LFT elevated, bilirubin normal, RBC low, cholesterol normal. Prescribed folic acid, B12 shots, recovered from IBS. Suggestion?
Patient: I had routine blood work done the other day & my liver functions are elevated. Never have been before. ALT 202, AST 167. Bilirubin was normal. RBC was very slightly low. Everything else normal. Lipids were all better than ever and in optimal range. Cholesterol only 150. My PCP didn't seem real concerned but I am. He just put me on some folic acid, gave me a B12 shot & said we'd recheck it in a couple months. I recently have been having chronic bowel issues with severe diarrhea. Just had a colonoscopy that only showed some inflammation.  GI doc says it's all just IBS but I'm not convinced especially now with the liver enzymes. What are your thoughts? Doctor: Hi! welcome to HCM! Irritable Bowel Syndrome is a Functional gastrointestinal disorder and has no known organic cause.In many cases, you can control irritable bowel syndrome by managing your diet, lifestyle and stress.  Your ALT 202, AST 167 suggest that there is inflammation or injury of liver cells,you must consult a gastroenterologist to find out the cause.A simple ULTRASOSONOGRAM will clarify things along with few viral markers. hope this will help you! take care!