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Wednesday, June 19, 2013
High liver enzyme count
I have a 9 yr. old daughter who has been experiencing severe abdominal pain, throwing up bile and high fever. We took her to the hospital and her liver enzyme count was 700, had an enlarged spline and liver. We were told she had mono and after a two day hospital stay she was released. It`s been two weeks since our hospital visit and this past weekend her symptoms started up again. This morning I was told her liver count was 1500! What can this be? She`s crying asking me to help her and I feel helpless. Are there certain questions I should be asking my doctor?
I can certainly understand your concern and your daughter's fears. The same questions (separated out) that you asked me are the one's that you should ask your (or her) doctor:
- Why is the enzyme count rising again?
- What does this mean, in terms of her pain and her getting better?
- Is there anything that we need to be worried about?
- When can we expect that she will be feeling better?
- Can you explain what is going on to me, so that I can explain it to my daughter?
Those questions, and the ones that you think of to follow, will help the both of you understand what is going on and when/how it will get better.
Michael Spigarelli, MD, PhD
Formerly, Associate Professor of Pediatrics and Internal Medicine
College of Medicine
University of Cincinnati