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liver enzymes elevated, blood clotting disorder

November 6 2014 at 8:10 AM
De2  (Login De2)

 
and high calcium levels in my bloodwork.

My OB wants me to see a hematologist about the blood clotting problem.

I do not know what is causing the elevated liver enzymes or high calcium levels (since I haven't been taking any calcium supplements, only prenatal vitamins).

 
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Maggie in VA
(Login maggie1961)

Wow, hang in there . . .

November 6 2014, 1:01 PM 

How far along are you now? You know, I know this is one of those easy-to-say-and-hard-to-do things, but try not to worry. See what the hematologist says, and hopefully it's something addressable (and thank heaven it was caught!). {{{Hugs}}} Maggie (in VA)

 
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De2
(Login De2)

Re: Wow, hang in there . . .

November 6 2014, 1:57 PM 

The nurse gave me the lab results and she didn't have a clue what any of it meant. I asked for the OB to call me and explain, haven't heard from him all day. Since these are abnormal lab results, I'd like some kind of explanation instead of just having to wait. The elevated liver enzymes scare me, too. I had those back when my gallbladder was flaring up and then had to have my gallbladder removed, in 2012.

The elevated calcium levels can result from vitamin D supplements (read this online). I'd been taking chewable Vitamin D since January, about 2500 IU every single day. I wonder if that is what caused it.

 
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Butterfly
(Login butterfly1000)

Re: Wow, hang in there . . .

November 6 2014, 2:04 PM 

Recently doctors have been cutting back on the recommended dose of Vitamin D. Our doctor thinks that 1000 U per day is enough and 2500 is too much. This might help on the calcium numbers.

B

 
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De2
(Login De2)

Re: Wow, hang in there . . .

November 6 2014, 4:01 PM 

I was taking 2500 IU of vitamin D on the advice of a doctor who thought it would help me get pregnant. I guess now it is too much, probably much stronger too since its a chewable vitamin.

 
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De2
(Login De2)

Re: Wow, hang in there . . .

November 6 2014, 4:00 PM 

I only found out about these abnormal lab results, when I called in today to ask a question about something else. The nurse claims she had left a voicemail about the lab results from the blood work done last week; however I've checked my home & cell numbers, and there are no messages from the doctor's office about this. If they had informed me much earlier, I could have set up an appointment with a hematologist much earlier. I plan to discuss with the doctor the failure of his nurse to call with lab results.

Also, the OB never called me today to discuss any of this with me.

 
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Renata
(Login reyndog)

Please get to hematologist ASAP

November 6 2014, 2:06 PM 

I don't want to scare you, but there are a few liver conditions of pregnancy that can risk the lives of mother and baby. Please get to a doctor quickly. Will be keeping you and baby in my thoughts.

 
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demomone
(Login demomone2)

Gastroenterologist/Liver specialist

November 6 2014, 7:18 PM 

Handle liver issues not hematologists. See below.

 
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demomone
(Login demomone2)

Elevated liver enzymes

November 6 2014, 7:14 PM 

Not uncommon during pregnancy. You may have obstetric choleostasis. Easily treated.
Since you have other immune disorders, you can ask them to test your ama (anti mitochondrial antibody). There are some liver autoimmune disorders which can be triggered by a pregnancy. I have primary billiary cirrhosis, which was triggered by a pregnancy. Also, nothing to worry about if treated correctly.
The blood clotting disorder is easily treated and glad you are seeing a hematologist for that. I was followed every four weeks during my pregnancy with blood work for three clotting disorders I have. Really, just a pain in the neck to have so many docs involved. If you do have liver elevations, please see a liver specialist. My OB made me go and see mine once a month during my pregnancy.

 
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De2
(Login De2)

hyperparathyroidism & mc risk

November 6 2014, 9:02 PM 

Thanks.
I also have elevated calcium which is often caused by Hyperparathyroidism (I read that its almost always caused by this - 99% of the time). Hyperparathyroidism is very threatening to a pregnancy. Also, the risk goes up if the calcium levels are higher.

If I do have it, I would need surgery to have the gland removed, most likely at the beginning of the 2nd trimester. I am terrified now after everything I have read. I don't see this pregnancy working out very well.

 
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demomone
(Login demomone2)

This is key

November 7 2014, 4:36 AM 

Try to find specialty doctors all at the same hospital so that communication is easier for them and that they can check labs through hospital computer system and compare. They should work together with your high risk doc to get you though this pregnancy. The other thing you should keep in mind is being at a hospital with a level 3 NICU.
My team included my MFM, endo, gastro(liver specialist),hematologist and internist. All of them got me through and were actually in delivery room together right before my section. Baby was whisked to NICU to be checked..all went smoothly, I felt well taken care of.
Don't read the internet..really. Most of the info is not studied and inaccurate and keep in mind, most of what they are writing is based on worse case scenerios. If you must read at home and you can follow some medical terminology, go to Pubmed.
Have faith and think that all will be good.
Are you in NY? If yes, I can help you with referrals to specialists at Cornell, where they have the type of NICU you want. Also, the top liver specialist in the country. It is hard to get into his practice but he may be challenged by your case. He works out of Columbia but does one day at Cornell.


