Elevated Liver Enzyme

luckypenny
luckypenny Member Posts: 150
edited June 2014 in Stage III Breast Cancer

I am a newly diagnosed stage 3 girl.  Already had masectomy ( bilateral) and will be starting chemo in a couple of weeks followed by radiation. I am a week and half out of surgery

Had full blood panel yesterday.  One of my liver enzymes came back slightly elevated-  ALT 71.  normal range 0-45.  All other livery enzymes normal.  

Besides liver mets, how much can morphin ( for 2 days in hosp) e, oxycodone, valium, tylenol etc that I have been taking from sept 27th up to oct 4 have to do with that?  

Scared to death of liver mets.  Have my cat scan and bone scan next week .  So scared I am already a stage 4, as I had a very very large tumor and over 6 nodes positive

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  • SpecialK
    SpecialK Member Posts: 16,486
    edited October 2011

    luckypenny - drugs and inflammation can throw off your ALT.  It is a fairly sensitive test.  My husband started taking Glucosamine and Condroitin for joint pain, had a routine blood panel done and his ALT was 10 times normal, he stopped taking it and had a normal ALT 2 weeks later. I had a normal CA 27/29 (tumor marker) prior to chemo and then it was double high normal after chemo.  I had a lot of inflammation from chemo, and had a lower result, although still above normal, two weeks later. Just repeated it yesterday but don't have the results back yet. Good luck!

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  • Babs37
    Babs37 Member Posts: 455
    edited October 2011

    Just so you know, when I was doing my chemo and Neupogen shots, a nurse told me one week to take Tylenol before the aches caused by Neupogen started, to control it. So for a couple of days, that week, I took Tylenol for my pain. The following week, for my blood tests before the next chemo, my liver enzymes were up! My onc asked me what I did to get them up like that and the only thing I had done differently that time was to take Tylenol. So he asked me to stop because Tylenol is hard on the liver. So I listen and did not take Tylenol anymore and the next blood test, my enzymes were back to normal. So yes I think that maybe the pain killers may be responsable for your liver enzymes going up. Hope that helps. Good luck with treatments.

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  • Kathy044
    Kathy044 Member Posts: 433
    edited October 2011
    luckypenny, my husband has liver mets (not breast cancer) and his ALT numbers are low-normal...just goes to show...I wouldn't worry.
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  • luckypenny
    luckypenny Member Posts: 150
    edited October 2011

    awesome  you guys are great.   Without having the catscan and bone scan yet, I keep thinking the other shoe is going to drop.  Thanks for the other opinions.  I now feel less worried.   How great is that? 

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  • Bugs
    Bugs Member Posts: 1,719
    edited October 2011

    I agree with these ladies.  You just had surgery and have been on pain meds.  I would not worry!  

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