Q: high alt (82, normal is <79) is this high? could this be the cause of my nausea/digestive problems? i have fatty liver.

Probably ok: But may be the result of your fatty liver. Is your liver being followed by CT to be sure there is nothing else wrong?? Most likely you problem is from something else. Continues working with your doctor. It might be inflammation of your stomach lining. Hope you feel better . I'd avoid all alcohol and spicy foods.

Q: in my early twenties. i have felt unwell for 2 years. the only blood work abnormalities is a wbc of 3, and alt 121 for several months. also fatigue and digestive issues. ct scan normal and endoscopy normal. should i get a liver or bone marrow biopsy?

Need to examine: It is not feasible to provide a meaningful opinion without taking additional history, physical examination and may be some tests. It would be prudent to see your doctor and discuss if you may be depressed. Counter-intuitive as it may seem, exercise may help. Start with low intensity exercise such as walking and gradually increase the intensity as tolerated. Wish you good health!

Q: could alt return to normal if you have wilson's disease and it's not treated? could it randomly return to normal or would it increase?

Needs treatment: There may be minor variations in the enzyme levels due to unrelated causes, but wilson's disease does not remit on its own and can lead to catastrophic liver failure.

Q: my alt level is 53. i have gum disease, could this be the cause?

See a periodontist: It is very important to see a periodontist if you experience any of the symptoms of gingivitis or other periodontal disease. A periodontist is a dentist specializing in the prevention, diagnosis and treatment of gum disease and alveolar bone resorption.

Q: is the ast:alt ratio really that important in liver disease? mine constantly fluctuates.

Serially monitor: A high AST/ALT ratio can be serially monitored to track alcoholic liver disease (eg cirrhosis). Fluctuation in a narrow range may be physiologic, but trends over time are more worrisome. See a hepatologist for further evaluation and discussion. http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/hepatology/guide-to-common-liver-tests/

Q: can low dose pravastatin be used with gilberts disease and mildly elevated ast / alt ?

: Your liver function tests should be monitored very carefully while on the statin and if the AST and ALT begin trending higher, then the statin may need to be stopped. So, get the blood tests checked a couple of weeks after starting the statin and then monthly for a few months after that. Your doctor can order the tests for you. Best of luck to you!

Q: alt 65, hep b, c negative with other liver test normal. doc advised syrup silliver. what disease i have? doc did not tell me & directed not to worry

Tx the pt, not the #: The numbers you present, don't mean much to a physician because it lacks clinical context- why was the test done in the first place? Are you on meds that can affect your WBC counts. More troubling is the prescription for silver colloid. Though silver has antimicrobial features, there is no definitive benefit whatsoever from "silver syrup" or other silver liquid forms.

Q: random blood test shows ast 108 alt 283 should i be concerned with severe disease of the liver. no other symptoms?

: This level in the thousand range suggests severe disease, 500's active hepatitis. The sited numbers can reflect an asymptomatic liver irritation from a transient viral infection of flu. I would repeat the test in a month or two and expect it to return to your baseline. Please discuss the values with the doc who knows your history and exam findings.

Q: blood test scares me, my gpt (alt) is 48, the range is 10-40, does it mean i have liver disease? i don't drink, i don't smoke, i have no symptoms.

Abnormal AL T: ... Can be a sign of liver disease, but when the other liver tests are normal, it most likely will turn out not to be a big problem. It is important for you to have a repeat set of liver tests in a few months, to be sure that it has gone back to normal, however. If it is still abnormal, good further testing may be necessary. Be sure to follow up. Good luck.

Question 1

can digestive disorders cause elevated alt/ast enzymes, liver is clean according to scan but elevated liver function dizziness & nausea persist 4months?

Accepted Answer

Blood tests are: Just that, tests.  Scan is an image, a picture.  You didn't say how elevated your liver enzyme tests are, but if they are really high and stay there or get worse, it means that your liver cells are not working well, even though your liver's image is good.  Ask your doctor who ordered the  tests why you still have nausea after 4 months.  Could be hepatitis.

Question 2

high alt (82, normal is <79) is this high? could this be the cause of my nausea/digestive problems? i have fatty liver.

Accepted Answer

Probably ok: But may be the result of your fatty liver. Is your liver being followed by CT to be sure there is nothing else wrong?? Most likely you problem is from something else. Continues working with your doctor. It might be inflammation of your stomach lining. Hope you feel better . I'd avoid all alcohol and spicy foods.

Question 3

in my early twenties. i have felt unwell for 2 years. the only blood work abnormalities is a wbc of 3, and alt 121 for several months. also fatigue and digestive issues. ct scan normal and endoscopy normal. should i get a liver or bone marrow biopsy?

