Doctor insights on:
Bilirubin is the potentially toxic product of heme metabolism. It is formed by breakdown of heme present in hemoglobin, myoglobin, cytochromes, catalase, peroxidase and tryptophan pyrrolase. Eighty percent of the daily bilirubin production comes from hemoglobin. It requires conversion to a water-soluble form before elimination from the body by ...Read more
Fasting blood work. Total Bilirubin 1.5, Direct Bili 0.2, Alk Phos 44, AST 24, ALT 20, Albumin 4.4, Tot protein 6.6. Is high total Bili concerning?
Not unless its inc--: reasing. Every Lab has its own Reference range, so checking with your PCP would be the best as None of us would have a clue to the Reference your lab uses. Overall your numbers are not terribly high, except the Alk phos, I think. Best check with your PCP and maybe repeat the tests after 4-6 weeks time. Good Luck ...Read more
Total bilirubin 2.5 (Elevated), Direct bilirubin 0.5 (Elevated), Indirect bilirubin 2.0 (Elevated) All other liver enzymes normal. What causes this?
Rerun test: 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, you need to re do the tests in non-fasting state. With the exception of elevated direct bilirubin, the findings are consistent with Gilbert syndrome, which is not a disease. See this site for more info: http://www.mayoclinic.org/diseases-conditions/gilberts-syndrome/basics/definition/con-20024904 ...Read more
Do I have Gilberts Syndrome? Fasting blood work. T_Bili 1.5, D_Bili 0.2, AlkPhos 44, AST 24, ALT 20, Alb 4.4, T_protein 6.6. Lab uses T_Bili < 1.2.
Yes: You could have Gilbert's Nothing to be concerned about ...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
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
Help! high Bilirubin
Bilirubin, total 2.1 mg/dL
SGOT/AST 29U/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
My liver function tests results
anything serious, could this be jaundice?
Sgpt 950 alkaline phosphatase 298 total bilirubin 5.5 direct bilirubin 4.4 kindly answer cause obstructive jaundice or hepatitis?
Total bilirubin 1.2 direct bil .7 indirect bil .50 alk 49 AST 25 ALT 29 this was for liver test. Is my liver healthy ?
Fattyliver and hyperlipidemia, new lftresults bilirubin 0.2, alk.Phos.174, alt89, protein 8.6, albumin3.9, ast35.Lft&ct 3mo ago normal.Cause of elevated lft?
Still fatty liver: Were you told that you have type 2 diabetes and fatty liver? Sometimes the only sign of fatty liver related to metabolic syndrome and type 2 diabetes may be an increased liver enzymes such as alt. An MRI study may show fatty liver. The best bet would be to ask your doctor the reason for the elevated alt. Other labs appear normal. ...Read more
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
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