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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated Liver Enzymes?

I've had achiness, fever and headaches with occasional sweats and chills (Flu Like-but tested negative). My husband also had the achiness/fever for two days where mine lasted about 5 days whil on motrin with fevers off and on up to 102. Blood work was drawn and my white count and platelets were very low and I was noted to have elevated liver enzymes. I had been alternating between 800mg Motrin and Acetaminophen as well as cold meds. I was seen again for lab redraw and most of my blood was ok except liver enzymes, white count and platelets;they had improved but not by much. I was sent to the hospital where they drew more blood, cultures and now have scheduled me with a hematologist at the end of the week. Can all of this be caused by having a virus and can this improve as I get better(as I feel good today after getting Rocephin shots and oral antibiotics). How long does it take for the blood to regroup after an illness? I am very worried. Diagnosis now is pancytopenia, increased liver enzymes, acute febrile illness. I have also been on the Hcg diet since July, so I have cut out most sugars and pastas and use Stevia in my drinks. I am 5-6 and weigh 155 lbs.(I was 191 but have cut my diet and been walking 2 miles/twice weekly) since July. Docs office said this could all be viral......Does this mean this is all due to me being ill and will get better-I am on the antibiotics&motrin and not fever today....THANK YOU
Mon, 11 Apr 2016
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General & Family Physician 's  Response
Hi thanks for asking question.
Noted you have fever with muscular and bony pain..So history mostly suggestive viral infection ......Symptomatic management done....

But liver enzymes also elevated.
So early hepatitis has to be ruled out by complete LFT profile and viral marker study.
Rest your liver meanwhile by taking low fat diet...
In infection bone marrow can temporarily suppressed to lead pancytopenia...
By detail history suspicion for SLE , sjogren syndrome like autoimmune condition ruled out as they Also lead pancytopenia.
If cough present with weight loss rule out tuberculosis by sputum study....

Drink more water...
Within few days you should recover.
If not rule out above causes and if any suspicion bone marrow examination might needed...

Take care.
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What Causes Elevated Liver Enzymes?

Hi thanks for asking question. Noted you have fever with muscular and bony pain..So history mostly suggestive viral infection ......Symptomatic management done.... But liver enzymes also elevated. So early hepatitis has to be ruled out by complete LFT profile and viral marker study. Rest your liver meanwhile by taking low fat diet... In infection bone marrow can temporarily suppressed to lead pancytopenia... By detail history suspicion for SLE , sjogren syndrome like autoimmune condition ruled out as they Also lead pancytopenia. If cough present with weight loss rule out tuberculosis by sputum study.... Drink more water... Within few days you should recover. If not rule out above causes and if any suspicion bone marrow examination might needed... Take care.