ALT 78

I’ve never had elevated liver labs and I recently had a ALT 78 and AST 46, the rest of labs were normal. I’m in panic its cancer or liver failure. My hope is that is was the Crestor but that was only 5mg.

41 year old female

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u/Similar_Chicken_1533 — 5 days ago

ALT elevation

I just had a CMP drawn. Everything was normal except my ALT is 78 AST is 46. I’m a 41-year-old female. I’ve never had elevated liver enzymes. I had a normal CT in April of the abdomen pelvis.

I recently decided to stop restricting my calories and have started eating more normally than I ever have. The only other changes I have made is I’ve started crestor 5 mg six weeks ago, omeprazole 40 mg three weeks ago, and Zoloft 25 mg two weeks ago.

Could this be medicine related? I can’t imagine I have fatty liver. I’m 93 pounds and 5’2. Could it be something more sinister?

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u/Similar_Chicken_1533 — 7 days ago

Crestor and Alt

My ALT was 24 in April. I started 5mg of crestor 6 weeks ago and my ALT is now 78. I also just started omeprezole and Zoloft. Could this be medicine related?

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u/Similar_Chicken_1533 — 8 days ago

Weight loss health anxiety

I need someone to talk me down. I was diagnosed three weeks ago with reactive gastropathy mild. I’ve been having symptoms for a little over a month. I’ve lost about 4 pounds which I was only 95 pounds to start with (I’m short) I’ve been trying to increase my calories, but it’s not going up and it’s making me panic and think that I have cancer. My current symptoms are mild epigastric burning. I’m in a spiral at this point.

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u/Similar_Chicken_1533 — 9 days ago

Nighttime burning

EGD showed mild gastropathy. Im on 20mg twice a day Omeprazole and a super bland diet. No issues during the day, but epigastric burning at night that worsens around 2am. I’ve been on PPIs for 3 weeks. Anyone else with this? How long does it take to get better or should I be doing something different?

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u/Similar_Chicken_1533 — 12 days ago

Gastropathy

Has anyone had an EGD that showed mild gastropathy and your main symptom is that gnawing, burning epigastric pain? My G.I. on my EGD said that there was fluid in my stomach body so some slowness of my stomachs emptying. The epigastric pain is my only symptom.

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u/Similar_Chicken_1533 — 13 days ago

GI issues? Slow motility

I’ve been dealing with a lot of constipation and was diagnosed with slow transit constipation. Im just now getting this under control. Cardiology wants me to start Crestor 5mg daily. Has this affected anyone’s regularity or does it seem to be pretty neutral?

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u/Similar_Chicken_1533 — 2 months ago

Help with pelvic floor and slow transit

So I was diagnosed with pelvic floor dysfunction via anorectal manometry and have started pelvic floor therapy with biofeedback.

I just did my sitz maker study and my colorectal doctor had me swallow what she considered day 1, do X-ray at day “3” 48 hours after swallowing, and X-ray at day “5” 96 hours. Day 3, 5 markers at the splenic flexure and 1 at rectum. Day 5 one marker at the splenic flexure.

Her view of the results were stool stuck at splenic flexure and gas in the descending at day 3 as well as a higher flexure she counts this as slow transit. She started me on Linzess 70mcg. I will have mostly watery stool 4 hours after taking it and then later another small movement but more solid (though thin from pelvic floor)

I also take 200mg magnesium citrate gummies and drink over 80 fl oz water. I’m not sure what to do. Is the Linzess worth it? Am I ok with just the magnesium going every 3-4 days but not emptying completely. Im at a loss and she even suggested a colon resection if the meds fail. Just need some advice, I’m sorry this was so long 😕

  • Do you have the urge to go, but you cannot? Or do you have zero urge to go? (this is the most important question) If there is enough in the rectum I will feel the urge
  • Do you have alternating diarrhea and constipation, or just constipation? without linzess constipation, though soft stool never hard
  • Do you have nausea, vomiting, acid reflux, difficulty swallowing, or early satiety (getting full really early into a meal)? No
  • Have you had this issue since childhood, or did it begin in teen years/adulthood/after a major life event (surgery? divorce? car accident? mauled by bears?) Always seemed more on the constipated side, but worse in my 40s as a woman
  • Did you in the past or do you currently take any medications that could damage your intestines? The acne drug Accutane/Sotret/Claravis/many other names (isotretinoin) has been linked to serious conditions of the digestive tract. I am absolutely convinced that my large intestine was destroyed by this drug. Antibiotics are also a major culprit in ruining the small intestine microbiome and causing diarrhea/constipation disorders. Antidepressants can ruin the serotonin balance in the gut as well. Was on antibiotics since I was 12, stopped last October
  • Did you suffer sexual abuse as a child? There is a high degree of correlation between childhood sexual abuse and adult constipation disorders. Meaning, a lot of people with chronic constipation disorders in adulthood experienced trauma when they were young. This sort of thing must be investigated by both your doctor and a therapist in coordination. Do some Googling on this topic if you believe this might be your issue. No
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u/Similar_Chicken_1533 — 3 months ago

Part of colon not working

Anyone have any insight on a specific part of the colon not working? mine is the splenic flexure. I had a sitz marker test and on day 3, 5 markers were at the splenic flexure and at day 5, 1 marker was still there. My colorectal doctor said my splenic flexure was high and it seemed stool gets stuck there until there is enough volume to push it over

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u/Similar_Chicken_1533 — 3 months ago

Constipation

Part of the colon near the splenic flexure too high and not working? Anyone dealing with anything similar? I had a sitz marker study which showed all the markers but one exiting. My doctor did X-rays on day 1, 3, and 5. She said it seems I get very backed up around the splenic flexure unless there is enough to push everything through. Having a difficult time finding anyone with a similar issues online. She said we will try meds first but I may need a resection. Just really scared

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u/Similar_Chicken_1533 — 3 months ago

Part of colon not working

Anyone have any insight on a specific part of the colon not working? mine is the splenic flexure. I had a sitz marker test and on day 3, 5 markers were at the splenic flexure and at day 5, 1 marker was still there. My colorectal doctor said my splenic flexure was high and it seemed stool gets stuck there until there is enough volume to push it over

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u/Similar_Chicken_1533 — 3 months ago