Doctor insights on:
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
Good: It is not that bad. See PMD, they will help in a prospective way. ...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
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
ALT: Alt elevated means the enzyme of liver leaking into your blood after liver cell damaged. You can see, if a lot of alt in your blood means your liver has been damage a lot. That is why very high level alt is dangerous. ...Read more
Work up : Ignore the MCHC. Reference ranges are set so a few percent of healthies fall outside on either end. Your physician will probably have you repeat the liver enzymes after two weeks off alcohol and meds, or perhaps proceed to a search for possible hepatitis, hemochromatosis, Wilson etc ...Read more
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
In June ALT 66, ALP 214, Bilirubin .5, AST 38. Hep B, C negative. Repeated In September, ALT 37, Bilirubin 7umol, ALP 135. Urine yellow. No symptom?
Last month ast, ALT all normal, albumin, globulin, bilirubin not normal, this month albumin, bilirubin, globulin normal but AST and ALT very high.Possible?
Yes: This is not only possible but commonplace. I believe we've met. Cirrhosis is a chaotic system and labs fluctuate based on activity (damage / healing). We're not going to know for certain, but if we could talk to your liver, i'd bet he would tell you he's regenerated a huge number of cells which is why he's working better and has more total cells though still bearing injury. Be glad. ...Read more
On ursodeoxycholic acid, transaminases chronically fluctuating elevated ALT 50-200 AST 40-80.ALP 90-107. MRCP normal,fibroscan normal,what could it be?
Difficult question: Why the ursodiol? If for blood cholesterol, there may be better options (I don't see CF or PBC on your history). Sounds like you're getting a work up for the elevated enzymes. Consider a virtual consult with GI specialist for a thorough review of lab and imaging results. ...Read more
Is this considered high bilirubin results: Total Bilirubin 1.1 mg/dL, direct: 0.41dL and indirect 0.7mg/dL. ALT (SGPT) 36 UI/L, AST 29 UI/L?
Normal: the results you give look normal to me without knowing any reason why they were done. Results should always be discussed with the doctor who ordered them and interpreted in a complete clinical setting. ...Read more