Raised Alt

I had a full panel of blood tests in May04 and again in May  05 for menopausal symptoms . I am 45 and was told the results were fine. However this week  I asked for a copy of the results for my insurance company and found my Alt was outside the normal range. I take 10mg lisinoril daily for high blood pressure. I have been on this medication for 10 years.
I enjoy a couple of wines a night do I need to stop? and  should I be worried?
Bilirubin 8 umol/L
GGT 23 u/l
ALT 71u/l range 5-45
Alkaline Phosphate 58 35-104
I don't really know how to bring this up with my doctor as he says everything is fine
eewatts

[Kevin Pho, MD]

The ALT is moderately elevated.  The causes can range from alcohol use, medication side effects, or liver/gallbladder disease.

If you are taking alcohol or medications like Tylenol, I would abstain from this and repeat the test values in a few weeks.  Although possible, I am not aware of lisinopril leading to an elevated ALT level.

Reasonable initial testing can include blood tests to look for hepatitis as well as an ultrasound to image the liver and gallbladder.

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.
kevinmd_b