Menopause Matters Forum

Menopause Discussion => Other Health Discussion => Topic started by: groundhog on March 10, 2016, 08:40:29 AM

Title: Abnormal liver function tests
Post by: groundhog on March 10, 2016, 08:40:29 AM
Hello all,

As some of you may know I suffered a perforated bowel last year and have ongoing problems.  One thing that has reassured me is my blood tests have remained pretty good.  However I've now had an abnormal liver test - the main ones are ALT,,ALP, BILIRUBIN, ALBUMIN - well these are ok apart from a slight increase in ALP.  But when I went to hospital last week for a minor procedure they did an additional liver  test Gamma GT - and this is really high!  Well of course I've worried abut this all week despite speaking to a GP who said it's probably nothing to worry about but I'm seeing her next week. 
Has anyone else had experience of elevated Liver function tests.  This particular one gamma GT tends to be elevated in alcoholics  - I am a social drinker only  - few glasses wine at the most.  This has now taken over my head,  health anxiety is off the scale.
Thanks all xx..   
Title: Re: Abnormal liver function tests
Post by: Joyce on March 10, 2016, 08:54:58 AM
Good morning groundhog. I can't imagine what's whirring around your head. However, the liver deals with lots in our body. Your body has taken a fair old beating in the last year, what with your operation & all the infections. For those infections you needed antibiotics. Your liver may well be complaining.
Title: Re: Abnormal liver function tests
Post by: coldethyl on March 10, 2016, 09:20:55 AM
It can apparently be an indicator of the side effects of strong anti- inflammatories- have you been taking them during your recovery?
Title: Re: Abnormal liver function tests
Post by: groundhog on March 10, 2016, 10:05:18 AM
Thanks both. 
I have been taking anti inflammatories cold ethyl but not that many,  certainly no more than recommended,  infact I'm on very little medication.  I know this can be elevated on ladies on HRT which is why I wondered if anyone had come across it. 
Yu are right Cubagirl,  I have had a hammering and been in more antibiotics and pain killers in the last year than ever.  But still within the recommended amounts, 
It's just something else ladies,  something I could live without.  GP has penned and made me worse,  she wants me to go for ultrasound now.  What's annoying is when I left hospital last week the last words my consultant said were ' go and have a lovely holiday,  you are doing really well' and niw this?
I'm getting a bit fed up of him. 
Title: Re: Abnormal liver function tests
Post by: coldethyl on March 10, 2016, 10:12:02 AM
Sorry you are going through the mill again- liver and other blood tests are often elevated and no reason is ever found- I think general stress on the body just has more effects than we often realise. At least the ultrasound will find anything untoward should there be a problem and then you can get it sorted. x
Title: Re: Abnormal liver function tests
Post by: wombat62 on March 10, 2016, 11:14:46 AM
Hi Groundhog

Sorry that you have more worries! With my gallstones I've had all sorts of raised levels after an attack, so have (of course!) Googled things about the liver.

The liver is a cleanser and also gets rid of all the rubbish in our systems, biriblium is waste blood but also aids fat digestion, amazing isn't it! It can take some time for raised liver levels to fall, mine were still pretty high 2 weeks after one attack so those readings could have been from something earlier. It could have been raised because of some other drugs, if you've had a drink before the test, maybe even through stress. Even though you've been within limits of other drugs they must build up over time and they all go through the liver. It's a tough old organ but soon knows when it's over worked!  Hopefully that's all it is but good to get a scan just to be on the safe side...even though it's yet another thing to go through with all the associated worries!

Take care
Title: Re: Abnormal liver function tests
Post by: ellie on March 10, 2016, 11:20:07 AM
I have had elevated liver tests for years, and got sick and tired of being asked how much I drink, when in fact I don't drink at all.....I do take regular pain killers so the assumption is that it could be those that are causing it.....and I am very careful to always take the recommended dose....
I had a liver scan and it was found to be slightly enlarged, again no cause could be found....
     It is now written in my notes at the doctors, NOT to ever ask me again how much I drink......

