Conversation: The conversation between human and AI assistant.
[|Human|] I have a MCV level of 103. it has increased from 100 over the last 6 months.. My Dr. ordered a liver count and here are the results below. Total Bilirubin 16 Alkaline Phosphatase A 31 42-116 U/L Gamma GT 10 10-58 U/L ALT 12 Thyroid Function TSH 0.50 0.27-4.2 mU/L Alk is low and with the MCV being 103 would suggest that a ultrasound on the liver.. over the last month, I have had nausea symtoms all throughout the day. that present like morning sickness. Other symptoms would include pain in my upper right quad, tiredness, bags under my eyes, over the last yr incressed loss of hair.. was prescribed periet 20 mg od to r/o any stomach issues that could be causing the nausea..
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. You have high MCV that suggest larger size of RBC. That is commonly seen in vitamin B12 deficiency, liver disease and hypothyroidism.  You also have upper right qua Chat Doctor.  So it suggests some liver disease, but your tests are normal except slightly high bilirubin.  You should go for ultrasound abdomen, serum B12 level and T3,T4 and TSH level.  This will help you find the exact cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.