Elevated liver enzymes can indicate a person’s liver is not functioning properly, and common causes include nonprescription pain medicines like acetaminophen (Tylenol) and certain prescription medicines like statins, which control cholesterol. In acute appendicitis, there is excretory problem of bilirubin, which affects enzymes. Liver enzymes are also raised in this study, but not in all patients. Mostly jaundice is cholestatic type, so hyperbilirubinemia was present predominately in complicated appendicitis.
The best management for acute appendicitis (AA) in adults with liver cirrhosis is controversial and needs more investigation. Elevated transaminase levels are common in nonalcoholic fatty liver disease and alcoholic liver disease, while uncommon causes include drug-induced liver injury, hepatitis B, and other liver diseases. Elevated liver enzymes can be used to diagnose, assess severity, and predict complications of acute appendicitis with elevations of total bilirubin, direct bilirubin, and ALP.
Liver enzymes (AST and ALT) are reported to be only mildly elevated in similar cases. Increased bilirubin production has been postulated to be a response to the increased parameters of liver function in appendicitis. Laboratory analysis revealed elevated liver enzymes and leukocytosis.
In a case of liver abscess caused by appendicitis, serum bilirubin was mixed type with direct bilirubin predominance. Liver enzymes ALT, AST, and ALP were raised in 32.5, 28.75, and 82.5 respectively.
Acute appendicitis can lead to damage of liver parenchyma and alteration of the liver function test. The risk of perforation is significantly higher in patients with total bilirubin levels greater than 2.1 mg/dL. Serum bilirubin can be a marker of liver disease progression.
In summary, elevated liver enzymes can indicate a person’s liver is not functioning properly, and managing these conditions is crucial for effective treatment.
| Article | Description | Site |
|---|---|---|
| Liver function test as a marker for acute appendicitis | S. Yadav observed an elevation in liver enzymes ALT, AST, and ALP in 32.5%, 28.75%, and 82.5% of subjects, respectively. The specificity of hyperbilirubinemia is 80%. | www.nepjol.info |
| Liver function test as a marker for acute appendicitis | Recent studies have demonstrated the positive predictive value of direct and indirect bilirubin and liver enzymes in the diagnosis of appendicitis. | www.researchgate.net |
| A cautionary tale of hyperbilirubinaemia in subhepatic … | In analogous instances, the liver enzymes (AST and ALT) have been documented to exhibit only mild elevations. It has been hypothesised that increased bilirubin production may be a response to… | www.rrh.org.au |
📹 What symptoms did you have before your diagnosis of pancreatitis?
Disclaimer: The views presented in this video are those of the participants and do not represent the views of The National …
Is alk phos elevated in appendicitis?
Results: Out of 100 patients 64% are males and 36% females. 4% are negative appendectomies. Total bilirubin elevated in 60% of inflammatory and 89% of complicated appendicitis, p value=0. 0053 (significant), sensitivity- 62%. Direct bilirubin elevated in 88% of inflammatory and 96% of complicated appendicitis, p value=0. 05 (significant), sensitivity-69%. ALT, AST not raised in both groups. ALP elevated in 81% of inflammatory and 82% of complicated appendicitis with sensitivity-70. 5%.
Conclusions: LFT can be used to diagnose, assess severity and predict complications of acute appendicitis with elevations of total bilirubin, direct bilirubin and ALP being most useful.
Geoffrey F, Bruce S, Traci LH. Appendix. In: Yeo CJ, eds. Shackelford’s Surgery of the Elementary Tract. 8th edn. Elsevier. 2018:1951-1964.
Wente MN, Waleczek H. Strategy for avoidance of negative appendectomies. Chirurg. 2009:80:588-953.
What labs are elevated with appendicitis?
Blood test results:A high white blood cell count means you probably have an infection. But the test results don’t show what’s causing the infection. … A high level of c-reactive protein (CRP) in your blood means that you have inflammation in your body that could be from appendicitis.
What are appendicitis tests?. Appendicitis is an inflammation (swelling) or infection of your appendix. Your appendix is a small finger-like pouch attached to your large intestine. It’s located in the lower right side of your abdomen (belly).
The cause of appendicitis isn’t always clear. Your appendix may become inflamed or infected if something blocks the opening where it attaches to your intestine. If appendicitis isn’t treated promptly, your appendix can burst and spread bacteria in your abdomen. This can lead to a life-threatening bacterial infection. A burst appendix can also cause a pus-filled infection in your appendix called an abscess.
Appendicitis typically causes abdominal (belly) pain in your right side. But some people may have different symptoms because their appendix isn’t in the usual place. This can make appendicitis hard to diagnose. Appendicitis tests help your health care provider make an accurate diagnosis quickly so you can get proper care.
Why is my ALT high but everything else normal?
High levels of ALT in your blood may be a sign of a liver injury or disease. Some types of liver disease cause high ALT levels before you have symptoms of the disease. So, an ALT blood test may help diagnose certain liver diseases early.
