Doctor insights on:
Yes indeed: It's got to be strenuous enough to kill off some liver cells by diverting blood to the muscles long enough to have liver cells in the lobule centers get sick from lack of oxygen. They'll heal up fine; all marathon runners do this. Or unconditioned muscle exercised heavily may leak SGOT and sgpt. It's worth ruling out by history before embarking on a costly workup of elevated transaminases. ...Read more
Irrelevant: The ratio is irrelevant. Both AST and ALT should be below 40. ...Read more
Drinker, elevat. Ast/alt but low ratio. 3 tests in last yr: ALT btwn 56 & 87, AST always ~ half alt. Recent ast/alt = 41/71, had no drinks 3 weeks prior?
Many??: Are you overweight? Fatty liver can do this. Exposure to viral hepatitis? High fat diet? Any medications? (even otc or herbal things). Liver functions are not especially worrisome until 10-20 times normal because so many things are possible to impact them. The liver is the toxic dump of the body--- it breaks down all the junk we put in thru lifestyle or habits/recreation. ...Read more
NonAlcoholicStatohep: AST to ALT RATIO OF 2to1 or greater is suggestive of alcoholic liver disease particularly in the setting of Gamma-Glutamyl Transferase. The other possibility is non alcoholic steatohepatitis In addition patients with Wilson Disease or Cirrosis due to Viral Hepatitis may have AST greater than ALT but ratio is not greater than 2 ...Read more
What could consistently cause high AST & ALT levels in a healthy and active person who doesn't drink?
If my AST was 30 and my ALT was 42, does that make my ast/alt ratio 0.7? Am I calculating that correctly?
Yes: Why do you care? The ratio is helpful only in recognizing people who are concealing their problem drinking from their physicians. There's a propagated error online that has scared people into thinking it's useful in diagnosing severe liver disease -- it's not. ...Read more
Hello, I am 23 years old male. I have ALT 61 and AST 27 so my ast:alt ratio is 0.44. Is there any problem with that? What is the possible problems?
Let's think: I'm not concerned about you ratio (nobody suggested you were a drinker I trust) but I'm a little worried about the alt being a bit high. Are you a heavy-duty athlete? Your working your muscles may be raising the alt and that would be a good thing. Your physician will recommend follow-up. ...Read more
Hello, I am 52 years old male. I have ALT 60 and AST 37 so my ast:alt ratio is 0.67. Is there any problem with that? What is the possible problems? Low
Depends: This could mean nothing if you are otherwise a healthy individual. AST and ALT can show up abnormal in even a healthy person. These tests have to be correlated with clinical presentation. If you drink alcohol your ALT can be elevated. If you are overweight lose weight. Practice safe sex. Have a healthier lifestyle. Talk to the doctor who ordered these test for more information. ...Read more
Nonfasting Bilirubin: 1. Fasting Bilirubin: 1.5 AP, AST, ALT all normal. Is there a specific/combination of tests to tell if I might have Gilbert's?
? Gilbert's disease: It is a familial (autosomal dominant), common (2-5% of people), unconjugated hyperbilirubinemia (blood bilirubin measures 1-5mg/dl), not due to breakdown of blood. It is associated with reduced enzyme levels of udp glycuronyl transferase, that results in jaundice when patients fast or suffer an infection. Simple testing is available but not always necessary. Ref: http://www. Medicinenet. Com/gilbert ...Read more
Liver: These help suggest if there is any ongoing liver problems. ...Read more
Not necessarily: These are liver function tests. When they are high, it means there is some degree of liver damage. High levels are seen in viral or alcohol hepatitis or drug toxicity with tylenol (acetaminophen) or some herbal preparations or fatty liver. Even though cancer can cause increased liver tests, other more common causes as listed above should be considered first. ...Read more
Liver enzymes: Sometimes this can be due to gallbladder problems/stones. It is common in women 20s-40s, especially if they are overweight. There is also fatty liver disease where your liver fails to process the dietary fats efficiently, common with obesity. Medication can be a cause, especially those metabolized by the liver. Infection and other inflammatory causes are possible. Your doctor can tell you more. ...Read more
My nine yr old has elevated levels of ESR, AST & ALT also anemic she complains of intermittent pain on her left side?
All labs normal. AST/ALT low end of range (13/8). Is this low due to cirrhosis? If it were that would I have symptoms?
You're fine.: Those numbers below is of no concern at all. You're fine. ...Read more
Previously AST ALT 202 198 and now AST 29 ALT 46 and total bilirubin is 1.15 and direct bilirubin is. 52, pls. Explain?
Liver issue: So your liver was inflamed when your ast and alt were high, but now it's back to normal. What caused hepatitis (liver inflammation) is hard to tell based on your presentation. A simple viral cold can temporary elevated liver enzymes. Viral hepatitis infection (a/b/c etc.) may be responsible. A number of other infections may transiently elevate liver enzymes. More history and testing is needed. ...Read more
I had a severe excedrine od when I was a kid, 25 years later I am having negative lft (ggt, ast, alt). I am a very light drinker.?
Continue workup: Two weeks off all meds may make the transaminases go down, or a workup for hepatitis b & c, wilson's, hemochromatosis, autoimmune hepatitis & maybe antitrypsin deficiency may be in your future. If all normal, this may be metabolic syndrome & joining a fitness club could be the best rx of all. Good luck. ...Read more
What are good hep c levels? Which things on my test results should I watch most? Ast/alt...And which ones r most import. I'm 28/f/hep c
Viral load non detectible is good.
Anything else, not good. Reguardless of ast/alt. ...Read more
US gallbladder: contracted w/ mild thickening of wall. All labs r normal except ast/alt (2-3× increase). No pain, is hida scan really necessary?
Basically YES.: There is both a compelling need to remove the gallbladder possibly and no evidence of a problem. Mostly, it is because the fine gallstones are running through a NON_WORKING gallbladder and irritating it and the liver. HIDA shows.... Without an exam, I can only give general information. Cannot say in your particular case, but generally, this is how to proceed. ...Read more
Is AST>ALT ratio worrisome even when levels of both enzymes are in normal range? I'm a moderate to heavy drinker with AST 16 IU/L and ALT 13 IU/L
Hepc, cirohisis, last monthreport ast/alt veryhigh, bilirubin, albumin-abnormal range. Thismonth report ast/alt, bilirubin, albumin all normal. Isit posble?
Yes: If I understand correctly, you have known hepatitis c that has progressed to cirrhosis, had an abnormal ast/alt, bilirubin high, Albumin low last month, and all are normal this month. Will assume lab did not switch sample. Hepatitis c is a chaotic disease prone to exacerbate / remit & some medication may be the actual cause of last month's problem. How do you feel? Rx you, not the numbers! ...Read more
Often normal: This is a very common point of confusion. Ast/alt reflect recent liver cell injury. A person who has ruined his liver with alcohol but is now sober may have normal ast/alt or perhaps even always did. In fact, apart from serum bilirubin and Albumin & some obscure tests, it's hard to know how the liver is actually working -- perhaps "how to you feel? " is still best? ...Read more
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/ ...Read more
I have elevated AST & ALT (one >100 the other >200 unsure which is which), CRP is elevated and neutropenia. Tested negative for mono. Possible causes?
Hepatitis: There are numerous potential causes for elevation of these enzymes which often arise from the liver. The most common cause may be non-alcoholic fatty liver, but there are many forms of viral hepatitis, alcohol, toxins, and so on that can also do this. Must be taken in the context of the clinical presentation. Lab data by itself is seldom diagnostic. ...Read more