I received a phone call from my OB today asking me to come into the clinic this afternoon. She received some of the results of my testing and wants to re-test me to get a clearer picture of what is happening.
She will not receive the bile acid results from Mayo Clinic until Friday or so, but she did receive my liver enzymes (from the HELLP panel) back and they are high. She also said my "alt" is high, but I have no clue what that is. She does not think I have HELLP, but wants me to have my blood pressure done today to make sure it is not elevating. She is also going to check my urine to make sure that protein is not spilling into it, which is a symptom of pre-E and HELLP. And she is going to re-test my liver enzymes to make sure they are not increasing too quickly.
She thinks that I may have a condition called cholestasis, but won't know for sure until she gets the bile acids results back from Mayo and views the information from my appt today. I have a Labor and Delivery nurse friend, who is also an IF'er, who explained that this condition can increase the chances of fetal distress, preterm labor, and worse case scenario, stillbirth. My OB told me today that if I do have this condition, and depending on the severity, that they may look at delivering the babies at 36-37 weeks.
Obviously this is not ideal. As much as I want to be done with this pregnancy, this is not at all what I was hoping would happen. I wanted a nice, clean way to evict them from my uterus, not a medical condition/scare that will leave me worrying about their health and survival.
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6 comments:
I'm sorry for the stress. ALT (Alanine aminotransferase) is one of the liver enzymes checked in a standard hepatic panel. It is indicative of inflammation or damage to the liver if it is elevated, but it really depends on what the other enzymes look like and how high it is. I hope you get good news with the rest of your results and that your BP is good with no protein in the urine. Thinking of you.
Oh Kris! :( I am so so sorry that you are having to worry about all of this! I hope that everything checks back normal and its not as serious as they think. Praying that the babies continue to thrive and that the test results come back better this time around! :)
Kris I'm thinking of you & hoping your appointment this afternoon can clear put your mind at ease. I'm praying for you and the babies & please let me know if you need anything. I'll be in Mpls next week hon.
Sheri
Oh yuck! I know you wanted to move on to the next chapter but not like this! I hope your results turn out okay...and everything is mild. It sounds like your doctor is on top of it, though. Please keep us in the loop. Hugs.
Kris, how scary!!! I can't help but think of your cop friend when you say HELLP and know you must be really scared. I hope you're ok and that all tests come back perfect. Thinking of you and your babies.
Oh geez...very scary to get that kind of call from the doctor. It's also frustrating that it takes so much time to get results back when so much hangs in the balance. I hope you and the boys are doing okay and will be able to hang in there a little longer.
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