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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 have been having active urination concerns so got a urine test at my doctor. He said he saw nothing out of line with my bladder but sid my liver numbers were a litlle high. He was wants to run an ultra-sound to see what might be causing htis. He said the numbers weren t high enough to be concerned with cancer. Any thoughts as to what this might be.
Mon, 23 Oct 2017
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General & Family Physician 's  Response
Hello. Many diseases and conditions can contribute to elevated liver enzymes. Your doctor determines the specific cause of your elevated liver enzymes by reviewing your medications, your signs and symptoms and, in some cases, other tests and procedures.

More common causes of elevated liver enzymes include:

1. Over-the-counter pain medications, particularly acetaminophen (Tylenol, others)
2. Certain prescription medications, including statin drugs used to control cholesterol
3. Drinking alcohol
4. Heart failure
5. Hepatitis A
6. Hepatitis B
7. Hepatitis C
8. Nonalcoholic fatty liver disease
9. Obesity

Other causes of elevated liver enzymes may include:

1. Alcoholic hepatitis (severe liver inflammation caused by excessive alcohol consumption)
2. Autoimmune hepatitis (liver inflammation caused by an autoimmune disorder)
3. Celiac disease (small intestine damage caused by gluten)
4. Cytomegalovirus (CMV) infection
5. Epstein-Barr virus
6. Hemochromatosis (too much iron stored in your body)
7. Irritable bowel syndrome
8. Mononucleosis
9. Polymyositis (inflammatory disease that causes muscle weakness)
10.Sepsis
11. Thyroid disorders
12. Toxic hepatitis (liver inflammation caused by drugs or toxins)
13. Wilson's disease (too much copper stored in your body)

Liver cancer is a rare cause. Unless there is a suspicion like weight loss, loss of apetite etc i dont think it should be a concern. Ultrasound, CT may be required to diagnose it but it depends on your treating doctor whether he feels the need to.

with regards- Dr Sanjay kini
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What Causes Elevated Liver Enzymes?

Hello. Many diseases and conditions can contribute to elevated liver enzymes. Your doctor determines the specific cause of your elevated liver enzymes by reviewing your medications, your signs and symptoms and, in some cases, other tests and procedures. More common causes of elevated liver enzymes include: 1. Over-the-counter pain medications, particularly acetaminophen (Tylenol, others) 2. Certain prescription medications, including statin drugs used to control cholesterol 3. Drinking alcohol 4. Heart failure 5. Hepatitis A 6. Hepatitis B 7. Hepatitis C 8. Nonalcoholic fatty liver disease 9. Obesity Other causes of elevated liver enzymes may include: 1. Alcoholic hepatitis (severe liver inflammation caused by excessive alcohol consumption) 2. Autoimmune hepatitis (liver inflammation caused by an autoimmune disorder) 3. Celiac disease (small intestine damage caused by gluten) 4. Cytomegalovirus (CMV) infection 5. Epstein-Barr virus 6. Hemochromatosis (too much iron stored in your body) 7. Irritable bowel syndrome 8. Mononucleosis 9. Polymyositis (inflammatory disease that causes muscle weakness) 10.Sepsis 11. Thyroid disorders 12. Toxic hepatitis (liver inflammation caused by drugs or toxins) 13. Wilson s disease (too much copper stored in your body) Liver cancer is a rare cause. Unless there is a suspicion like weight loss, loss of apetite etc i dont think it should be a concern. Ultrasound, CT may be required to diagnose it but it depends on your treating doctor whether he feels the need to. with regards- Dr Sanjay kini