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High abdominal pains. Took nexium. Immunologist suggests that my liver enzymes are repeatedly coming back high. What are the findings and required treatment?

I am a 40 year old female that has been experiencing high abdominal pains regularly for the past 14 years...since the birth of my first child. It began occasionally where the pains would present early in the morning around 4 and last for approximately 5-10 minutes. I would have them for a week or so and then they would go away for a few weeks. After several times I went to my doctor and was prescribed nexium. This did not resolve the issue. After a few years of the pains occuring more often I had an ultrasound and my gall bladder was removed. This pains intensified and began to occur much more often. I've been told IBS, and sluggish colon and so on. My concern is that recently...and discovered by an allergist and now an immunologist that my liver enzymes are repeatedly coming back high...could the pain have been from the liver all this time? Also, the pain begins as a hunger pain and rapidly turns into intense pain that begins in the high front area but ends in the what is happening to the body when it experiences a hunger pain? And the pain only occurs now at 5-6 in the morning and again by 9-10 if I dont eat a breakfast.
Asked On : Thu, 25 Apr 2013
Answers:  2 Views:  30
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General & Family Physician 's  Response
Hi welcome to Health care magic forum.
Thanks for choosing H.C.M.Forum.
You have got abdominal pain, since 14 years starting at 4 am lasts for 10 minutes. Occuring for few days and a gap of some days. Started after the birth of your 1 st child. You have used nexium, got gall bladder removed, but pain is increasing and of hunger with more frequency.
It also thought as I.B.S.,and increased liver enzymes.
At first your pain could be due to reflux of urine into kidney due to retension, and relieved by voiding urine.
Liver enzymes increase, hunger type of pains, may be due secondary to gallbladder removal. (seen in some people only.)
I advise you to avoid spices, junk foods, and oily foods to avoid irritation to the stomach, and kidney.
Wishing for a quick and complete recovery.
Best wishes.
Answered: Sat, 27 Apr 2013
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3 Doctors agree with this answer

Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

Elevated liver enzymes are a consequence, not cause / further extensive investigations will be necessary, if it is more than 3 times the upper limit of normal...
After gall bladder removal, stone may reoccur - in the common bile duct (CBD)
Contribution of stomach and colon can be assessed by upper and lower G I endoscopy...
CT scan of the abdomen may shed light...
The timing - only in the morning - demands explanation?? - hypoglycaemia? peptic ulcer??

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Sat, 27 Apr 2013
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