I had some questions about liver enzymes going up? I had hellp & pre-e during my first pregnancy which sadly ended in a loss at 24 weeks 4 days... I had elevated enzymes in the 200-300's starting at around 17 weeks with itching and was diagnosed as having cholestasis. Around 23 weeks I started having chest pains and heartburn and was not taken seriously. I had a seizure and was rushed to the emergency.
After delivery my enzymes, platelets or bp were not normalizing so I was given a biopsy and a diagnosis of autoimmune hepatitis and was on prednisone & imuran for 4-5 months I got off everything in September and got pregnant again in December I am now 24 weeks 5 days and am being watched very closely by my MFM and hepatologist... I am getting lab draws every week for the past 3 weeks from every 2 weeks since the beggining of pregnancy. The last 3 weeks I have noticed an upward trend and my enzymes are now 26 & 35 normal at the lab is (0-37 & 0- 65) from 20 & 30 : 3 weeks ago? I am extremely stressed about having to deliver early. Last check no protien in urine? Should I demand another 24 hr urine? My bp is good 110-120/70-80. Which is pretty normal for me..my bp non pregnant is around 110-75ish... It seems we are just watching and waiting but anyone been through or heard of anything like this. I am seeing my MFM weekly and doing growth us every 4 weeks? Since things are/were going well. Is there something I can request/ or demand to help my care? My MFM said she would start the bpp & nst at 32 weeks? My hepatologist said that this can be normal fluctuation but we need to watch closely and if they are any big increases be seen and I'm sure he will start me on steroids and or imuran? But does this sound like an Autoimmune issue? Or more hellp & preeclampsia related? Is there anything I can do.. I'm trying to watch my sodium intake, and not eat a lot of beef to not put strain on my liver. Any other recommendations?
I just got back from seeing my Rheumatologist and she didn't think there was any reason to start any medication or be concerned... She gave me an appt. in 5 weeks I think for my own sanity.