hello der causes of elevated liver enzymes are * Hepatitis A     * Hepatitis B     * Hepatitis C     * Nonalcoholic fatty liver disease     * Obesity     * Over-the-counter pain medications, including acetaminophen (Tylenol, others) Other causes of elevated liver enzymes may include:     * Alcoholic hepatitis     * Autoimmune hepatitis     * Celiac disease     * Cirrhosis     * Cytomegalovirus (CMV) infection     * Dermatomyositis     * Epstein-Barr virus     * Gallbladder inflammation (cholecystitis)     * Heart attack     * Hemochromatosis     * Hypothyroidism (underactive thyroid)     * Liver cancer     * Mononucleosis     * Muscular dystrophy     * Pancreatitis     * Polymyositis     * Toxic hepatitis     * Wilson's disease swelling of face and lower limbs may be due to renal problem consult physician for further evaluation and treatment.