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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Elevated ALT AST Enzymes, Pain Under Rib Cage, Abdominal Pain, Frequent Urination, Nausea

30 year old female. Elevated ALT AST enzymes sharp pain off and on for two months under left rib cage, sharp burning pain left lower abdomen, yellow diarrhea and now green, frequent urination , CT scan unremarkable except a fat deposit on liver 1.3cm? Nausea. ER diagnosed with acute abdominal pain but still hurting! I know something is wrong. I have gained 50lbs in one year and constant bloating feeling. My medical history is ovarian cysts and now on 125mcg synthroid . Not a heavy drinker but now obese. Please help!!
Sat, 23 Feb 2013
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General & Family Physician,  's  Response
Thanks for the question,
your laboratory results with increased enzymes called liver transaminases, coupled with a pain under the rib cage are suggestive an acute hepatitis. This could either be infectious (Hepatitis B or C most commonly), due an intoxication (Drug) or several other factors. An abdominal ultrasound and a Chest X ray might be very usegul in making things clear and guiding further evaluations. Other specific markers of liver lesions like Alpha feto proteins, gamma amino butyrique acid and 5' Nucleotidase exams, shall be asked based on these preliminary results.
Excess urination deserves a urinalysis to screen for a urinary tract infection and detect ketones or glucose for diabetes. A urine cast, culture and sensitivity tests would be interesting to exclude a urinary tract infection.
I suggest you book an appointment with a gastroenterologist for a proper evaluation and management. Thanks and this helps,
Best regards,
Luchuo, MD.
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Have Elevated ALT AST Enzymes, Pain Under Rib Cage, Abdominal Pain, Frequent Urination, Nausea

Thanks for the question, your laboratory results with increased enzymes called liver transaminases, coupled with a pain under the rib cage are suggestive an acute hepatitis. This could either be infectious (Hepatitis B or C most commonly), due an intoxication (Drug) or several other factors. An abdominal ultrasound and a Chest X ray might be very usegul in making things clear and guiding further evaluations. Other specific markers of liver lesions like Alpha feto proteins, gamma amino butyrique acid and 5 Nucleotidase exams, shall be asked based on these preliminary results. Excess urination deserves a urinalysis to screen for a urinary tract infection and detect ketones or glucose for diabetes. A urine cast, culture and sensitivity tests would be interesting to exclude a urinary tract infection. I suggest you book an appointment with a gastroenterologist for a proper evaluation and management. Thanks and this helps, Best regards, Luchuo, MD.