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Elevated liver enzymes in pregnancy - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2009
Answered : 650 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   My wife went to our fam prac today and doc said she had elevated liver enzymes
Doctor :  
User :   she orderd a hep b and c test which has us worried
Doctor :  
User :   I thought when you had children the obgyn checks all this
User :   that is my question
Doctor :  
Liver enzymes are elevated when there is inflammation of the liver.
Doctor :  
The most common causes of inflammation are alcohol and viral infections.
User :   she is overwieght and the doc said this could be the problem
Doctor :   There are other less serious conditions such as the over weight in it self.
Doctor :  
We as a doctor are worried of the serious conditions, hence those tests were suggested.
User :   but like i had said if it was possibly hep b or c would it not have been criaught XXXXXXXX ring the pregnancies
Doctor :   Yes it would have
Doctor :  
May I know if these work ups were done her pregnancy?
Doctor :  
And when was the last time these tests were done?
User :   i had test done 3 years ago and the doc cleared me of anything so I don't think hep c or b are that easy to get contaminated with? I guess doc trying to be cautions
Doctor :  
Hepatitis virus is the most commonest infections that spreads throught the blood.
Doctor :  
Even contact with a small drop of blood may cause the infection.
User :   I do not know if they where orderd but they are some of the best obgyns in the area and very thurough
Doctor :  
So if there are no records of those test in the past , they are must now.
Doctor :  
So it is better that these test are done.
User :   I'll call the obgyn in thw morning and find out if the test where done and we will see the doc on Wed
Doctor :   May I know the values of the liver enzymes which were done recently?
Doctor :   If the values were not very high then the possibility of viral infections are low and the other factors such as high cholesterol may be the cause for the elevated levels.

User :   Nothing we can do but wait on the ultrasoung and result. Thats the thing the doc was so busy she sent the nurse pratitionar in and did not give us any results
Doctor :  
Doctor :  
Then I would suggest you to wait till those result come and then consult a gastroenterologist for further evaluation.
Doctor :  
Have you followed?
User :   We have an ultrasound wed. I apreciate your time and I followed she said her biliruben was elevated but no numbers
User :   No jaundice no symptoms
User :   no loss apetite
Doctor :  
Avoid any hormonal pills/pain killer medications if any.
Doctor :  
Dietary modifications to involve a low calorie diet with low salt and low fat is recommended.
User :   just metmotphine for diabetes she is 38 and two children barley gets sick
Doctor :   Diabetic medications are fine.
User :   no alcohol
User :   I meant she does not drink
Doctor :  
Continue with the dietary modifications till her bilirubin levels normalises and follow up with those reports.
Doctor :  
Do you have any other query?
User :   thanks nite
Doctor :  
Thanks for consulting me. Bye for now. Please refer your friends to our service.
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