Now you mentioned “My liver enzymes are elevated and my white count is low” and your physician is considering it to be a viral infection.That could be a possibility because viral infection can cause increase liver enzymes and low .Now as I can see that you are anxious to know more so :- Ask your physician what is level of ALT and AST .If ALT and AST are elevated above 1000 then its viral hepatitis like hepatitis A,B,C, if level between 50-500 then it could be from normal viral infection ,drug induced or alcohol. You mentioned that your doctor stopped Lipitor but that also can cause elevation of liver enzymes.
These AST and ALT are liver enzymes.Also do ask him whats the level of serum bilirubin,total and indirect.
There could also be a possibility that when you were in the hospital and you were put on strong antibiotics for your urinary tract infection, which may also cause drug induced liver inflammation and cause elevated liver enzymes as most of the drugs are metabolized in liver. Here I am not talking about drug induced hepatitis.I am just referring to mild elevation of drug enzymes by drugs. Because the drugs that do cause hepatitis are not mentioned in your list of drugs so I am assuming that’s not the case here.
Now other possible causes of low blood count are seen in some leukemia,aplastic anemia(low red and white cell count and low platelets seen)and myleofibrosis(disorder in which bone marrow undergoes fibrosis).There are also some connective tissue disorders which also causes same symptoms. But connective tissue disorders are less likely without any symptoms. Me mentioning leukemia because of your family history of cancer, always better to rule it out. What your physician will do is -after taking your blood he or pathologist will look it under microscope for any abnormal shaped cells. I am mentioning this if the cause of low white blood count is not due to viral infection. If he does not find any reason he might go for bone marrow biopsy to find the causes like myelofibrosis. Let me tell you also that there also benign causes of low white blood count of no consequences but firstly we have to rule out other possible causes to come to a diagnosis of exclusion.
Now my advise-If you are not satisfied with your physician`s finding of viral infection for increased liver enzymes and low white blood count then discuss the possibilities I mentioned and ask him to run the tests and ask him the level of liver enzymes.
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