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Gastroenterology (Expert Forum)
Elevated Liver Enzymes
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Elevated Liver Enzymes
by johnnyk, Oct 17, 2003 12:00AM
Hi, I am a 31yo male who is in good physical condition. I am not a smoker or do I drink,I am not on any meds and have no signs or symptoms. Last week I went for my bi-annual physical for work when they told me my liver enzymes were elevated and to contact my own doc. My levels were:
SGOT 102
SGPT 92
The rest of my lab work was fine. Last time I had a physical was two years ago, the labs were:
SGOT 24
SGPT 45
I had a CT done with contrast and it stated:
there are three small low density lesions all measure 2mm in diameter or less, possibly tiny cysts but uncertian. Two of the cysts located in the anterior segment of the rt lobe and the other is in the posterior segment of the rt lobe. They also state that I have a small hemangioma on my T9 vertebral body. The liver was normal in size and had no fatty infiltration. I have been tested for mono and my hep c titers are normal. I am scheduled to see a GI doc later this month but I was hoping you could give me some insite on the findings.
Thank You,
Johnny k
SGOT 102
SGPT 92
The rest of my lab work was fine. Last time I had a physical was two years ago, the labs were:
SGOT 24
SGPT 45
I had a CT done with contrast and it stated:
there are three small low density lesions all measure 2mm in diameter or less, possibly tiny cysts but uncertian. Two of the cysts located in the anterior segment of the rt lobe and the other is in the posterior segment of the rt lobe. They also state that I have a small hemangioma on my T9 vertebral body. The liver was normal in size and had no fatty infiltration. I have been tested for mono and my hep c titers are normal. I am scheduled to see a GI doc later this month but I was hoping you could give me some insite on the findings.
Thank You,
Johnny k
Doctor's Answer
by Kevin Pho, MD, Oct 20, 2003 12:00AM
, Oct 20, 2003 12:00AM
There are many causes for increasing liver enzymes. More common causes would include hepatitis, any type of medication, or more uncommon diseases such as hemochromatosis or Wilson's disease. There is also a possibility that, depending on what they are, the liver lesions may also elevate the enzymes.
In your case, you do not take medications and you don't drink - ruling out these causes. Imaging does not show any fatty infilatration.
I would suggest a full hepatitis panel (all of hepatitis A, B and C) as well as a ferritin, TIBC/iron level to look for hemochromatosis.
If the enzymes continue to rise, you may want to discuss further testing to find out what these lesions are. If the lesions are benign, then a biopsy can be considered to further evaluate any other liver pathology.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
In your case, you do not take medications and you don't drink - ruling out these causes. Imaging does not show any fatty infilatration.
I would suggest a full hepatitis panel (all of hepatitis A, B and C) as well as a ferritin, TIBC/iron level to look for hemochromatosis.
If the enzymes continue to rise, you may want to discuss further testing to find out what these lesions are. If the lesions are benign, then a biopsy can be considered to further evaluate any other liver pathology.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
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