Doctor insights on:
Elevated Alt Test 142
In LFT blood test LDH was elevated and ISOENZYMES LDH 3 was elevated. I got the LFT again LDH was again elevated but lower than earlier. ?
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, LDH is not a good marker of liver health or disease. If your GGT and ALT were normal the elevated LDH is not due to liver disease. ...Read more
How high?: A common cause of elevated liver enzymes is use/abuse of alcohol. If you drink, stop entirely and get retested in three months. Other common causes are viral hepatitis, medication effects and heart failure. See this site for more info. http://www.mayoclinic.com/health/elevated-liver-enzymes/my00508. ...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
Good: It is not that bad. See PMD, they will help in a prospective way. ...Read more
Past fasting bilirubin elevated at 1.5 AP, AST, ALT all normal. Dr ordered non-fasting CMP and GGTP tests. Why did he order the GGTP test?
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?
3 yr daughter w/ chronicle elevated alk phosphate level. Lab today show alk level 234, BUN 22 & creat 0.25. Alk level been elevated sense age of 2.
I'm not certain...: ...why your daughter was diagnosed with an elevated alk phos. Normal range for a toddler is from a low of 145 to a high of 420. A BUN to Creatinine ratio of 88 (22/0.25) can be caused simply by dehydration. In any case, all of these tests must be interpreted in light of your daughter's overall health, growth and development. I hope she's otherwise fine. ...Read moreSee 1 more doctor answer
Chronic elevated alkaline phosphatase. GGT normal, other blood test negative. Liver ultrasound clear. My doctors said it is a mystery of elevated AP.
Not necessarily live: Alk. Phos. can be elevated in liver disease, but the enzyme is found in other organs, including bone, biliary tract ( gall bladder), intestine and, interesting, the placenta! Certain medications can also cause an elevation.At the very least, a gallbladder ultrasound, a measurement of parathyroid hormone,calcium & phosphate levels and a review of your meds should be done. ...Read moreSee 1 more doctor answer
my blood test showed abnormal liver enzymes and elevated pancreatic enzymes. Hepatitis negative. I don't drink alcohol. Ultrasound and CT negative. ?
Other causes: Amylase, Lipase and liver enzymes can be elevate, due many other reasons such as acute cholecystitis, biliary sludge, chronic pancreatitis or even drug induced. Imaging does not necessarily pick up small gallstones or biliary sludge. Also, clinical symptoms need to be correlated with your lab work to narrow down the diagnosis. Are you having jaundice, abdominal pain, diarrhea, cramps, etc? ...Read more
ALT 57 for 2 yrs. AST 33, Gamma GT 47, Bilirubin 0.5. Anti HCV & HbsAg negative, no fatty liver. I have Ps Arthritis. Why ALT is elevated for 2 yrs?
Liver disease.: There are a few other potential causes which may be pursued with simple lab testing (wilsons disease, alpha 1 antitrypsin deficiency, autoimmune hepatitis, etc), but if this all turns out negative (as I expect it might) then you will need to consider biopsy. If your numbers have been stable I am not sure this would be particularly useful for you. ...Read more
Bili ALT AST elevated on off for a yr.other labs normal high rdw. Hep viruses autoimmune disease neg . Ct fatty liver US 6 mth later nothin cirrhosis?
Depends on biopsy: Cirrhosis can only be truly proven by a liver biopsy. Certain lab tests, such as bilirubin, INR, albumin, and platelets are often used as surrogate markers of liver function, and are an indirect estimator/predictor of cirrhosis. Additionally, imaging such as ultrasound or CT can suggest cirrhosis. But again, a biopsy is technically needed to prove the diagnosis of cirrhosis. ...Read more
Tot Bilirubin 1.9, Direct 0.4; ALBUMIN 5.6, ALK.PHOSPHATASE 66, AST (SGOT) 17, ALT(SGPT) 21, GGT 20
Possible cause for elevation?
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, If you have had a persistently elevated bilirubin without any symptoms, the likely explanation is Gilbert's disease, which is essentially harmless. Beyond that you require additional history, physical examination and may be additional tests. ...Read more
Hbsag + in 1998, anti-hdv + in 2012, then anti-hdv -ve in 2013. Still high HBsAG 2069, sgpt 56 & sgot 37. Platelets 140x10e9/l. Other lab tests normal?
Hepatitis B;D: One does not become symptomatic with delta agent unless one has active hepatitis b with surface antigen necessary to make hdv a whole virus. You should be seen by a hepatologist and treated if it is warranted for your hep b because of the risk of hepatocellular carcinoma and other complications in the future. There is now effective treatment. Hope this clears satisfactorily. ...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
I recently done my blood test for liver kidney the as per report AST 63 ALT 76 ggtp 156 alp 214 total bilirubin 1.54 bilirubin direct 0.26 bilirubi1.3?
Workup: Your workup might go like this. Stop all alcohol & meds for two weeks. If transaminases ast/alt normal, you have the explanation. If not, bloodwork for hepatitis b, c, hemochromatosis, wilson's, maybe autoimmune hepatitis & antitrypsin. All but antytrypsin are deadly-but-treatable, your life was saved. If still no diagnosis, lifestyle with focus on aerobic fitness may improve numbers & your life. ...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
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 188 AST 88 does changing statins cause the elevation? Nevver had abnormal liver function test before
It's possible: Elevated Liver function tests may occur for a variety of issues from Fatty infiltration (hepatic steatosis), viral illnesses such as the hepatitis viruses, Alcoholism, increased use of medications that metabolize through the liver (statins), cirrhosis, biliary disease, tumors, gallbladder disease, etc, etc. Discuss with Dr. to HOLD the statin and see if they trend down, then try another med 4 Chol ...Read moreSee 2 more doctor answers