What is an ALT Blood Test?. An ALT test measures the amount of ALT in your blood. This test is commonly used to help diagnose liver damage or disease.
ALT (alanine transaminase) is an enzyme, a protein that speeds up certain chemical reactions in your body. It is found mainly in your liver. Usually, you will have low levels of ALT in your blood. But when liver cells are damaged, they release ALT into the bloodstream. High levels of ALT in your blood may be a sign of a liver injury or disease. Some types of liver disease cause high ALT levels even before you have symptoms of the disease. So, an ALT blood test may help diagnose certain liver diseases early, when they may be easier to treat.
An ALT test is usually ordered as part of a group of liver function tests.
Can gallstones cause high AST and ALT levels?
Liver biochemical tests, such as alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), gamma-glutamyl transferase (GGT), 5′-nucleotidase, lactate dehydrogenase (LDH), bilirubin, albumin (ALB) levels, and prothrombin time/international normalized ratio (INR), are used to diagnose gallstone hepatitis, a condition that typically manifests as elevated liver enzyme levels with a hepatocellular pattern. This condition is indistinguishable from viral and ischemic hepatitis in the early stages of onset, making it crucial to monitor changes in symptoms, biochemical tests, and imaging results over time to diagnose this disease.
In viral hepatitis, aminotransferase levels peak before jaundice and decline slowly, leading to a rise in serum bilirubin levels. In ischemic and toxic liver injuries, AST levels peak before ALT levels, with serum bilirubin levels generally less than 34 μmol/L, while the LDH level is very high.
In conclusion, interpreting hepatocholangial laboratory test results is challenging, and it is essential to monitor changes in symptoms, biochemical tests, and imaging results over time to accurately diagnose gallstone hepatitis.
Does appendectomy affect the liver?
This study is the first to investigate the association between appendectomy and pyogenic liver abscess in a population-based cohort. The overall incidence of pyogenic liver abscess was 1. 73-fold greater in the appendectomy group than in the nonappendectomy group. After adjusted for confounding factors, people with appendectomy were associated with 1. 77-fold increased hazard of pyogenic liver abscess. However, the incidence rate of pyogenic liver abscess among people with appendectomy seems to be lower than that among people with inflammatory bowel disease by Lin et al’s study in Taiwan.
The risk of pyogenic liver abscess persists over time, even after 5 years of performing appendectomy. However, the risk seems to be particularly higher during the first 3 months of follow-up. In the preantibiotic era, pyogenic liver abscess had been a feared complication of acute appendicitis. Previous studies show elevated total bilirubin levels in patients with acute appendicitis, and previous case reports show acute appendicitis potentially preceding to the development of pyogenic liver abscess.
To clarify whether there could be another plausible link between appendectomy and pyogenic liver abscess, not related to infective focus from the inflamed appendix or procedural complications, a further analysis was conducted. There were 272 events of pyogenic liver abscess and 1, 280, 952 person-years in the appendectomy group, and 938 events of pyogenic liver abscess and 5, 153, 503 person-years in the nonappendectomy group. The incidence of pyogenic liver abscess was 1. 16-fold greater in the appendectomy group than in the nonappendectomy group.
In an additional analysis stratified by presence or absence of appendectomy and comorbidity, people with appendectomy were still associated with increased hazard of pyogenic liver abscess, indicating that the increased hazard associated with appendectomy cannot be entirely attributable to the effect of comorbidities studied.
Can appendix cause high liver enzymes?
Hyperbilirubinemia reduces the risk of negative appendectomy as well. Migratory Pain in right iliac fossa, tenderness and rebound tenderness are strong diagnostic signs for acute appendicitis but if migratory pain is not present and surgeon is suspicious of appendicitis then hyperbilirubinemia has proven to be a strong evidence for acute appendicitis and helps to make decision for early appendectomy. Another study also showed hyperbilirubinemia present in perforated appendix. 20 In our study same finding was found. In acute appendicitis, there is excretory problem of bilirubin, therefore enzymes are also affected. In this study liver enzymes are also raised but not in all patients. Mostly jaundice is cholestatic type, so hyperbilirubinemia was present predominately in complicated appendicitis. Increase in enzyme also depend on site and severity of hepatocytic injury as well. In acute appendicitis, males are predominately involved more common in between 20 – 30 years of age. The same finding was reported in this study.
Limitations of the study. Children below 12 years of age were excluded. That could affect results slightly and study was of one-year long duration. We may increase the sample size for further studies.
CONCLUSION. It was concluded that hyperbilirubinemia is a strong predictor and diagnostic tool for complicated appendicitis. However, it did not show a significant impact in uncomplicated appendicitis.
Can appendicitis cause elevated bilirubin?
The mean bilirubin levels were higher for patients with simple acute appendicitis compared to those with a non-inflamed appendix (18. 7μmol/l vs 14. 5μmol/l, p<0. 001) and significantly more patients in this group had hyperbilirubinaemia on admission (30% vs 12%, p<0. 001).
