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Can you provide the liver function test report?
Which liver enzymes are elevated?
Alcohol and smoking history?
What is your occupation?
Since how long have you been suffering from?
Have you undergone Ultrasound/CT scan whole abdomen?
Are you frequently taking pain killers or other medication/supplement?
I believe this is what you're asking for:
Exam- NM HEPATO IMAG INCL GB: [copied exactly from results provided at hospital] Patient was administered 8.2 mCi of technetium 90 9M Choletec intravenously. Scintigraphic images were acquired at one minute acquisition per frame for a total of 56 frames. There is normal distribution of CCK within the liver. The gallbladder fills and the CCK is seen passing into the small bowel. At that 0.1 mcg of CCK was produced intravenously. Ejection fraction was calculated after region of interest was generated around gallbladder. Ejection fraction is 40% at 11.5 minutes. At that point the gallbladder slowly fills an ejection fraction 25% at 30 minutes. IMPRESSION: Abnormal exam. Ejection fraction is 25% at 30 minutes. Normal is greater than 40%. These findings are consistent with gallbladder dysfunction or chronic cholecystitis. There is no evidence of obstruction or acute cholecystitis.
Liver Enzymes from Blood Work on 8/4/13- ALP 297/ AST 305/ ALT 459
Liver Enzymes from Blood Work on 8/7/13- ALP 294/ AST 233/ ALT 454
I've been a regular smoker for about 4 or 5 years. I generally stayed around 5 cigarettes a day. For about 6-9 months I was smoking around 10-15 cigarettes a day. I quit for about 3 months at the beginning of this year, but I did start again and average between 1-5 cigarettes a day, going days at a time without smoking at all. As far as alcohol use, I drink socially. I do have anywhere from 2-5 drinks (varying from liquor to beer) when I do go out, which varies from once a week to once every 2 or 3 weeks.
I work for an internet t-shirt company. I often do moderate to extensive manual labor and some work online. It has a generally mild to moderate stress level involved, and on occasion can get very stressful. However, I, in general, have a high stress level.
I was only diagnosed with the strep throat last week. It all started with a fever around July 25 or 26. Aside from the fever and fatigue, I had no other symptoms indicating strep throat. The fever would only go away temporarily with use of ibuprofen, and on August 4 despite taking the ibuprofen it persisted so I went to the emergency room. By this point, my appetite had begun to decrease and I was getting bouts of nausea. It was only a day after my visit to the ER that my throat started hurting very badly, and the fever still continued. On August 6 I went to my primary care for a follow up and that's when it was noticed I had white patches on my tonsils, and a throat culture was done (and later proved I had strep). He did order more labs which I did the following day (as noted above).
I did have a full CT scan of the abdomen and pelvis. I'll include the conclusion but let me know if you need the full findings. Also, please note that this was done prior to the other exam listed above: Conclusion #1- Moderate amount of free fluid in the pelvis uncertain etiology. Increased endometrium is noted but no definite focal lesion or mass identified. #2- Some thickening of gallbladder wall. Small amount of pericholecystic fluid, acute cholecystitis cannot be excluded. #3 No focal hepatic abnormalities and relatively normal enhancement, except for some low density in the portal triad regions on the arterial phase.
I also had a sonogram of the gallbladder (this too was done before the exam listed at the beginning). Conclusion- Partially contracted gallbladder without definite evidence for cholelithiasis or acute cholecystitis. No evidence of biliary obstruction. Diffuse abnormalities of the liver suggests the possibility of an inflammatory process without definite focal lesions.
I had been taking 600mg-800mg ibuprofen every 8-12 hours for over a week straight. I haven't taken any since August 7 though. I do take Xanax (0.25mg-1.5mg) for frequent panic attacks and social anxiety. I take a daily low dose aspirin (81mg, though I was not taking it while on the ibuprofen). I do take a daily multi-vitamin, and ranitidine (150mg 1-2 time a day). Less frequently I take Promethazine, Pepto, Bentyl, and Claritin.
There is not any persistent pain in my abdomen. If I press down on my upper right abdomen, right below the rib cage, it does hurt a bit but it's not excruciating or anything, and only happens when I press down.
So is there a chance that I can still develop Hepatitis because of this? Should I look into getting the vaccines for A and B? And I was reading that milk thistle can also help in reducing liver enzymes. Is that true, and would you recommend trying it?