Doctor insights on:
My blood test results:
total bilirubin: 1.41 h
ast: 40 h
alt: 100 h
total alk phosphatase: 43 l
serum total protein: 7.1
e.R. Said hepatitis?
Let's try this...: I have only a little bit of the story you've shared. Perhaps it's time to see whether the ast and alt get back to normal after two weeks off alcohol and any not-totally-necessary meds you may be taking. If so, this is the start of a healthier life after alcohol. If not, the workup for virus infections, iron overload, wilson's, autoimmunity & need for exercise can begin. Good luck. ...Read more
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
37 yr old male lab results AST 57, ALT 85, vit. d 19.7, triglycerides 200, total chol 195, HDL 66. Liver ultrasound ordered. What might diagnosis be?
Blood test abnormal: There are a great many possibilities. Be sure to follow up with your doctor for accurate diagnosis and treatment ...Read more
Haemoglobin 11.9. Mcv 65.40, MCH 19.20. Mchc 29.30, lymphocytes 44, cholesterol 197.37, ldl/hdl 1.94, liver f test s bilirubin direct 0.31
What's the question?: It looks like you may have thalassemia or iron deficiency or both. Low MCV with just slightly low hemoglobin suggests thalassemia. Rbc (red blood cell) count would be helpful to distinguish the 2. Other testing could include a ferritin level to measure your body's iron content, and possibly a hemoglobin electropheresis. Is there a family history of thalassemia? ...Read more
See your doctor.: Usually for stage IV lung ca, you will get chemotherapy. This can lower resistance to infection, including in the colon which could result in rectal bleeding. Rarely, lung cancer can spread to the bowel causing bleeding. See you m doctor/medical oncologist right away! ...Read moreSee 1 more doctor answer
What does below CBC result mean?
Hemoglobin 11.5 g/dl
Hematocrit 33.5 %
Rbc 3.63 10^12/l
Wbc 13.3 10^9/l
Platelet 260 10^9/l
Mch 32.6 pg
Mcv 95 fl
Nothing by itself: There is probably a very mild anemia, the white count is minimally up, and as far as I am concerned the platelets are still in the healthy range. As a lab specialist, I am always reminding people that labs mean nothing apart from the history and physical exam. I can raise my white count to this level taking a cold shower. If you feel well and there are no abnormal cells reported, be thankful. ...Read more
Four months ago total and direct bilirubin was elevated. now normal. fibroscan ultrasound and CT found nothing wrong with liver. what was it???
Not sure.: And unless it recurs, you'll probably never figure it out. Sometimes that pattern of abnormal liver tests can occur when someone passes a gallstone. There could be many reasons other than that, however, and no further testing is necessary as long as the labs have returned to normal. Good luck. ...Read more
Don't Rx lab value: Try to get into one of the studies of the new protocols that are likely to be curative. If this happens, your cirrhosis is likely to regress. Your physician can guide you. ...Read more
See below: Increased indirect bilirubin caused by overproduction of bilirubin ( breakdown product of red blood cells), reduced bilirubin uptake, or impaired bilirubin conjugation. Many causes, but in absence of other symptoms and a history of elevated bili in past this is likely a benign genetic disorder. However, there are other potential causes and you should see your doc to make sure. ...Read more
Total bilirubin- 4.5 direct bilirubin- 0.3. Is this ok? Liver functioning all normal other than that
Gilbert's syndrome: Yes. This is very consistent with gilbert's. In the us, approximately 3-7% of the population has gilbert's. Typically patients with gilbert's will have a total bilirubin <6 (like you). It can fluctuate and worsen during times of illness, stress or dehydration. It will not negatively affect your health. ...Read more
Cmp completely normal but total bilirubin 4.0 and direct bili- 0.9. It's always high and seems to be creeping up. Is this ok? I have no gall stones.
Gilbert's syndrome: You likely have gilbert's syndrome, which is the most common hereditary cause of increased unconjugated (indirect) bilirubin due to reduced activity of the enzyme glucuronyltransferase. It is found in 5-10% of people and normally has no serious consequences. Mild jaundice may appear under conditions of exertion, stress, fasting, and infections, but the condition is usually asymptomatic. ...Read more
I went for a AST test and was 201.60 and ALT was 126.60 GGT was 483.60 serum direct bilirubin 4.70 please help?
Need more info: Elevations in these markers can mean many things. But it points to your liver or an obstruction of your bile pathways. The causes could range from hepatitis, alcohol, cirrhosis, gallstones, or other things. You should discuss this with your doctor. Other tests like alkaline phosphatase and ultrasounds would be helpful. Also a history of pain, infection, how long have these tests been be helpful. ...Read more
How can I tell if my gallbladder has gangrene? Only functioning 15%. I'm constipated, have jaundice, low grade fevers. Ttl bilirubin- 4.5.
N ER last night for jaundice! liver came back perfectly normal. No elevations but total bilirubin-4.5. Found out gallbladder is only functioning 15%?
Need more info: There are lots of things that can produce bili 4.5. Need to know if this was direct or indirect and the other results of studies. I suspect you had a ct. I wonder if the gb issue is peripheral. ...Read more
Ttl. Bilirubin 4.5. Direct 0.9 and yellowing of eyes! liver functioning normal. Neg for hepatitis. Gallbladder ultrasound norm. Gilbert's disease?
Yes: Your description is classic for diagnosing gilbert's. Given how many repeated questions you have written questioning this diagnosis, you could spend $400 to get the gene responsible for gilbert's sequenced to verify the diagnosis. See: http://dnatesting.Uchicago.Edu/tests/65. ...Read more
Sgpt 950 alkaline phosphatase 298 total bilirubin 5.5 direct bilirubin 4.4 kindly answer cause obstructive jaundice or hepatitis?
Cirohsis, bilirubin 4.2, heart EF 20-25%, brain stroke , left side weak, BP is very low, stable with saline sol.pulse fluctuating.pl advice?
Severe illness: This is multiorgan failure, and the outlook is not great, but the only way to assess this is to be the doctor in charge of managing the patient. In addition to determining the therapy there should be discussions on end of life decision making. Hope this was helpful. ...Read more
Hscrp 9.56 mg/l, ESR 36, eosinophils 0.46, total chlstrol 218, LDL 146, ratio 4.64
bilirubin 4, sgpt 127, sgot 79 gamma 33, vit d 6.8. Fatty liver?
Depends: Your liver studies are elevated, indicating there may be something going on with the liver. Your lipids are also high and this can predispose to fatty liver. However, other factors like viral hepatitis, alcohol, or certain medications can also raise the liver markers. You should follow up with your doctor or a specialist since imaging studies and/or liver biopsy may be necessary for diagnosis, . ...Read more