INTRODUCTION. No reliably specific marker for acute appendicitis has been identified. Although recent studies have shown hyperbilirubinaemia to be a useful predictor of appendiceal perforation, they did not focus on the value of bilirubin as a marker for acute appendicitis. The aim of this study was to determine the value of hyperbilirubinaemia as a marker for acute appendicitis.
MATERIALS AND METHODS. A retrospective analysis of appendicectomies performed in two hospitals ( n =472). Data collected included laboratory and histological results. Patients were grouped according to histology findings and comparisons were made between the groups.
CONCLUSIONS. Hyperbilirubinaemia is a valuable marker for acute appendicitis. Patients with hyperbilirubinaemia are also more likely to have appendiceal perforation or gangrene. Bilirubin should be included in the assessment of patients with suspected appendicitis.
What are the laboratory findings in acute appendicitis?
Studies consistently show that 80-85% of adults with appendicitis have a white blood cell (WBC) count greater than 10, 500 cells/µL. Neutrophilia greater than 75% occurs in 78% of patients. Less than 4% of patients with appendicitis have a WBC count less than 10, 500 cells/µL and neutrophilia less than 75%.
Dueholm et al further delineated the relationship between the WBC count and the likelihood of appendicitis by calculating likelihood ratios for defined intervals of the WBC count. reference_ids_tool_tip reference_ids.
Table 2. WBC Count and Likelihood of Appendicitis (Open Table in a new window)
What is the most common cause of elevated liver enzymes?
Common causes of elevated liver enzymes include: Nonprescription pain medicines, particularly acetaminophen (Tylenol, others). Certain prescription medicines, including statins, which are used to control cholesterol. Drinking alcohol.
Can appendix cause elevated liver enzymes?
Hyperbilirubinemia reduces the risk of negative appendectomy as well. Migratory Pain in right iliac fossa, tenderness and rebound tenderness are strong diagnostic signs for acute appendicitis but if migratory pain is not present and surgeon is suspicious of appendicitis then hyperbilirubinemia has proven to be a strong evidence for acute appendicitis and helps to make decision for early appendectomy. Another study also showed hyperbilirubinemia present in perforated appendix. 20 In our study same finding was found. In acute appendicitis, there is excretory problem of bilirubin, therefore enzymes are also affected. In this study liver enzymes are also raised but not in all patients. Mostly jaundice is cholestatic type, so hyperbilirubinemia was present predominately in complicated appendicitis. Increase in enzyme also depend on site and severity of hepatocytic injury as well. In acute appendicitis, males are predominately involved more common in between 20 – 30 years of age. The same finding was reported in this study.
Limitations of the study. Children below 12 years of age were excluded. That could affect results slightly and study was of one-year long duration. We may increase the sample size for further studies.
CONCLUSION. It was concluded that hyperbilirubinemia is a strong predictor and diagnostic tool for complicated appendicitis. However, it did not show a significant impact in uncomplicated appendicitis.
Are liver enzymes elevated in cholelithiasis?
Liver chemistries often increase when choledocholithiasis is present. The most commonly cited signs of symptomatic gallstones are intense pain and elevated liver enzymes. Our patient experienced abdominal pain while her LFTs were within normal limits, highlighting that choledocholithiasis may not always be accompanied by elevated liver enzymes. In a retrospective chart review of 330 patients conducted by Goldman et al, five patients presented with choledocholithiasis despite having repeatedly normal LFTs. In addition, these patients had normal serum liver chemistries six months prior to admission. It is important that clinicians recognize that even if liver enzymes levels are normal, a patient may still have biliary sludge or biliary stones.
2913_B Figure 2. ERCP showing sludge and microlithiasis removal.
📹 Left-Sided Abdominal Pain After Eating – Cause Of Abdominal Pain Left Side – Dr.Berg
In this video, we’re going to talk about why you might experience left-sided abdominal pain after eating, and what to do about it.
Thank you so very much for creating the article for left side pain. This has been the story of my life for two years. I’ve been to the hospital so many times with no definitive answers. SIBO, gastritis, reflux, anxiety/panic attacks is what I was diagnosed. But the pain was daily and severe. It has been devastating. You Dr Berg have been such a blessing 🙏🏽 I can’t thank you enough!
Can’t believe hiatal hernia wasn’t mentioned, as that occurs on left side under left rib cage…and certain foods and junk makes it worse…with gas, bloating, breathing issues, heart flutters..similar to gallbladder/pancreas issues..hiatal hernia I think is what weakens these organs from performing their duties by interfering with hcl, enzymes and pinching kinking the vagus and phrenic nerve…still cannot believe how underestimated this stomach herniation syndrome is and how often it’s ignored!
I shared this to FB. Holidays coming up. People sometimes think that’s an excuse to indulge in those high carb foods. It’s not worth the pain and aggravation later. If you can’t have a less than moderate “holiday season treat”, then skip it this year. Get your health back. Eat keto and practice intermittent fasting. Thanks Dr Berg for everything.
