High AST/ALT Levels

I am a 36-year-old female, 5

[Kevin Pho, MD]

To answer your questions:
1) I would consider further testing before resorting to watching and waiting.
2) If the ALT continues to rise, then that is more concerning.
3) Sphincter of Oddi dysfunction, hemochromatosis, hepatitis, a liver mass, autoimmune hepatitis are all possible amongst other diseases.
4) I would consider repeating the liver function tests sooner than 6 months.

Other tests to consider would be an ultrasound (which can pick up some things a CT can't), ERCP or MRCP, or 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.
Medical Weblog:
kevinmd_b

[LvdByGod!]

i have liver disease and i surely would be very concerned about those alt/ast levels and the pain etc...there are many other liver problems that could be possible...NASH is also a possibility and like the dr said there are others...

if you can't get anywhere with your dr i would immediatly get another that will get to the bottom of it...asap!!!

asceties is a possibility from severe liver damage...that could also explain your pain...i pray you find a good dr.

[HubatHome]

Hi, I normally dont post here but your story is so similar to mine its unreal ..I had the exact same thing happen to me last year - all of it - but I also experienced tetany in my arms and legs too.  I have had chronic right side pain as well and my liver enzymes tend to go up in down depending on illness, surgery and menstrual cycle.  Finally after being told Im crazy and after every cat scan and mri and endoscopic procedure and 2 surgeries for adhesions and a gall bladder removal with no relief, 2 different drs suggested porphyria...seemed like a stretch until i looked at my medical history and now im waiting for test results.  Oh, i was also tested for all types of hepatitis and had 2 endoscopic ultrasounds.  Good luck but you might want to take a look at porphyria its rare but not uncommon.  Good Luck.

Lisa

[lasv]

A related discussion, Could this be me? was started.