Doctor insights on:
+ Antimitochondrial M2 antibodies w/ 4previous elevated ALP's. Most recent ALP normal. Still suggestive for PBC?
No: The diagnosis of PBC is made through liver biopsy. The other best tool is the biliruben. Taken together they give a diagnosis and prognosis for survival. As you know PBC is though to be an auto immune disease. ...Read more
On an abdominal ultrasound does "no acute abnormalities" = normal? Have elevated alp and ruq pain.
Cronic yellow acidic stool, occ RUQ pain, slightly elevated ALP. Previous gall US and Cck hida neg. Then BM explosive BROWN then norm brown finally after months of pain. Could a stone have cleared?
Arthritis, lupus ruled out. Joint pain, migraines, kidney stones, recent sinus & Eustachian tube problems, + ANA, elevated CRP & ALP, ALT, AST. Ideas?
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
18 year old male elevated ALT and alp sludge was seen on us but hida scan was 40%. Do have pain near gallbladder that comes and goes. Treatmentoption?
See MD: This sounds like it needs to be managed by your physician or specialist (gastroenterologist). ...Read more
Gallbladder sludge, pain near gallbladder, hashimoto's, elevated ALT and alp, elevated chol. I'm only 18 male and weigh 150 height 5'4. Is this rare?
Rarity not relevant: What you described is not rare, but there is likely to be more and you should consult your doctor for advice and treatment. ...Read more
My son (20) is 15mo post BMT for AML. He had aGvHD/liver. He has portal hypertension. ALP elevated for last 3 mo, up to 160. AST/ALT controlled. Norm?
Why would 16 yr old son have elevated AST 55, alp 199, bilirubin 3.7, low vit d, fatigue and irritable bowel symptoms. No tylenol (acetaminophen) use, also no mono.
More info is needed:
Many viruses can cause mono-like symptom--cytomegalovirus, ebv, hiv--also many different types of hepatitis--a, b, c can certainly be associated with stated symptoms. Auto-immune hepatitis is also in the list. Careful hygiene and a careful examination are needed.
Feel better. ...Read more
Hi, I am a 36 year old female status post 8 month delivery. My aLP is elevated to 276, AST 35, & ALT 62. What could be the causing the elevation?
Liver enymes: It is time for a full comprehensive medical exam with bloodwork and liver monitoring. I think your sternum and coccyx pain are not related; however must be examined too. Do not ignore these issues. ...Read more
I have an eleveated ALP@246; GGT@161 and pending results for AMA. Hep Panel was negative. Normal RUQ U/S. What could cause this?
My alp was. 25 is this bad? My bili is total 1.3 and direct 0.24 I have fatty liver bili kind of always is elevated mostly it's the total though
No: The numbers you list don't seem high enough to be worrisome. Sometimes minor elevation of bili can be caused by fasting or a hereditary condition called Gilbert's syndrome. I can't tell if the alk phos is high without the normals for your lab. Fatty liver can be caused by overweight, alcohol use, or other causes. See your doctor to discuss the results, causes, and treatments. Good luck! ...Read more
Though ALP is within normal range, it is elevating, with GGT, AST and ALT elevated to 69 U/L, 69U/L and 113 U/L. WHat could this mean?
Need work up: Elevated liver enzymes should be repeated off alcohol and any meds that are not essential. If still up, you need to be tested for hepatitis B and C, hemochromatosis, Wilson's, and autoimmune hepatitis. Your liver might actually just be asking you for more exercise. Best wishes. ...Read more
Got the results from my liver function back. Alt-63 ast-31 and alp 310. My #'s are usually slightly elevated. Are these #'s something to worry about?
Abnormal lft: U need to be evaluated. Your alkaline phosph is significantly high. You might need liver ultrasound and some blood work. ...Read more
Dr did blood tests on 2 yo daughter. Her ALT (101), alp (355) and AST (60) were elevated. 2nd draw ldh also high (498) what other tests should we do?
Who ordered them?: Why did she have the tests done? Did your doctor order them? Need more information...Hepatitis is one reason to have elevated liver function tests so a hepatitis panel might be helpful. Mononucleosis and CMV (cytomegalovirus) can also cause liver enzyme elevation so those might be helpful too. Then there are more esoteric tests that a specialist might want to order. Discuss with your physician 1st. ...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
Alt, Ast and Alp within normal range. Alp isoenzyme also within normal range but GGT elevated to 129. Ab ultrasound scheduled for monday.??????
See descriptors: But no question. Please resubmit and include a clear & specific question. ...Read more
Ast 32 ALT 42 alp 64 total bili 0.95 direct 0.22... I have fatty liver and gallbladder removed 9/11 is direct elevated if so wonder why/?
What causes a high vitamin d level along with high ast, ALT & alp? On pentasa, which can cause elevated ast/alt, but continues to rise & alp now hi.
Find cause: I'm not concerned about the vitamin d. Many people your age have high alk phos without any real problem. If stopping alcohol and unneeded rx's did not return ast/alt to a good level, time to rule out hepatitis b ; c, autoimmune hepatitis, hemochromatosis, wilson's (doubt at your age), autoimmune hepatitis (can be) ; consider if you may have metabolic syndrome / want to exercise more. ...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.
My total Bilirubin elevated frm 1.2 ->2.1, SGPT/SGOT - 44/60, ALP -192, GGT 120, ALB/GB - OK, HB-14.4, RBC- 5m, WBC- 9.8K.ESR 13.Pancreatic Prof - OK. Ultrasound OK with Mild enlarge & Fatty Liver. Hep B & Hep C (-)Ve. IS it a Serious prob? Any help p
Liver bone & GB: Liver disease, bone disease and gallbladder are most common. However an elevated alk phos does not absolutely mean there is a true disease present. ...Read more
What could cause alkaline phosphatase levels to steadily increase over a period of years, now at an elevated level?
Alkaline phosphatase: Causes for elevated Alk phos: biliary obstruction stone, tumor, stricture; autoimmune biliary cirrhosis; liver infiltrates do to granuloma, fatty liver, amyloidosis, sarcoidosis, malignancy; meds like estrogen, chlorpromazine, erythromycin ; viral hepatitis; bone diseases: Paget's, osteomalacia, mets to bone, PTH disease, vitamin d def, fracture ...Read more
No: Alkaline phosphatase is known as a "marker" of increased bone (or liver) metabolism. It is contained in bone (and liver) so it will be elevated when bone is being broken down or resorbed as in paget's disease or bone cancer. It doesn't cause bone pain per se, but whatever is causing the bone to break down in the first place (e.g. Paget's disease or bone cancer) is the cause of the pain. ...Read more
Several conditions: You could have the condition called paget's disease, however they are some other diseases that could produce elevated alkaline phosphatase such as liver cirrhosis of obstruction of the biliary tract, some medications and some type of cancers. Proper testing is necessary for proper diagnosis. ...Read more