This makes a lot of sense. I was recently found to have gallstones but thought I had been misdiagnosed. This is owing to the fact that the pain I went to the doctor for, occurs on my left side. I do eat a lot of carbs. I’ll work on that, plus incorporate more veggies into my diet. I am already intermittent fasting.😅
I started to have left sided abdominal pain when I started with the keto diet and intermittent fasting. I continued with keto and fasting thinking that my body just needed to adjust but three weeks later the pain was still there. I stopped keto and ate carbs and the pain disappeared. However, since I believe in the benefits of keto and fasting, I decided to give it a try again. Months later, I gradually started keto and fasting and I decided to continue despite the pain came back again. Months later the pain did not disappear. I ate carbs again, the pain improves a little bit but it is still there. The digestive doctor said everything was normal. The gynecologist said everything was normal. But I still have the pain and I do not know what to do.
Dr. Berg, people with pancreatitis are recommended to stick to a low-fat diet because if their pancreas isn’t functioning properly they’re not able to process fat well. How would a ketogenic diet be healthy for someone with pancreatitis? I understand that a low-carb diet is good for someone with pancreatitis, but a high-fat diet is never recommended.
Very good points! Thanks deeply! Your explanation about the relationship of nerve betwen pancrea and left side of neck is very crucial for me to understand my pains and ebaceous cysts on my left neck and back, while there is nothing negative on my right side. With my a little bit prediabetes, it is clear that my pancrea is working degenerately and I have to pay full attention to take care of it. This problem has been in my head for long, now it seems to be solved. All those symptoms are from pancrea! With clear reason of problem, it is easier to find a good solution. Thanks again! I think it is Jesus who loves me so much to guide me to watch this article the second time and get the benefits from it since I do not like repeating doing serious things. Hope you and your families and teammates be blessed by God! May all of you pursue Jesus, who is the resource of all benefits including eternity!
Im learning more from Dr Berg of reality and health at 52 and after a lifetime of probs, than did in the 52 years school and 50 drs etc, and can say as had year doing as had everything after years of ppis given to me 30 years !!! Every country every town farmer needs a Dr Berg as world be amazing and health, be less people sick and more working farming organic happy lives, but do govs and pharmaceutical companies want that 😉. Do the natural things in life and see the real you again, stop faking start living healthy is wealthy ❤😊
I ended up with left side pain after dumping the carbs the pain was akin to someone sticking a sharp knife into my side and I ended up for the whole month with terrible lower back pain but that could have been due to the fact I have a curve on my spine near the waist and I had put on a lot of weight over the last 12 months. That being said I was determined to lose weight so I did 2 protein shakes a day using whey protein, frozen berries, moringa and psyllium husks which blended up for breakfast and lunch. My evening meal was salad with fish or chicken, an avocado, olives some cheese. I believe it was the konjac root to start with and maybe too much psyllium husks.I did not have any sweet cravings which I think was the moringa so it could have been candida hiding trying to survive. One day I did intermittent fasting and broke my fast with a smoothie of berries and moringa. Two hours later I ate my usual meal. I experienced a few hours later an evacuation of fecal matter like no other. The next morning my ankle was itching really badly but there was no rash to be seen, this went on for a few days. Thinking about what may be causing the problem I decided it was most likely candida finding a home as far away from the bowel in order to survive. The next day I fasted and broke the fast with apple juice and diatomaceous earth followed two hours later with my meal. the next day the itching on my ankle was gone. I know diatomaceous earth works to clear up candida after it helped to clear up a candida infection on my neck which 6 months of antifungal cream did nothing for and it is gentle but you do have to drink lots of water to help it to work.
When I had pancreatis my experiences is horrible non stop pain all over my tumy… Never take alcohol whole my life. No gall bladder stones… End it up 4 days intensive care at the hospital… Remember my last meal was greek feta cheese with macoroni… After realese my hospital went to my family doctor… Her question was did you eat cheese on that day? … Since than kind of scary eat cheese again…
This is EXACTLY what I have been having!!! I’ve been to the doctor many times and they say to go on the GERD diet, to cut out this and that, now I have an endoscopy to go to. The common theme in the medical care I’ve received is if they don’t SEE something then you are okay. Why?!! When do you ever SEE something in a health condition? I once had severe pain in my muscle and the doctor looked at that part of my body and said I was okay….. I’m just so disgusted!!!
This is the mystifying part of keto. I never had these odd out-of-the-blue pains in my side or neck or back when I was eating SAD carbage. But I was falling apart on my way to diabetes. Now on keto, I’m eating a lot more whole foods than ever before, eating very clean, cut out sugars, dialed way back on dairy (for inflammation) and now the body sends out distress signals when I have a second serving at dinner. Like what the heck 🤦♀️
When I was 18 I had gallstones that had migrated into the pancreatic duct and caused pancreatitis. The pain I experienced was more in the center below the sternum. The pain was very intense and even years after surgery to remove the stones and my gallbladder, I would have episodes of intense pain there when I ate something sugary or if I drank alcohol. I recently started having pain and spasms under my left rib cage and was thinking it’s probably my spleen, but now thinking maybe pancreas.🤔
For about 20 years I delt with this pain. I did all kinds of tests from ultrasounds, x-rays, swallowing a pill camera to very expensive prescription medication and they had no idea what was causing my pain. Only started to feel much betterabout 3 years ago after eating very low carb and Keto! For years they made me feel crazy, this makes so much sense now!
