Clickable: LUPUS INFORMATION & LUPUS RESOURCES.
Co-Moderator: Lupus and CFS Forums
Post Edited (Melissa D.) : 12/11/2008 7:54:45 PM (GMT-7)
Lynnwood, Co-Moderator: Lupus ForumSLE(’00), Sjogren's Syndrome, Raynaud's Syndrome, Seasonal Affective Disorder, Depression, Herpes Simplex 1Plaquenil, Prednisone(8mg), Piroxicam, Xanax(as needed), Trazodone, Boniva(monthly), Wellbutrin SR, ValtrexLinks: DIAGNOSING LUPUS (4 of 11), LUPUS INFORMATION, LUPUS RESOURCES, Donate to HealingWell, Drug Interactions
Liver pain can hurt there, but like Lynnwood said, so can upper GI and ulcers, problems with small intestine and gallblader. Still, someone should be investigating your mild elevation in liver enzymes with an abdominal ultrasound or some kind of appropriate imaging to see if you aren't developing fatty liver, like I have.
Fatty liver disease is very closely tied to mild diabetes and eventually can lead to full blown diabetes. In the early stages, I had high and low blood sugars, that corresponded with high and low blood pressure, though all were mild, I really "felt" even a small rise above normal in my blood sugar.
My hepatologist just informed me that prednisone increases the fat depositing in my liver, which is severe. I since tapered off and am miserable, but that's another story.
Liver swelling and inflammation can be felt sometimes, as the liver bulges out below the rib cage. Gaining/carrying weight around your rib cage and abdomen can be signs of liver problems.
Non-alcoholic fatty liver disease that features abnormal liver function, even mild, that continues, is called non-alcoholic steatohepatitis (steato means fat, hepatitis is inflammation of the liver). This form of fatty liver is much more dangerous because of the inflammation, though more common.
You aren't on anything that I haven't taken, if you signature is right. Fatty liver is serious, and there are pills you can take to prevent cirrhosis and death, if the cause is found. Glucophage has saved my life and my fathers, though we both had hard time getting it as our "diabetes" is not due to pancreatic failure, but due to glycogen storage problems in the liver and insulin resistance (also called "prediabetes" or "metabolic syndrome").
The theory is that some of us have trouble metabolizing carbohydrates and sugars due to a resistance in our cells of insulin. This resistance comes from a life of eating too many carbs, hereditary predisposition, medications or medical problems that trigger the onset of it. Many of us with American Indian blood are prone to diabetes due to feast or famine living, some speculate.
Also know that liver function tests like ALTs which measure repairs being done to the liver, go down as fibrosis sets in and the liver cannot produce the ALT to repair itself, so mild elevation doesnt always mean mild problem. But a simple abdominal ultrasound--like when you were pregnant--can let you know if yuo have developed fatty liver or other problems, not just in the liver but elsewhere. That way you can know if medicines like glucophage or a select few other diabetes meds, and dietary change can help you save your liver. Also, blood INSULIN test--not the regular A1C test which means nothing with this type of liver involved metabolic disorder, can let them know if your body is producing way too much insulin because your cells are resistant to insulin. There are medicines to treat this now, and you need an up to date doc to help you. If you let the insulin resistance go, dont follow diet and take meds, the pancreas can't keep up with the demand and burns out, leading to full-blown type II diabetes where you can no longer produce insulin. Believe me, this is worth preventing, it is miserable and leads to a bunch moe health problems.
This is probably way more than you ever wanted to know, but a few simple tests can really save your life and prevent a boatload of problems. I would definitely talk to your doc about getting a blood sugar meter to test your blodod when you are on prednisone or feel lousy or just pay the twenty bucks or whatever--they are really cheap and you don't need a script--and buy it yourself, I did it when dieting and found my own blood sugar problems. Its a good first aid kit item, kids get hypoglycemic alot, and steroids mess up your sugar. People with diabetes go low nd high.
Sorry so long. I hope this helps. If you are having pain, the non-intrusive ultrasound is an easy way for them to check it out.