Hello Doctor and others,
I recently had a comprehensive metabolic panel test performed and my doctor found out that my AST level was somewhat high (78) (normal is 2-50 U/L). My ALT level was 50 (normal is 2-60 U/L) so, that one was fine. My Alkaline Phosphatase was normal (55) and my glucose was normal too (95). My doctor reccomended a second, sole AST test but I'm wondering why it was high in the first place. I work out 2-3 times a week (but I hadn't worked out in 2 days when I had the blood test done). Also, I do not drink much except 1-2 beers (at most) a week. I do not use drugs and never have used needles. I have have some lower back pain but it can be just sore muscles as well and I do have some abdominal pain and flank pain but that too may be due to working out those muscles or from past surgery or from my own mind-induced pain. I had surgery to open a urethral stricture about 6-7 months ago but I doubt it is related to the high AST level. What are you thoughts? I'm a 25 year old male who has no other known problems. I'm worried it may be hepatitis (from unprotected sexual contact) though I do not have any other symptoms. If it isn't that, I plan on taking more precaution next time and getting the HEP A & B vaccine. My father and brother both have hypothyroidism but I display none of those symptoms and I'm actually pretty thin.
I unfortunately have a nervous nature and I have looked it up on the internet and found many possibilities all of which are pretty scary. It's hard not to worry when you are told something is abnormal.
Thank you for your help with this!
Most common causes of isolated AST level would be alcohol use. I would abstain for alcohol and repeat the test to see if it improves. If it continues to be elevated, you may want to consider a hepatitis screen and a liver ultrasound (to evaluate for fatty liver or other anatomical abnormality).
If everything is negative, I would periodically observe the level to ensure it isn't rising. It isn't high enough to warrant a liver biopsy.
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.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.