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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Acid Reflux, Nausea And Whole Body Itching

I have had extreme itching, tiredness, discomfort in my right rib area and a general feeling of being sick for the last 3 week so went to pcp she found my liver enzymes to be 3x normal and sent me to a gastrointestinal doctor where they did an ultra sound and noted a spot but figured it to be incidental finding. Ran more blood work and enzyme levels are now 5x normal. Looked for virus such as mono and found nothing. I am set to get an MRI on the spot and a needle biopsy of my liver this coming week.The itching is severe and I have what seems to be acid reflux and nausea. My question is what could they be looking for in the biopsy? And is the acid reflux feeling related to the elevated enzymes? Thanks Heidi
Wed, 2 Nov 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history of itching, tiredness, discomfort in right rib cage area, feeling sick for 3 weeks, liver enzymes raised hence referred to Gastroenterologist, ultrasound, increasing enzyme levels, planned for MRI and liver FNAC, itching is extreme and there is acid reflux and nausea, wants to know what they are looking for liver biopsy and whether the reflux is related to elevated enzymes...
From the history you have provided this looks to be hepatitis and may not be related to the spot on liver as such things do not increase liver enzymes too much.
MRI of the liver will tell more about the spot in liver whether this is hemangioma or abscess or a mass. And the biopsy called FNAC will be done only if thought proper to be done without complications.
For this the prothrombine time should be done.
Get the proper treatment and investigations for knowing the exact cause of jaundice, get appropriate treatment for the symptoms of itching, nausea and acid reflux, which are due to the hepatitis with increased liver enzymes.
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Suggest Treatment For Acid Reflux, Nausea And Whole Body Itching

Hi. Thanks for your query. Noted the history of itching, tiredness, discomfort in right rib cage area, feeling sick for 3 weeks, liver enzymes raised hence referred to Gastroenterologist, ultrasound, increasing enzyme levels, planned for MRI and liver FNAC, itching is extreme and there is acid reflux and nausea, wants to know what they are looking for liver biopsy and whether the reflux is related to elevated enzymes... From the history you have provided this looks to be hepatitis and may not be related to the spot on liver as such things do not increase liver enzymes too much. MRI of the liver will tell more about the spot in liver whether this is hemangioma or abscess or a mass. And the biopsy called FNAC will be done only if thought proper to be done without complications. For this the prothrombine time should be done. Get the proper treatment and investigations for knowing the exact cause of jaundice, get appropriate treatment for the symptoms of itching, nausea and acid reflux, which are due to the hepatitis with increased liver enzymes.