Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Elevated Liver Enzymes


Jenn2005

Recommended Posts

Jenn2005 Contributor

Just wondering if its a common thing with Celiac patients to at some time have elevated liver enzymes come back on the blood work. Shane (my husband) had a dr's appt. on Friday and he ran blood work (routine) to check vitamin levels (he's been getting B-12 injections since November 05), ect.... the full work up, he does this every 3 months to keep an eye on everything. His liver enzymes have always come back fine and he's had 2 U/S in the past 6 months that said the liver was normal (the u/s was not for the liver but for the gallbladder and pancreas but the liver was checked). This time they called and said his liver enzymes were up and they wanted to see him back in 6 weeks to recheck them and they'd let us know what other test he'd order after that. Just curious if anyone else has had any experience with this. I always worry myself to death about this stuff until we get results back so I try to find answers on here to calm my nerves. Any help would be greatly appreciated.

Jennifer


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



teebs in WV Apprentice

Hi Jennifer. My liver enzymes have been high for about 4 years. I chose to bury my head in the sand and ignore it, even though my doctor kept bugging me about getting more tests. Finally, after I broke out with dermatitis herpetiformis, and couldn't stand it anymore, I decided to have more tests performed. My doc did an ultrasound and found nothing, followed by a CAT scan. The CAT scan showed enlarged abdominal lymph nodes, an enlarged spleen, but my liver looked A-OK! That was when my doctor sort of panicked and sent me elsewhere.

To make a long story short - my liver enzymes have went down since I started the gluten-free diet. I started the end of October, 2005 and last week my bloodwork shows significant improvement in all areas that were out of whack before. Not 100% normal yet, but definitely going in the right direction. (I must also say though that my alcohol intake has decreased dramatically since going gluten-free - no BEER! hmmm........I wonder if that had anything to do with my high liver enzymes?!?!?!)

The GI that did my endoscopy/biopsy indicated that all of these problems could be caused by celiac disease, but of course it could also be something else. I am supposed to go back for 6 month follow-up CAT scan in May.

I think it is very sweet and thoughtful that you are on this message board seeking advice and support for your hubby! :)

Take care,

Jenn2005 Contributor

Tracy, Thanks for the reply. I'm hoping when he goes back in 6 weeks that it will all have resolved itself. Good luck with the diet and I hope your results continue to improve.

Jennifer

jenvan Collaborator

Jen it is VERY common for Celiacs to have elevated liver enzymes. I had them for years, yet another clue that was missed. Most of the time, the enzymes return to normal levels with the gluten-free diet. Just make sure a follow-up test is done. Go here to read some more info, study: Open Original Shared Link

Jenn2005 Contributor

Jenvan - Thanks so much for posting that link. I'm printing it out to take to the Dr. when we go. He doesn't know a lot about Celiac but he listen's and is very open to any research I can give him or tell him about.

It helps my nerves to know that its common (even though I want to have all the test done to be sure - better safe than sorry). It seems like just when you think your on the mend something else comes up.

Thanks again.

Jennifer

jenvan Collaborator

Jennifer, well glad the doc is following up, and that they initiated it on their own. Some celiacs develop liver disease or autoimmune hepatitis, which you could mention, but as I said, majority of levels return to normal.

lonewolf Collaborator

This has been an informative thread. I have had elevated liver enzymes in the past and no one could figure out what it was. The doctor finally said it was related to a kidney problem I have. When I figured out that gluten made my kidney disease relapse, the liver enzymes went back to normal too. But what's interesting is that although I have had almost all the symptoms of Celiac (basically everything but chronic D and weight loss) I don't have either of the main genes for it. I've been off wheat for 10 years and gluten lite for that whole time, so no other tests would be accurate. Interesting to know that there is a connection with liver enzymes-just one more confirmation to me that I finally found the right "problem" and "cure", by myself, of course.


