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What Do These Blood Tests Showing Deranged Liver Enzymes And Raised WBC Count Indicate?
Question: Hi, after emergency admission to hospital with upper severe cramping pain RHS and up to shoulder, across abdomen and back for approx 1 hour. I was given antibiotics IV, a yellow drip of vitamins and minerals? And pain killers. My blood tests showed raised mylase? Deranged LFT's, and raised White blood count?
Ultrasound said thin GB wall, with Calculi? Nothing was explained to me.
Appointment to out patients In 6 weeks. But I am seeking private consultation.
I heard the radiologist say I had a fatty liver? This was not mentioned at all in my notes?
I am female 56yrs, I weigh approx 12 St , and my height is approx 5' 2.
I have drank more than my fair share of red wine for 25+ years, 4/5 units most evenings.
I have now started a complete new lifestyle, just hoping it's not all to late?
Could you please enlighten me, on what was wrong with me on admission, and what my bloods actually meant? And can my fatty liver be aided in any way? Regards XXX
Ultrasound said thin GB wall, with Calculi? Nothing was explained to me.
Appointment to out patients In 6 weeks. But I am seeking private consultation.
I heard the radiologist say I had a fatty liver? This was not mentioned at all in my notes?
I am female 56yrs, I weigh approx 12 St , and my height is approx 5' 2.
I have drank more than my fair share of red wine for 25+ years, 4/5 units most evenings.
I have now started a complete new lifestyle, just hoping it's not all to late?
Could you please enlighten me, on what was wrong with me on admission, and what my bloods actually meant? And can my fatty liver be aided in any way? Regards XXX
Brief Answer:
Please upload the reports
Detailed Answer:
Hello,
this sounds like a biliary colic but I can't be certain. Will you please upload the reports? It would help a lot!
Regarding fatty liver: it is a common condition among overweight or obese patients, those who drink more than their 'fair share' and patients with diabetes mellitus. The presence of stones in the gallbladder does not prove you've had a biliary colic but it makes it more probable. The best thing you can do about it, is to watch your weight, keep it close to the ideal body weight and abstain from alcohol use. More than a glass of wine per day is probably too much for a woman.
I'll be glad to comment on your reports too!
Kind Regards!
Please upload the reports
Detailed Answer:
Hello,
this sounds like a biliary colic but I can't be certain. Will you please upload the reports? It would help a lot!
Regarding fatty liver: it is a common condition among overweight or obese patients, those who drink more than their 'fair share' and patients with diabetes mellitus. The presence of stones in the gallbladder does not prove you've had a biliary colic but it makes it more probable. The best thing you can do about it, is to watch your weight, keep it close to the ideal body weight and abstain from alcohol use. More than a glass of wine per day is probably too much for a woman.
I'll be glad to comment on your reports too!
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I do not wish to have my gallbladder removed if this isn't the problem.
My GP suggested I go back for the follow up with a look to having it removed?
The fatty liver is an extremely anxious concern for me, and I am scared that the liver will suffer further without a gallbladder? I haven't a clue?
I have started to change my whole eating routine, have eaten healthy mainly, but portion sizes are coming down to half now.
Can a fatty liver be made healthy again? Or somewhat at least.
The alcohol is a complete no no from here on.
The doctor in A&E said there was a lot of infection, that I could have, pancreaitis, gallstones.
The nurse told me that the yellow drip was for liver repair? Another told me it was because I drink a lot?
I will upload discharge notes regards XXXX
My GP suggested I go back for the follow up with a look to having it removed?
The fatty liver is an extremely anxious concern for me, and I am scared that the liver will suffer further without a gallbladder? I haven't a clue?
I have started to change my whole eating routine, have eaten healthy mainly, but portion sizes are coming down to half now.
Can a fatty liver be made healthy again? Or somewhat at least.
The alcohol is a complete no no from here on.
The doctor in A&E said there was a lot of infection, that I could have, pancreaitis, gallstones.
The nurse told me that the yellow drip was for liver repair? Another told me it was because I drink a lot?
I will upload discharge notes regards XXXX
Brief Answer:
You can do something about fatty liver
Detailed Answer:
If your gallbladder is not in a good shape (I can't say that without the ultrasound scan report) then it should be removed to avoid complications like pancreatitis. If they had suspected pancreatitis there is no way they were going to let you go just like that. Pancreatitis is a potentially fatal disease that requires close monitoring. Your liver will be fine without the gallbladder, don't worry about that.
Regarding 'healthy' diet: the gallbladder is stressed when there is a lot of fat in the diet, so reducing the fat will allow your gallbladder to 'calm down' and will help with your body weight control (and the fatty liver of course). The fatty liver can be reversed back to normal provided you adopt a healthy life style.
The yellow drip was probably vitamin B1 (thiamine) which is useful when somebody drinks a lot. Taking glucose without B1 could make you delirious, if you had a severe drinking problem.
I've read the report but unfortunately there are no details in it. No liver function test values for example, so I can't see the whole picture.
I hope you've found my comments helpful!
Contact me if you have further questions.
Kind Regards!
You can do something about fatty liver
Detailed Answer:
If your gallbladder is not in a good shape (I can't say that without the ultrasound scan report) then it should be removed to avoid complications like pancreatitis. If they had suspected pancreatitis there is no way they were going to let you go just like that. Pancreatitis is a potentially fatal disease that requires close monitoring. Your liver will be fine without the gallbladder, don't worry about that.
Regarding 'healthy' diet: the gallbladder is stressed when there is a lot of fat in the diet, so reducing the fat will allow your gallbladder to 'calm down' and will help with your body weight control (and the fatty liver of course). The fatty liver can be reversed back to normal provided you adopt a healthy life style.
