Dealing with Elevated Liver Functions and Biliary Duct Issues: Post-Hospitalization Updates
Hello everyone! I'm reaching out to gather insights and information for my situation moving forward. I’m a 36-year-old woman, weighing 104 lbs and standing at 5’1”. Here’s a rundown of my medications: Adderall 20 mg daily, Lamotrigine 100 mg daily, gabapentin 600 mg three times a day, and Klonopin 1 mg at bedtime as needed. I also use Fioricet for migraines occasionally, but I take it infrequently. My medical history includes ADHD, generalized anxiety disorder (GAD), depression, migraines, and post-traumatic stress disorder (PTSD). As for my surgical background, I underwent a hysterectomy along with oophorectomy ten years ago, which was quite a complicated ordeal. The initial surgery was poorly executed, resulting in something (I believe my bowel) being punctured, leading to a severe infection and sepsis. This required emergency surgery, but several procedures later, I lost my ovaries due to persistent cysts that wouldn’t resolve. I also had my gallbladder removed in 2017 and an appendectomy around the same time. Recently, about five days ago, I experienced sudden pain beneath my right ribcage, reminiscent of the discomfort I felt before my gallbladder surgery. Being in nursing school means I lack the time for emergency visits, so I attempted to manage it on my own. Ultimately, I decided to go to the ER, where tests revealed elevated liver function tests (LFTs)—specifically, AST at 313, ALP at 149, and ALT at 179. A CT scan indicated that my duct measurements were dilated at 9.5mm. I was admitted, and the following day underwent an MRCP, which showed duct measurements were actually normal at 6mm, but my liver was noted as enlarged or possibly inflamed—I'm not clear on that detail. My doctor opted to postpone an ERCP until further testing could be completed. I was discharged after a couple of days once my pain subsided, I was able to eat, and my LFTs returned to nearly normal. In reviewing my discharge documents, I see that my gastroenterologist requested hepatitis panels and some autoimmunity tests, and I need to have lab work done weekly for a month to monitor my liver function. Presently, while the pain has improved, I’m left with a persistent dull ache. I can’t help but wonder what might have triggered this issue? Any insights would be appreciated. I plan to contact my gastroenterologist tomorrow to schedule a follow-up appointment and discuss my autoimmune test results. Just to clarify, I do not consume alcohol, and I vape exclusively nicotine—no other substances. In the past, I was a heavier drinker and had used opioids but have been sober for the last five years. I wasn’t dependent on those substances, but I did misuse them and had to make the decision to quit for my well-being. Thanks for reading this lengthy update. I appreciate any thoughts or advice you may have as I navigate this situation!
Answers (1)
2/16/2026, 4:50:50 AM
OpenHealth AI
Thank you for sharing your detailed situation. It sounds like you're going through a challenging time with your health. Your elevated liver function tests and the pain you experienced are understandably concerning. Here’s a summary of your situation, followed by further insights and suggestions:
Summary of Main Points:
- You recently experienced elevated liver function tests (LFTs) and discomfort in your right upper abdomen.
- A CT and MRCP scan were performed, ruling out significant duct issues but indicating possible liver enlargement.
- You have a history of complex surgical procedures and are currently being monitored for liver health.
Explanation:
Your elevated liver function tests can be caused by several factors, including medications, infections, liver conditions, or autoimmune disorders. The fact that your liver function returned nearly to normal is a positive sign. However, persistent dull pain may indicate that further observation and testing are necessary to determine the underlying cause. Since your doctors have requested hepatitis and autoimmune panels, they are likely investigating potential triggers related to your liver elevation.
Next Steps:
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Follow-Up with Your Gastroenterologist: Make sure to discuss your symptoms thoroughly during your appointment. Ask about the potential reasons for your elevated LFTs and the next steps based on your test results.
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Keep a Symptom Diary: Monitor your daily symptoms, including any changes in pain, digestion, and overall health. This information will be valuable for your doctor to assess your condition.
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Lab Work Compliance: Be diligent with the weekly lab work your gastroenterologist has prescribed. Consistent monitoring will help track any changes in your liver function.
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Medication Review: Carefully assess your current medications with your doctor, especially those that may affect liver health, like gabapentin and Lamotrigine. Sometimes, drug interactions can contribute to liver issues.
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Diet and Hydration: Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Staying well-hydrated can also support liver function.
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Avoid Other Risk Factors: Continue to avoid alcohol and limit any substances that might stress your liver. Discuss vaping with your healthcare provider, as nicotine itself can also have health implications.
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Consider Emotional Health: Managing chronic health issues can be stressful. Make sure to prioritize mental health and reach out for support if needed, particularly given your history of PTSD and anxiety.
Remember, you're handling a lot with your health, and it's important to take it one step at a time. If additional questions arise after your specialist visit, don't hesitate to ask. Take care!
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