Question 1

My nine yr old has elevated levels of esr, ast & alt also anemic she has hashimoto syndrome she complains of intermittent pain on her left side?

Accepted Answer

I thought Hashimoto's disease involves the thyroid. It would not have anything to do with the elevated AST and ALT. These enzymes suggest some kind of liver involvement. An elevated ESR may mean that there is some inflammatory process going on in the body, but the intermittent pain on the left side does not fit with any of the above. Bottom line, your child's doctor will have to check him/her out

Question 2

I have autoimmune hepatitis, ast is  28 and alt is elevated 66. my crp is 0.1 and my esr is 2. does this mean inflammation is not the cause?

Accepted Answer

Some questions to put your concern ; lab results in context: 1) how long have you had autoimmune hepatitis?  2) what treatment are you taking ; have your medications changed recently?  3) alcohol intake (should be minimal)?  3) supplements or steroid use?  4) are your transaminases trending up or down (a useful question if CRP ; ESR are low)?  4) risks for other kinds of hepatitis (viral, etc.)?

Question 3

50 yr old male, recent blood work, flags: esr = 16 (my usual = between 4 - 8) , monocytes = 18% (abs. mono. = 0.9 x 10e3/ul), ast = 80, alt = 137, but my dr.'s only concern is my ldl = 255. comments?

Accepted Answer

Sed rate is famously imprecise and is of interest only if it is consistently quite high. Monocyte percentage of 900 isn't worrisome if you're not sick. I would be concerned about elevated ast and alt; this may be anything from smoldering viral hepatitis to medication allergy, hemochromatosis, non-alcoholic steatohepatitis, or any of several others.

Question 4

My recent blood report tells me that my alt is 65 and ast 43, plus esr is 40.. i hv dome my ultra sound of liver its ok.. hcv and hbv -tive... plz adv?

Accepted Answer

ALT &AST are liver enzymes also found in muscle. High ESR can occur for a very large # of reasons, including obesity. Autoimmune liver disease (antibodies against liver) & polymyositis (muscle disease) can raise liver enzymes & ESR, but are uncommon.Meds (including acetaminophen/paracetamol),thyroid disease,hemochromatosis,alcohol,temporary unexplained rise...list is long.Advise followup with doc.

Question 5

Is liver disease a death sentence? i have high crp doc says related to obesity but he always runs esr/alt/ast and i don't know why?

Accepted Answer

In fact, the pathology community is talking about doing away with the word "cirrhosis" altogether because we now know it's often reversible. Alt/ast are markers in obese people for obesity-related liver disease (rule out other causes) but this is extremely common & only occasionaly lethal. However, obesity is serious and much more likely to detract from your quality and length of life.

Question 6

Can a liver biopsy cause cholangitis? also can you have cholangitis if alt,ast and amylase are norm but crp 257,esr 50,hi wbc,1700 d dimer. ruq pain.

Accepted Answer

Usually bacterial infection is the cause of cholangitis. This can be due to stone extraction or stent placement. You should discuss this potential with the person who did the biopsy.

Usually cholangitis is associated with significant pain, fevers, chills, overall malaise.  Elevated CRP, ESR, D-Dimer could be seen with infection (acute phase reactants) or autoimmune diseases. See your PCP.

Question 7

38-year-old female, ast 63, alt 62, esr 33, rdw 15.7. obese and a1c 7.3. body itching and blood in urine, left flank pain?

Accepted Answer

All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, your are diabetic and that can explain most of your issues. It is imperative that you see a doctor.    Wish you good health!

Question 8

My total bilirubin elevated frm 1.2 ->2.1, sgpt/sgot - 44/60, alp -192, alb/gb - ok, hb-14.4, plt-1.8m,rbc- 5m, wbc- 9.8k.esr 10.pancreatic prof - ok. ultrasound ok with mild enlarge & fatty liver. hep b & hep c (-)ve.is it a serious prob? pls help.

Accepted Answer

Fatty liver which may be alcoholic or nonalcoholic related is to be taken seriously. I recommend that a hepatologist or gastroenterologist evaluate,advise, treat you and arrange for proper follow-up exams. Dietary measures, advice about alcohol intake and evaluation of your serum lipids will also be carried out.

Question 9

My body temperature is normal but i feel hot sgpt level is 60 and sgot is 40 bilirubin is 2.7 esr is also 25 what it indicate it has been since 3 week?

Accepted Answer

Get the care of a competent physician. The "hepamerz" stuff you're taking isn't going to solve anything. You need to find why you've got notably high transaminase and bilirubin. If you're an extreme athlete, taking rx and/or doing lots of alcohol, stop ; retest. Otherwise, labs for hepatitis a/b/c, hemochromatosis, immune hepatitis, wilson's, maybe more. Would encourage you to exercise as well.

Question 10

What does high levels of esr , sgot , sgpt and ggt in blood mean ?

Accepted Answer

It means you may have inflammation of your liver. The causes are many.

Elevated alt ast esr

My nine yr old has elevated levels of esr, ast & alt also anemic she has hashimoto syndrome she complains of intermittent pain on her left side?

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I have autoimmune hepatitis, ast is 28 and alt is elevated 66. my crp is 0.1 and my esr is 2. does this mean inflammation is not the cause?

50 yr old male, recent blood work, flags: esr = 16 (my usual = between 4 - 8) , monocytes = 18% (abs. mono. = 0.9 x 10e3/ul), ast = 80, alt = 137, but my dr.'s only concern is my ldl = 255. comments?

My recent blood report tells me that my alt is 65 and ast 43, plus esr is 40.. i hv dome my ultra sound of liver its ok.. hcv and hbv -tive... plz adv?

Is liver disease a death sentence? i have high crp doc says related to obesity but he always runs esr/alt/ast and i don't know why?

Can a liver biopsy cause cholangitis? also can you have cholangitis if alt,ast and amylase are norm but crp 257,esr 50,hi wbc,1700 d dimer. ruq pain.

38-year-old female, ast 63, alt 62, esr 33, rdw 15.7. obese and a1c 7.3. body itching and blood in urine, left flank pain?

My total bilirubin elevated frm 1.2 ->2.1, sgpt/sgot - 44/60, alp -192, alb/gb - ok, hb-14.4, plt-1.8m,rbc- 5m, wbc- 9.8k.esr 10.pancreatic prof - ok. ultrasound ok with mild enlarge & fatty liver. hep b & hep c (-)ve.is it a serious prob? pls help.

My body temperature is normal but i feel hot sgpt level is 60 and sgot is 40 bilirubin is 2.7 esr is also 25 what it indicate it has been since 3 week?

What does high levels of esr , sgot , sgpt and ggt in blood mean ?

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