Title: Re: Abnormal liver function tests
Post by: groundhog on March 10, 2016, 11:32:51 AM
I think in my case it's back to a little knowledge is a bad thing again. 
I do drink Ellie but not that much.  The blood test that was elevated with me was gamma GT which is usually raised in alcoholics!  It's just another thing to worry about and I'm not rational anymore, where my health is concerned.
Hello wombat - thank you.  I have wondered about gallstones and gall bladder but I just don't know anymore.  My husband has just told me when my bowel perforated I just gave up and he's right in some ways - it was a massive massive shock.  How raised were your enzymes wombat ?  Do you mind me asking?  The two raised with me ( one marginally ) suggest a bile duct problem plus my diet is weird since my bowel problem.  Oh I don't know,  I think sometimes I need to change my whole life but running away solves nothing,  problems just follow. 
Thanks for your comments - at least I know abnormal liver tests are relatively common and Can correct themselves.  I think il be off the vino for a while.   
Title: Re: Abnormal liver function tests
Post by: ellie on March 10, 2016, 12:39:15 PM
I think you will find its just....'one of those things' and you dont drink much so it won't be anything to do with that. My diet isn't great either since I had op for a twisted stomach....
     Life isn't fair somtimes and I know I carnt compare what has happened to me being any where near as bad as what has happened to you, but I do feel unlucky.....I opted to have a replacement knee and the surgeon damaged the nerve and soft tissue and since then I have had to walk with a walking frame on a very painful knee......and last year I had my second spinal surgery and  the pain is now MUCH worse and also I have numbness in my foot and other parts that you really don't want to know about......
   But a few years ago I lost my darling DIL to breast cancer and my best friend to lung cancer, so it's then that I know that although I somtimes hate my life.....I am still here....
Title: Re: Abnormal liver function tests
Post by: groundhog on March 10, 2016, 12:47:20 PM
Oh Ellie,  I'm so sorry.  I know you are right of course.  The thing is the last thing the consultant told me was to go on holiday,  so this week I have tried really hard to move on,  almost booked a holiday - going t confirm this weekend,  had a massive de clutter and thought,  right that's IT I am not going t let this destroy me any more.  Then WHAM - phone call about my liver tests,  plus different doctors say different things.  I have no continuity with a GP as my surgery is being taken over by health board as all GP are leaving.  I've been told,  it's nothing to I now need a scan and more bloods,  all on my assumption my super duper consultant had seen the blood result and it was ok !!!!

So sorry to hear about your dil and friend,  I know I need to wise up,  it seems once I pick myself up there is something waiting to knock me flat.
Thanks for today,  you have helped.
Title: Re: Abnormal liver function tests
Post by: ellie on March 10, 2016, 01:07:07 PM
Are you feeling pressured into going on holiday? It sounds like that. We used to go abroad before my surgeries but now I just don't want to....So we bought a mobile home and I love it. Have you ever thought about doing somthing like that?
    I am waiting to see yet another specialist to see if I am suitable to have an eletrical impulse devise fitted in my spine to try and ease the pain, but that will be that.....no more surgery.
   It is SO very hard accepting that ......you, like me CHOSE to have surgery believing it to be the right thing......A bitter pill to swallow, I DO know how you feel.  :hug:
Title: Re: Abnormal liver function tests
Post by: groundhog on March 10, 2016, 01:41:37 PM
A very bitter pill Ellie.
I do feel,pressurised into going on holiday.  The botched op has caused massive problems in my relationship and basically we are hanging on by a thread.  He loves going abroad and sunshine.  I love the thought of a mobile home overlooking the sea.  We can't agree on anything at the moment.  You are right though,  I don't want to go abroad but as I get told every day,  it's not just about me.
Should have put this in private lives maybe.
Thanks Ellie x
Title: Re: Abnormal liver function tests
Post by: Taz2 on March 10, 2016, 05:45:06 PM
Separate holidays groundhog?

