Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

My liver enzymes were elevated to Ast 98 and Alt 106. I have…

Customer Question
My liver enzymes were elevated...
My liver enzymes were elevated to Ast 98 and Alt 106. I have been bloated. Also have had acid reflux and coughing so hard I throw up.
Submitted: 2 years ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 3 minutes by:
2/27/2016
Doctor: Dr Basu, Experienced Specialist replied 2 years ago
Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29,282
Experience: MD
Verified

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

Elevated liver enzymes and bloating can be due to the gallbladder problem.

Gallstones can cause obstruction to bile flow and can result in bloating from indigestion.

You need to get an ultrasound of the abdomen.

Inflammatory bowel disorders like Crohn's disease, microscopic colitis, eosinophilic gastroenteritis are other possibilities.
This requires colonoscopy to establish the diagnosis.
Malabsorption syndrome is another strong possibility.
Malabsorption syndrome includes the follow possibilities:
1. Excess bacterial overgrowth in the small intestine known as SIBO syndrome.
This is not usually diagnosed by the colonoscopy.
Small intestinal aspirate can be sent for bacterial count.
Carbohydrate breath test (D xylose) is a simple test to diagnose this condition.
But, the treatment is much easier.
A 14 day course of Rifaximine improves the symptoms dramatically.
2. Lactose intolerance--- regular milk, dairy products.
3.Gluten sensitivity or celiac disease--- Wheat based products.
4. Chronic pancreatitis --- deficiency of the digestive enzymes produced by the pancreas.
5. Gastroparesis -- delayed gastric and intestinal movement.-- treated with metoclopramide or domperidone daily.
You should consider following low fermentable sugar diet ( FODMAP diet) to reduce your symptoms.
Please go to this link for detailed information:
http://stanfordhealthcare.org/content/dam/SHC/for-patients-component/programs-services/clinical-nutrition-services/docs/pdf-lowfodmapdiet.pdf

Please also include prebiotics like Inulin daily to keep your colon acidic which prevent gas producing bacteria.
Also take a probiotic ( lactobacilli, bifidobacterium) daily to restore intestinal microbial balance.
Culturelle 30 Counts twice daily should be fine.
Simethicone and activated charcoal can be taken before meals to reduce gas and bloating.
Best wishes,
It was my pleasure to help you today.
If I have answered all your questions, Please rate my response Excellent (click on the 5th star).
Please bookmark my profile for fast, reliable and authentic answers!
This is the link to my profile:
http://www.justanswer.com/medical/expert-mysticdoc/

Ask Your Own Medical Question
Doctor: DrRussMD, Board Certified Physician replied 2 years ago
DrRussMD
DrRussMD, Board Certified Physician
Category: Medical
Satisfied Customers: 65,673
Experience: Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.
Verified

Hello

Gallbladder problems typically would also raise GGT

Your symptoms indicate the need for further testing

Hepatitis must be ruled out, which can be chronic, in this respect you need

Hep B and C screens

ANA to rule out autoimmune hepatitis

Iron studies and ferritin to rule out hemachromatosis.

Liver enzymes are not a common elevation in most bowel problems, certainly not in small bowel overgrowth and malabsorption.

You need to see a gastroenterologist or liver specialist.

Reflux of this severitay can indicate ulcer, esophagitis, bile reflux, and so on.

Or, if you have not, a board certified internist such as myself.

I am a double board certified US doctor.

Find me anytime.

Please click a positive rating.

Ask Your Own Medical Question
Doctor: DrRussMD, Board Certified Physician replied 2 years ago

Hello

The system will not let me edit my post.

To raise ALT and AST from common bile duct obstruction, you would be in pain, right quadrant, you might have pancreatitis, and GGT as well as bilirubin, and white count, would typically be elevated.

See this write up:

http://emedicine.medscape.com/article/171886-workup#c7

In addition, given your symptoms, I would not wait for evaluation, but go to the ER at this point.

Vomiting can indicate small bowel obstruction in some cases.

OK, so that is an initial answer….

Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

Ask Your Own Medical Question
Doctor: Dr Basu, Experienced Specialist replied 2 years ago

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

Your liver enzymes and symptoms togethe point to gallbladder problem.

Other problems like pancreatitis, malabsorption syndrome and intestinal inflammation need to be considered as well.

First you need an abdominal ultrasound and then endoscopies.

