting seriously ill, I have a 12 year old cancer survivor at home.

I was admitted to hospital 7 days ago with these symptoms:
. Diarrhoea
. Vomitting
. Stomach cramps
. Weakness/fatigue
. Jaundice
. Orange urine
. Nausea
. Clay like stool

After a week here my liver enzymes tests doubled to:
ALT 870 U/l
AST 431 U/l
Total bilirubin 5.1 mg/dl

Also in another test few days ago which I suspect is higher by now:
ALP 174
GGT 278

I was tested for hep A, B, C and all test came back negative. Doctor said he will test for a different strain of Hep B tomorrow.

I had ultrasound on day 1 and all looked fine.

Please help, I am very worried and alone in a foreign country.

I was shocked by today's results as most of the symptoms apart from jaundice and orange urine are gone. Still a bit of pain in liver area but not feeling sick anymore and eating 700 calories per day which is an improvement as for a week I could not smell let alone eat food.

Thanks,
Stana

[Thomas D Schiano, MD]

it could be another viral type infection that affected the liver and is now resolving.  this is not from H pylori. Your doctors in the UK should just make sure you dont have autoimmune hepatitis or some type of drug reaction.  I am sure that you will be fine.

[Stana34]

Also they tested for these and all came back negative, is there anything else they should test for when I get back to the UK?
HBs Ag
Anti-HCV
Anti-HBc Igm
Anti-HAV Igm

[Stana34]

My ALT is 760 and AST is 256 with bilirubin 3.17
That is a little improvement so I am flying back in the UK with no diagnoses.

I have heart burt and I feel sick when hungry which gets better when I eat. Could this be a sign of bacteria H. Pylori and maybe stomach ulcer?

Thanks,

Stana

[Thomas D Schiano, MD]

it sounds like you have a viral hepatitis--it is possible that the basic viral tests can miss it.  they should be checking HBV core IgM, HAV igM, HCV-PCR.  Also they should check EBV and CMV.  They should follow your PT/INR on a daily basis and make sure that you are receiving adequate hydration.  I know a gastroenterologist who lives in Cyprus named john kaimakliotis who was trained in the US--not sure if you can get in touch with him.  I am sure that you will recover completely.  Finally, women are at risk for autoimmune hepatitis.  I hope you feel better

[Stana34]

Also to add, I am otherwise a healthy 36 year old female, drunk 2 glasses of wine in the last 2 months, I excercise regularly, eat organic food only & healthy smoothies. No recreational or over the counter drugs and no oral sex.