As regards the liver tests you've reminded me of a Radio 4 programme I listened to earlier in the week about raised liver tests seen quite often in heavy drinkers but it is caused by something else. I can't remember what but will have a look for the programme and have a listen again. It might have been Inside Health. It was about how patients get fed up with telling their doctors and consultants that they don't drink much. Will try to find it!

Taz x  :hug:
Title: Re: Abnormal liver function tests
Post by: Taz2 on March 10, 2016, 05:54:08 PM
Found it - it was last week not this week - how time flies!! Anyway, it's called PBC and the article starts about 5 mins 50 secs in. There is also an interesting discussion on talcum powder and the risk of ovarian cancer http://www.bbc.co.uk/programmes/b071lcrz

Taz x
Title: Re: Abnormal liver function tests
Post by: Kathleen on March 10, 2016, 06:00:08 PM
Hello groundhog.

So sorry to see that you've had this extra worry. I know you have Crohns and you may recall I have Ulcerative Colitis.  I had a routine  appointment last week and my consultant mentioned that liver problems were often seen in people with inflammatory bowel disease so perhaps your IBD nurse can explain what your blood results mean.

I understand the pressure to go on holiday and how stressful that can be. Recently my husband has been abroad with a friend to attend a sporting event and that has worked out well, he gets to travel and it relieves the pressure on me. It's easy for your husband to say it's not just about you but you are 50% of the relationship and your opinions carry equal weight. Would your husband consider joining a fan club so that he can perhaps follow his rugby team with like minded people ? I have noticed that when  we do things separately we always get on well afterwards probably because we then have more to talk about.

I wish I could be of more help but I do sympathise with your situation and sending hugs.

Take care.

K.
Title: Re: Abnormal liver function tests
Post by: milly on March 10, 2016, 07:06:01 PM
I think if anything its more likely to be PSC, more readily linked to IBD.

As you know my enzymes were sky high and climbing at each test, but still I am at the monitering 3 monthy stage ,with likelihood of a transplant still a few years away.

One thing might just help, when I was very anxious about health, particulary this issue,my husband asked me what it would take for me to believe anything consultants etc were saying... I said basically it would take them to say I wasnt going to die any time soon, or suffer..

So he did no more than wrote to both my GP and consultant explaining my fears...although I had been saying this to my GP.

My consultant wrote me a letter, took a while, but it helped enormously. My GP called me in for a chat.

Result was that I finally accepted it, the problem is still there, but not the fear.

Title: Re: Abnormal liver function tests
Post by: CLKD on March 10, 2016, 10:57:04 PM
Your Consultant told you to go on holiday - that's his way of telling you to move forwards.  That nowt is likely to go wrong that will require his attention.

Your GP is following up on concerns by arranging a scan.  The liver is the only organ that can re-generate and can take a real hammering.  You've been taking pain relief = liver over-load?

Of course this isn't 'all about you' but you are the 1 who had the surgery.  Book that holiday for YOU! there's later in the year for abroad ……… little steps  ;)
Title: Re: Abnormal liver function tests
Post by: wombat62 on March 11, 2016, 11:09:28 AM
Hi groundhog

My liver enzymes were very elevated, well over 10 times what they should be, same with the pancreas! My doc couldn't work out why I didn't feel really, really ill!

I know how you feel a bit, I'd just got over the last attack when I had the one positive blood in stool test result and then felt very deflated of, now what... more worry until I had the all clear.

I also feel for you with the eating put thing, I feel like I can't trust anyone to give me a low fat meal after last time. I had to eat out a couple of weeks ago, one pub was really understanding and another place the kitchen didn't understand and my dinner was swimming in oil so back it went. I now take back up food everywhere just in case! Hopefully this will only be short term for me but I hope you get back on an even keel, the holes heal and you can start to feel better about everything again. I think just the eating issues drag you down as I'm sick of looking at menus and everything is a no no.

Let's hope you don't have to wait too long for scans and test results and get an answer.

