Howdy friend and merry Christmas! So I'm still undergoing testing for my liver enzymes being wonky and this was discovered during a routine physical a year ago. After the first round, my PCP didn't believe me on the amount I drank and thought I must be an alcoholic or drink much more than I do. This led to me not drinking for 3 weeks leading up to another round of LFTs. My enzymes went higher. Ultrasound was ordered and a referral to a Hepatic specialist was made. Also Hep B and C titers were ordered as well as antibody tests. I was clear on the Hepatitis B and C, but the antibody tests came back positive at the lowest possible titer amount for this lab. At this point it was rule in non-alcoholic fatty liver and rule out autoimmune hepatitis. Ultrasound showed no enlargement, everything looked normal. I finally got in to see the Hepatic specialist about 6 months from the original test. She's unsure what's causing everything because I'm presenting with no symptoms or signs. She wants one more set of LFTs before she recommends a biopsy. These LFTs come back perfectly normal. High end of normal, but normal nonetheless. We make a 6 month follow up with another set of LFTs. They're high again. I go in for the follow up and because of my schedule were able to squeeze a biopsy in during my Thanksgiving break from school. She's hoping to confirm the NA fatty liver or AIH. She also informs me that she's seeing a growing subset of patients with completely unexplainable Liver enzymes who are perfectly healthy, but the liver is occasionally becoming inflamed. My biopsy came back clean, but there's some question of bile duct issues such that I'm having an MRI done next week. At this point she's leaning towards me being in the unexplainable group.
Having said all that, I know this is incredibly stressful and can cause anxiety. Biggest things to go over with your doc is whether you're on any medications that can cause this. Where you're having the GI issues, it may very well be Hep A which cures itself and is not a chronic illness. In terms of a biggie like Hep C, I've treated patients with acute Hep C. They're jaundiced to holy hell and they're LFTs are through the god damn roof, we're talking in the 1000s, not low hundreds.