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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Elevated Liver Enzymes, Pain In The Abdomen. Normal Blood Test Report. What Could Be Wrong?

I am a 42 year old male. Last year at my physical I had borderline elevated liver enzymes . Over the last 4 days I have had right sided abdominal pain that was brief and went away. It continued so I went to see the dr. He did full assessment and nothing was enlarged or seemed abnormal during physical exam. He did my blood work. Tonight he called and said my liver enzymes were off the chart.( no number given). I have no other symptoms.
Mon, 25 Mar 2013
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General Surgeon,  's  Response
Hi and welcome to HCM
It sounds to me like billiary colic. Ultrasound should be done to detect is there any stone in gallbladder.
If you have pain after meal, especially fats and alcohol then it would confirm my opinion.Also elevated enzymes are found in gallbladder disorders.
Physical examination can find enlarged liver or spleen but gallbladder cant be examinated without imaging tests. Till you do this you can try with dieatary changes. Avoid fats smoking,alcohol and see is there improvment.
Wish you good health.
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Elevated Liver Enzymes, Pain In The Abdomen. Normal Blood Test Report. What Could Be Wrong?

Hi and welcome to HCM It sounds to me like billiary colic. Ultrasound should be done to detect is there any stone in gallbladder. If you have pain after meal, especially fats and alcohol then it would confirm my opinion.Also elevated enzymes are found in gallbladder disorders. Physical examination can find enlarged liver or spleen but gallbladder cant be examinated without imaging tests. Till you do this you can try with dieatary changes. Avoid fats smoking,alcohol and see is there improvment. Wish you good health.