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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Reason For Having Elevated Liver Enzyme Test And Positive H Pylori Result?

Hi I am 29 years old 168 pounds. I don't drink nor smoke. I did a recent lab test which came up as elevated liver enzyme..bilirubin is 1.7 and AST 53 and ALT 71. I also got h pylori positive. My doctor asked me to do ultra sound. I am really worried. I regularly exercise and maintain my body well. I don't feel any discomfort other than gas trouble
Tue, 24 Dec 2013
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General Surgeon 's  Response
Hi...do get a ultrasound... its to look into the status of your liver and bile ducts to rule out any stone or lesion...h. pylori casuse infection of stomach leading to gastritis... that can be cured with antibiotics...

Dr. Ashish Verma
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Emergency Medicine Specialist Dr. Salman Naeem's  Response
Hi. I would address your question in two different parts as these two problems have different causes.

First H.pylori is a bacteria which infects your stomach and intestine. H.pylori infection doesn't mean anything grave, its just another bacteria causing infection. Its infection only causes gastric ulcer formation. It is transmitted by water and unhygienic food. Its very common in third world countries and a week long antibiotic course treats it.

Secondly, elevated liver enzymes have a wide range of causes. It can be as simple as obesity and can be as grave as Hep C. Following are the causes.
1. High body fat. Causes rise in liver enzymes. Treated by lowering weight.
2. High Alcohol intake. treated by lowering alcohol intake.
3. Hep A. causes rise in bilirubin and liver enzymes . Resolves on its own.
4. Hep B and C can cause raised liver enzymes.
5 Drugs can cause raised liver enzymes.

You need to review the drugs you are taking if any, control your weight and get yourself screened for Hep B and Hep C as these are the only grave causes of raised liver enzymes. Rest of them can be easily cured
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What Could Be The Reason For Having Elevated Liver Enzyme Test And Positive H Pylori Result?

Hi...do get a ultrasound... its to look into the status of your liver and bile ducts to rule out any stone or lesion...h. pylori casuse infection of stomach leading to gastritis... that can be cured with antibiotics... Dr. Ashish Verma