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Do you have any pain abdomen, nausea, vomiting, fullness, bloating of the abdomen?
Which of your liver enzyme is raised; ALT, AST?
I agree to your doctor as any of your symptoms like fever needs to be associated with atleast pain abdomen, nausea and loss of appetite, it was due to gallstones or cholangitis (infection and inflammation of the common bile ducts).
Just a single enzyme raise of liver, with slight elevation of white blood counts (leukocytosis) and your symptoms points towards some viral illness. A single enzyme raise of this magnitude is not very significant also. All viral illness are usually self limiting and should be well in the course of getting better in couple of days time.
A blood culture would ideally be done to rule out the any bacterial infection, which would further substantiate the viral illness diagnosis.
Feel free for your follow up questions.
I would suggest you a CT scan of the abdomen with intravenous and oral contrast, 5-nucleotidase, liver scan, CEA, if it has not been done previously.
Your second post do mention about the tumor markers. Yes, if tumor markers are normal and liver is normal by ultrasound, liver cancer is unlikely. Still CT and liver scan are more sensitive to conform it.
Yes it is bit unusual, but still some virus can cause this prolong illness. Cancer do not present with fever commonly though.
I am sorry. I apologize. I thought, when you wrote sick, fever or feverish may be associated or meant by it. Ultrasound is good diagnostic imaging for ruling out the liver cancer, but CT scan is still better. You may go for it, although it would in all likelihood be normal. Have they performed all of the virus serology like hepatitis A, B, C, etc?
Yes, this is the usual standard protocol. Your doctor is taking good care of you and are taking all the steps in the management of the problem. Still feel, it is a virus.
You are most welcome.
I wish you a very speedy recovery.