Doctor insights on:
Liver Afp Test
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
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
Liver: These help suggest if there is any ongoing liver problems. ...Read more
Good: It is not that bad. See PMD, they will help in a prospective way. ...Read more
Liver cell ,bile tes: Sgpt (alt) is a test of liver cell (hepatocyte) activity; increased with liver cell inflammation. Ggt is a test of bile flow. Anything that decreases flow of bile within cells, down tiny canaliculi, small ductules, and larger ducts will cause increase; can be due to inflammation, scarring, stone, tumor, etc. Drugs can increase either or both. ...Read more
Best serum tests for liver damage (fibrosis/cirr.)? Ggt, apo a1, a2 alpha gammaglobulin, ldh, haptoglobin? Others? How to interpret? Caff breath test?
Need more tests: Serum tests may never become abnormal from fibrotic or cirrhosis until late. Ultrasound abdomen is good. Ct may help. Liver biopsy is best. Usually clinical history helps. Nonalcoholic fatty liver is emerging as a new and potentially big problem and is mostly diagnosed incidentally on ct or ultrasound of abdomen. ...Read moreSee 1 more doctor answer
Amylase & lipase: These check for the enzymes to see if they're being released into the blood when somebody has an upper abdominal emergency. If you're concerned you haven't got enough pancreatic enzymes, a stool assay for pancreatic elastase might be more helpful. ...Read moreSee 1 more doctor answer
Yes: Liver function tests are often elevated in autoimmune hepatitis. This is a non- specific test. If the liver function tests are elevated additional diagnostic tests will be necessary. The anti smooth muscle antibody is one of the most important in pointing to this diagnosis. Tests for other liver diseases such as hepatitis and primary biliary cirrhosis are usually part of the evaluation. ...Read more
Hepatitis Panels: Liver function tests are not really used to diagnose viral hepatitis, but elevated ast, alt, ggt, alkaline phos, bili can indicate "something" is wrong and needs evaluation::. Hepatitis panels for anti-bodies, core anti-bodies, and antigens for each of the different types of hepatitis (a, b, c, etc.) are used to indicate whether viral hepatitis is present and the severity/length of the infection. ...Read moreSee 1 more doctor answer
Blood test results showed elevated liver enzymes and elevated kidney function. What does this mean?
Need for evaluation: It is not feasible to provide a meaningful opinion without taking a history, physical examination, looking at the actual lab results and may be additional studies. Lab results need to be interpreted in the clinical context and the doctor who ordered the tests is in the best position to do that. ...Read more
Two enzymes: If they're high in the blood, they've often leaked from injured liver cells. They're not dangerous by themselves, but they mean the cause needs to be found. Alcohol, meds, hepatitis, hemochromatosis and wilson's will be ruled in / out, but perhaps the most common cause in the us today is simply lack of exercise. ...Read more
Lfts worsening-serum gammagt level 647u/l, serum alk phosphate 654u/l.Othr blood/heps normal.Mri &scans done. 3polyps large14mm in gallbladder-remove?
See specialist: The elevation in ggtp and alkaline phosphatase in the setting of gallbladder polyps that large mandates that you see a liver specialist before embarking on surgery. There are two types of specialists you should see, a hepatologist, a liver internal medicine doctor to make sure this is not some type of hepatitis or liver disease and then a liver surgeon to decide if the polyp is cancerous. Do asap. ...Read moreSee 1 more doctor answer
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
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