Doctor insights on:
Elevated Alt Ast Esr
Treat the number?: Advice: doctors treat patients and not numbers. A slightly elevated crp" without the clinical context, is like a fish out of water. You need more information...Was an infection or a heart problem suspected? How were you feeling? The CRP mentioned can be bad if it's in the context of a heart attack, or not really bad if an infection was suspected. ...Read moreSee 1 more doctor answer
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
Maybe Infection.: The elevation of neutrophils coukl mean bacterial infection, as these cells are important in fighting this kind of infection. The high hemohlobin seems nonspecific, in abscence of other symptoms and signs. It could possibly mean a polycythemia, one of the porphorias, or a myeloproliferative disorder, which could explain the high neutrophils. It can also be from high altitude. See dr. For more. ...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
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
AST elevated (65), ALT elevated (50) and total bilirubin elevated (3.0). All other enzymes are normal. Is this significant??
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
Good: It is not that bad. See PMD, they will help in a prospective way. ...Read more
Elevated total WBC count (11,000) with elevated total neutrophils, lymphocytes and eosinophils. But CRP & SED rate are NORMAL. What causes this?
Any symptoms?: Why was the test done? Do you have any symptoms?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, your WBC is at the high end of normal, but it may be your normal. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...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
Ebv capsid ab IgG 1:580. Positive ccp antibody igg, sed rate, high RDW and mpv on cbc.Liiver alt, AST elevated. Any ideas?
Blood results: alt/sgpt serum level=40 iu/l, serum alkaline phosphatase=43 iu/l, serum bilirubin level=2 umol/l, serum urea level=2.3 mmol/l. Normal?
Normal: It is very important to know why these were drawn in what sounds to be an otherwise healthy 19 year old. Did you expect to find something wrong? ...Read more
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
I have an elevated sedimentation rate, elevated white blood cell count, elevated absolute neutrophils, elevated absolute lymphocytes, & low iron level?
How do you FEEL?: If the white cell values are not extremely out of range, and all are well formed, I would not worry about them. Iron is more worrisome as even without anemia, low values can war of poor nutrition or bleeding from an uncertain or tumor. Nobody here can really tell you much more than that we are glad you are amtaking an active role in understanding your health. ...Read more
My nine yr old has elevated levels of ESR, AST & ALT also anemic she complains of intermittent pain on her left side?
My nine yr old has elevated levels of ESR, AST & ALT also anemic she has hashimoto syndrome she complains of intermittent pain on her left side?
Needs investigation: I thought Hashimoto's disease involves the thyroid. It would not have anything to do with the elevated AST and ALT. These enzymes suggest some kind of liver involvement. An elevated ESR may mean that there is some inflammatory process going on in the body, but the intermittent pain on the left side does not fit with any of the above. Bottom line, your child's doctor will have to check him/her out ...Read more
I have autoimmune hepatitis, AST is 28 and ALT is elevated 66. My CRP is 0.1 and my ESR is 2. Does this mean inflammation is not the cause?
Trending up or down?: Some questions to put your concern ; lab results in context: 1) how long have you had autoimmune hepatitis? 2) what treatment are you taking ; have your medications changed recently? 3) alcohol intake (should be minimal)? 3) supplements or steroid use? 4) are your transaminases trending up or down (a useful question if CRP ; ESR are low)? 4) risks for other kinds of hepatitis (viral, etc.)? ...Read more
50 yr old male, recent blood work, flags: ESR = 16 (my usual = between 4 - 8) , monocytes = 18% (abs. Mono. = 0.9 x 10e3/ul), AST = 80, ALT = 137, but my dr.'s only concern is my LDL = 255. Comments?
Stop worrying: Sed rate is famously imprecise and is of interest only if it is consistently quite high. Monocyte percentage of 900 isn't worrisome if you're not sick. I would be concerned about elevated ast and alt; this may be anything from smoldering viral hepatitis to medication allergy, hemochromatosis, non-alcoholic steatohepatitis, or any of several others. ...Read moreSee 1 more doctor answer
My recent blood report tells me that my ALT is 65 and AST 43, plus ESR is 40.. i hv dome my ultra sound of liver its ok.. HCV and HBV -tive... plz adv?