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



jenvan Collaborator

For more info read this...haven't read it all yet, talks about causes of elevated liver enzymes in asymptomatic patients: Open Original Shared Link

lonewolf Collaborator

Thanks Jen,

You are amazing with all the links and information you have!

jenvan Collaborator

Aw, thanks Liz! I definitely have to give the internet some credit for that ;) I read that article, it is pretty good, maybe technical for some, but good info on things that cause elevated enzymes, including celiac....

PghBOB Newbie
Just wondering if its a common thing with Celiac patients to at some time have elevated liver enzymes come back on the blood work. Shane (my husband) had a dr's appt. on Friday and he ran blood work (routine) to check vitamin levels (he's been getting B-12 injections since November 05), ect.... the full work up, he does this every 3 months to keep an eye on everything. His liver enzymes have always come back fine and he's had 2 U/S in the past 6 months that said the liver was normal (the u/s was not for the liver but for the gallbladder and pancreas but the liver was checked). This time they called and said his liver enzymes were up and they wanted to see him back in 6 weeks to recheck them and they'd let us know what other test he'd order after that. Just curious if anyone else has had any experience with this. I always worry myself to death about this stuff until we get results back so I try to find answers on here to calm my nerves. Any help would be greatly appreciated.

Jennifer

my liver enzymes have been elevated . i had an ultasound and cat scan,all ok. i've been gluten free for 7 months but still elevated.

jenvan Collaborator

PghBOB-- sorry to hear they're still up. i had mine run last week and will see what the results are. are they extremely elevated or just slightly?

Jenn2005 Contributor

Jenvan - Thanks for those last links. Great info. I printed those out for the dr. to go along with the first info you posted. How long were your enzymes up? Let us know how your report looks when you hear. I'll say a prayer that your levels are returned to normal. I appreciate all your informative posts.

Jennifer

debmidge Rising Star

Thanks for info, I found this to be of value. It's amazing what gluten does.

PghBOB Newbie
PghBOB-- sorry to hear they're still up. i had mine run last week and will see what the results are. are they extremely elevated or just slightly?

I THINK THEY WHERE ONLY SLIGHTLY ELEVATED, MY DOC NEVER GIVES ME ANYTHING ON PAPER SO IT'S HARD FOR ME TO RESEARCH. GOING FOR MORE BLOODWORK IN A FEW WEEKS I'AM GOING TO INSIST ON COPYS FOR MYSELF

Jenn2005 Contributor

I always request (insist if neccesary) a copy of any and all test and/or bloodwork. I don't trust the results to the doctor. I read them myself and look up anything I'm not sure about. When my husband was first dx with Celiac it was months after the biopsy came back as positive because the doctor who did the endoscopy told us it was negative and I didn't get a copy of the reports until we switched gastro dr's and the new dr is the one who found it in the pathology report and followed thru. I now get copies of everything.

Jennifer

jenvan Collaborator

Jennifer-I also think that's a great idea. I have a file with copies of all my labs etc. That way I can also take them with me to new docs etc. It's all about being proactive :)

Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - trents replied to Seabeemee's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      1

      Labs ? Awaiting in person follow up with my GI

    2. - Seabeemee posted a topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      1

      Labs ? Awaiting in person follow up with my GI

    3. - trents replied to mike101020's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      EMA Result

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      133,164
    • Most Online (within 30 mins)
      7,748

    Kellyc79
    Newest Member
    Kellyc79
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Upcoming Events

