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Elevated ALT all other numbers are normal

Digestive Health | Last Active: May 25, 2023 | Replies (14)

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@leonorleans

On April 28th I was discharged from the hospital after a few days of being admitted. I was admitted because they show the dilation of my bile duct but they couldn't find the stone and as soon as they started giving me antibiotics my number to return to normal. I had my physical a week before that and my liver was functioning beautifully and all my numbers were great except 2pt elevated cholesterol. My nutritionist and I came up with a plan the next day and that was that. On April 25th I went to the hospital after 3 days of on and off mild pain RUQ day 3 it didn't stop and the only symptom I had was pain no fever no nausea no vomiting nothing just a little pain. I was discharged with an ALT of 52. In the last 20smth days my ALT has significantly risen while the rest of my numbers have gone down. It started rising after they put me on augmentin at discharge. NAFLD doesn't develop in that short a period of time. My guess is liver injury or maybe bile is backing up but I think maybe additional tests and scans are needed. I had cancer markers and stuff done bc of the pernicious anemia and it came back petty negative. I'm a carrier and affected by the MTHFR mutation though which hilariously named but it causes me to go through awful stuff. As far a diet goes I have been gluten free and low fat for 2 years. I'll definitely follow up with a doctor but yk it doesn't make sense. My other liver numbers have all returned to perfect. So my ALT is still funky for reasons unknown. No pain no nausea no bloating no constipation appetite is starving because they have me eating 4 small meals a day and I'm always hungry, water intake is 80-100oz of water a day, tiny bit of fatigue, stools have returned to normal, no jaundice, no bloating. It's a mystery to me why my ALT would be acting so funky if I feel what I can only really describe as great minus slight fatigue.

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Replies to "On April 28th I was discharged from the hospital after a few days of being admitted...."

My heart goes out to you. I’ve had some of those issues (I take vitamin B complex and have to take D3 but otherwise that it other than a daily allergy pill for allergic asthma), and I can attest to the fact it takes a while to get a diagnosis when there are comorbidities that complicate your diagnosis. I’m hoping they can find the cause of your symptoms, and truly help you’re able to eat more than what you’re currently able to consume…hangry isn’t any fun :/

Speaking of fun(ny), I like the clever reference to your mutation! Gotta love genetic testing and the acronyms and initials that come from them.

Wishing you a speedy diagnosis and good health!
M