Hello I am 19 year old male with remarkable health history in brief i suffer from Autoimmune thyroid disease my last Thyroid peroxidase antibody level > 1300 iu/mL and my LAST TSH level was Serum TSH level 1.01 miu/L i also suffer from Asthma and the last couple of years i have suffered chronic constipation and had to use large amounts of prescription laxatives ( no pathology found ) bowel wise apart from anismus and slow transit. Most recently suffered from RUQ Pain and had abdo ultrasound where Difficult examination due to raised BMI. The liver is of increased echogenicity throughout, no focal
lesions were seen however it was difficult to penetrate the
back of the liver with the ultrasound and so the exclusion
value for small lesions is low. The appearances of the liver
are in keeping with diffuse fatty infiltration.
No intra or extra hepatic duct dilatation seen

Also have raised ALT levels ( My Liver Bone Profiles and LFTs ) are normal apart from ALT I am on variety 171 Doctors are Online Public Forum Home » Digestion and Bowels » ConstipationSevere constipation, infrequent bowels. Blood tests show low WBC, elevated ALT. Treatment?
I have an 11 year old son who suffers from constipation . He eats healthy food including cereal or toast for breakfast, sandwiches, yogurt, muesli bar etc for lunch and meat, chicken or fish and vegetables for dinner. However, he only drinks small amounts of water, orange juice, milk and milo with half cup water and half cup milk each day, Although he won t eat fruit. He only has a bowel motion every 4-5 days. He feels tired all the time. He is the right weight and size for his age. he has a strong physique. blood tests show low levels of white cells and elevated ALT. Would appreciate any feedback, Kind regards Asked On : Sun, 22 Jul 2012 Answers: 1 Views: 54
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General & Family Physician, Dr. Polash Sannigrahi's Response
Hello dear,

Though low levels of white blood cells indicate immuno compromised state & elevated ALT indicate a derangement in liver functions, in the absence of any specific signs & symptoms, these values cannot be considered significant.

The causes of constipation can be:
1. Any pathology/ sub acute obstruction in the Gastrointestinal tract
2. Irritable bowel syndrome- constipation predominant type.
3. Functional cause- due to decreased gastric motility
4. Less fluid intake- as already mentioned in your post
5. Hormonal & Metabolic causes, etc.

Though symptomatic relief can be obtained by intake of Laxatives, their regular use is not advised.
And as long as the underlying cause is not treated, symptoms will keep recurring.

So, kindly consult a Gastroenterologist & get a proper physical examination done.
Investigations like complete blood count, Ultrasound scan of abdomen, Colonoscopy & contrast studies will be helpful to rule out any pathological cause for the symptoms.

There is no need to worry, your son will be fine.
Till then, maintain adequate hydration & proper nutrition status.

Wishing him a good health.
Take care.
Answered: Sat, 20 Jul 2013
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Dr. Varnika J.P., General & Family Physician
1 Doctor agrees with this answer
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of medications and depressed from it all don't know what to ask the doctor or what to do or anything my head is confused and really worried. I am also tired and feeling sick most of the time. I am awaiting a sacral nerve stimulator in relation to my bowel and DR said she was going to run Hepatitis screen but i must lose weight.

Thanks in advance