Question 1

could alt elevated to 76 mean i have cirrhosis?

Accepted Answer

Not per se: A person with cirrhosis could have an elevated ALT. However most people with mildly elevated ALT do not have cirrhosis. More information is need to evaluate you for cirrhosis and you should consult your doctor for a physical and may be addition tests, including imaging study.

Question 2

alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. nafld or nash?

Accepted Answer

Your presumption: Could be right. Get checked for alcohol induced , viral or autoimmune hepatitis. Avoid taking tylenol, (acetaminophen) drinking alcohol. Take care!        http://www.mayoclinic.com/health/elevated-liver-enzymes/my00508.        http://www.herbalprovider.com/liver-enzymes.html.

Question 3

normal abdominal cscan w/ contrast. all organs normal. normal bloodwork, w/ the exception of alt elevated to 115. what is ruled out here?

Accepted Answer

What?: 90% of all diagnoses are made with a history and physical examination. Lab tests and x-rays can help narrow the field, but are not as good as a good doctor. Normal labs can help rule out certain conditions; however, if the history and physical examination are convincing, the labs can be wrong. Without the entire story, nothing can be ruled out. You need the guidance of your treating physician.

Question 4

are ast and alt elevated in the chronic pancreatitis?

Accepted Answer

Sometimes: Usually amylase and lipase.

Question 5

got results of lft test, alt elevated at 130, previously 19. bilirubin slightly up, all others normal. not overweight, no alcohol/meds. any ideas?

Accepted Answer

Liver enzymes: Elevated alt indicates some degree of liver cellular inflammation.  Since you are not on meds or alcohol, i would suggest checking your blood for viruses like hepatitis c, ebv, cmv. Also check an iron panel and get an ultrasound of your abdomen.

Question 6

ast elevated (65), alt elevated (50) and total bilirubin elevated (3.0). all other enzymes are normal. is this significant??

Accepted Answer

Elevated Bilirubin i: Elevated Bilirubin is concerning. Elevated AST and ALT are mild. You need to see liver specialist ( Hepatologist)
and have more testing.

Question 7

though alp is within normal range, it is elevating, with ggt, ast and alt elevated  to 69 u/l, 69u/l and 113 u/l. what could this mean?

Accepted Answer

Need work up : Elevated liver enzymes should be repeated off alcohol and any meds that are not essential. If still up, you need to be tested for hepatitis B and C, hemochromatosis, Wilson's, and autoimmune hepatitis. Your liver might actually just be asking you for more exercise. Best wishes.

Question 8

liver alt elevated -mrcp and fibroscan nrml.no hep,drugs,alcohol,not fat, wilsons autoimmune etc what could it be? ~2xuln all common things checked.

Accepted Answer

AST is normal?: so ALT elevation is the only abnormality?  with all negative workup to date?  NASH still most likely, even if you're not overweight.  if your waist-to-hip ratio is more than 0.8, would consider trying to lose 5-10lbs and see if normalizes. if not, a biopsy may be in order.

Question 9

bili  ast alt elevated over a yr alt ast is now normal it has been double. bili is 1.3 total and direct 0.24.have fatty liver could it b cirrhosis?

Accepted Answer

Not necessarily: Fatty liver disease has become one of the leading causes of liver disease.  If your AST and ALT are normal, then the treatment you are taking may be working.  This includes weight loss, diabetes control, avoiding toxins such as alcohol, some medications.  I do not think your slightly elevated bilirubin is from fatty liver, this could be coincidentally Gilbert's syndrome, a benign enzyme deficiency

Question 10

25 years old. normal cbc, hep test but alt elevated at 200, a lot of acne of chest and shoulders, changes in nipples becoming oval and feeling unwell. no drugs or alcohol. should i get my hormones check or a liver biopsy?

Accepted Answer

Your doctor: Talk to the doctor who ordered the test. It is not a do it yourself matter.
Wish you good health!

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Doctor answers about:

Alt elevated

A member asked:

Could alt elevated to 76 mean i have cirrhosis?

A member asked:

Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. nafld or nash?

A member asked:

Normal abdominal cscan w/ contrast. all organs normal. normal bloodwork, w/ the exception of alt elevated to 115. what is ruled out here?

A member asked:

Are ast and alt elevated in the chronic pancreatitis?

A member asked:

Got results of lft test, alt elevated at 130, previously 19. bilirubin slightly up, all others normal. not overweight, no alcohol/meds. any ideas?

A member asked:

Ast elevated (65), alt elevated (50) and total bilirubin elevated (3.0). all other enzymes are normal. is this significant??

A member asked:

Though alp is within normal range, it is elevating, with ggt, ast and alt elevated to 69 u/l, 69u/l and 113 u/l. what could this mean?

A member asked:

Liver alt elevated -mrcp and fibroscan nrml.no hep,drugs,alcohol,not fat, wilsons autoimmune etc what could it be? ~2xuln all common things checked.

A member asked:

Bili ast alt elevated over a yr alt ast is now normal it has been double. bili is 1.3 total and direct 0.24.have fatty liver could it b cirrhosis?

A member asked:

25 years old. normal cbc, hep test but alt elevated at 200, a lot of acne of chest and shoulders, changes in nipples becoming oval and feeling unwell. no drugs or alcohol. should i get my hormones check or a liver biopsy?

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