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    Blood test showed high level of liver enzyme?

    My GI doctor ordered a blood work and had it done about two weeks ago. The Nurse called me and said the results show high levels of liver enzyme and my doctor wants to do another blood test that will look for Hepatitis B and C.
    I don't know what this mean?
    - OSCAR

    #2
    Your liver function studies or enzymes can be elevated due to many different causes. Hepatitis, types A, B, and C should always be considered, but can be fairly easily diagnosed with specific tests for these infectious diseases. Hepatitis A is usually acquired through contaminated food or poor hand hygiene and comes from fecal contamination. Hep B is usually blood borne but can be transmitted through sexual contact. Hep C is most common from contaminated blood transfusions (esp. prior to 1992), dirty needle tattoos, or sharing of IV drug needles.

    Liver enzymes can also be elevated in liver disease such as cirrhosis due to alcohol abuse or from side effects of medications, many of which can be liver toxic. Other less common causes include congenital liver disease or liver cancer. Here is some more complete information:

    http://www.mayoclinic.com/health/ele...nzymes/HQ01011

    When did you last have your liver enzymes checked?

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

    Comment


      #3
      Originally posted by SCI-Nurse
      Your liver function studies or enzymes can be elevated due to many different causes. Hepatitis, types A, B, and C should always be considered, but can be fairly easily diagnosed with specific tests for these infectious diseases. Hepatitis A is usually acquired through contaminated food or poor hand hygiene and comes from fecal contamination. Hep B is usually blood borne but can be transmitted through sexual contact. Hep C is most common from contaminated blood transfusions (esp. prior to 1992), dirty needle tattoos, or sharing of IV drug needles.

      Liver enzymes can also be elevated in liver disease such as cirrhosis due to alcohol abuse or from side effects of medications, many of which can be liver toxic. Other less common causes include congenital liver disease or liver cancer. Here is some more complete information:

      http://www.mayoclinic.com/health/ele...nzymes/HQ01011

      When did you last have your liver enzymes checked?

      (KLD)
      Well I have never requested to have my liver enzymes checked before. I have blood work done on me all the time but I don't know if they check for that every time I go. I just take the lab order my doctors give me and then go have it done another day. When results come in doctors have never discussed my liver enzymes, only iron levels, testosterone, thyroid and other things.
      - OSCAR

      Comment


        #4
        I would be very surprised if you have never had these tested before. They are a commonly done test.

        (KLD)
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

        Comment


          #5
          Originally posted by SCI-Nurse
          I would be very surprised if you have never had these tested before. They are a commonly done test.

          (KLD)
          I've never initiated a blood test in the 22 years I've been paralyzed. I've never asked for one, never got one....outside of my baclofen pump surgeries (4), where they do the pre-op blood test to check for whatever.

          Is this type of pre-op blood test thorough?

          My results came back within expected range for healthy people all 4 times.

          Sorry for the hijack oscdude.
          Please donate a dollar a day at http://justadollarplease.org.
          Copy and paste this message to the bottom of your signature.

          Thanks!

          Comment


            #6
            Been there

            When I was in the rehab hospital a blood test showed that my liver enzymes were elevated. The doctor decided to take me off all meds except for the blood thinner and right away the liver enzymes returned to normal. Having never really taken medicine pre-injury my body didn't like the sudden change. Perhaps a med you are taking is affecting your liver?

            Comment


              #7
              Your GP will do a full workup to determine the cause of the elevated liver enzymes. It could be the result of any number of reasons (medications you are currently taking, or it could be something more). I suggest you let your medical team do a thourough workup.
              Last edited by SCI-Nurse; 4 Jul 2008, 2:25 AM.

              Comment


                #8
                The medication I was taking around the time they performed the blood test was Asacol for my IBS (now switched to Lialda) and about two weeks prior to the blood test I was also drinking Muscle Milk Light, which is a protein shake. I drank it in the mornings before going to the gym, but it is only when I would remember, is not a daily thing.
                - OSCAR

                Comment


                  #9
                  Originally posted by oscdude
                  The medication I was taking around the time they performed the blood test was Asacol for my IBS (now switched to Lialda) and about two weeks prior to the blood test I was also drinking Muscle Milk Light, which is a protein shake. I drank it in the mornings before going to the gym, but it is only when I would remember, is not a daily thing.
                  http://www.asacol.com/ulcerative-col...-arthritis.jsp

                  Do you have ulcerative colitis often called inflammatory bowel disease or IBD or IBS as in irritable bowel syndrome? UC itself can cause enzymes to occasionally go wacko. IBS is a totally different bird and less hard on the body but with many of the same surprises at the worst possible time. IBS meds don't normally effect liver levels.