More testing: more testing may be needed. 2 most common causes of elevated liver test are alcohol consumption and diabetes. if you drink, you should stop completely. If you have or are at risk for diabetes, you should dramatically improve your diet. If your liver test return to normal after this, a lot less testing will be needed. Continue to follow-up with your doctor. The answers you seek take time & F/U. ...Read moreSee 1 more doctor answer
10 x 9 x 7 mm single gallbladder polyp found in 34 y.o. f patient. No hepatic lesions nor swelling on US. Enzymes have been increasing over past two years and are currently: AST=73, ALT=145, ALP=137. Iron and copper tests negative. ESR=34 Thoughts?
Hepatitis: Has the patient been tested for hepatitis A,B and C? Autoimmune hepatitis is also a possibility. Toxicity from medications or alcohol may not be likely. A simple gall bladder polyp shouldn't cause liver enzyme elevations. The US didn't demonstrate a fatty liver. A gastroenterologist is best to evaluate her. An abdominal surgeon can give advice about whether to remove the gall bladder and polyp. ...Read more
Blood test showed ast 12,alt 25,bilirubin total .13,serum crp 1.10 hb 7.70, eosinophils 6.20 platelet 403 esr 74. Any problem or risk. Pl. advice.
Is liver disease a death sentence? I have high CRP doc says related to obesity but he always runs esr/alt/ast and i don't know why?
Absolutely not: In fact, the pathology community is talking about doing away with the word "cirrhosis" altogether because we now know it's often reversible. Alt/ast are markers in obese people for obesity-related liver disease (rule out other causes) but this is extremely common & only occasionaly lethal. However, obesity is serious and much more likely to detract from your quality and length of life. ...Read moreSee 1 more doctor answer
Can a liver biopsy cause cholangitis? Also can you have cholangitis if Alt,Ast and amylase are norm but CRP 257,ESR 50,hi wbc,1700 d dimer. RUQ pain.
Not typically: Usually bacterial infection is the cause of cholangitis. This can be due to stone extraction or stent placement. You should discuss this potential with the person who did the biopsy. Usually cholangitis is associated with significant pain, fevers, chills, overall malaise. Elevated CRP, ESR, D-Dimer could be seen with infection (acute phase reactants) or autoimmune diseases. See your PCP. ...Read more
Is nicotine b shown in cbc, t4, ths, uera in serum, hdl, ast, alt, esr, vit.D, glucose in plasma, creatinine in serum, uric acid in serum, urine analysis please tel?
No: But it will deposit in your tongue and lungs. ...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
My body temperature is normal but i feel hot sgpt level is 60 and sgot is 40 bilirubin is 2.7 ESR is also 25 what it indicate it has been since 3 week?
You're sick: Get the care of a competent physician. The "hepamerz" stuff you're taking isn't going to solve anything. You need to find why you've got notably high transaminase and bilirubin. If you're an extreme athlete, taking rx and/or doing lots of alcohol, stop ; retest. Otherwise, labs for hepatitis a/b/c, hemochromatosis, immune hepatitis, wilson's, maybe more. Would encourage you to exercise as well. ...Read more
What fact i have high SGOT,SGPT,GGT. But not hepatitis. As now my liver test is back to normal but my ESR 51. I worry ,the infection recurred. ?
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
I did also a test: ESR 27, sgot 32, sgpt 34, lemphocytes 27, neutrophils 64, monocytes 7, eosinphils 2, TSH 1.39, I have RA , r my results gd?
Lab data: Most lab data is meaningless in the absence of clinical correlation, but these values are not abnormal. ...Read more
I did a blood test n had: ESR 52, MCV 95.2 MCH 32.9, neutrophils seg 75, lymphocytes 20, sgot 66 &sgpt 55 should I be worried?Ps:i have ra!
Discuss: Please discuss with your doctor about the elevated liver enzymes you have. ...Read more
Not a drinker. My UltraSnd says Mild enlarged & fatty liver. I'v High biliru- 2.1(Dir-0.5,InD-1.6).SGPT/SGOT- just high. ALP - OK ,Proteins - OK.Lipid Profile - OK. PanC - OK. ESR -8, CBC- Normal, Blood Sug - Ok, Kidney -OK.No Hep B/C. Is it Serious?
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