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Elevated liver enzymes. Negative for hepatitis. Abnormal EKG. History of Hashimoto's disease, thyroid removed. Any suggestions?

I recently had elevated liver results and so they tested for Hepitis and that was normal... EKG also adnormal and said something about doing a 24 hr holter monitor . This is the third time both test were abnormal and my regular doctor always stops after doing the same test. I m 32 5 3 215lbs. I have had normous health issues throughout life. I had Hasimotos and thyroid was removed but those test were normal. Just wondering what should I do to get past the routine of doing the same test and getting no answers.
Asked On : Tue, 11 Sep 2012
Answers:  1 Views:  165
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Internal Medicine Specialist 's  Response
First of all there are many causes of elevated liver enzymes. I suppose you were tested for one of the most common ones which are the viral hepatitis (HEpatitis B and hepatitis C).
The fact that you had Hashimoto's thyroiditis, which is an autoimmune disease (where your body attacks itself), is a risk factor for having concurrent Autoimmune Hepatitis. This can be tested by blood tests (ANA, AMA, ASMA, etc), but may require a liver biopsy. OTher causes to consider: alcohol intake, iron overload, medication induced hepatitis, fatty liver (common in diabetics, overweight people). If no answer is obtained with labwork and ultrasound of the liver then I would recommend you going for the liver biopsy.
Answered: Tue, 11 Sep 2012
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