Doctor insights on:
Only Ast Elevated
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
Bili AST ALT elevated over a yr ALT AST is now normal it has been double. Bili is 1.3 total and direct 0.24.have fatty liver could it b cirrhosis?
Not necessarily: Fatty liver disease has become one of the leading causes of liver disease. If your AST and ALT are normal, then the treatment you are taking may be working. This includes weight loss, diabetes control, avoiding toxins such as alcohol, some medications. I do not think your slightly elevated bilirubin is from fatty liver, this could be coincidentally Gilbert's syndrome, a benign enzyme deficiency ...Read more
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
Latest labs AST 22, ALT 28 and alp 41 all within range but ALT is higher than ast. Is that pointing to liver damage? My previous labs ALT was lower.
Results are normal: Your ast, alt, and alkaline phosphatase values as recorded are within normal limits for most laboratories, and by themselves do not indicate liver disease. If however you suspect otherwise, ask your doctor for confirmatory or complementary testing of the liver (there are many). ...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
Last month ast, ALT all normal, albumin, globulin, bilirubin not normal, this month albumin, bilirubin, globulin normal but AST and ALT very high.Possible?
Yes: This is not only possible but commonplace. I believe we've met. Cirrhosis is a chaotic system and labs fluctuate based on activity (damage / healing). We're not going to know for certain, but if we could talk to your liver, i'd bet he would tell you he's regenerated a huge number of cells which is why he's working better and has more total cells though still bearing injury. Be glad. ...Read more
Liver function tests: Alt and ast, prior noted as SGOT and sgpt, are part of a group of enzyme known as transaminases. They rise if something is inflaming the liver, such as a viral illness, mononucleosis, alcohol toxic effects, obesity or diabetes causing fatty infiltration in liver, adverse drug effects from a variety of medications... ...Read more
Yes: Ast and alt are measures of liver enzymes and often are elevated in the setting of hepatitis or other causes of injury to liver cells. However sometimes one or the other will be much more elevated. Sometimes fatty liver due to alcohol or some drugs/toxins can affect one enzyme more than the other. ...Read more
Usually not: The gall stone when present in the gall bladder does not affect the liver enzymes. Only if it is obstructing the common bile duct, it can cause abnormal liver function but the patient is very sick in that condition. Another cause for liver function abnormality should be investigated. ...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
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
Not unless: The liver is affected.Get a more detailed answer ›
Alt, Ast and Alp within normal range.
Alp isoenzyme also within normal range but GGT elevated to 129. Ab ultrasound scheduled for monday.
See descriptors: but no question. Please resubmit and include a clear & specific question. ...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