Title: Re: Abnormal liver function tests
Post by: groundhog on March 11, 2016, 11:26:00 AM
Morning all,
I actually saw my consultant yesterday. He had a cancellation.  I think what annoyed me CLKD is I don't think he had seen the results so discarded me not realising this blood test had been flagged,  on saying that he wasn't concerned but he never is !  He's told me to have the scan and he thinks it will be fine,  there are lots of reasons for an elevated gamma GT .  He checked my last ct and it was fine, liver wise. 
Thanks wombat.   Can imagine how frustrating things are with menus,  thing is I don't have pain like you had.  I have had episodes of upper abdominal pain but not severe like the classic gall bladder pain.
Oh well another day and it's sunny so I'm going to try and make the most if it 🌞🌞
Title: Re: Abnormal liver function tests
Post by: CLKD on March 11, 2016, 01:24:21 PM
'don't think that he had seen the results'  :-\ - why didn't you ask when he had looked at them?  You seem angry?

I doubt whether your lack of healing isn't the problem of any surgical intervention.  You have a huge medical history which would make anyone worry if there wasn't a 'good' result, I thought I would be the type of person to constantly check all over after I had breast treatment and radiation: thought I would look at the tattoos and think 'it could come back'.  After each check though: initially 3 weekly, 3 monthly, 6 monthly and then …….. discharged eventually, I am more relaxed.

Let your body heal in it's own time?  The reminder of the sinus leakages must be a worry but over-all, how do you feel? 

Title: Re: Abnormal liver function tests
Post by: groundhog on March 11, 2016, 09:53:41 PM
Ladies I am sorry I missed some of your replies.  Taz - thank you will listen to that radio programme in a bit.  Kathleen,  yes my husband is a rugby nut and is talking about going to New Zealand next year but he won't go without me.  I'm trying to explain I'm not the same person but he won't accept it,  he won't change anything to account for the changes in me.  His own fault.  I've decided I won't be pressurised into going abroad,  I dint want the unnecessary stress of it all!
Hi Milly,  yes I've heard about the liver disease linked to IBD.  I'm not sure if it is that,  but knowing my luck............you are right about acceptance and that is half my problem.
I've heard of milk thistle Tiggergirl,  will definitely look into that for a bit of liver cleansing. - thank you.
How do I feel CLKD.  Im OK, not 100% but ok.  I get exhausted easily and have to pace myself,  I'm uncomfortable but not in pain.  I was a bit cross with my consultant because I left hospital assuming he'd seen the results onky to get a phone call saying one of the bloods was abnormal,  but he's a busy man and I'm assured if it had been serious,  he would have known.
Hope you all have a nice weekend ladies,  nice and sunny here today 🌞🌞

Title: Re: Abnormal liver function tests
Post by: CLKD on March 12, 2016, 05:32:38 PM
You *are* making progress  :medal:  ……… when I worked in the NHS blood tests etc. would be checked in the appropriate Dept., then sent to the Consultant/GP who had ordered the tests - as secretaries we filed the tests in the appropriate patient notes.  Anything outside of 'normal' would be flagged with a red star which had to be shown to the Consultant/GP.  If results were within normal limits the Doctors didn't see them until the next Clinic appt..

I think choosing *your* holiday is important.  To go where you are comfortable with.  I remember the stressors of booking and wanted to come home quickly, so that I knew if I'd been OK or not  ::) but of course, a week was 7 days - and very long if anxiety took over  :-\. 

How would you feel if your OH went to NZ with a group of mates? 

