Abnormal liver and inflammation on blood test?...
Abnormal liver and inflammation on blood test?...
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Discussion

D1on

Original Poster:

818 posts

215 months

Friday 4th September 2020
quotequote all
Went to the doctor regarding a rash I've got, its been diagnosed as infected hair follicles folliculitis.
He done a blood test and when I spoke to him he said it came back good however my liver count is slightly abnormal and its also showing inflammation on the test, he wants to do another one when iv had my antibiotics.

I feel fine and healthy but I'm a worrier and am anxious about the result.

Anyone had similar?...

xx99xx

2,999 posts

102 months

Friday 4th September 2020
quotequote all
Did you get a copy of the blood test results?

D1on

Original Poster:

818 posts

215 months

Friday 4th September 2020
quotequote all
xx99xx said:
Did you get a copy of the blood test results?
Unfortunately I never, it was over the phone...

anonymous-user

83 months

Friday 4th September 2020
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I had/have liver count but was a mixture of drinking too much and medication i was on. The good news is generally it may go up then down, but it is an indicator of damage.

Do you drink a lot?

D1on

Original Poster:

818 posts

215 months

Friday 4th September 2020
quotequote all
The Spruce Goose said:
I had/have liver count but was a mixture of drinking too much and medication i was on. The good news is generally it may go up then down, but it is an indicator of damage.

Do you drink a lot?
Probably only drink once a month.
I'm 30, but am abit overweight...

anonymous-user

83 months

Friday 4th September 2020
quotequote all
i would day the infection has raised levels. the usual test for enzyme leakage from the liver to show damage/infection. Best bet is another test in a few weeks but wouldn't worry.

xx99xx

2,999 posts

102 months

Friday 4th September 2020
quotequote all
Ah I see. There are 5 or so elements to a standard liver function test which look at different specific things. Without knowing which value was high/low (and how high/low outside of normal range) you won't really know what the problem might be.

I'd ask for a copy of the results and do some googling. Most GPs (pre Covid at least) would do this for free on request although some specifically don't do this as they don't like patients googling stuff and asking difficult questions! I don't think they can refuse though as it's your personal data.

DeWar

906 posts

75 months

Friday 4th September 2020
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Abnormal liver enzymes are a very, very common incidental finding. The commonest cause of persistent elevation in this country is being overweight and is associated with hepatic steatosis (“fatty liver”) which is typically seen on ultrasound. The treatment is getting healthier and losing weight. Booze is the next most common cause. More serious illnesses like infective hepatitis are rarer. Generally a doctor will recheck to confirm the elevation isn’t transient (as above, drugs, including antibiotics are a very common cause but the elevation doesn't last much longer than the course of the drug) and perform blood tests to exclude various types of infective and autoimmune hepatitis and a couple of very rare illnesses and concurrently arrange liver imaging. 95 times out of a hundred the resulting chat revolves around laying off the booze and pies.

Your doctor knows infinitely more about your medical history and previous results than any of us. Assuming he/she is a normal human being, you should book a routine telephone call and discuss your concerns with them. Any reasonable doc would be happy to oblige (though of course unreasonable docs exist). Personally I don’t mind patients Googling stuff but if you confess to being anxious, the internet will do nothing but heighten your anxiety.

Edited by DeWar on Friday 4th September 15:56

D1on

Original Poster:

818 posts

215 months

Friday 4th September 2020
quotequote all
DeWar said:
Abnormal liver enzymes are a very, very common incidental finding. The commonest cause of persistent elevation in this country is being overweight and is associated with hepatic steatosis (“fatty liver”) which is typically seen on ultrasound. The treatment is getting healthier and losing weight. Booze is the next most common cause. More serious illnesses like infective hepatitis are rarer. Generally a doctor will recheck to confirm the elevation isn’t transient (as above, drugs, including antibiotics are a very common cause but the elevation doesn't last much longer than the course of the drug) and perform blood tests to exclude various types of infective and autoimmune hepatitis and a couple of very rare illnesses and concurrently arrange liver imaging. 95 times out of a hundred the resulting chat revolves around laying off the booze and pies.

Your doctor knows infinitely more about your medical history and previous results than any of us. Assuming he/she is a normal human being, you should book a routine telephone call and discuss your concerns with them. Any reasonable doc would be happy to oblige (though of course unreasonable docs exist). Personally I don’t mind patients Googling stuff but if you confess to being anxious, the internet will do nothing but heighten your anxiety.

Edited by DeWar on Friday 4th September 15:56
Thanks for all your replies!
Could the infection cause it though?
Iv only been on antibiotics after the blood test...

Edited by D1on on Friday 4th September 17:34

anonymous-user

83 months

Friday 4th September 2020
quotequote all
The liver is part of the immune response, it is natural at infection. I honestly wouldn't worry.

DeWar

906 posts

75 months

Friday 4th September 2020
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D1on said:
Thanks for all your replies!
Could the infection cause it though?
Iv only been on antibiotics after the blood test...

Edited by D1on on Friday 4th September 17:34
Folliculitis is not going to cause elevated liver enzymes.

As above speak to the doc!

D1on

Original Poster:

818 posts

215 months

Saturday 5th September 2020
quotequote all
Thanks guys hopefully it is a discrepancy..

imperium

390 posts

113 months

Saturday 5th September 2020
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I’ve had higher liver count before due to vitamins and a protein supplement I was taking. As above fairly common but it worried me at the time too.

D1on

Original Poster:

818 posts

215 months

Saturday 5th September 2020
quotequote all
imperium said:
I’ve had higher liver count before due to vitamins and a protein supplement I was taking. As above fairly common but it worried me at the time too.
Funnily enough for the last 6 months iv started taking multi vitamins, but only one a night...

guillemot

329 posts

194 months

Saturday 5th September 2020
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I posted last night and then somehow managed to delete it but possible curve ball...

OH is coeliac - we only discovered this a few years ago. He’s struggled nearly all his life with skin issues, so much so they used to attack it with fairly nasty drugs when he was younger, and most recently antibiotics for folliculitis. We stumbled upon the coeliac when we tried cutting out some foods for a bit at my wits end to try and help a few other issues that were also happening and it was suddenly a revelation. Alongside that he quite often has elevated liver levels if he’s been glutened.

What I’m getting at is defo have a chat with the GP - it’s not always panic stations and can be stuff that wouldn’t necessarily occur to you or something fairly simple.