Doctor insights on:
Alt Slight Elevated
My daughter's recent ALT can back slight elevated which was normal last yr. Should I worry? Normal range of 32 she is at 38. Other liver tests normal
Don't worry.: There is probably nothing to worry about with this level, as long as she is healthy and all the other liver function tests are normal. How old is she and why did she have the lab work done? It is hard to fully answer this question without that information, so you are best discussing this with her doctor. ...Read more
What could cause mild hepatic enlargement (no fatty infiltration though) as well as chronically elevated ALT (76)? Not a drinker
Hepatomegaly: Enlarged liver with elevation of alt can be seen in various infections of the liver such as hepatitis A, B, C, E or even mononucleosis although in these cases both sgpt and sgot are usually elevated. Alcohol effect is a common cause but not in your case. A hepatologist or gastroenterologist is best qualified to evaluate this situation. ...Read more
Could mild elevated ALT (77) for 4 months and mild enlarged lived (16.6 cm) mean hepatitis? No fat seen and I don't drink. Scared I'll get bad news.
Is 22 ceruloplasmin considered low? Ref range cut off is 25 at my lab but at others it is 20. Was tested because of chronically mild elevated alt.
Low-ish: Reference ranges are set so that several percent of healthy folks fall outside at either end. Given your low ceruloplasmin, I am seriously concerned that you do in fact have wilson's -- not that it's probable, but that missing this very treatable disease is disastrous (insanity, paralysis, liver failure, a grim death). I actually prefer urine copper as a screen. Time for follow-up. Stay proactive. ...Read more
I have a fatty liver with chronic mild elevated alt. I never stopped drinking like I was supposed to. Is this bad?
YES!: Alcohol continues to damage your liver. Your life is valuable. You matter! Get help! There are many routes for help! A.A., call your doctor, nami. Org, call your local hospital for local resources, yellow pages. 24/7 helpline: 888.667.4854 and 24/7 website: http://thetreatmenthelpline. Com/? 711. ...Read more
Further testing: Further studies needed. This may include an abdominal ultrasound along with blood work. Your primary care doctor may refer you to a gastroenterologist. ...Read more
Are there cancers that could cause mild liver enlargement (16.7) without focal lesions? Also mild elevated ALT. Or would cancer always show focal?
Hepatomegaly: Hepatomegaly, or enlarged liver, is not usually a sign of liver cancer. There are many other things that can cause a large liver and an increase in the ALT. It is important to find the reason for the symptoms, to treat it before it becomes worse. You should see a gastroenterologist if you have not already. Good luck. ...Read more
Chronically elevated ALT (75ish) and mild hepatomegaly. Dr said iron saturation 44% which She considers elevated. Was 20% two years ago. Hemochrom?
What liver problem could cause fevers that occurred just at night with mild elevated ALT (76). Fevers stop but ALT remains elev w/ mild hepatomegaly.
Nonspecific: Your symptoms are nondiagnostic but could be caused by viral hepatitis, infectious mononucleosis, lymphoma, alcoholic hepatitis, primary or metastatic liver malignancy, etc. A gastroenterologist or hepatologist would be best qualified to evaluate you and order the appropriate tests in order to make a diagnosis. ...Read more
My iron sat increased from 20% to 44% in 2 years. ALT mildly elevated (64, 76)for 6 months and mild hepatomegaly. Doc said it may be hemochromatosis?
Get genetic test: The change in iron saturation suggests disturbance in iron metabolism, which in a young patient like you may be a sign of hereditary hemochromatosis. The rise in ALT suggests mild liver injury. You need a follow-up with genetic testing and more detailed liver and iron profiles ...Read more
I have severe right side pain after eating fatty foods. I have slight right side pain after eating healthy foods. My ALT and AST are elevated.?
Recent blood work inc. CBC w/diff for some lower abdominal pain. Mild elevated ALT is drs only concern but Imm Granulocytes 0.6%, is this too high?