I’ve recently been checked for everything by doc’s @ the hospital but my symptoms in the left keep occurring on a daily, I’ve given up smoking because of my health scare. Smoking was my bestfriend in 20+ years now I’ve been smoke free for 10 days. I’ve been having pain on the left side of my body but doctors have checked me and see that I’m perfectly healthy 🤦♀️ it’s not fair. I’m still in pain
I hate my life because of digestive problems …I don’t even know what to do anymore and I’m just tired .., anything I eat is a problematic…so I figured out that it’s not about the food .., my doctor found that I had h.pylori but I have eliminated it with antibiotics so I don’t understand why I still have these problems …it’s situated in the left upper side 😭😭😭I can’t resist anymore …it makes me tired all the time …and don’t have enough energy all the day, I’ll trying intermittent fasting hopefully it will help
It’s actually the opposite for me. I started getting a sharp pain that was constant as soon as I started keto. I only tried keto for 7 days because the pain on my left side was getting worse and worse each day to the point that I couldn’t take it anymore. As soon as I stopped keto and went back to a plant-based diet (which is naturally higher in carbs) the pain stopped the next day. What is the problem? I don’t think that there is a one size fits all approach when it comes to nutrition.
Yes yes,i started having these symptoms 2days ago. I would start eating and then all of a sudden i would feel full,i would get a sharp pain on my left side under the rib cage with shortness of breath. What should i do? I work out 5 times a week,don’t smoke and have never experience anything like this.
I’ve been doing keto and if for over a year. Had a cheat here or there for the first few months until I realized this left sided pain was after eating sugar and carbs and probably my pancreas! Scared me into strict healthy keto, until just today. It had been over 6 months since I cheated! Now I’m in pain and severely bloated! How can I recover quickly from this? And how can I stay keto even when I have pms? That seems to be the trouble.
ive been complaining about pain underneath my left rib cage for 2 years went to see doctors and a gastro specialist in England who didn’t once suggest it might be the pancreas. Absolutely unbelievable. My vision now go’s blurry after consuming surgery items also feel like food is just sitting in my stomach and not breaking down. I have my second appointment with a specialist. Glad I watched this article.
I currently have central lower abdominal pains, cramps, gas build up, weight loss, can’t eat without pain from stomach to intestines. I believe I’ve had kidney or gallstones. My doctor prescribed ant-acids which killed me creating more pain for two days as my stomach couldn’t digest. Going to see my doctor again today with urine sample, can’t wait to go to hospital for ultrasound. It seems to me I have blockages of some sort. I’ve been in a lot of pain for a few months now and I just want to get back to living instead of rolling around in bed in pain 24/7. Edit. Blood sample taken today for testing. Blood pressure low 104/81. Blood sugars 6.8. Urine has protein but no blood. Waiting for ultrasound appointment. Edit. Dr insisted I went to A&E yesterday, had CT scans and much pokes & proddings etc, turns out I have bowel cancer spread to liver. Edit. In hospital had surgery to remove tumour from intestines, went well, hopefully all removed, will discuss options of how to deal with liver.
The Pain is kind of dull, mostly the feeling of numbness right there…I have no anxiety for it tho” most times it comes” and most I won’t even notice it, I think it’s more of a stress problem Dr. I notice when I wake up in the”morning i won’t even notice it, but imdiately I put my mind there, here it comes, I think it’s an hyporcondria Disorder issue,? 🙏🏾More respect sir, but what’s ur thought over what I explained sir I’d love to see a new for it..🙏🏾
Hi. Had a colonoscopi 5 months ago. Directly after having that my stomac feld stiff and every time i ate pain in both sides. The stiffness left after two weeks and most of the right side pain after eating. But the left side still in pain directly after eating. Sometimes during eating. Im worried now. And the doctors dont take it serious.
How is the pancreas checked if there is some pain after eating? AND, also, the small intestine, where u said, in that junction from the transverse colon into the “descending”? colon?… ( I may have spelled that wrong but ???) What are your thoughts on using Diatomaceous Earth to cleanse my small intestines? Is that gentle? And pain on the right side, you only mentioned the gall bladdar….Is there pain when the liver is having a hard time??
Iv been to ER and pcp several times. I have diabeties and i have suspected i have something wrong with my pancreas. It seems like they go out of thier way not to check for pancreas problems. What can i do to make them check. I cant live with the belly pain any more. I feel like taking my life its gotten so bad.
Dr. Berg I am fan of you! My 19 years son having occasionally pain in his left side abdomen! What you suggest! Blood work is ok and ultrasound is also normal! Is their anyway I consult you! I really trust your knowledge and following everything from all of your vidios! Also I recommend everyone to watch them! You are very knowledgeable and experienced Doctor! Please suggest me for my son! Thank you!
