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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swelling Under Liver. Blood Tests Show Fluctuating Liver Enzymes. Suggestions For Treatment?

I have a problem with swelling under liver which is causing Liver functioning test to be fluctuating in all blood tests. This is since two long years am in suffering with. Please suggest me what should i look forward to diagnose this. Doctors whom I met says this is gastric problem but i cant agree with there results on this.
Sat, 8 Dec 2012
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Gastroenterologist,  's  Response
Hello, g,
I am not quite sure about your description of swelling under the liver.
If you or the doctor were able to feel the edge of the liver under the
right rib cage, that may mean a swollen or enlarged liver.
You also mention fluctuating liver enzymes. If you are having pain
in the right upper abdomen, nausea, vomiting, fever or chills, you have
to have a sonogram of the liver and gallbladder to rule out gallstones
or fatty liver which can cause enzyme elevations.
"Gastric problem " usually refers to stomach. Some of the medications,
prescription drugs or even over the counter drugs can affect the liver.
Alcohol can damage the liver. Viral Hepatitis , especially Types-B & C .
can cause chronic liver condition with abnormal enzymes. You need to be
screened for those as well.
It would be nice to know the actual results of all the blood tests, any
x-rays or sonogram done, so we can comment on it a little more.
I would suggest that when you talk to your doctor again, ask him more
questions.
I wish you well.
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Swelling Under Liver. Blood Tests Show Fluctuating Liver Enzymes. Suggestions For Treatment?

Hello, g, I am not quite sure about your description of swelling under the liver. If you or the doctor were able to feel the edge of the liver under the right rib cage, that may mean a swollen or enlarged liver. You also mention fluctuating liver enzymes. If you are having pain in the right upper abdomen, nausea, vomiting, fever or chills, you have to have a sonogram of the liver and gallbladder to rule out gallstones or fatty liver which can cause enzyme elevations. Gastric problem usually refers to stomach. Some of the medications, prescription drugs or even over the counter drugs can affect the liver. Alcohol can damage the liver. Viral Hepatitis , especially Types-B & C . can cause chronic liver condition with abnormal enzymes. You need to be screened for those as well. It would be nice to know the actual results of all the blood tests, any x-rays or sonogram done, so we can comment on it a little more. I would suggest that when you talk to your doctor again, ask him more questions. I wish you well.