Question 1

i have alcohol use disorder and am now recently sober. blood tests from 2 weeks ago with ast 135, alt 175. laboratory uln was 33. bilirubin was a bit low. mcv a bit high. i know i had fatty liver. does this indicate cirrhosis?

Accepted Answer

: The gold standard for the diagnosis of cirrhosis is a liver biopsy. You must totally abstain from alcohol &amp; should be evaluated, advised and followed by a hepatologist or gastroenterologist. In my opinion, the findings do suggest alcoholic liver disease more than fatty liver.

Question 2

what causes liver enzymes to be elevated in fatty liver?

Accepted Answer

Damage to liver: Microvesicular fatty infiltration of hepatocytes (liver cells) is directly toxic to the liver. When liver cells are damaged or destroyed, they release their enzymes (ast, alt) into the bloodstream.

Question 3

different liver tests have been elevated for 5 months now by atleast 50pts. dr says just keep observing for now. i have fatty liver. need 2nd opinion?

Accepted Answer

2x elevated LFT's: You are describing liver tests that are two times elevated over "normal" for a prolonged period of time. Persistent elevation over 6 months or more may warrant liver biopsy, & certainly warrants a comprehensive battery of blood tests to rule out infection, metabolic problems,  autoimmune disease, familial liver diseases, etc. Ask your family doctor for a referral to a gi/liver specialist.

Question 4

i have a fatty liver with chronic mild elevated alt. i never stopped drinking like i was supposed to.. is this bad?

Accepted Answer

Fatty liver: You are only 21 and have fatty liver?  This is not good.  The fat in the liver is likely causing a low grade damage, which is why the alt is elevated.  Alcohol is simply one more insult, and should be avoided. You don't want cirrhosis.  Weight loss and control of other metabolic problems is very important.  Also, you need to make sure there is not some other cause of the liver problems.

Question 5

2013 was diagnosed mild fatty liver enzymes elevated until june 2014 they have been normal my albiumn has been 3.1 lowest then 4.3 to 3.5 is it bad?

Accepted Answer

Not particularly: Albumin of 3.5 is in the normal range. 3.1 would be considered low.

Question 6

i had fatty liver over 11 mths elevated enzymes but are now normal for 9 mths us show no fat in liver my albumin is 3.5 does this mean liver is bad?

Accepted Answer

Congrats: Great job on reducing the fat on your liver.  I assume you lost weight to have this happen…. Your albumin is low normal, maybe you are too extreme with your dieting, but a better gauge of your nutritional status is a pre albumin blood test.  You may also have a lower albumin level due to a loss of protein in your kidneys,have your kidneys checked out too. What was your albumin level 11 months ago?

Question 7

i have fatty liver my enzymes are usually slightly elevated the past 2 mths they r normal but my bilirubin is still elevated was 1.2 has been for a yr?

Accepted Answer

Gilbert's : Hi. Your slightly elevated bilirubin is probably unrelated to fatty liver. Your bilirubin is probably mildly high because of an insignificant defect in bilirubin conjugation. Have your doc check total and conjugated bilirubin. With Gilbert's, total bili is high and conjugated bili is low.

Question 8

what's the difference between fatty liver and elevated liver enzymes?

Accepted Answer

See below: Elevated liver enzymes indicate damage to liver cells usually from alcohol, hepatitis, and some medications. Fatty liver means accumulation of fat in liver cells, it can result from obesity, malnutrition, alcohol, other hapatotoxins like chloroform, and low blood supply to liver.

Question 9

my alp was .25 is this bad? my bili is total 1.3 and direct 0.24 i have fatty liver bili kind of always is elevated mostly it's the total though

Accepted Answer

No: The numbers you list don't seem high enough to be worrisome.  Sometimes minor elevation of bili can be caused by fasting or a hereditary condition called Gilbert's syndrome.  I can't tell if the alk phos is high without the normals for your lab.  Fatty liver can be caused by overweight,  alcohol use, or other causes.  See your doctor to discuss the results, causes, and treatments. Good luck!

Question 10

would elevated bili for over a year be caused by gilberts? never was abnormal before just all the sudden. could it b from fatty liver or more serious?

Accepted Answer

Classic Gilbert's: Gilbert's is an inherited syndrome. It is characterized by an elevated bilirubin. The inherited gene has a mutation in bilirubin metabolism, hence the elevated level. It can go undetected for a number of years, and is often found by accident. It is a common cause of an elevated bilirubin in an otherwise healthy individual.  Fatty liver is also another common cause. Your doc can help sort btwn

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Doctor answers about:

Fatty liver with elevated MCV

A member asked:

I have alcohol use disorder and am now recently sober. blood tests from 2 weeks ago with ast 135, alt 175. laboratory uln was 33. bilirubin was a bit low. mcv a bit high. i know i had fatty liver. does this indicate cirrhosis?

A member asked:

What causes liver enzymes to be elevated in fatty liver?

A member asked:

Different liver tests have been elevated for 5 months now by atleast 50pts. dr says just keep observing for now. i have fatty liver. need 2nd opinion?

A member asked:

I have a fatty liver with chronic mild elevated alt. i never stopped drinking like i was supposed to.. is this bad?

A member asked:

2013 was diagnosed mild fatty liver enzymes elevated until june 2014 they have been normal my albiumn has been 3.1 lowest then 4.3 to 3.5 is it bad?

A member asked:

I had fatty liver over 11 mths elevated enzymes but are now normal for 9 mths us show no fat in liver my albumin is 3.5 does this mean liver is bad?

A member asked:

I have fatty liver my enzymes are usually slightly elevated the past 2 mths they r normal but my bilirubin is still elevated was 1.2 has been for a yr?

A member asked:

What's the difference between fatty liver and elevated liver enzymes?

A member asked:

My alp was .25 is this bad? my bili is total 1.3 and direct 0.24 i have fatty liver bili kind of always is elevated mostly it's the total though

A member asked:

Would elevated bili for over a year be caused by gilberts? never was abnormal before just all the sudden. could it b from fatty liver or more serious?

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