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high liver enzymes, low white count

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I have 253 on the liver enzymes count, which is supposed to be 0 to 40. My white blood cells are low also, 3.6. I have been tired, achy, and back pain in kidney area. Sometimes I ache all over like I have the flu.
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replied February 28th, 2017
Some general symptoms of liver disease include nausea, vomiting, decreased appetite, ‎indigestion, change in stools, jaundice, itching, etc. ‎In severe conditions with greater liver dysfunction abdominal distension, swelling of the legs, ‎anorexia, lethargy could be evident. ‎

In case you have the above signs and symptoms, then additional tests including Urinalysis for bilirubinuria, Serum albumin, liver enzymes (ALT, AST, ALP, LDH), as well as a liver ultrasound - will be needed to evaluate the level of liver damage.

In case, if you do not have any other signs and symptoms other than the mild elevated enzyme levels then these could be transient liver inflammation due to sub-acute infections, inherited (genetic) liver conditions associated with bilirubin metabolism ( mild version of inherited liver enzyme defect disorders like Gilbert syndrome or Crigler Najjar Syndrome (type 2).

The management of such mild conditions is symptomatic with regular follow up every 6 months. No other specific treatment is required in these conditions.

In your case, due to the lack of complete information, it would be recommended that you consult your doctor or a hepatologist for further medical advice.

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