Doctor insights on:
What sort of liver diseases can cause fluctuating ALT levels from mild elevation to normal over 3 weeks? (alt 42, 57, 28)
Could my continuing & fluctuating mild alt elevations (50-90) be evidence of mild fatty liver. All other tests are negative inc fibroscan (6.6).Not fat. Used to be very active, still am to a degree but eat irregularly and late night due to shift work?
Liver injury: Mildly Elevated ALT indicates mild liver injury which can be due to viral hepatitis (sometimes other than hepatitis A, B or C), fatty liver, inflammation of the bile ducts, autoimmune disease or simply a reflection of inflammatory disorder in surrounding organs like in appendicitis or colitis. If this persists you should discuss the possibilities with your dr ...Read more
2 y/o boy w/ fluctuating ast/alt is now normal (~40). Normal bili until now (1.8 total). Negative for all viral heps. What liver disease could it be?
Liver problem: He could have gilbert disease which is a benign problem. ...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
What can cause ALT to fluctuate? My numbers: august ALT 71, november ALT 59, current ALT 79. All other bloodwork (including ast) is normal.
Depends: Elevated liver enzymes (alt and ast) can be due to a number of causes. Without knowing more information, it is difficult to answer. However, it can be due to fatty liver disease (very common now a days) or inflammation from other causes like viral, autoimmune, or metabolic causes. Discuss with your pcp or a liver specialist what the next steps are. ...Read more
Yes: Often quite a bit. Hoping you get access to the new medications and a cure. ...Read more
Ast 50 ALT 110 have been fluctuating have a fatty liver was on statins took me off enzymes went to normal now high again. Was on cefdinir 300mg why?
Cefdinir=antibiotic: Cefdinir is an antibiotic. I have not idea why you were prescribed this antibiotic. You need to ask your prescribing physician. Regarding your fatty liver, weight loss, well more specifically fat loss, is key via healthy nutrition & regular exercise. Check out http://www. Mayoclinic. Com/health/nonalcoholic-fatty-liver-disease/ds00577 for more info. Avoid Acetaminophen & alcohol until liver healthy. ...Read more
Really scared. Liver enzymes are fluctuating. 4oct/5feb/18feb are: bili (10/8/12 umol/l) AST (40/20/98 u/l) ALT (77/33/154 u/l) GGT (72/33/47). Help?
Get a diagnosis: You're right to be concerned, especially about the transaminases. If they cannot be normalized permanently by stopping alcohol, your physician will work you up for hepatitis b & c, hemochromatosis, wilson's, and autoimmune hepatitis; all are lethal if undetected but fairly easy to manage. You may simply have metabolic syndrome manageable with lifestyle change. Good luck. ...Read more
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
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
Alt 114 AST 85 keep fluctuating diagnosed with mild fatty liver in july by ct. Jan had us it showed nothing why would enzymes b elevated. No hepatitis.
See hepatologist: Ultrasound is not a sensitive measure of fatty changes in the liver. The gold standard is liver biopsy, but ct and MRI can be used to quantify fat in the liver. Given that you have elevated cholesterol, you may need to triglycerides also. Diet and weight loss may be helpful, but medications may also be necessary. See a liver doctor, hepatologist, for further instruction. ...Read more
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
38 year old female fatigued, bloating, gas. Hx of fluctuating liver enzymes for almost 3 years. Gallbladder removed 1.5 years ago. ALT 61, Alkaline Phosphatase 154, globulin 3.9.Hep, ANA, lupus, rheumatoid all negative. Please help. Other suggestions?
Possible celiac: Celiac disease remains a possibility with reported symptoms and liver function test abnormalities. An evaluation with a liver specialist may be needed for reviewing additional history and consideration for tests to rule out disorders of biliary tree, pancreas, and chronic liver diseases. ...Read more
Need to determine: Cause all lab results need to be interpreted in the clinical context and the doctor who ordered the test is usually in the best position to do that. Common causes of elevated alt are alcohol intake, hepatitis c infection, medication side effects and liver cell necrosis. If you drink, stop entirely for three months. Do not take acetaminophen/tylenol. ...Read more
Refernce Values: Your alt value should be based on the reference values provided by the laboratory that performed the test. Slightly elevated means passive congestion, normal to high means a tumor or space occupying lesion within the liver and high means liver failure. This should be correlated with the other liver enzyme test results. ...Read more
Find the cause: Unless you are taking no medications and do not drink, your physician will probably ask to repeat the test in two weeks off alcohol & meds including iboprofen. If you're still up, you'll be tested for hepatitis B & C, Wilson's, hemochromatosis, and autoimmune hepatitis. This high ALT may simply by your body's way of asking you to exercise more. Don't Rx a lab value. Best wishes. ...Read more
No: High alts may indicate problems, but low normal alts are fine. They are never dangerous in themselves. There are a few rare diseases where alts may be very low. If it was way below low normal, ask your doc to recheck. ...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
Inflammation: Alt is an enzyme produced by the liver. When it is elevated it signifies liver inflammation which can come from multiple causes, the aasld-american association of the study of liver disease considers a normal alt to 19 or less in a woman and 30 or less in a male. Alt numbers higher than this again means there is liver inflammation. ...Read more