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What Causes Elevated Liver Enzymes Levels And Vomiting?

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Posted on Mon, 24 Oct 2016
Question: I have elevated liver enzymes and pink vomit. Is there a connection?
doctor
Answered by Dr. Tayyab Malik (6 hours later)
Brief Answer:
Insufficient history.

Detailed Answer:
hi.
thanks for posting query at HCM.

Vomiting has numerous causes and proper history may aid in reaching a diagnosis.

1 how many episodes did you experience of vomiting?
2 what other symptoms did you experience along with it?
3 did you have food poisoning?or did the treating physician rule out food poisoning?
4 do you vomit anything you eat?
5 did you vomit after taking metoclopramide?

elevated liver enzymes ( greater than twice the upper limit) indicates hepatitis. "vomiting" maybe one of the presenting symptoms of hepatitis. other sign/symptoms for hepatitis include jaundice, loss of appetite and right upper quadrant pain. Patient may experience all of these symptoms or some.
In case of hepatitis, cause should be investigated thoroughly.

further questions are welcomed.
look forward for the answers to questions asked in this reply.

regards
Dr Tayyab Malik
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Tayyab Malik (4 hours later)
I have been vomiting frequently for 16 days, have poor appetite and feel full quickly. My symptoms seem to have been triggered by eating a lot of bread in one day and food poisoning was ruled out. I have a constant feeling of nausea but no pain and no jaundice. I am not overweight and eat a vegetarian diet. Ranitidine and metoclopramide have helped but do not completely relieve my symptoms. I also feel very tired and run down and have lost around 7lbs in the last two weeks.
I hope this is sufficient additional information.
Thank you for your help.
doctor
Answered by Dr. Tayyab Malik (7 hours later)
Brief Answer:
Further evaluation needed. Visit gastroenterologist at the earliest.

Detailed Answer:
hi.
thanks for getting back to me and for providing all the details.

considering your age and current presentation especially "sudden loss of weight" along with vomiting - i would strongly recommend you to visit gastroenterologist and fix an appointment for undergoing endoscopic examination to rule out any malignant lesions in the gastrointestinal tract.

Endoscopic examination is advised if a patient has any ONE OR MORE of the "ALARM" symptom along with gastrointestinal symptoms:
A- Age>55
L- Loss of weight
A- Anemia
R- Rapid onset of progressive GI symptoms
M - Melena ( black stool or blood vomiting)

Furthermore,
Liver function Test and Ultrasound abdomen is also advised.

the results of aforementioned investigations would give a better picture to diagnose your current clinical scenario.

hope to answer your concern.
wish you good and sound health.

regards
Dr Tayyab Malik
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
Dr.
Dr. Tayyab Malik

Gastroenterologist

Practicing since :2009

Answered : 819 Questions

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What Causes Elevated Liver Enzymes Levels And Vomiting?

Brief Answer: Insufficient history. Detailed Answer: hi. thanks for posting query at HCM. Vomiting has numerous causes and proper history may aid in reaching a diagnosis. 1 how many episodes did you experience of vomiting? 2 what other symptoms did you experience along with it? 3 did you have food poisoning?or did the treating physician rule out food poisoning? 4 do you vomit anything you eat? 5 did you vomit after taking metoclopramide? elevated liver enzymes ( greater than twice the upper limit) indicates hepatitis. "vomiting" maybe one of the presenting symptoms of hepatitis. other sign/symptoms for hepatitis include jaundice, loss of appetite and right upper quadrant pain. Patient may experience all of these symptoms or some. In case of hepatitis, cause should be investigated thoroughly. further questions are welcomed. look forward for the answers to questions asked in this reply. regards Dr Tayyab Malik