### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
CAN DIPHENHYDRMINE IN ZZZQUIL CAUSE MY LIVER ENZYMES TO BE HIGHER. I WENT TO THE DOCTOR BECAUSE I HAD SOME BLOOD WORK DONE AND MY LIVER ENZYMES CAME BACK A HIGH. THE NIGHT BEFORE I COULDN T GO TO SLEEP AND TOOK A LOT OF ZZZ QUIL AT 10 PM AND 3:30 AM. I WENT TO THE DOCTOR AT 8:00 AM THEY DID BLOOD WORK AGAIN AND THE RESULTS CAME UP HIGHER THAN THE LAST TIME. I HAVE T DRANK ANY ALCHOHOL IN A MONTH. AND EXERCISE REGULARLY AND AM IN A LOW CALORIE DIET .

### output:

Hi Noisy, Diphenhy Chat Doctor.  The medication is metabolized in the liver, however it is not toxic to the liver. Jonquil does not have acetaminophen or Tylenol which is the one that most commonly can cause liver toxicity. Many other issues can alter your liver enzymes, and it depends on which enzymes were elevated and how high above the normal values. Common causes of liver enzyme abnormality include (but not limited to): alcohol, fatty liver, hepatitis B, hepatitis C, certain medications, stones in the biliary tree, autoimmune liver disease. If your liver enzymes are persistently elevated you should discuss with your doctor regarding further laboratory evaluation and depending upon results then an abdominal ultrasound. Hope that helps.