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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Inflammation Of The Liver?

Hi, I am a 27/F. I am a smoker. Drink occasionally (once a month at the most)No significant medical history. After drinking alcohol one weekend I returned to work 2 days later, I experienced RUQ pain and pressure. I had a CMP, amylase, lipase, CBC drawn. MPV low, liver enzymes elevated, amylase lipase normal. I was told my liver was inflamed. Drank alcohol again 6 months later, RUQ pain worse than before also N/V/D. No lab work was drawn with this occurrence. Symptoms lasted longer than before and were worse. Also 3 months ago found superficial lumps to chest to left of xiphoid process. Ultrasound showed multiple lipomas but no biopsy was done. Should someone of my age with only occasional alcoholic beverages cause my liver to be inflamed and should I have "lipomas" biopsied? Thank you
posted on Fri, 14 Mar 2014
Twitter Wed, 16 Dec 2015 Answered on
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Gastroenterologist,  's  Response
Hello

Thanks for asking query on HCM. At your history of alcohol intake I would say you are occasional drinker and not heavy drinker. Your liver inflammation (manifested by RUQ pain and elevated trasaminases) cant be related entirely to alcohol alone. So I suggest further evaluation for that like ultrasound of abdomen, evaluation to rule out Hepatitis B and C. Are you obese? Because most common cause of elevated transaminases is non alcoholic fatty liver disease (NAFLD). So you defenitely need evaluation and in mean time avoid alcohol because it can exacerbate the underlying liver inflammation.

Lipomas usually do not require biopsy for confirmation if corroborated by clinical findings unless there is pain or other compelling indication for diagnosis.

Take care.
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What Causes Inflammation Of The Liver?

Hello Thanks for asking query on HCM. At your history of alcohol intake I would say you are occasional drinker and not heavy drinker. Your liver inflammation (manifested by RUQ pain and elevated trasaminases) cant be related entirely to alcohol alone. So I suggest further evaluation for that like ultrasound of abdomen, evaluation to rule out Hepatitis B and C. Are you obese? Because most common cause of elevated transaminases is non alcoholic fatty liver disease (NAFLD). So you defenitely need evaluation and in mean time avoid alcohol because it can exacerbate the underlying liver inflammation. Lipomas usually do not require biopsy for confirmation if corroborated by clinical findings unless there is pain or other compelling indication for diagnosis. Take care.