I was having sharp pain on left side. Hard to take a breath it was so painful. Had friend take me to hospital. By the time we got there the pain had stopped. I could hardly move for the pain. They took some blood and did an MRI. Nothing. They told me to follow up with family doc. This has occurred a few times but that last time I was quite concerned. Was it gas? Something I ate? Ate too much? I’ve had it a couple of times since but not severe. Am I sitting wrong? Would laying down after eating cause it?
First time I felt pain on my left side just below the rib gosh it was so bad. I could not move at all. It eventually went away after a couple days. 3 years later here I am feeling the pain again, but less painful and I can move. I think this has to do with my eating habits. I been eating a lot of mcdonald’s to put on some weight and any other junk food I can get my hands on. Smh I promise to eat cleaner and healthier i just want the pain to go away.
I went to the clinic for a general check up and I was told I have gallstones,no symptoms it was incidental, often wondered if it was my high carb diet that caused them to form. Do keto and IF now, just hope don’t get any problems in the future, here in UK, they just remove your gallbladder if you posses symptoms mentioned in article
I have a very interesting question. I’m 23 and have been living with complex nutrition struggles. I have vasovagal syncope and I’ve had a stroke when I was 17. My psychs daughters have it too and she said we love longer, HOWEVER, everyday I’m scared shitless by my body’s responses to food. My tongue gets cold and taste like quarters and I pass out when walking, throbbing sensation in head and hyperventilating while vision is 90% gone while conscious! I’ve been plant based since 12, I’ve attempted several diets before a vegan one and those symptoms return which makes me very scared. My mom forever recommends B vitamins as do I but I meddle with so much natural/nutritional information it’s hard to talk to me. I only have wheat in my diet that could be giving me any type of problem. I don’t consume animal products OR soy and corn byproducts. Wheat keeps a healthy weight on me but it leaves me starving, empty calories, no nutritional value(IMO) and destroyed without it. I’m open to ALL information!
Is this concept still applicable for someone who experiences that organ “expanding” under the left rib BUT you feel NO pain? Its just plainly discomfort I feel from the feeling of an organ enlarging. Its causing my portions to be smaller, its causing sitting discomfort. My poops are still normal, urinating normal, hunger levels normal. No pain in bladder or intestines. Simply just this discomfort of something enlarged under my left rib. And its been going on for 2 weeks now, out of nowhere.
Dear Doctor I am an 85 yr old woman I have been having left side abdominal pain since a year. The doctor had done various tests colonoscopy endoscopy enterography found helli bacteria. Was on Omeprazole. Till date I have no relief from pain which is more at night. Also intestinal pouches were found. Can you please advise
I have pain in the morning after waking. I stop eating at 7 or 8pm the night before and stay upright until 10 or 11pm. I am taking hcl betaine for low stomach acid bitters and enzymes. I feel this pain when i have had a large meal the night before or even just yogurt and protein powder. I also don’t have a gallbladder and am supplementing with bile salts. I dont know where this stomavh pain is coming from. Could it still be from indigestion? I feel this pain when I wake up in the morning
Could pancreatitis or problems with pancreas cause high protein levels in the blood? I have constant need to urinate especially if I eat carbs or anything sweet. Though most days I eat every 16-20+ hours. Doctors have not been able to establish the actual cause and an alternative doctor believes my organ most in distress is pancreas. I do struggle with producing enzymes and due to ibs have been told to eat foods that are well cooked in order to have easier digestion. Any advice Dr Eric berg? Thanks
Hi Dr. Eric thankyou for your fantastically explained articles. I watch all of them. Can you pls. Talk about symptoms about nausea after eating. Not all the time though and I also have stomach staples from when I was 25years old (now 55) and I had lap banding in 2008. I had my Gall Bladder taken out (still angry with myself for doing it as none of my symptoms went away). Thankyou
So I’m getting over pancreatitis right now and it’s been DAY6 and I’ve been on a clear liquid diet and sort of a brat diet but I’ve only been eating wheat thins. Today is the second day I’m not having any pain in my stomach so I’m wondering how long should I wait until I start eating regular whole food again?
I started noticing pain on my right side rib after i did 7day dry fasting, i noticed my rib on my right side slipping n shifting, because i had lost alot of weight. the pain is getting worse. I tried exercising stretching, pain goes away and it comes back after some time. What freaks me out is i had a dream, a doctor telling me i have a turma on my right side affecting my bladder flow, i am scared!
My pain is in the center, at the end of my sternum. When bad, seems to go right through to the center of my back. What could that be? I am on a keto diet. Eat a good amount of salads and vegetables and only drink one to two cups of coffee daily. Pain comes and goes. Sometimes not for weeks, then Wham! It shows up again.
Hi Dr Eric Berg,thanks a lot for your articles,with the information you and fellow knowedgable people, I was able to reduce my medication from 4 tablets to one… I have type 2 diabeties, when doctors investigated recently they told I have heavy calcium deposits on my pancreas and it shrunk more than 50%.. How to reverse this situation naturally.
