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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Elevated ALT / AST Levels, High Fever And Right Abdominal Pain Indicate?

I am a 37 year old caucasian female. Non-smoker, non-drinker and no drug use. I recently had a bout of high fevers (between 100-103) for four days. Went to my doctor and he did a blood test. Liver enzymes were elevated...both ALT and AST. He said the levels were elevated in a blood draw done back in 2008 (didn't know about that until he told me) and that the numbers were almost double. AST was near 200 and ALT was near 100. Tests repeated a few days later and the numbers dropped some but were still higher than 2008. I've had an ultra sound of the liver (no tumors, fatty deposits or abnormalities seen). They sent me to a GI specialist who did a bunch more blood draws and I get the results next week. I do have heartburn from time to time and intermittent discomfort in the upper right quadrant once in a while. No weight loss and my hepatitis tests came back negative. Is there anything I should be looking for or anything to be concerned about at this point?
posted on Fri, 14 Mar 2014
Twitter Tue, 22 Mar 2016 Answered on
Twitter Tue, 22 Mar 2016 Last reviewed on
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General & Family Physician,  's  Response
Hi thanks for asking question.

Noted you have elevated liver enzymes and negative viral marker.

So you do not have viral hepatitis.

You also not drinking alcohol.
So possibilities of cryptogenic hepatitis without obvious cause or by some other cause like alpha 1 antitrypsin deficiency, hemochromatosis etc.might be there.
If needed for further investigation liver biopsy can be done.

Let me know you liver enzymes also elevated in celiac disease like gastric disorder.So if symptoms increasing and cause not clear it has to be ruled out .In this disease patient have hypersensitivity to gluten diet like wheat , rye etc....

Do you have any muscle disorders ?? Like myositis , muscle trauma can lead elevated enzymes.

If you have cardiac problem then also it is elevated...

I hope my answer will helpful to you....

Tale care....
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What Could Elevated ALT / AST Levels, High Fever And Right Abdominal Pain Indicate?

Hi thanks for asking question. Noted you have elevated liver enzymes and negative viral marker. So you do not have viral hepatitis. You also not drinking alcohol. So possibilities of cryptogenic hepatitis without obvious cause or by some other cause like alpha 1 antitrypsin deficiency, hemochromatosis etc.might be there. If needed for further investigation liver biopsy can be done. Let me know you liver enzymes also elevated in celiac disease like gastric disorder.So if symptoms increasing and cause not clear it has to be ruled out .In this disease patient have hypersensitivity to gluten diet like wheat , rye etc.... Do you have any muscle disorders ?? Like myositis , muscle trauma can lead elevated enzymes. If you have cardiac problem then also it is elevated... I hope my answer will helpful to you.... Tale care....