                  RDF, most my AB friends get a full panel done around age 50. If on certain meds more often.
                  Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

                  Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

                  Comment


                    #10
                    Thanks Sue, so they don't do a "full panel" for pre-op? I've been taking oxybutinin for 22 years, and except for a short stint on Methadone for pain, I've taken no other meds.

                    Oh well, I got 4 years til I'm 50, but I doubt I'll get one even then. I'm the let nature take its course type of guy, if it's my time to go, I might just welcome it. I've seen too much daily suffering from treatments while people's lives are prolonged for just another few years. It ain't worth it IMO.

                    I'm not afraid to die, but I do want to die with dignity.
                    Please donate a dollar a day at http://justadollarplease.org.
                    Copy and paste this message to the bottom of your signature.

                    Thanks!

                    Comment


                      #11
                      Originally posted by Sue Pendleton
                      http://www.asacol.com/ulcerative-col...-arthritis.jsp

                      Do you have ulcerative colitis often called inflammatory bowel disease or IBD or IBS as in irritable bowel syndrome? UC itself can cause enzymes to occasionally go wacko. IBS is a totally different bird and less hard on the body but with many of the same surprises at the worst possible time. IBS meds don't normally effect liver levels.

                      RDF, most my AB friends get a full panel done around age 50. If on certain meds more often.
                      Yes, I have ulcerative colitis.
                      Which by the way, does the bleeding EVER stop?
                      I've had it for 3 years now and I always have some level of blood in the stool. Of course, it was worse when I was first diagnosed but it is now better.
                      I should ask this specifically to my doc, I always forget to.
                      - OSCAR

                      Comment


                        #12
                        Originally posted by oscdude
                        Yes, I have ulcerative colitis.
                        Which by the way, does the bleeding EVER stop?
                        I've had it for 3 years now and I always have some level of blood in the stool. Of course, it was worse when I was first diagnosed but it is now better.
                        I should ask this specifically to my doc, I always forget to.
                        I'd write down the questions for your doc as you think of them. Then print the page and take it with you. I have IBS so really can't help you on the bleeding. Might start with how often and at what age you should have colonoscopies.
                        Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

                        Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

                        Comment


                          #13
                          Originally posted by rdf
                          Thanks Sue, so they don't do a "full panel" for pre-op? I've been taking oxybutinin for 22 years, and except for a short stint on Methadone for pain, I've taken no other meds.

                          Oh well, I got 4 years til I'm 50, but I doubt I'll get one even then. I'm the let nature take its course type of guy, if it's my time to go, I might just welcome it. I've seen too much daily suffering from treatments while people's lives are prolonged for just another few years. It ain't worth it IMO.

                          I'm not afraid to die, but I do want to die with dignity.
                          How did you get through rehab without them? Man, I was so sick after a week in an American hospital my OT could tell which day and arm they took my blood from each week. Mainly they test because of baclofen and the weird drugs they use for neuro pain. Your doc jumped you straight to methadone? You're lucky. I went through amitriptyline (can you say acid like hallucinations?); the Clonidine patch that about drove me insane because I was allergic to the glue and the wicked RN of the west said it could wait till morning; Klonapin the coughing drug, tegretol........ Then I saw the pain specialist and, wonderful man, he put me on methadone. All but the meth required weekly liver tests. Tegretol did make my liver numbers blip up a bit.

                          Non-scis get them as part of the big test years like at 50 get your colonoscopy, PSA-for white men- and a full blood work up. If you take meds for cholesterol or high blood pressure they check them also.

                          I think the only times I've asked for a blood test was vitamin D about 10 years a part. The first had me on 50,000 IUs every other day for 6 months. The second was fine since I had changed my diet.
                          Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

                          Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

                          Comment


                            #14
                            every yr i have a physical. every yr my dr does bloodwork. liver function is always part of it. i know because i ask for the results. i'm surprised if anybody has a yearly physical w/bloodwork if they don't know liver, thyroid, cholesterol, etc. results.

                            Comment


                              #15
                              I agree, for adults, annual blood tests should include the following:

                              CBC (complete blood count)
                              Chem 20
                              LFT (liver function tests)
                              Lipid panel
                              Fasting blood glucose

                              For those with SCI is should also include a 24 hour urine collection and blood to compute creatinine clearance.

                              Men after the age of 40 should also have a PSA.

                              Stool for guiac (blood) should also be included for those over 40.

                              TSH is not needed for everyone, unless you have already been diagnosed with thyroid problems or they are suspected.

                              (KLD)
                              The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                              Comment

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