A related discussion,
liver function was started.
A related discussion,
high lver function lab numbers was started.
Follow up: Further blood tests eliminated the possibility of hepatitis or any autoimmune disorder. My ultrasound revealed that my liver is not enlarged "but contains multiple areas of inhomogeneity suggesting focal fatty inflitration. No mass lesions are seen." Gallbladder, bile ducts, pancreas, and right kidney were normal. Therefore, my problem is a fatty liver.
Thanks,
Tom
my lever enzymes were up when i went to see the Doctorwas looking at having gastric by pass surgery sgot 130 sgpt 162 alk phos 114 my cholestrol is 292 was told no more tylenol products alcohol would there be any reason not to go though with the surgery had a biopsy done found fatty liver steatohepatitis with bridging fibrosis
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Since you mentioned that your ALP is also high, another possibility could be some type of biliary obstruction (cholestasis).
Here's some info you might want to look at
http://www.sydpath.stvincents.com.au/tests/GGT.htm
http://www.labcorp.com/datasets/labcorp/html/chapter/mono/pr004400.htm
Hello - thanks for asking your question.
First off, I would repeat the liver tests to make sure they are accurate. Assuming they are, there are several considerations that can raise the liver tests this high. They include alcoholic hepatitis, viral hepatitis, toxic hepatitis (i.e. with Tylenol - although the AST and ALT would typically be in the thousands), ischemic hepatitis (again, the AST and ALT would typically be in the thousands), Wilson's disease (a genetic liver disease that can present with acute hepatitis), and autoimmune hepatitis.
Seeing a specialist is a good idea. Tests include a viral hepatitis screen, autoimmune hepatitis screen, tests for Wilson's disease (i.e. serum ceruloplasmin level) should all be considered. I would also perform an abdominal ultrasound to image the liver. If these tests are non-revealing, your specialist may consider 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.
Thanks,
Kevin, M.D.