Doctor insights on:
Alt And Ast
Depends on the cause: Sgot and SGPT are liver enzymes. Lowering them depends on the cause of the elevation. Some medications can cause the elevation and stopping the medications will result in normalizing them. Alcohol, gallstones, infections (mono, hepatitis), and other liver toxins can also cause elevated liver enzymes. ...Read more
Depends: If he's been sober for a few days (good!), they're likely to be normal. If he's abusing alcohol enough to hurt himself / others, they can still be within the normal range, or they can be high. If they're above 400, he's probably got alcoholic hepatitis. Sgpt tends to be lower than SGOT in drinkers. The diagnosis of alcoholism is clinical, not lab based -- but you knew that. ...Read more
Yes: Ast and alt are measures of liver enzymes and often are elevated in the setting of hepatitis or other causes of injury to liver cells. However sometimes one or the other will be much more elevated. Sometimes fatty liver due to alcohol or some drugs/toxins can affect one enzyme more than the other. ...Read more
Can exercise cause slight increase ALT and AST but still normal range with normal ggt, alk phos and bilirubin?
Workup: If available, get a proper genetic workup even if no one else in the family is affected. If your amylase is high but lipase normal and there is nothing on imaging pointing to the pancreas, this may be macroamylasemia. If the pancreatitis is real, checking the cystic fibrosis and trypsinogen loci is indicated. This may be one piece in the puzzle. Be persistent. ...Read more
Not unless: The liver is affected.Get a more detailed answer ›
High ALT/AST: These are liver enzymes that are elevated in various conditions such as viral hepatitis, drug toxicity, inherited conditions, and even cancer. You should see your doctor to find out the cause. However, the most common cause may be fatty liver: http://www.Laendo.Net/english/fatty-liver-75894941. ...Read more
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?
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 ...Read more
AST elevated (65), ALT elevated (50) and total bilirubin elevated (3.0). All other enzymes are normal. Is this significant??
No: If these are up, usually your liver cells have been damaged somehow and are leaking their enzymes. The liver heals wonderfully but you do want to find the cause. Often it's something as simple as coming back two weeks later after stopping your Ibuprofen or your beer. If they're still up, you're in for some labs to look for serious treatable disease. ...Read more
Latest labs AST 22, ALT 28 and alp 41 all within range but ALT is higher than ast. Is that pointing to liver damage? My previous labs ALT was lower.
Results are normal: Your ast, alt, and alkaline phosphatase values as recorded are within normal limits for most laboratories, and by themselves do not indicate liver disease. If however you suspect otherwise, ask your doctor for confirmatory or complementary testing of the liver (there are many). ...Read more
Liver cell ,bile tes: Sgpt (alt) is a test of liver cell (hepatocyte) activity; increased with liver cell inflammation. Ggt is a test of bile flow. Anything that decreases flow of bile within cells, down tiny canaliculi, small ductules, and larger ducts will cause increase; can be due to inflammation, scarring, stone, tumor, etc. Drugs can increase either or both. ...Read more
Usually not: The gall stone when present in the gall bladder does not affect the liver enzymes. Only if it is obstructing the common bile duct, it can cause abnormal liver function but the patient is very sick in that condition. Another cause for liver function abnormality should be investigated. ...Read more
Liver issues: These are two liver enzymes. They are elevated in the blood when one has effects either from liver disease like hepatitis (viral) or with chemicals (chemical hepatitis). Alcohol would cause a chemical hepatitis as would certain ingested items like medications. There is a condition called auto-immune hepatitis that can cause this as well. There are many more causes of alterations of these two. ...Read moreSee 1 more doctor answer