Do you have any follow up question?
Best wishes,
It was my pleasure to help you today.
If I have answered all your questions, Please rate my response Excellent (click on the 5th star).
Please bookmark my profile for fast, reliable and authentic answers!
This is the link to my profile:
http://www.justanswer.com/medical/expert-mysticdoc/

Ask Your Own Medical Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a doctorLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr Basu Your Own Question
Dr Basu
Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29,282
29,282 Satisfied Customers
Experience: MD

Dr Basu is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

65,673 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

18,060 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

16,284 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor

14,060 satisfied customers

MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

< Previous | Next >

Related Medical Questions
I think I have a bowel obstruction. Trying to decide if need
I think I have a bowel obstruction. Trying to decide if need to go to emergency room or contact doctor Monday? … read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
I just had surgery for a bowel obstruction 5 months ago. I
I just had surgery for a bowel obstruction 5 months ago. I have developed a stomach hernia which is going to be repaired. I am 77. Lab results came back with stage two colon cancer. went to an oncolog… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,213 satisfied customers
Would a bowel obstruction show up on a CT scan. I had one
would a bowel obstruction show up on a CT scan. I had one last night for other reasons,but I haven't had a bowel movement for 4 days, and I always have at least 4 a day … read more
Connie Pennington
Connie Pennington
Colon & Rectal Surgeon
462 satisfied customers
I have history of bowel obstructions over several years but
I have history of bowel obstructions over several years but not over the last 5 or so, I have lower right quadrant pain and right sided back pain in liver area, I have recent history of liver bile duc… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
8,363 satisfied customers
I have had undifferentiated autoimmune disease for about 10
Hi. I have had undifferentiated autoimmune disease for about 10 years but have never had MS testing. Due to the cyclical and random nature of my flare ups and the presence of CNS involvement and Uhtho… read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
841 satisfied customers
I need speak to someone who specializes in autoimmune
I need speak to someone who specializes in autoimmune diseases, a rheumatogist … read more
Dr. Sohaib
Dr. Sohaib
Fellowship in Medicine
3,350 satisfied customers
Im looking for some advice. I have had autoimmune alopecia
Hi im looking for some advice. I have had autoimmune alopecia and hashimotos hypothyroidism for 14 yrs. In last 3 yrs i have got sicker and sicker. Im experiencing extreme fatigue feel nauseated all t… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,213 satisfied customers
I am so tired of pain. I have an autoimmune disorder that
I am so tired of pain. I have an autoimmune disorder that has me in pain most of the time. I have natural products (such as turmeric), tylenol, and flexeril. I am allergic to NSAIDS so they are out. I… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,213 satisfied customers
I have an autoimmune reaction to catching a cold. I get
I have an autoimmune reaction to catching a cold. I get itchy hives and eventually my hand and feet peel. I get some relief by taking massive doses of Allegra and Zrtek but I would like to get rid of … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,213 satisfied customers
1. Would continuing to eat with a bowel obstruction make the
Good Afternoon1. Would continuing to eat with a bowel obstruction make the bowel obstruction worse or more difficult to dissolve?2. Is a bowel obstruction easier to ressolve in its early stages?3. Bas… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
18,060 satisfied customers
I have had 9 surgeries in one year fir bowel obstruction and
I have had 9 surgeries in one year fir bowel obstruction and perforation.... from … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
Post-Doctoral Degree
14,060 satisfied customers
I have hx of bowel obstruction. I was away last week and my
I have hx of bowel obstruction. I was away last week and my bowels were off. When I got home I became constipated. Then I had a large hard stool. Since then I have been having loose yellow watery stoo… read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
16,284 satisfied customers
I would like to research Necrotizing Autoimmune Myopathy.
I would like to research Necrotizing Autoimmune Myopathy. Could you provide me with some URLs to look that up on line? … read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
841 satisfied customers
I have pernicious anemia, and a few other autoimmune
I have pernicious anemia, and a few other autoimmune diseases. I may have had a "mini"stroke last week, and am just now calling my doctor's nurse to report it, even though I feel fine now. will a stro… read more
Medicaldoctor
Medicaldoctor
postgraduate resident,MD
Master\u0027s Degree
123 satisfied customers
Stomach is mostly liquid after bowell obstruction surgery,
stomach is mostly liquid after bowell obstruction surgery … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,801 satisfied customers
Question regarding symptoms for partial bowel obstruction vs
Question regarding symptoms for partial bowel obstruction vs food poisoningvs severe constipation for someone who had a jpouch surgery done and familial adenomous polyposis … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
16,284 satisfied customers
I have a history of bowel obstructions. I am in severe pain
I have a history of bowel obstructions. I am in severe pain and am extremely distended. I drank half a bottle of milk of magnesia but only brown water came out. … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
8,363 satisfied customers
I have frequent small bowel obstructions (5 in 11 months).
I have frequent small bowel obstructions (5 in 11 months). They are treated at the hospital with a tube through my nose and x rays and cat scan etc. I am a woman of close to 85 years of age. I am tryi… read more
Dr Basu
Dr Basu
Experienced Specialist
29,282 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x