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Wendy asked...

Liver test results

My liver function tests have been chronically elevated since January and over the years have been elevated but returned to normal. I was a long term drinker, stopped for good January 1st 2016. My liver function tests are to be checked in 8 weeks and if still abnormal a liver biopsy will be arranged in a few months. I am feeling generally unwell, fatigued and have a dull ache upper right quadrant daily. Should i really be waiting this long? Been checked for autoimmune and hepatitis and negative. I am a woman aged 53.

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The answer

Numerous issues can affect your liver function tests. This can be alcohol, diet, fatty liver, medications and herbal supplements. Stopping alcohol will help your results in time as the liver itself can repair a certain amount of injury. It is standard to recheck abnormal blood results within 4-8 weeks as this gives time for recovery, and the doctor will want to look at the overall trend and as your results have normalized in the past it appears your doctor is waiting to see if this happens again, reducing the need for invasive procedures.

If there had been serious issues suspected or the LFT’s were very elevated you would have been referred for an urgent scan and liver biopsy. Ruling out autoimmune and hepatitis is good news. The dull ache in the upper right quadrant of the abdomen may be related to the liver, this is possible, or may be unrelated, as gallbladder and pancreas are also in that region. If you have not had a scan of this area you may want to discuss this with your doctor to rule out any other issues.

Answered by the Health at Hand nurses

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