Another ALT Question

Recently went for a chem panel and found out that my ALT was elevated.  I think the number was 90.  My doctor thought this might be an error so I took a retest 2 days later and my ALT level went down to 69.  Because of this drop he thinks the cause is benign and told me not to worry about it.  All my previous bloodwork has been normal up until this point.  I was sick with flu like symotms around the time I took the test and my docor stated that transient elevations in ALT levels can be caused by a recent viral illness or sudden change in diet; which describes me to a T.  He also stated that this is something benign and we would just do another retest in 3 months.  I get bloodwork done all the time because I am on a drug called Humira.  However when searching through the web an Elevated ALT is associated with only liver diseases.  Do you think it is likely that I have something serious?  I also tested nonreactive for hep and my doctor told me I tested negative for B and C.  I am very concerned about this.  I think I may be readin to much info on the net and it's driving me nuts.  I am a 28/m who drinks socially and smokes ocassionaly.

[Kevin Pho, MD]

It is true that a viral illness can transiently raise the ALT level.  Repeating the test would be a reasonable option.  

If the elevation persists, testing for hepatitis should be done (which you have already had).  You can consider an abdominal ultrasound to image the liver and gallbladder.  

Persistantly marked elevation of ALT may warrant a liver biopsy.

These options can be discussed with your personal physician.

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.

Kevin, M.D.
http://www.straightfromthedoc.com

[terry1974]

can a gallbladder not working properly raise the alt level.

[vdiddy1]

A related discussion, elevated ALT and AST, recent stomach flu was started.