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Is It A Cause For Concern To Have Liver Enzymes Over 4000?

Posted on Thu, 26 Jul 2018

Question: I was admitted to hospital a week ago with liver enzymes over 4000 they discharged me 5 days layer with still over 1100. They said I have non alcohol fatty liver 2 years ago and nothing else ever done now they want to watch closer afraid may turn to cirrhosis. I go to Dr this coming week what all do I need to ask.

Also they said my blood is not cloting on it's own. And over my half my back was covered in a non painful bruise I didn't even know I had till they examined me and ask me about it. I have cramping all over my abdomen but over in the liver area it feels like someone beat me with a baseball bat. They had originally said of they couldn't get my enzymes to start coming down there was a possibility of a transplant

Answered by Dr. Prof. Kunal Saha (2 hours later)

Brief Answer:
There is hardly anything that can be done at the moment

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. The first thing I would need to ask is for the reason that made you seek medical attention or to get the tests done. I assume that you are not an alcoholic but would need you to confirm and also mention whether you have any specific symptoms. The third thing to ask is whether you are a diabetic and whether you are on any medication.

The reports suggest that the liver enzymes are raised and your doctor has rightly pointed it to be non-alcoholic fatty liver or non-alcoholic steato hepatitis (NASH). The liver produces proteins including clotting factors and it is therefore associated. Since there is nothing to be done at the moment, you have been discharged and there is indeed a possibility of worsening in the future. I would be able to comment further after hearing your inputs in relation to the questions I have asked. I would also insist you to upload any relevant medical notes.

I will wait for your response. Let me know if I could help further.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Prof. Kunal Saha (14 minutes later)

I had been sick with the flu and high fever the week before. I was having persistent diarrhea and vomiting and finally couldn't take anymore and called 911. I am diabetic and I am also on pain management. They at first thought that I might have accidentally taken too much Tylenol between pain meds Nyquil and Tylenol for fever but they later decided it was from infection that there was not enough Tylenol in my blood samples. I have severe pain in my upper right area of abdomen below ribs and the rest of my abdomen cramps all the time. I am still running low grade fever have a severe headache and just all over don feel great. What are some treatments we may be looking at now. Also no I'm not an alcoholic rarely ever drink less then 5 times a year if that. Also what is the difference in non alcohol fatty liver and the non alcohol steato hepatitis ( XXXXXXX )

Answered by Dr. Prof. Kunal Saha (59 minutes later)

Brief Answer:
Wait and provide the liver rest

Detailed Answer:
Non alcohol steato hepatitis ( XXXXXXX ) is just the technical name for non alcohol fatty liver disease. Diabetes and prolonged pain medication are the likely precipitating agents. The present condition does not call for any treatment other than a bland diet. Any sort of medication would be an added taxation on the liver.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Prof. Kunal Saha (37 minutes later)

how dangerous is this to my liver and any other part of my body

Answered by Dr. Prof. Kunal Saha (1 hour later)

Brief Answer:
The condition would call for periodic re-evaluation.

Detailed Answer:
Usually it is not a big problem. But if the liver enzymes persistently remain high, it would perhaps indicate a continued liver injury and the condition would need further insights. As of now, it is important to discontinue or minimize intake of pain killers including Nyquil and Tylenol.

It would not directly affect other parts of the body. But the liver is a very important organ and its compromise can precipitate a multi-organ failure. So, it can be serious.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Prof. Kunal Saha (11 minutes later)

so they first diagnosed it about 2 years ago and it was minor then now it's severe. I go back to my dr on Wednesday I guess we shall see what he has to say. is there anything I should ask him.

Answered by Dr. Prof. Kunal Saha (7 hours later)

Brief Answer:
Not much can be done about it

Detailed Answer:
Just ask for the follow up plan and the things that can be done to arrest the progress. Also ask if a hepatitis profile test needs to be done.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prof. Kunal Saha (1 hour later)

can you tell me how dangerous it is at this point? I mean is this something that I could end up dying from?

Answered by Dr. Prof. Kunal Saha (2 hours later)

Brief Answer:
Risk unlikely to be acute

Detailed Answer:
You could end up dying if your liver shuts down. However, I do not suppose that such a thing could occur rapidly.

Regards

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Above answer was peer-reviewed by : Dr. Prasad