    
This message has been edited by demomone2 on Nov 7, 2014 4:41 AM


 
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De2
(Login De2)

thanks so much, and yes (mc ment)

November 7 2014, 6:12 AM 

your information is VERY helpful. I am in dallas however not New York. I will find out if my hospital has level 3 NICU.

The high calcium scares me more than anything else. More than the liver enzymes or blood clotting disorder. I try not to google search, but I have read NOTHING good about high calcium levels during pregnancy. It is associated with high risk of miscarriage, most commonly occurring during 2nd trimester. One website said 85% chance of miscarriage! I already had a miscarriage in the 2nd trimester due to parvo virus. My luck is very, very bad.

If the high calcium is due to hyperparathyroid, it will require surgery during pregnancy. Not good. If it isn't hyperparathyroid, I don't know what they can do to clean the high calcium levels out of my body. I am not going to be eating any dairy products until I find out more about this.

I will check out PUb Med and see what they say. My OB never called me back yesterday, so I was left with nothing but the internet. I have an apt with a hematologist today.

I would like to be hopeful, but I feel this pregnancy is doomed, the only consolation I have right now is that I still have 3 frozen embryos.

 
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BlessedThistle
(Login Blessed_Thistle)

Do you take magnesium?

November 7 2014, 6:38 AM 

They compete for the same pathways - I know you will want to look further into it but it's something to investigate. I hope all is well for you. I agree the internet is evil at times like this. I did no retrospect look at pubmed regarding some issues my kids had and am very grateful to have not known then what I know now (post operative mortality rates etc). Hang in there...may you find out good news soon, or at least hopeful news.
CafeMom Tickers


CafeMom Tickers

 
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De2
(Login De2)

no but

November 7 2014, 7:28 AM 

should I take magnesium? If it will help lower my calcium, I will take it.

The problem is I was taking vitamin D (2500 IU per day) and chewable calcium supplements for many months, on the advice of a doctor who was a miscarriage specialist. Now, I wonder if I over did it.

 
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demomone
(Login demomone2)

OK..this is what I think

November 7 2014, 1:56 PM 

1. You doctor would be extremely aggressive if he thought you were at risk.
2. High calcium can certainly be caused by too much Vitamin D..
3. Do we know exactly how high that calcium level is? It could just be borderline. People often get anxious about any positive results.. It is important to see just how high those numbers are.
4. A really cautious doctor would repeat the test, if this was a high result for the first time. Or immediately send you for additional tests to protect you and your fetus.
5. Start thinking positively about your pregnancy. I had 13 losses before my success, most of them after the first trimester. Keep saying to yourself..this is the one.
6. STOP reading the internet...as far as I am reading from your posts, no one has offically confirmed about your parathyroid. If you have any thyroid disease, find yourself an endo who specializes in fertility and pregnancy issues. They exists and can usually be found through fertility centers.
7. I may be forward about this but I think you may have some ambivalent feelings about your pregnancy. It's normal and we all have been there. After so much struggle, you are finally here. You may want to stop and think about that or even go and speak to a therapist who wroks with fertility patients.

I will be praying for you and hoping to hear only good news!

 
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De2
(Login De2)

thanks

November 7 2014, 2:07 PM 

I found out today my calcium level is 10.6. My OB says this is "borderline" high. Normal range would be under 10.3. He said in his opinion, I probably don't have hyperparathyroidism (PTH).

However, I went to the hematologist today and asked for the blood test for this. The bloodwork results should be back on Tuesday. She, however, knows nothing about elevated calcium in blood! I was shocked. She had no advice and no opinion.

There is a lot of scare stuff online about high calcium and hyperparathyroidism, especially with regard to pregnancy. Its hard to ignore it sometimes.

I made an appointment today with an internist but don't know if they can help me with this calcium issue, or if I should see an endocrinologist instead.

 
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demomone
(Login demomone2)

hi

November 7 2014, 3:23 PM 

That level is probably due to the Vitamin D, which I hope you have stopped taking for now. You were on too high a dose.
Ask your internist if you need a consult from endo but if your antibodies are all clear, I think you are OK..what about the liver enzymes?

 
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De2
(Login De2)

liver

November 7 2014, 4:13 PM 

The liver enzymes were just slightly elevated also.

I believe I may have a fatty liver. I had liver problems in 2012 when I had my gallbladder attacks, and then had the gallbladder removed. It is possible I have some permanent liver scarring from that.

I have to see a gastroenterologist to get more information on the liver problem.

 
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demomone
(Login demomone2)

Heres a question

November 7 2014, 6:09 PM 

Who ran all of these bloods for you and why?
Was it your RE or your OB?
Were you not feeling well or was this part of a pregnancy workup?
I think you should take all of the results to your internist and let him tell you what needs to be done.
Your OB is trained in OB, not all of the other issues you may or may not have. He is right to send you out for consults.


    
This message has been edited by demomone2 on Nov 7, 2014 6:13 PM


 
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De2
(Login De2)

Re: Heres a question

November 8 2014, 7:04 AM 

My OB runs all these blood tests as part of a pregnancy work-up. It is standard blood testing for patients who come in to his office and are pregnant.

I had no health issues other than being pregnant. In fact, I am surprised I have these elevated levels of calcium and elevated liver enzymes. I have felt just fine, other than being pregnant.

 
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