I have to pace myself too.  If I do too much or get too keen on something, then I burn up energy = anxiety surges  :sigh:.  It took years to realise what was causing the sudden surges ……..
Title: Re: Abnormal liver function tests
Post by: Justjules on March 12, 2016, 07:50:57 PM
Groundhog, don't know all your full history but I had a bowel access in my twenties, was neglected, nearly died of peritonitis and was diagnosed eventually with Crohns but I have always disputed this as I have never had medication for it from that day on and also I had just got over an infection in a Fallopian tube and I am convinced that it seeped into the bowel and caused the abbess. I had surgery to remove infected part of ileum and was left with an open sinus for 6 months until they sorted it with a further op that same year. It took me two years to recover. That was the start of my HA and left me traumatised as I was a single mum with two young children. Anyway, the reason I am sharing this is that my healing was eventually via trying every alternative therapy possible, a good homeopath, an excellent naturopath and acupuncture a few years later for energy etc. also lots of probiotic supplements and extensive research on alternatives to drugs. Is this something you have looked into at all? Sometimes we have to look further than the NHS for healing ourselves and bodies. xx
Title: Re: Abnormal liver function tests
Post by: CLKD on March 12, 2016, 08:04:16 PM
The body heals itself in many cases - but we as humans, can't wait  ::). Life, movement, survival all takes it's toll; i.e. a frozen shoulder takes about 24/28 months to heal without intervention but because the body breaths, there is constant movement  ::)
Title: Re: Abnormal liver function tests
Post by: groundhog on March 12, 2016, 09:03:03 PM
Justjules - hello,  I I didn't realise you had similar problems to me.  I also now have health anxiety I think as a consequence. 
I have looked into alternatives but probably not enough.  I have had reflexology which I found very relaxing,  I try and eat healthy but I have a strange relationship with food now and eat little and often with lots of protein.  I take a vitamin supplement and probiotic.  I think it does take years to recover from this type of bowel event,  I'm 15 months in.  I suppose that's why I reacted so bad,y to the blood test result.  I just seem to get fixated on things now to do with my health , it's quite miserable.  If you are willing to share any of your knowledge on alternatives,  I'd be interested. How did you cope with the sinus? Did it weep ? 

Hello CLKD.  Yes I am progressing I suppose but this experience has left me a nervous wreck.  Plus my life seem to revolves around things I can no longer enjoy so I have to make changes.  I don't think I'd mind if my OH went to NZ on his own,  it's something he's always wanted to do and I can't say I enjoy his absolute passion for rugby.  But at the moment he won't hear of it. 
Thanks again all for comments and advice xx
Title: Re: Abnormal liver function tests
Post by: Justjules on March 12, 2016, 09:46:05 PM
Well I read your posts and can really feel for you but mine was over 30 years ago now and I try to forget about it but that's because I am not suffering anymore. Yes, my sinus did weep from the first op in May, after I had a few metres of small bowel removed. Came out of hospital in July and then had sinus sorted by op in the October and then it was all cleaned out as far as I know and was left to get on with it. Told not to have anymore children, or unlikely I could, no medication or advice. Two years later, turned up at hospital app very pregnant and consultant nearly fell off his chair! All was okay and haven't looked back really.

I initially went to a homeopath in Liverpool and to a naturopath who sorted me out a proper diet to follow to help and apparently vitamin A I think was the main one as it sorts out inflammation in the body, gave advice as to how to take it and then acupuncture another time to rebalance all the body energy and also got diet advice from that. This was over a few years and it was a case of finding the right practitioners but I would have tried anything as I was so let down by the medical Drs. I went through hell. Was left on the toilet floor in the hospital prior to my op as two nurses just laughed at me and told me to get up and back in bed. Rang my mum at 6:00am in the morning to tell her I was dying and to come quick and by 11:00am I was in theatre where they found an abscess the size of a grapefruit in my stomach cavity....hence not much faith in Drs!! Things have moved on a lot in 30 years thank goodness but if I can, I always would go alternative as well. X
Title: Re: Abnormal liver function tests
Post by: CLKD on March 13, 2016, 04:10:10 PM
How's 2-day been?
Title: Re: Abnormal liver function tests
Post by: groundhog on March 13, 2016, 04:28:58 PM
physically ok CLKD,  mentally - not so good.
Cleaning the garden which is good,  just popped in for the loo,  Feel marginally brighter than the morning I thnk.  Thanks for asking xx
Title: Re: Abnormal liver function tests
Post by: CLKD on March 13, 2016, 04:38:58 PM
Half a day at a time!  Give yourself time to heal.  Small tasks through the day, I used to make lists the night before so that I could tick off stuff done - however small, it gave me an idea as to what I was actually achieving  :).