Hello, ms.santos, and welcome. My first thought, with you working in an ER and being in nursing school, is that you might have gotten a needle stick somewhere along the way with someone who was infected with hep C. Also, I was diagnosed with hep C in '93 and have had liver cancer, and my AST and ALT have never been anywhere near that high and currently are actually normal, although I still have chronic active hep C. In my case, labs are not an indication of my status and, in fact, were at first ignored when they were slightly elevated.
Anyone can have an elevation from time to time, but it's when the LFTs are continuously elevated that it raises a red flag.
There is really nothing to know for sure until you get the results of your hepatitis and other results. As you mentioned, it could also be an autoimmune disorder or PBC.
Try not to worry, but do let us know when you get your results.
LFT is shorthand for liver function tests. Those are the tests you've already had (ALT, AST, etc.) It's good news that your values have decreased.
All you can really do is wait for the hepatitis test results. There are also a number of people here with AIH and a couple with PBC, in case it turns out you have one of those.
You will be in my thoughts.
Don't get too alarmed just yet. The stomach virus could have something to do with it. You'll need to get all your results in. Have you been on any antibiotics lately? Do you take any herbal supplements? A hepatologist will ask you about that. Those were the first things they asked me when they were trying to solve my elevated LFT's. I have AIH (autoimmune hep). You mentioned you were overweight. Fatty liver disease can also be the cause of the elevation. Your bili is fine, the normal is usually 0-1. There are several viruses that can cause increases in LFT's too...like CMV (cytomegalovirus) and EBV (Epstein-Barr). There are blood tests for those as well. They are quite common viruses and usually only cause flu-like symptoms but they can get out of control and cause more trouble.
Definitely get a referral to a hepatologist. Primary care physicians know the basics but you'll want someone with a specialty. Even GI docs have better understanding but not as much as a hepatologist...their focus is the liver.
Keep us posted!
Ms. Santos, that's a relief that you didn't test positive for hepatitis of any kind!! Here's hoping it was just the virus that elevated your enzymes and that you will have normal results next time!
Please keep us updated.