The yellow drip was probably vitamin B1 (thiamine) which is useful when somebody drinks a lot. Taking glucose without B1 could make you delirious, if you had a severe drinking problem.
I've read the report but unfortunately there are no details in it. No liver function test values for example, so I can't see the whole picture.
I hope you've found my comments helpful!
Contact me if you have further questions.
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi again thank you for your advice. I would just like to ask your opinion on the following.
When I went into hospital and had bloods, they were obviously of a concern at that time.
My pain subsided before I reached the hospital, and has never come back (touch wood)
After 4 days of AB IV, then on to oral AB, and pain killers (which I felt no need to take but was more or less forced to and told it was best as it would s top pain from returning???
The surgeon asked for more bloods, and decided on discharge after seeing the blood results.
I thought it was more important to find the source of the pain rather than mask it with pain killers?
Does my being discharged mean my bloods were back to normal?
And after just returning from holiday where I eat everything and red wine every evening, plus after the family holiday of 11 of us, which stressed me out beyond your imagination, and after my paying for the whole thing then dumped and had it made known to me I was only used for the free holiday.
This made me so distressed, hurt, and worthless, could all of this stress be related to my terrible bout of illness?
Hope you don't mind my asking all this, only you have made such good sense in your other replies, kind regards XXXX
When I went into hospital and had bloods, they were obviously of a concern at that time.
My pain subsided before I reached the hospital, and has never come back (touch wood)
After 4 days of AB IV, then on to oral AB, and pain killers (which I felt no need to take but was more or less forced to and told it was best as it would s top pain from returning???
The surgeon asked for more bloods, and decided on discharge after seeing the blood results.
I thought it was more important to find the source of the pain rather than mask it with pain killers?
Does my being discharged mean my bloods were back to normal?
And after just returning from holiday where I eat everything and red wine every evening, plus after the family holiday of 11 of us, which stressed me out beyond your imagination, and after my paying for the whole thing then dumped and had it made known to me I was only used for the free holiday.
This made me so distressed, hurt, and worthless, could all of this stress be related to my terrible bout of illness?
Hope you don't mind my asking all this, only you have made such good sense in your other replies, kind regards XXXX
Brief Answer:
painkillers should be used for pain (!), the rest is on the report
Detailed Answer:
Hi,
taking painkillers without having pain (!!!) is a little strange but I don't know why the doctors decided to prescribe them, so I can't judge that.
Finding the source of symptoms is always the main aim in medicine. If a patient gets better in the meantime, then we may stop searching depending on the severity of the suspected disease.
The report reads that your blood tests were unremarkable before discharge, although no specific values were mentioned.
Being psychologically stressed can cause you a lot of symptoms and even mimic serious diseases but it can't alter your blood tests. The abnormal lab tests certify that you had a problem, but given the scarcity of specific data I can only guess what the problem was.
And don't worry about asking! I am always glad to help, when I can.
Kind Regards!
painkillers should be used for pain (!), the rest is on the report
Detailed Answer:
Hi,
taking painkillers without having pain (!!!) is a little strange but I don't know why the doctors decided to prescribe them, so I can't judge that.
Finding the source of symptoms is always the main aim in medicine. If a patient gets better in the meantime, then we may stop searching depending on the severity of the suspected disease.
The report reads that your blood tests were unremarkable before discharge, although no specific values were mentioned.
Being psychologically stressed can cause you a lot of symptoms and even mimic serious diseases but it can't alter your blood tests. The abnormal lab tests certify that you had a problem, but given the scarcity of specific data I can only guess what the problem was.
And don't worry about asking! I am always glad to help, when I can.
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks again.
I have a private consultation this Thursday with a gastro upper gi surgeon.
He has asked for a referral letter from my GP.
I am hoping that he will be able to access my notes and images from the Main NHS hospital where I was admitted?
I don't know if this is possible but it's in the same county so it's fingers crossed.
Could you please advise me on what I should ask the specialist so I can get a clear picture of things
You see my GP has concerned me in saying point blank that you can't change a fatty liver.
He had the notes on his PC that I uploaded to you, so he also must not know what my bloods were? Kind regards XXXX
I have a private consultation this Thursday with a gastro upper gi surgeon.
He has asked for a referral letter from my GP.
I am hoping that he will be able to access my notes and images from the Main NHS hospital where I was admitted?
I don't know if this is possible but it's in the same county so it's fingers crossed.
Could you please advise me on what I should ask the specialist so I can get a clear picture of things
You see my GP has concerned me in saying point blank that you can't change a fatty liver.
He had the notes on his PC that I uploaded to you, so he also must not know what my bloods were? Kind regards XXXX
Brief Answer:
I can't possibly know if he has more data...
Detailed Answer:
I'm sorry but I can't help with this one. Only your GP knows if there are more data or not. I doubt that he could access more data if the hospital hasn't already given them to him.
Well... the question is ... "what's wrong with me doctor?". Simple as that. Your doctor has to explain what's wrong and the treatment options. Important stuff include the tests you've done (you should keep the reports at home) and of course his evaluation of the situation.
Fatty liver cannot be directly treated but by loosing weight and watching alcohol consumption you can reverse it most of the times.
Kind Regards!
I can't possibly know if he has more data...
Detailed Answer:
I'm sorry but I can't help with this one. Only your GP knows if there are more data or not. I doubt that he could access more data if the hospital hasn't already given them to him.
Well... the question is ... "what's wrong with me doctor?". Simple as that. Your doctor has to explain what's wrong and the treatment options. Important stuff include the tests you've done (you should keep the reports at home) and of course his evaluation of the situation.
Fatty liver cannot be directly treated but by loosing weight and watching alcohol consumption you can reverse it most of the times.
Kind Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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