Hi all. Hope you can help me! I am a 30 year old female.
Ok so I haven't been feeling well. Had a mild fever for weeks (anywhere from 98.8 orally up to 99.6 orally) I have a normal temp in the morning and evening but during the late morning-early evening I run about 99.1 or a big higher/lower)
Anyhow- I had a positive mono-spot test. Then an EBV test which came up that I don't have mono (past infection)
On 9/13 my AST=109 and ALT=188 and alkaline phos=106
On 9/18 my AST=240 and ALT=353 and alkaline phos=183
I did not take tylenol or any other medications that would cause elevated liver enzymes. I obviously don't have mono.
I did have an ultrasound of my kidneys and they noticed I had an enlarged fatty liver... I know this can cause higher enzymes but THAT high?
I got my CBC done and all my WBC, RBC, etc were normal (but my calcium was .1 high)
Can someone please shed light on this? I am really scared and feel like I'm going to find out I have some crazy cancer or something!
Last edited by neochiq; 09-25-2012 at 04:30 PM.
Reason: ps- I have had a cold this past week. A bit of sore throat and stuffy nose if that sheds any light
neochiq I totally understand your concern, since like you I also have fatty liver too detected on one ultrasound on 2010 (but probably already have it for many years and didn't know it), but try to not desperate and calm down, desperate and going insane is not going to resolve the current problem, and you need to resolve your problem. So, the first step is try to calm down and relax.
First, don't think about liver cancer. Liver cancer is a malignant tumor that develops on the liver and grow very fast, and tumors malignant or not do show up on ultrasound, CT, MRI, etc. Which is obviously not your case, since they didn't saw any tumor on your liver on your ultrasound, so please, rule out liver cancer, you do not have this.
Does fatty liver increase enzyme that much?? YES IT DOES.
look at the following link, someone that where in these range because of fatty liver:
The elevated liver enzyme results indicate that there is inflammation and damage to the liver cells and their membranes. Liver enzymes are normally contained within the liver cells, and only when the cells are damaged and/or inflamed, do the enzymes leak into the blood stream.
Now, liver enzymes can also increase by hepatitis c or hepatitis b (so please, request blood test to detect if you have hepatitis c or hepatitis b) cause this is a reason for high liver enzymes, and treatment for hepatitis is very different from fatty liver.
If you drink, STOP DOING IT. It doesn't matter if you drink 1 or 2 beer per week only, just stop doing it, since alcohol damage the liver and increase liver enzymes too!.
The only current and valid treatment for fatty liver is a lifestyle eating change and loose weight, even mild overweight cause fatty liver. So, the best diet doctors recommend to treat fat on the liver is low-carb diets (like atkins diet, the beach zone, etc) you can search on google the benefits of low-carb diet over fatty liver. Also, take on daily basis vitamin E (400 UI) and Omega-3 fish oil pills, since they're very good to lower high liver enzymes. (you can search if you like on Google, benefits of vitamin E and/or Omega-3 fish oil on fatty liver) also, milk thistle (dunno how to spell it) seems to help with fatty liver, but if you suffer from ovarian cyst and fibroids avoid milk thistle since milk thistle is not recommended to women with this kind of hormonal imbalance since milk thistle has lot of estrogen.
But you're the only one that can reverse fatty liver and liver damaged, don't leave it untreated since on long term (on many years more) liver damaged can be so bad that there wouldn't be any treatment you can do to solved the problem and will need a liver transplant because untreated fatty liver can progress to cirrosis, so take care of yourself now, before is too late.
I'm not an oncologist or health specialist, but as far as I do know, cancer on organs (this include gallbladder, kidney, spleen, etc) shows up as a tumor a physical mass that can be seen on an ultrasound. And not all tumor are malignant, in your case apparentely ultrasound didn't find any visible tumor (only the fatty liver which has nothing to do with liver cancer or tumor) you ask if fatty liver increase liver enzyme so high, and yes it does so if you already had blood test to see if your high liver enzyme are not cause of hep c or hep b , the high liver enzyme are def because of the fatty liver, take care of this since leaving it untreated can progress to cirrosis or liver cancer in a few more years.
Now, high calcium on blood is less likely related to cancer
Don't give up, and don't think about the worse stress is not good , have you try to have the blood work exactly when you have the high fever *in the mild-afternoon* maybe with the fever active you can have a chance to catch something in your blood results that can guide you, to what possible virus or bacteria is hiding around your body.
Last edited by Administrator; 09-30-2012 at 09:58 AM.
I wish I could confirm you if liver enzyme increase suddenly like that with fatty liver, but I'm affraid I can't since I think it haven't happened to me, unfortunately I do liver enzyme blood test every 6 months instead of 3 or 2 times per month , but depending on the severity of fat inside anyone liver the enzymes can go up or very high if the liver is force to work more. You ask if is possible that people with fatty liver have liver enzyme of 200-300 the answer is yes, there had been even people with fatty liver and liver enzymes of 300-400, now how fast those liver enzyme go up, depends on the amount of fat or damaged that the liver has, and this is not equal to everybody.
Now, what you can do is put yourself on a low-carb diet for 10 days straight, and also in those 10 days take vitamin E and Omega-3 fish oil pills too on daily basis. When those 10 days end, go straight to have another blood test done, and see how your liver enzymes are. If your liver enzyme go down after this, is definetely your fatty liver causing this, in case liver enzyme go higher even doing this treatment further test should be done (probably including liver biopsy to see how much damage your liver has).
Just in case, I had read in this forum that some herbs and creatinine pills increase liver enzymes, in case you use any, stop using it.