Liver Enzymes Elevated???

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Regular Member

Date Joined Jun 2007
Total Posts : 60
   Posted 9/24/2007 10:01 AM (GMT -7)   
Hey guys,
     I just had some blood work done and its showing that some of my liver enzymes are elevated. I'm scheduled for some more blood work and a hepatic ultrasound. What could this be from? The only medication I am on is Lialda. Can mesalamine do that? I think I recently had a bad reaction to it...
Male Age 23. Diagnosed/Undiagnosed with IBS/Crohn's but no one really has a clue whats wrong with me. Right now I'm assuming its mild Crohn's. History of HORRIBLE Sinusitis, PND, allergies (very rare allergy to erythromiacin). Currently taking Lialda.

Veteran Member

Date Joined Oct 2004
Total Posts : 504
   Posted 9/24/2007 3:45 PM (GMT -7)   

I had the same problem and have been on a bloodwork rollercoaster ever since.

My AST and ALT were elevated and my prothombin time was too long. Also, my Vitamin D level was non-existant.

Let's see, I had the basic panel like you did. Then, they checked for viral hepa*** and rechecked the prothrombin time.

Then, I had the ultrasound, it was really easy.

Now, they have repeated the liver panel and we are waiting on that. Also, my GI has ordered tests to look for autoimmune hepatitis.

I have gotten frustrated because my GI sent me to the Internist, because she thought something else was going on and I needed a check up. However, she likes to argue with his test results and makes me repeat the tests. I'm like, well why did you send me there if I just have to repeat it all (in my head I am thinking this as she writes more orders).

She says I'll most likely need a liver biopsy soon, the ultrasound hints towards fatty liver.

I have been reading and studying all I can.

The things that cause hepatitis (liver inflammation) are
Fatty liver
Non-Alcoholic steatohepa*** (NASH)
Autoimmune hepatitis
Viral hepatitis

You have to have the ultrasound to look for lesions, blocked ducts and fat in the liver.

However, they cannot diagnose with just the ultrasound, so they do the biopsy.

So, right now after a month, they know I have elevated enzymes and an indication of fatty liver via ultrasound. I do not have the viral kind and they are checking the autoimmune side of things, biopsy will be soon.

She said that you can have benign fatty liver or agressive fatty liver and the agressive causes cirrhosis. But, she says there is not much you can do, you just then know that you have this problem.

I'm beginning to think ignorance is bliss.

The best advice I can give you is don't panic. Check out the hepatitis forum on healingwell (nice folks there) and google what you don't understand (with caution).

Good luck and good health to you! post me if you need to.
Diagnosed with Crohn's August 2006
Age 30
Asthma, Rosacea, Venous Insufficiency, Malabsorption and Excessive Bile production
Questran 1 package per day
Colocort Enema 2 per day
Advair 100, 2 per day

Veteran Member

Date Joined Mar 2005
Total Posts : 2486
   Posted 9/24/2007 3:53 PM (GMT -7)   
Liver enzymes can be elevated for a number of reasons.  Even drinking a glass or two of wine one night can elevate your numbers in the short-term.  The best thing to do with any abnormal blood test result is to have the test repeated a few days later (if it's a mild abnormality; if it's off the charts, it's good to get it rechecked as soon as possible).  Have you ever had elevated enzyme levels in the past?

Co-moderator - IBS Forum

Veteran Member

Date Joined Mar 2006
Total Posts : 2739
   Posted 9/24/2007 4:16 PM (GMT -7)   
I dealt with that in Feb, the ER found mine to be elevated. I waited a few months and my doctor redid the test. It was normal. They believed it was from either pain medication I was taking (was sick with the stomach flu) or even the virus I had itself. So there can be LOTS of reasons for this, and I've read it's quite common.

So I would relax, but still get it rechecked to make sure it's none of the more serious reasons.
Diagnosed with mild Crohn's Disease 2/06 after sever GI bleed. Has been suffering since 1998. History of rectal fistula and gallbladder removal. Currently taking Asacol and Questran.

Veteran Member

Date Joined Sep 2006
Total Posts : 2527
   Posted 9/24/2007 4:49 PM (GMT -7)   
mine were slightly abnormal back in July but my GI was not concerned with it especially since I was on Fentanyl patches (75mcg/h as well as dilaudid prn at the time). I see him again Oct 10 and he will probably run another full panel not just for that but also since I began Humira last week.
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987

Regular Member

Date Joined Jun 2007
Total Posts : 60
   Posted 9/24/2007 8:54 PM (GMT -7)   
Thanks guys... always appreciate the support I get at healingwell :) I'll let yall know how things go!
Male Age 23. Diagnosed/Undiagnosed with IBS/Crohn's but no one really has a clue whats wrong with me. Right now I'm assuming its mild Crohn's. History of HORRIBLE Sinusitis, PND, allergies (very rare allergy to erythromiacin). Currently taking Lialda.

Regular Member

Date Joined Jan 2005
Total Posts : 43
   Posted 9/24/2007 11:20 PM (GMT -7)   
This comment has nothing to do with your liver.  However, when you said you had a mild case of Crohn's I thought of myself.  For twenty years, I've had a mild case and the only medication  that helped me was Rowasa enema.  I still take it when I get a flare up!  I discovered 14 years after the fact and on my own that I was dairy intolerant.  Every time I eat something with dairy in it, I get blood.  Now that I've given up cow's milk and dairy derivatives, I rarely have to take my medicene and am symptom free.  Believe me, your GI doctor will tell you otherwise (mine didn't believe it until I had a colonoscopy and saw that my symptoms had disappeared), but try it!  Good luck :-)
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