  • Posts

    • JoJo0611
      Please can anyone help. I was diagnosed on 23rd December and I am trying my best to get my head around all the things to look out for. I have read that yeast extract is not to be eaten by coeliacs. Why? And is this all yeast extract. Or is this information wrong. Thanks. 
    • trents
      Welcome to the celiac.com community, @Seabeemee! The fact that the genetic testing shows you do not have either of the two genes associated with the potential to develop celiac disease (HlA DQ2 and HLA DQ8) pretty much ensures that you do not have celiac disease and the biopsy of the small bowel showing "normal villous architecture" confirms this. But you could have NCGS (Non Celiac Gluten Sensitivity) which would not damage the villous architecture. You could also have SIBO (Small Intestine Bacterial Overgrowth) or H. Pylori infection. And with your resection of the small bowel, that could be causing it's own problems like you describe. When was that surgery done?
    • Seabeemee
      My Doctor messaged me that I have no sign of Celiac disease so until I meet with her next week I don’t know what the labs mean. I am being evaluated by my new GI for Celiac disease because of digestive issues (bloating, distention, fullness in mid section, diarrhea).  I also have been diagnosed with GERD and some associated issues hence the endoscopy. I also was diagnosed with NAFLD after an abdominal CT scan in December - which surprises me because I gave up alcohol 5 years ago, workout 5 days a week, cardio / weights and cook from scratch every night. Anecdotally,  I do feel better when I do not eat a lot of carbs and have been staying away from gluten 95% of the time until my follow up.  History: I had an emergency bowel obstruction operation in August 2021 for a double closed loop obstruction, open surgery removed 40 cm of my small intestine, my appendix, cecal valve and illeocectomy. Beside the fact that this put me in the situation of no longer being able to absorb Vitamin B12  from my diet and having to  inject Vit B 12 2x a month, I also became Iron deficient and am on EOD iron to keep my levels high enough to support my Vitamin B12 injections, as well as daily folic acid. I tested positive for pernicious anemia in 2022 but most recently that same test came back negative. Negative Intrinsic Factor. My results from the biopsies showed 2nd part of Duodenum, small bowel Mildly patch increased intraepithelial lymphocytes with intact villious architecture. Comment: Duodenal biopsies with normal villous architecture and increased intrepithelial lymphocytes (Marsh I lesion) are found in 1-3% of patients undergoing duodenal biopsy, and an association with celiac disease is well established however the specificity remains low. Similar histologic findings may be seen in H pylori gastritis, NSAID and other medication use including olmesartan, bacterial overgrowth, tropical sprue and certain autoimmune disorders. So my GI ordered Labs for Celiac confirmation: Sorry I couldn’t upload a photo or pdf so typed below: TEST NAME                               IN RANGE and/or RESULTS RESULTS:  IMMUNOGLOBULIN A :           110 GLIADIN (DEAMIDATED) AB (IGG, IGA)                            <1.0 GLIADIN (DEAMIDATED) AB (IGA)                                     <1.0 GLIADIN (DEAMIDATED) AB (IGG)                                    <1.0 TISSUE TRANSGLUTAMINASE ANTIBODY, IGG, IGA TISSUE TRANSGLUTAMINASE AB, IGG                                     <1.0 TISSUE TRANSGLUTAMINASE AB, IGA                                     <1.0 INTERPRETATION: <15.0 ANTIBODY NOT DETECTED  > OR = 15.0 ANTIBODY DETECTED RESULTS: HLA TYPING FOR CELIAC DISEASE INTERPRETATION (note The patient does not have the HLA-DQ associated with celiac disease variants) More than 97% of celiac patients carry either HLA-DQ2 (DQA1*05/DQB1*02) or HLA-DQ8 (DQA1*03/DQB1*0302) or both. Genetic counseling as needed. HLA DQ2 : NEGATIVE HLA D08: NEGATIVE HLA VARIANTS DETECTED: HLA DA1* : 01 HLA DA1* : 05 HLA DQB1*: 0301 HLA DQB1*: 0501 RESULTS REVIEWED BY: Benjamin A Hilton, Ph.D., FACMG I appreciate any input, thank you.         
    • trents
      Let me hasten to add that if you will be undergoing an endoscopy/biopsy, it is critical that you do not begin efforts to reduce gluten beforehand. Doing so will render the results invalid as it will allow the small bowel lining to heal and, therefore, obscure the damage done by celiac disease which is what the biopsy is looking for.
    • Scott Adams
      This article, and the comments below it, may be helpful:    
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.