Accepted Answer

Need to examine: It is not feasible to provide a meaningful opinion without taking additional history, physical examination and may be some tests. It would be prudent to see your doctor and discuss if you may be depressed. Counter-intuitive as it may seem, exercise may help. Start with low intensity exercise such as walking and gradually increase the intensity as tolerated.  Wish you good health!

Question 4

could alt return to normal if you have wilson's disease and it's not treated? could it randomly return to normal or would it increase?

Accepted Answer

Needs treatment: There may be minor variations in the enzyme levels due to unrelated causes, but wilson's disease does not remit on its own and can lead to catastrophic liver failure.

Question 5

my alt level is 53. i have gum disease, could this be the cause?

Accepted Answer

See a periodontist: It is very important to see a periodontist if you experience any of the symptoms of gingivitis or other periodontal disease. A periodontist is a dentist specializing in the prevention, diagnosis and treatment of gum disease and alveolar bone resorption.

Question 6

is the ast:alt ratio really that important in liver disease? mine constantly fluctuates.

Accepted Answer

Serially monitor: A high AST/ALT ratio can be serially monitored to track alcoholic liver disease (eg cirrhosis). Fluctuation in a narrow range may be physiologic, but trends over time are more worrisome. See a hepatologist for further evaluation and discussion. http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/hepatology/guide-to-common-liver-tests/

Question 7

can low dose pravastatin be used with gilberts disease and mildly elevated ast / alt ?

Accepted Answer

: Your liver function tests should be monitored very carefully while on the statin and if the AST and ALT begin trending higher, then the statin may need to be stopped. So, get the blood tests checked a couple of weeks after starting the statin and then monthly for a few months after that. Your doctor can order the tests for you. Best of luck to you!

Question 8

alt 65, hep b, c negative with other liver test normal. doc advised syrup silliver. what disease i have? doc did not tell me & directed not to worry

Accepted Answer

Tx the pt, not the #: The numbers you present, don't mean much to a physician because it lacks clinical context- why was the test done in the first place? Are you on meds that can affect your WBC counts. More troubling is the prescription for silver colloid. Though silver has antimicrobial features, there is no definitive benefit whatsoever from  "silver syrup" or other silver liquid forms.

Question 9

random blood test shows ast 108 alt 283 should i be concerned with severe disease of the liver. no other symptoms?

Accepted Answer

: This level in the thousand range suggests severe disease, 500's active hepatitis. The sited numbers can reflect an asymptomatic liver irritation from a transient viral infection of flu. I would repeat the test in a month or two and expect it to return to your baseline. Please discuss the values with the doc who knows your history and exam findings.

Question 10

blood test scares me, my gpt (alt) is 48, the range is 10-40, does it mean i have liver disease? i don't drink, i don't smoke, i have no symptoms.

Accepted Answer

Abnormal AL T: ... Can be a sign of liver disease, but when the other liver tests are normal, it most likely will turn out not to be a big problem. It is important for you to have a repeat set of liver tests in a few months, to be sure that it has gone back to normal, however. If it is still abnormal, good further testing may be necessary. Be sure to follow up. Good luck.

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Doctor answers about:

Digestive disorders and alt

A member asked:

Can digestive disorders cause elevated alt/ast enzymes, liver is clean according to scan but elevated liver function dizziness & nausea persist 4months?

A member asked:

High alt (82, normal is <79) is this high? could this be the cause of my nausea/digestive problems? i have fatty liver.

A member asked:

In my early twenties. i have felt unwell for 2 years. the only blood work abnormalities is a wbc of 3, and alt 121 for several months. also fatigue and digestive issues. ct scan normal and endoscopy normal. should i get a liver or bone marrow biopsy?

A member asked:

Could alt return to normal if you have wilson's disease and it's not treated? could it randomly return to normal or would it increase?

A member asked:

My alt level is 53. i have gum disease, could this be the cause?

A member asked:

Is the ast:alt ratio really that important in liver disease? mine constantly fluctuates.

A member asked:

Can low dose pravastatin be used with gilberts disease and mildly elevated ast / alt ?

A member asked:

Alt 65, hep b, c negative with other liver test normal. doc advised syrup silliver. what disease i have? doc did not tell me & directed not to worry

A member asked:

Random blood test shows ast 108 alt 283 should i be concerned with severe disease of the liver. no other symptoms?

A member asked:

Blood test scares me, my gpt (alt) is 48, the range is 10-40, does it mean i have liver disease? i don't drink, i don't smoke, i have no symptoms.

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