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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes elevated liver enzymes?

I had a baby 8 weeks ago. I had complications with high blood pressure at delivery and elevated liver enzymes about a week after delivery - at which time I was hospitalized and given magnesium and BP meds. My enzymes started to decrease (from 120's down to 115) and my BP was controlled on the meds. At 6 week post pregnancy visit my OB said things look great (no blood work was done to check liver enzymes, he said since they saw a decrease enzymes would go back to normal and no need to "chase" them) but since I was still on BP meds he told me to make an apt. with PCP. My apt with PCP was at 7 weeks, 2 days post pregnancy, she did blood work and my liver enzymes were up (145 and in the 80's - AST/ALT), my BP is still up but this may be due to family history. I am VERY active, eat VERY well, had a perfect pregnancy and am already down to about 109 pounds (almost at my pre pregnancy weight of 104) I only gained about 28 pounds while pregnant. I exercsied throughout my pregnancy and was back at it just 2 weeks after my c-section. My question is WHY are my enzymes elevated? My PCP will recheck in 10 days but I'm freaking out and wondering what's going on? This was my 4th pregnancy, I had severe HELLP syndrome with my first (10 years ago) but not with my second or third and no proglonged liver issues. What's going on?
Wed, 21 Jun 2017
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General Surgeon 's  Response
Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.
Liver enzymes are sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common casue is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis,cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionaly done then appropriate treatment can be started.
I hope I have answered you query. If you have any further questions you can contact us in every time.
Kindly regards. Wish you a good health.
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