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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Fatty Liver, High Uric Acid, Total Bilirubin, ALT, Atriall Fibrillation. Taking Solatol. Have Muscle Spasms

Hi, I have: - Fatty Liver - High level of Uric acid 0.55mmol/L (normal range: 0.20-0.50) - High level of Total Bilirubin 41umol/L (normal range: 4-20) - High level of ALT 81U?L (normal range: 5-40) - I also have Atrial Fibrillation (abnormal heart rhythm) and I am taking Sotalol (similar to Warfain) 80mg in the morning, 80mg at night (160mg in total) - I am only 26 years old, male. I have had ECG Echocardiogram (heart monitor testing) many times but it s normal. My thyroid is normal and glucose is normal. Cholesterol, Triglycerides are normal. Electrolyte levels are normal too. Could you please tell me what s wrong with me? No doctor can tell an answer! I think I have liver damage but I don t feel any liver pain. I don t feel any other discomfort except some muscle spasms in my arms and legs occasionally. Is my heart problems linked to my liver problems? Thank you!
Mon, 2 Dec 2013
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Nephrologist 's  Response
Hello

Thanks for the query

The muscle spasms are not related to your liver issues, electrolytte disturbance or the drugs you are taking. It could be do to the higher uric acid. I advice you to take Tab febuxostat 40mg once a day. Please approach your physician with my suggestion.
I would also like to add here that sotalol and warfarin are not similar drugs. Please go back to your cardiologist for a review, all rate controlled atrial fibrillation patients should be on Warf.

I hope I was of help

Regards
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Have Fatty Liver, High Uric Acid, Total Bilirubin, ALT, Atriall Fibrillation. Taking Solatol. Have Muscle Spasms

Hello Thanks for the query The muscle spasms are not related to your liver issues, electrolytte disturbance or the drugs you are taking. It could be do to the higher uric acid. I advice you to take Tab febuxostat 40mg once a day. Please approach your physician with my suggestion. I would also like to add here that sotalol and warfarin are not similar drugs. Please go back to your cardiologist for a review, all rate controlled atrial fibrillation patients should be on Warf. I hope I was of help Regards