What causes persistent nausea while having elevation in the liver enzymes?
Patient: I have had nausea everyday for months. It just started out of nowhere. Everyday it is mild to moderate nausea and it can come and go or last all day. Other days I will have severe nausea lasting hours to days. I have had bloodwork that show elevated liver enzymes. I have been to a gastroenterologist who found nothing. Do you have any suggestions what to test For? I just want my life back. Doctor: Hello,  The elevated liver enzymes values are significant only if elevation is two-fold that is greater than 90. Or else it's not significant.   If your liver enzymes values elevated two folds than ultrasonography of abdomen should be done for further work up.   If no liver pathology present than endoscopy can be done for further work up.   Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Parth Goswami, General & Family Physician