See below: 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. Having said that, 0.6% immature granulocytes is not of concern. What was the actual result of ALT. If you drink quit alcohol entirely, if you are overweight, lose weight, it could also be due to some medication you may be taking. Talk to your doctor ...Read more
Bili ALT AST have been elevated on off for a yr confirmed mild diffuse fatty infiltration. Hep viruses and autoimmune disease ruled out. Cirrhosis?
Possible: Cirrhosis is advanced liver disease and can be the eventual outcome of long-standing liver inflammation. The only way to detect early signs of cirrhosis would be liver biopsy. Imaging studies and endoscopy only find advanced disease. You should be seeing a specialist who can advise you on cause, risks and treatments. ...Read more
Alt 114 AST 85 keep fluctuating diagnosed with mild fatty liver in july by ct. Jan had us it showed nothing why would enzymes b elevated. No hepatitis.
See hepatologist: Ultrasound is not a sensitive measure of fatty changes in the liver. The gold standard is liver biopsy, but ct and MRI can be used to quantify fat in the liver. Given that you have elevated cholesterol, you may need to triglycerides also. Diet and weight loss may be helpful, but medications may also be necessary. See a liver doctor, hepatologist, for further instruction. ...Read more
Is slight elevation in abs. Leukocyte on CBC of concern in child? Also elevated in urine... cmp had co2 and Alt slightly raised, reticulocyte low.
What are the most common causes for dime and penny sized dark spots found on the liver during and ultrasound? I did have mildly elevated alt and ast. Feeling good. Normal diet. Holding my weight. Stools look normal. No abdominal pain. Slight fatigue.
Hepatologist: This question is best answered by a hepatologist or gastroenterologist who will review your ultrasound with the radiologist who interpreted the study. After conferring, a differential diagnosis will be arrived at and a decision made, as to whether further studies such as a liver biopsy is indicated. ...Read more
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.
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
ALT: Increased levels of alt often means that liver disease is present. Liver disease is even more likely when levels of other liver blood tests are also increased. An increase in alt levels may be due to: cirrhosis, liver necrosis. Hepatitis. Hemochromatosis, lack of blood flow to the liver, liver tumor or cancer. Medications that are toxic to the liver. ...Read more
Liver inflammation: This can be seen as a warning sign that something is not right in your body or your lifestyle. The liver can heal, but only if the thing causing it pain is stopped and avoided. ...Read more
Just a warning: Labs are meaningless apart from the person. You might be allergic to the medicine you're taking; you might be drinking more than your liver likes. If two weeks off meds and alcohol doesn't drop the alt (and most folks' alt's are way below reference range top), you'll get a workup for chronic hepatitis, hemochromatosis and a few other nasty things. If okay, an exercise rx is likely. ...Read more
See below: 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. Do you drink alcohol? If you do quit entirely and retest in three months. Have you been tested for hepatitis? Are you taking any drugs, prescriber or otherwise? ...Read more
Need to see actual: Value. All lab results need to be interpreted in the clinical context and the doctor who ordered the test is usually in the best position to do that. Alcohol intake, hepatitis c and medication side effects are common causes. Do not drink alcohol, do not take acetaminophen/tylenol and discuss the results with your doctor. ...Read more
If meds caused elevated alt, is it possible that it could increase again begore finally decreasing? 1 wk after stopping 42 - 2wks 57 - 3wks 28.
How high is high?: Review your results w/your family doc or whoever ordered your tests. If you're overweight/obese or are apple-shaped w/waist greater than 35" in women & 40" in men, fatty liver could explain high ALT. Excess alcohol could too. And acetaminophen (Tylenol). If it's really high, greater than 3x upper limit of normal, then perhaps viral infection. Figure out & treat high ALT then focus on cholesterol. ...Read more
Lots of things: Everything in the hepatitis family (the viral ones, medication, Wilson's, antitrypsin deficiency, non-alcoholic steatohepatitis) can do this by damaging both liver cells and bile drainage. Around 5% of older adults have high alk phos from subclinical Paget's of bone, so you need to look at all causes of elevated ALT. ...Read more