I am confused. I started getting this pain when I started the keto diet. It’s not my first time on this diet but it’s the first time this happens. I don’t drink alcohol, and currently fast every day due to Ramadan. I cook homemade meals at home from Diet Doctor recipes and don’t eat junk. Yet I still have a constant dull ache. Sometimes a few hours after eating it even burns when I lie down at night. So what can be the problem?
Hello doc. I’m doing lchf ( I don’t have a machine to check ketosis ) but o stay under 20 net carbs per day. I also do IF, generally I do not have problems, except for gut issues since I’ve just started keto. Today I did 18 hrs fasting and broke it with lettuce ruccola salad, chia coconut cream pudding, beef liver and some grams of cauli. And then I had this irritation under my left Ribes :(. What should I do ?
6:07 – I can’t make out what you are saying increase the amount of – – – you are consuming ? I have had left side abdo / chest swelling for over 18 months with no diagnosis……. my GP’s are not interested, hospital doesn’t want to know because I’m not actually dying at the moment when they see me and I’m being told that it’s anxiety…… I’m at my wits end and just want to go back to normal…… fatigue that apparently is because I’m apparently obese and lazy?…. basically what they said in a roundabout way…….. when my mind says do this but my body wont let me….. just walking to the toilet is sometimes an effort…… 18 Months ago I was able to run / sprint and now I get breathless just walking up the stairs….. countless ECG’s say my heart is fine so I don’t know what to do to sort this all out…… my GP is only interested in 1 symptom and when I mention several then see me as the boy who cried wolf……. I wish I could win the lottery and pay someone like you to find out what is wrong with me…… everything my GP does with blood tests keeps coming back as normal and then they don’t believe me……. doesn’t help now bc covid……. I know there are people in similar or worse situations but I’m getting to the point of giving up on living a normal life….. I’m not skinny but I’m not obese my waist is around 36 inches and I see people walking around double my size perfectly healthy ARRRRRGH!!!!!
Thank you Dr. Berg! What would you recommend to eat if you cannot handle a lot of fat? If our body gets only little carbs AND little fat there are only proteins left. And eating mainly proteins isn’t a great idea, is it? I mean, you could eat mainly fish, but that would also cause a heavy metal issue I guess…
Thank you so much for your articles..I live in Italy and I must say I eat healthy following the Mediterranean diet without meat…I have had pains on both sides..they seem to switch often from left to right with a pain in the middle of my back and nausea…I really can’t stand it anymore..I would love to try a keto diet but I have ckd and too many proteins are not good for my kidneys i eat alot of friut and veggies and legums and cereals..my doctor doesn’t really give me much information, he’s a bit on the old side and gives you an aspirin for just about everything…I do if often as I feel better..but I really would like to get to the bottom of this as I’m tried of being ill.. thank you for your help
I started getting these issues after I started doing IF and keto. I was on OMAD for more than a year. I just started eating 3 meals a day because I thought that I’m not able to digest so much food in one meal. It’s difficult to get myself to eat two meals now. It’s almost as though I’m forcing myself to eat smaller two meals. My bloating and stomach pain seems to have reduced. I don’t eat junk or high carbs. When i eat more than 100gms of cottage cheese, the pain triggers again. I love cottage cheese, but I’m going to avoid it.
I have Chronic Exocrine Pancreatic Insufficiency post covid-19 infection, I am now on PERT for life. My gut is destroyed, esophagus, and liver will never be the same! I went from extremely active, and keto, OMAD, 2MAD, and fasting… To sick as hell and barely have any energy to clean or get up out of bed. I’m so heartbroken. My doctors both gastroenterologist, and internist said it will take a long time to heal from covid how it got me in my gut. Is it safe to fast immune reset with CEPI? Can I go keto again with it? I have been cycling keto for well over a decade. I’m hypothyroid and never could lose weight without serious or extremes. I’m so lost and was always so on point I can’t even work my normal gigs anymore. 😪
Read a Medical Study yesterday (UK) which claimed that people who consumed a high caffine diet have alot more good gut bacteria, the study was only on Males aged 18-30, I wonder if Dr Berg may read this comment and do some research and a future article, as I know he isn’t big on high caffine throughout the day as it burns out the Adrenal Glands. But I’m highly addicted to the stuff and would like to think it maybe doing some good as well as the Bad.
How can I get a doctor visit with you Dr berg? My problems are returning after I made that comment on your other article the other day. Severe constipation has returned. 15 years now and I’m suffering at my end of trying. I can’t believe I’m about to give up and go to the hospital which I’m against. Don’t know what else to do. I’m dying
If the doctor tests you for everything and all comes back negative, it might be mold that is causing constipation. had and endoscopy and colonoscopy, sibo breath test, pathology sample of what looked like gastritis, ultrasound shows gallbladder and liver good. Even blood tests show all good, but still pain in lower left abdomen and chronic constipation. Currently taking minced garlic with oregano and charcoal. And when no movement get the magnesium citrate. mold probably exposed when ate a moldy muffin that just had a patched removed. Plus a lot of pain medication and antidespressent probably did a lot of damage as well. But currently treating this as mold. still no fix action, and after endoscopy doc said all pathology test came back clear and to come back after 5 years when it gets worse. Any tips on how to get rid of mold from body would be greatly appreciated.
