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Gastroenterology (Expert Forum)
ELEVETED LIVER ENZYME AND CREATININE LEVELS
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
ELEVETED LIVER ENZYME AND CREATININE LEVELS
by bigdavid, May 28, 2004 12:00AM
hi
i wrote you before in regard of my liver enzyme, my liver enzyme was elevated
i did number of blood work and i was negative for all hepatitis a,b,c
I listed below the results of my blood work.
below are the listed of blood work i done inthE past to recent as dated below .
DATE
01/15/02 ast(sgot) 19 0 - 40
alt sgpt 21 0- 40
creatine, serum 1.1 0.5-1.5
DATE
10/20/03 ast(sgot) 13 0 - 41
alt sgpt 32 0- 45
creatine, serum 1.3 0.4 -1.5
DATE
3/15/04
total bilirubin 63.0 30 - 125
ast 20 0- 33
alt 28. 0 - 45
creatinine 1.4 0.7 -1.5
date
4/13/04
creatinine 1.3 0.4 - 1.2
bilirubin total 0.8 0.0 1.0
ast 55 37
alt 76 40
all habitits a/b /c are negative .
a sonogram was done and all shows normal .
date
5/17/2004
creatinine 1.3 0.4 - 1.2
bilirubin total 0.8 0.0 1.0
ast 48 37
alt 62 40
my doctor say since the liver enzyme are goign down thats good sign and to see him in three month ,but he was concern about my creatinine level which remind at the range of 1.3 in the past 3 test .i took creatine for almost but stop for the past 8 month.
i been workign out for the past 3 years ,but my last year i stoped number of time and start again and work aggressvily trying to get back in shape.im concen that i might have kidney porblems,what do you recommend,can any of the things i mention above elevate my creatinine level?i see a specialist next week.WHAT SHOULD I ASK THE DOCTOR AND WHAT DO YOU SEE THE DOCTOR WILL DO
READING MY BLOOD RESULTS AND WHAT DO YOU SEE AND WHAT SHOULD I BE CONCERNED ABOUT.
WHAT CAN ELEVET CREATININE LEVEL? WHAT CAN I DO TO BRING IT BACK DOWN? CAN SUPPLEMTN ELEVATE MY CREATININE LEVEL?WHAT SHOULD I DO NEXT ?WHAT TO ACCEPT ?
THANK YOU SO MUCH
i wrote you before in regard of my liver enzyme, my liver enzyme was elevated
i did number of blood work and i was negative for all hepatitis a,b,c
I listed below the results of my blood work.
below are the listed of blood work i done inthE past to recent as dated below .
DATE
01/15/02 ast(sgot) 19 0 - 40
alt sgpt 21 0- 40
creatine, serum 1.1 0.5-1.5
DATE
10/20/03 ast(sgot) 13 0 - 41
alt sgpt 32 0- 45
creatine, serum 1.3 0.4 -1.5
DATE
3/15/04
total bilirubin 63.0 30 - 125
ast 20 0- 33
alt 28. 0 - 45
creatinine 1.4 0.7 -1.5
date
4/13/04
creatinine 1.3 0.4 - 1.2
bilirubin total 0.8 0.0 1.0
ast 55 37
alt 76 40
all habitits a/b /c are negative .
a sonogram was done and all shows normal .
date
5/17/2004
creatinine 1.3 0.4 - 1.2
bilirubin total 0.8 0.0 1.0
ast 48 37
alt 62 40
my doctor say since the liver enzyme are goign down thats good sign and to see him in three month ,but he was concern about my creatinine level which remind at the range of 1.3 in the past 3 test .i took creatine for almost but stop for the past 8 month.
i been workign out for the past 3 years ,but my last year i stoped number of time and start again and work aggressvily trying to get back in shape.im concen that i might have kidney porblems,what do you recommend,can any of the things i mention above elevate my creatinine level?i see a specialist next week.WHAT SHOULD I ASK THE DOCTOR AND WHAT DO YOU SEE THE DOCTOR WILL DO
READING MY BLOOD RESULTS AND WHAT DO YOU SEE AND WHAT SHOULD I BE CONCERNED ABOUT.
WHAT CAN ELEVET CREATININE LEVEL? WHAT CAN I DO TO BRING IT BACK DOWN? CAN SUPPLEMTN ELEVATE MY CREATININE LEVEL?WHAT SHOULD I DO NEXT ?WHAT TO ACCEPT ?
THANK YOU SO MUCH
Doctor's Answer
by Kevin Pho, MD, May 28, 2004 12:00AM
, May 28, 2004 12:00AM
An creatinine level is a measure of kidney function. The level of 1.3 may be elevated, but would depend on your body size.
Many, many things can raise the creatinine level - including dehydration, medication, urinary obstruction, intrinsic kidney disease, hypertension, and diabetes to name but a few.
Next diagnosic tests would be a urinalysis (probably the most important next test) as well as a kidney ultrasound.
If the tests continue to be negative, a kidney biopsy can be considered. You may want to discuss a referral to a nephrologist (kidney specialist).
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
Many, many things can raise the creatinine level - including dehydration, medication, urinary obstruction, intrinsic kidney disease, hypertension, and diabetes to name but a few.
Next diagnosic tests would be a urinalysis (probably the most important next test) as well as a kidney ultrasound.
If the tests continue to be negative, a kidney biopsy can be considered. You may want to discuss a referral to a nephrologist (kidney specialist).
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
Good luck!