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Doctor insights on: Elevated Alt And Ast Liver Enzymes

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What will happen when you take tylenol (acetaminophen) and have elevated ALT and AST liver enzymes?

What will happen when you take tylenol (acetaminophen) and have elevated ALT and AST liver enzymes?

Tylenol (acetaminophen): More than likely you will have further rise in those levels. Not a good idea to take tylenol (acetaminophen) when you have raised ast/alt. ...Read more

Dr. Michael Gabor
2 doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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Can digestive disorders cause elevated alt/ast enzymes, liver is clean according to scan but elevated liver function dizziness & nausea persist 4months?

Can digestive disorders cause elevated alt/ast enzymes, liver is clean according to scan but elevated liver function dizziness & nausea persist 4months?

Blood tests are: Just that, tests. Scan is an image, a picture. You didn't say how elevated your liver enzyme tests are, but if they are really high and stay there or get worse, it means that your liver cells are not working well, even though your liver's image is good. Ask your doctor who ordered the tests why you still have nausea after 4 months. Could be hepatitis. ...Read more

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Elevated Liver enzymes. ALT 126, AST 281. Seeing a gastrolologist Looking at charts. Is this extremely high levels?

Elevated Liver enzymes. ALT 126, AST 281. Seeing a gastrolologist Looking at charts.  Is this extremely high levels?

Liver Disease: One can go into liver failure if their enzymes are more than five times normal. Your labs are four to eight times normal. This is very dangerous and must be addressed urgently to determine the cause of the problem. ...Read more

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Is low functioning gallbladder with elevated liver enzymes of AST 77 ALT 142 contributed by an underlying disease? If so what diseases?

Liver disease: Isolated "low functioning gallbladder" without gallstones would not commonly cause elevation of ast/alt. This could indicated fatty liver condition, hepatitis exposure, medication causing liver inflammation, etc. See your doctor or a gastroenterologist for full liver evaluation. However, if you do have gallstones then that could be a cause of the blood test results. ...Read more

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What would cause liver enzymes to be elevated briefly? ALT 107, AST 72, and then returned to normal on 6 week lab recheck- ALT 31, AST 15

What would cause liver enzymes to be elevated briefly? ALT 107, AST 72, and then returned to normal on 6 week lab recheck- ALT 31, AST 15

Liver inflammation: The most common cause would be viral hepatitis but can be seen with infectious mononucleosis, other viral infections, certain medications, or transient congestion in the biliary tracts from stones. Your physician or a gastroenterologist can order the appropriate tests to try to pinpoint the cause although the problem appears to have cleared fortunately. ...Read more

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Low haptoglobin 0.24g/l with chronic elevated liver enzymes ALT of 100 AST of 55. Asymptomatic full neg- workup for all liver diseases in a 24-year-old?

Low haptoglobin 0.24g/l with chronic elevated liver enzymes ALT of 100 AST of 55. Asymptomatic full neg- workup for all liver diseases in a 24-year-old?

Monitor this: You need to continue follow-up with your doctor. Pathology may emerge over time, but many patients have slightly elevated lft's like yours, that never amount to any problem. In many cases, fatty infiltration of the liver is identified by ultrasound, and does not progress to actual liver disease. ...Read more

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Liver enzymes elevated AST 50 ALT 78 bilirubin 1.2 us showed very little fat in liver. Could this be thyroid problems? They keep fluctuating.

Liver enzymes elevated AST 50 ALT 78 bilirubin 1.2 us showed very little fat in liver. Could this be thyroid problems? They keep fluctuating.

Very little fat?: You shouldn't have fat in your liver, period. This isn't thyroid disease; everybody's levels fluctuate. If you drink alcohol, you need to stop for a few weeks and get rechecked -- this could be your wake-up call. You'll need hepatitis b and c, medication effect, hemochromatosis, autoimmune hepatitis and wilson's ruled out. If you do have non-alcoholic fatty liver, aerobic fitness is a key. ...Read more

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Calprotectin 95, ALT & AST chronically fluctuating elevated, sigmoidoscopy normal, MRCP normal, could it be IBD causing elevated liver enzyme?

