Discussions By Condition: I cannot get a diagnosis.

Elevated AST/ALT, Anemia, Abdominal Pain

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: Anonymous
  • September 7, 2010
  • 08:35 AM

Hey everyone,

I know that turning to an internet message board isn't the best way to get a medical opinion, but I'm at my wits end. Any help that I can get would be very much appreciated!

I'm a 20-year-old female that originally presented with on and off abdominal pain for two to three years, and extremely frequent illness (moderate infection once or twice a month, bronchitis a few times a year, etc). It finally got so bad a few months ago that I ended up in the emergency room. The ER found I had gallstones (big ones, gallbladder was close to rupture), and I had my gallbladder removed.

However, the gallbladder surgery hasn't really helped to alleviate the pain. I finally got to the doctor's a month ago with abdominal pain, bloating, frequently loose stools, and excessive fatigue. The doctor thought Crohn's and ordered a colonoscopy, but it came up clean.

Blood tests taken revealed elevated liver enzymes (ALT and AST), about 3 times the upper limit, anemia, and a high a percentage of lymphocytes, about 60%.

Next diagnosis was Celiac's, but blood tests for that also turned up negative.

I really need to get this pinpointed, so any help I can get is great. I'm taking 18 hours this semester and work 30 a week, so I need to be healthy again...

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2 Replies:

  • Gallbladder surgery... Probably had a lot of antibiotics before and after the surgery. Possible gut dysbiosis/candida overgrowth? Candida gives off alcohol as a byproduct as well as gas as it ferments in your gut. The alcohol can raise your liver enzymes and make you feel fatigued, and fermentation causes bloating/gas/rapid transit of food through the GI tract. Find some Candida forums and see if you find a lot of symptoms that match. The forums will have lots of info on treatments too. Usually sugar restriction and probiotics. Alternate possibility... Young women who have gall bladder issues are often on the heavy side... Possible "Fatty Liver". High Liver enzymes and malaise/fatigue. Google around on fatty liver and see if this looks more like what you might have. Lecithin... Triple strength if you can find it should help this. You need to take quite a bit of Lecithin. 2 gelcaps with breakfast, 3 with lunch, and 3 with dinner if you tolerate it well. Start with a low dose and work your way up. You should notice a difference about a month after you start on Lecithin if fatty liver is your problem. If Lecithin helps but does not give complete relief, you get a positive diagnosis of fatty liver, or have problems taking Lecithin, there is a more pure/concentrated supplement called PPC (polyenylphosphatidylcholine), brand names: PhosChol, HepatoPro, (or Essentiale Forte in Europe) that may help. If anything can help your liver PPC can. Google around on this for more info. Alternate possibility... Doctors love to place their GI / gallbladder patients on proton pump inhibitors (acid reducers). If you've got serious acid problems (GERD etc) you may need this, but stomach acid is normal and important to good digestion. You might try going off this for a while if you have been taking it and see if it helps. Be sure and run this by your doctor before you take any of my advise... I am not a doctor! Just someone who cares. Good Luck & GodSpeed
    synesthesia 87 Replies
    • September 8, 2010
    • 02:47 AM
    • 0
    Flag this Response
  • Gallbladder surgery... Probably had a lot of antibiotics before and after the surgery. Possible gut dysbiosis/candida overgrowth? Candida gives off alcohol as a byproduct as well as gas as it ferments in your gut. The alcohol can raise your liver enzymes and make you feel fatigued, and fermentation causes bloating/gas/rapid transit of food through the GI tract. Find some Candida forums and see if you find a lot of symptoms that match. The forums will have lots of info on treatments too. Usually sugar restriction and probiotics. Alternate possibility... Young women who have gall bladder issues are often on the heavy side... Possible "Fatty Liver". High Liver enzymes and malaise/fatigue. Google around on fatty liver and see if this looks more like what you might have. Lecithin... Triple strength if you can find it should help this. You need to take quite a bit of Lecithin. 2 gelcaps with breakfast, 3 with lunch, and 3 with dinner if you tolerate it well. Start with a low dose and work your way up. You should notice a difference about a month after you start on Lecithin if fatty liver is your problem. If Lecithin helps but does not give complete relief, you get a positive diagnosis of fatty liver, or have problems taking Lecithin, there is a more pure/concentrated supplement called PPC (polyenylphosphatidylcholine), brand names: PhosChol, HepatoPro, (or Essentiale Forte in Europe) that may help. If anything can help your liver PPC can. Google around on this for more info. Alternate possibility... Doctors love to place their GI / gallbladder patients on proton pump inhibitors (acid reducers). If you've got serious acid problems (GERD etc) you may need this, but stomach acid is normal and important to good digestion. You might try going off this for a while if you have been taking it and see if it helps. Be sure and run this by your doctor before you take any of my advise... I am not a doctor! Just someone who cares. Good Luck & GodSpeedMy dear girl! I know just how you feel about doctor/hospital visits, pain, procedures + school... They don't mix well. I have Crohn's Collitis, and I'm glad to hear you aren't in the same boat. May I inquire about your diet? Do you adhere to a particular regimen? I just found out a few days ago that my liver enzymes ASL/ALT are also elevated and that I am slightly anemic. I too have severe bloating... Would like to pick up clues for the both of us!
    Anonymous 42789 Replies
    • October 30, 2010
    • 00:35 PM
    • 0
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