crimsondrifter15 said:Well, I’m diving into this PDF too. Man, I immediately run into posts with the exact same issues.
I recently ended up in the ER because of a fever, vomiting, and feeling totally wiped out. It wasn't life-threatening or anything, but I wanted to see a doctor and actually get a diagnosis.
The EKG at the ER was fine—heart rate was a little high, but I guess that’s expected when you’re feeling like crap, plus I’m a bit of a hypochondriac anyway.
The urine analysis was pretty much normal, except they found a few tiny erythrocytes (I think it was 3 on the first check, then 1 after 24 hours, and zero after a week).
Complete blood count: absolutely everything looks perfect until you hit the liver panels. Then—boom. Bilirubin is fine, GGT is fine, but ALT and AST are both nearly 10 times higher than they should be. The next day, things improved slightly, being "only" 5 times the limit.
Fast forward a week, and ALT and AST are still double the normal level, while everything else remains steady. That's where I'm at right now.
Also, by the time I got to the clinic, I was dehydrated as the Sahara. Spent a week on IV fluids just to feel human again. For the first two days, they could barely even get a line in because they couldn't find a good vein. I don't know how it happened, but one day I was perfectly fine, and then overnight, everything went south.
First, I had an abdominal ultrasound—nothing showed up. Everything looked completely normal (aside from my gallbladder, which I don't have 😁. Had it removed 2 years ago due to stones...). After that, they went full throttle with testing for viruses: HIV, hepatitis, EBV, CMV, and some bacteria whose names I don't know and honestly don't care to learn.
Long story short, all the infectious disease tests came back negative.
And that’s where the story ends with my doctor. Her "treatment"? Take > for a month, watch what you eat, and "it'll be fine."
Look, that’s not enough for me. I want to know exactly what happened and if I'm still sick. I need advice on who to talk to—what kind of specialist should I be looking for (a gastroenterologist?)?
I'm not buying those little doctor excuses like, "Well, you know, it was Easter, maybe you overindulged a bit..." That is straight-up not true. Those damn holidays were just regular days for me.
I'm 23, 6'1", and about 175-180 lbs. No high cholesterol, no blood sugar issues, I don't smoke, I don't drink heavily...
How are these three diseases diagnosed? And are we talking serious stuff here?
I'm trying to find a reason to force my doctor to send me to the hospital. I don't exactly enjoy lying in a hospital bed for even thirty minutes, but I've been anxious ever since they sent me to test for HIV. 🙏
Hey there. Fever, vomiting, and weakness usually point toward some kind of gastrointestinal infection, though it could be other things. Regarding the
dehydration—that's nothing unusual; you were dehydrated because you were vomiting. As for the liver enzymes, the most common culprit for elevated levels is
hepatic steatosis or
fatty liver. Also, viral hepatitis can cause spikes, especially if they're 10X the normal limit. Don't sweat the HIV testing; once they run the panel, you'll know, and you can relax knowing it's ruled out. You said the "viruses" were negative.
Autoimmune hepatitis isn't that common—it's actually quite rare, affecting maybe 2 in 100,000 people. It's more frequent in women and is diagnosed through immunological tests and a liver biopsy. Forget about it!
Wilson disease: You diagnose this by checking serum copper levels, ceruloplasmin, and doing a 24-hour urine copper test; sometimes they’ll even go for a liver biopsy.
Hemochromatosis: For hemochromatosis, you're looking at elevated blood iron and high transferrin saturation (Fe/TIBC), plus high ferritin, and potentially a liver biopsy. It’s a genetic thing, so usually, someone else in the family has it too.
Then there’s this thing called
NASH—non-alcoholic steatohepatitis. An AST/ALT ratio of less than 1 might point toward NASH. Diagnosis is confirmed via biopsy.
Ultrasound: If they aren't seeing any diffuse liver lesions, I’d say you can breathe easy regarding your liver and those specific conditions.
The real question now is whether your liver is actually linked to that bout of vomiting and fever, or if it was just a random finding. The liver is a sensitive organ; it reacts to pretty much everything happening in the body. For instance, during any other infection—like pneumonia or some nasty GI bug—your transaminases can spike. Yours dropped back down quickly, which to me looks like a non-specific reaction. Honestly, I think you just had some kind of gastrointestinal infection, probably viral or maybe some food poisoning. I think your doctor gave you solid advice: watch what you eat for a bit and then redo the labs in, say, a month to see how things are trending. Will you know with 100% certainty exactly what happened? Probably not!
Your doctor isn't going to admit you to the hospital over this, especially since you're feeling fine now. They might send you out for outpatient testing if they feel it's necessary. Anyway, if you have more questions, fire away. Cheers.