IBD complication AIH: The calprotectin level (I'm assuming it's a stool test) is rather high 4 ur age (normal is less than 51 ug/g stool), which seems confirm IBD but unfortunately didn't spare u a sigmoidoscopy. Caveat: proton pump inhibitors like Prilosec falsely elevate calprotectin. Nonetheless, a common complication of IBD is autoimmune hepatitis (AIH) which can cause fluctuating liver enzymes & damage. TTY GI do ...Read more

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Why would liver enzymes fluctuate in and out of range in 3 months? Ultrasound clear but immunoglobulin m was slightly elevated with ast 60 and alt 100

Why would liver enzymes fluctuate in and out of range in 3 months? Ultrasound clear but immunoglobulin m was slightly elevated with ast 60 and alt 100

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, it could be due to alcohol use, some medication you are taking or being overweight. Or you may have chronic liver inflammation. You should talk to the doctor who ordered the tests. ...Read more

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I am on vivitrol shot n vyvanse (lisdexamfetamine) my liver enzyme elevated ast was 47 and alt was 82. What would cause this? My white blood count was a little high too

I am on vivitrol shot n vyvanse (lisdexamfetamine) my liver enzyme elevated ast was 47 and alt was 82. What would cause this? My white blood count was a little high too

Many possibilities: Why vivitrol to begin with? Either hx of drugs or alcohol both which affect the liver as does vivitrol or by vyvanse (lisdexamfetamine). Now depending on your past history I assume you have been checked for hepatitis. Many reasons for irritated liver enzymes. I am sure your doctor is monitoring ...Read more

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What would cause elevated liver enzymes of alt 70 and ast 36? I don't drink, only take 250 mg magnesium and prenatal vitamins for nursing.

Probably not a worry: Those levels are really borderline high. If your not ill and have no other symptoms I would just get it rechecked in a month or so and don't lose sleep over it. ...Read more

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Can the INFANRIX HEXA vaccine (which includes Hepatitis B) cause elevated liver enzymes AST and ALT? If yes, is this dangerous for an infant?

Can the INFANRIX HEXA vaccine (which includes Hepatitis B) cause elevated liver enzymes AST and ALT? If yes, is this dangerous for an infant?

2 answers:: 1. Hexa contains only a single protein component of Hep B and cannot cause Hepatitis by itself;

2. AST/ALT elevation can be a sign of a significant problem in an infant, and needs a thorough workup. With problems such as biliary atresia or galactosemia, this needs to be done sooner rather than later. ...Read more

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4 month pregnant elevated liver enzyme bad upper abdom paindark green almost black stool for 2 days pain 3days Have APLS AST is 86 ALT 99 what's wrong?

4 month pregnant elevated liver enzyme bad upper abdom paindark green almost black stool for 2 days pain 3days Have APLS AST is 86 ALT 99 what's wrong?

Needs evaluation: First steps if pregnant with elevated liver enzymes is to rule out high blood pressure (preeclampsia). If this has been excluded then your doctor needs to begin other evaluations. Black stool can indicated an intestinal bleed. Elevated liver tests can indicate a liver or gallbladder problem. Do not ignore this. A full evaluation is needed. ...Read more

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I have elevated liver enzyme ast(sgot)412 ALT (sgpt) 317 GGT 186 dilation of the common bile duct 1 CM no gallbladder?

I have elevated liver enzyme ast(sgot)412 ALT (sgpt) 317 GGT 186 dilation of the common bile duct 1 CM no gallbladder?

Liver issue: Enzymes ast and alt are inside liver cells. When liver is injured by disease or medication, enzymes leak out, resulting in elevation. Can be due to many reasons, including medications like statins.

An elevated GGT suggest biliary problems, but is not that specific. The normal common bile duct measures less than 0.8 cm, but after the gb is removed, can be 1cm.

Complete history needed for this. ...Read more

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Elevated liver enzymes. ALT- 72 AST- 59. ALL other labs are normal. Liver/gallbladder ultrasound is normal. Negative for hepatitis. What can cause it?

Elevated liver enzymes. ALT- 72 AST- 59. ALL other labs are normal. Liver/gallbladder ultrasound is normal. Negative for hepatitis. What can cause it?

Need more info: 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, it may be due to alcohol intake, medications you may be taking and/or from being overweight. If you drink, stop entirely and discuss any medications you take with your doctor. ...Read more

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Elevated amylase (250) and liver enzymes (ALT, AST). Normal abdominal ultrasound & CBC. WHat could cause this if ultrasound is normal?

Elevated amylase (250) and liver enzymes (ALT, AST). Normal abdominal ultrasound & CBC. WHat could cause this if ultrasound is normal?

See below: Why were these tests ordered? There are many causes of elevated amylase and it would require in person evaluation to ascertain the cause. You may consult this site for information on this topic: https://medlineplus.gov/ency/article/003464.htm ...Read more

Enzyme (Definition)

An enzyme causes the transformation of a compoond to another compound. In living structures, it is the transformation of a protein to another form. An example is from an inactive state ...Read more


Sgpt (Definition)

Liver enzyme that has a metabolic function, its elevated when ...Read more