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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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AST And ALT Abnormal, Liver Area Pain, Illness, Dizziness, Weakness. On Citalopram. Cause Of Pain?

Male, 37yr old, 105kg. AST of 56 and ALT of 122 and some liver area pain. 6 weeks ago I started feeling ill and fainted, and the Dr found I was Type 2 Diabetic. Feel week and ill since and have no energy. Doctor prescribed Citalopram 20mg a day 3 weeks ago and the pain started the next day. Could Citalopram cause this pain? Lost 2 stone 2lbs in the last 6 weeks.
Sat, 15 Jun 2013
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Gastroenterologist,  's  Response
Hello! Hope You may be well.There are four issues.1. Obesity 2. DM 3.Raised AST and ALT. 4. Pain in liver area. Visit either Gastroenterologist or Physician who may ask for few tests like USG abdomen to see for Liver echotexture (to see for Fatty liver- NAFLD, if you are not alcoholic. You also require to undergo some of the blood tests like lipid profile, HBsag, Anti HCV ab, ANA, SMA, S.ceruloplasmin to see the cause of abnormal AST and ALT as they suggest that there is ongoing liver injury which if persist for a longer period of time will be harmful. It is further advised:1.Good glycaemic control with help of Antidiabetic drugs may be Insulin 2.Regular exercise which includes brisk walk for at least 30min/day. 3. Very low caloric diet as per your BMI to reduce your weight which is must. 4. If your lipid profile is also derranged then lipid lowering agents also. 5. Cause of abnormal AST/ ALT as per scenario you have given appears to be more likely due to NAFLD which will require some medications like ursodeoxycholic acid , apart from measure which I have already mentioned. Pain in liver area may be due to streching of the Glissons capsule which is over the liver due to hepatomegaly or enlarged liver.Also if you are taking alcohol please stop that. I hope this will be sufficient and will resolve your problems. Further best of luck. Remain in touch. Good bye
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AST And ALT Abnormal, Liver Area Pain, Illness, Dizziness, Weakness. On Citalopram. Cause Of Pain?

Hello! Hope You may be well.There are four issues.1. Obesity 2. DM 3.Raised AST and ALT. 4. Pain in liver area. Visit either Gastroenterologist or Physician who may ask for few tests like USG abdomen to see for Liver echotexture (to see for Fatty liver- NAFLD, if you are not alcoholic. You also require to undergo some of the blood tests like lipid profile, HBsag, Anti HCV ab, ANA, SMA, S.ceruloplasmin to see the cause of abnormal AST and ALT as they suggest that there is ongoing liver injury which if persist for a longer period of time will be harmful. It is further advised:1.Good glycaemic control with help of Antidiabetic drugs may be Insulin 2.Regular exercise which includes brisk walk for at least 30min/day. 3. Very low caloric diet as per your BMI to reduce your weight which is must. 4. If your lipid profile is also derranged then lipid lowering agents also. 5. Cause of abnormal AST/ ALT as per scenario you have given appears to be more likely due to NAFLD which will require some medications like ursodeoxycholic acid , apart from measure which I have already mentioned. Pain in liver area may be due to streching of the Glissons capsule which is over the liver due to hepatomegaly or enlarged liver.Also if you are taking alcohol please stop that. I hope this will be sufficient and will resolve your problems. Further best of luck. Remain in touch. Good bye