STATS
34F
5’4, 125 lbs currently.
9 weeks pregnant
MEDICATIONS/SUPPLEMENTS
-I’m on Labetalol (100mg split 50mg morning and 50mg evening) for high blood pressure.
-I am also taking Nature Made prenatal vitamins + choline
-Taking doxylamine-pyridoxine (10-10mg—2 pills at bedtime) for my “morning sickness” (just nausea, no vomiting except one time)
SYMPTOMS
-tiredness and nausea from pregnancy. Nothing else. No itchiness or pain.
ABNORMAL BLOODWORK
TUES 4/14 (at hematologist):
Albumin: 4.7 normal ✅
ALK Phos: 144 📈
ALT: 148 📈
AST: 57 📈
THURS 4/16 (at OB):
Albumin: 5 📈 (slightly elevated)
ALK Phos: 134 📉 🚨(decreased but still high)
ALT: 86 📉 🚨(decreased but still high)
AST: normal 29 📉✅
WED 4/29 (at OB):
Albumin: 4.9 normal (slightly decreased) 📉✅
ALK Phos: 193 📈🚨 (increased higher)
ALT: 319 📈 🚨 (increased higher)
AST: 149 📈 🚨 (increased higher)
NEXT STEPS
-I have a liver ultrasound scheduled for tomorrow 5/1
-follow-up bloodwork with hematologist will be on 5/6 (*for context, I’ve been seeing her for a couple years to follow my low WBC at my annual physicals, which began as a peace of mind visit. My WBC have since gone to a “beautiful” range/not concerning at this point)
-I am also being referred to a perinatal center by my OB
QUESTIONS
I am absolutely terrified and have no patience.
-What is the likely cause? Serious liver or gallbladder issues? Something reversible? Everything I see says “could be but unlikely.” The fact I’m pregnant, it says usually liver enzymes would increase later so unlikely. I try to eat healthy, but have pregnancy related food aversions right now so I eat what I can. Some days, I’ll have grain bowls/salads and other days it’s fried chicken and ice cream, for example. Likewise, when I researched if this could be related, it said that my diet wouldn’t cause “that” much of an increase of my liver enzymes. I used to frequent the gym, but have lost motivation with my pregnancy nausea (no vomiting/no HG) and tiredness, so pretty stagnant lately. It also says this wouldn’t cause such an in tease either. I try to stay hydrated but some days are better than others—related? Apparently not likely. I looked up my meds and it says those are unlikely causes too. I’m so frustrated and confused.
-Also, anything I can do to bring these numbers down?
Please let me know if you have any questions for me.