Hi Dr. I have a question, I have a pain in my upper left side and the pain for one month now and this pain sometimes disappear and sometimes gets back again. Since yesterday, the pain come back but more than before and I still have right now. I don’t know what exactly I have .. So can you please tell me what the cause of this pain?
I have a nagging pain in the upper left abdomen and when you touch it with a little pressure just under the rib, directly in line with the left nipple I get a sharp stabbing pain immediately. It hurts so bad for a split second and then starts to subside to almost no pain or a dull nagging pain again. When you forst press on the painful area it will almost bring me to my knees. That is how sharp the pain is. Please any help would be so appreciates 🙏
Thanks, Dr Berg. Great information as usual! I sure wish you were my Dr! My dr and GI specialist don’t seem interested in looking into my issues. 3 yrs of a sensation of burning/pulling below my left rib cage that radiates to my back. Have to lie down to help it subside but in the morning it feels worse lying & Have a lower backache, gas, like an inner tube around my abdomen. Severe constipation, NOTHING helps. Doing lazy but healthy Keto, IF 6:18, 90 oz water daily, Probiotics, fiber supplements bind me up worse! My rib/side issue has improved quite a bit since starting this diet but nothing helps me eliminate! Rarely an urge also. Help!
I ve been going to my doctor About this kind of pain for years it feels like I have a swollen knot sometimes. It was worse before I had my gallbladder out but it’s not gone. My liver was enlarged for a couple of years until I lost some weight and changed my diet. I still feel pain sometimes. Also my diaphragm is elevated on the left side and has been for over 10 years but I just found out a couple of years ago, could it be the diaphragm?
Left side pain sent me to the emergency room..after a C.T. and pain meds nothing was found. A trip to my doctors office resulted in him telling me the emergency room doctor thought I was an alcohol abuser..no I told them after doing clean Keto I had splurged by eating a handful of gummy bears the night before. Lol
Hi doctor, plss give me rply for this message I am from India …. Same problem left side pain and straight neck and throat pain left side … went to doctor he said some infection nd given antibiotics but no use still I am getting Pain in my left side stomach … plsss tell me diet .. I want to cure naturally because from 2 months to I am taking medicines but no use
Dr I have pain on the left side and it aches going up around to the back under the shoulder blade. I’m waiting to see the gastrontologist . Weird thing is though, I grabbed a rebar rod and pushed it into my abdomen like acupressure. It worked seriously I have some pain but I’m comfortable. It’s crazy 🤣
This week I developed left side pain and went to urgent care. They want me to do stool sample. It hurts when I eat or drink . I did a day of bone broth water and only ate very eve if day still hurt. All I had to day was a snack I’m loosing weight because I’m not eating much maybe a meal a day it hurts so bad I did low carb two months but got off wagon in august. Can that cause this pain?
Dr Berg, I need help! I tried your healthy Keto for 3 months but the left side pain under the rib got so bad, I couldn’t take it anymore. I was taking your gallbladder formula with each meal. It just got worse and worse. My carbs were under 20g and I took it down to 10g. Got worse. It seems like the more fat I eat, the worse it gets. I’m about a week into eating carbs again and the left side pain is gone. Another symptom I had on healthy Keto was low energy and leg weakness going up the stairs. Both the stair problem and the left side pain have never happened to me on a typical carb diet. The leg weakness has now gone away back on carbs. This was my second attempt at Keto and both times were so awful. Both times no cheating and both times I felt absolute garbage the entire time. I don’t know what to do!
I can’t digest raw veggies and have terrible IBS. My diet has been fairly good the past 2-3 years. Didn’t drink much in my earlier years stopped completely 4-5 years ago. Ultrasound no gallbladder issues or pancreas seems ok based on clarity. Both amylase and lipase above normal but LESS than double the high end for both. No idea how I can eat raw as it triggers ibs and indigestion/undigested food also.
Dr Eric,Pls give me some advice becouse I don’t know what I should I do．advice Good food . about my Cancer .I leave her in Japan Accually I have a Pancreatic Cancer 2 years ago I have a operation to get my pancreas .after that they have a good recovery to my Cancer after a couple of months they have again discovery Cancer again until right now.this time,everyweek I have chemoteraphy until now but my Doctor told me it’s too difficult. that’s it.he told me did not me direct to the point what is that mean .My Doctor told me .if you have a recovery this time to your chemoteraphy you have chance.if not I have to be honest with you .my Doctor told me .Dr Eric can you pls give me some advice Good food to my Pancreatic .& what kind of food. this time I blender beets,banana,Spinach,something like that,but sometimes ❗️if I eating meat my Pancreas it’s Pain .thank you so much Dr Eric ✌🏻🥰☺️