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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain Below The Rib Cage Radiating To The Lower Abdomen, Tests Show High Liver Enzymes. What Could This Be?

my sister has been in and out of the hospital for days now they ve done blood work found high liver emztyes and did an ultrasound and found nothing she crying of servere pain in her upper right under her rib cage part of her body pains so servere she said it goes from her back to the front to the lower adomal. no one can find andthing wrong but the high liver emzytyes in her bloodwork what is this?
Thu, 16 Aug 2012
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General & Family Physician,  's  Response
Hi,

Thanks for writing in.
Pain radiating from back to abdomen is more likely to be renal colic or biliary colic. But as ultrasound has come normal, those possibilities become zero.

Again hepatitis can cause raised liver enzymes but sever pain will not occur. Even cholecystitis can cause similar pain.
I would recommend you to get CT Scan abdomen to rule out above conditions as ultrasound can miss few things.

I hope I have answered your query. Feel free to revert back for further clarification if required.
Best regards,
Dr. Neelam.
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Pain Below The Rib Cage Radiating To The Lower Abdomen, Tests Show High Liver Enzymes. What Could This Be?

Hi, Thanks for writing in. Pain radiating from back to abdomen is more likely to be renal colic or biliary colic. But as ultrasound has come normal, those possibilities become zero. Again hepatitis can cause raised liver enzymes but sever pain will not occur. Even cholecystitis can cause similar pain. I would recommend you to get CT Scan abdomen to rule out above conditions as ultrasound can miss few things. I hope I have answered your query. Feel free to revert back for further clarification if required. Best regards, Dr. Neelam.