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Gastroenterology (Expert Forum)
Elevated ALT & AST
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.
Elevated ALT & AST
by BZYMOM48, Feb 27, 2007 12:00AM
I am a 48 y/o female with a diagnosis of Iron Deficient Anemia, cause unknown. I had a hemoglobin of 8 and a ferritin level of .5. I had both upper and lower scope done both were negative for bleeding, bioposy negative for absorption disorders. Had Blood and Iron Transfusions two weeks ago. Noone seems to know aht caused the anmeia.
I have been sick with nauseau and lightheadness since then. I went for a second opinion today as well as for a check up and was please to find out that my hemoglobin was up to 12.9 and my ferritin level was 30. The new Dr- aslo a checked my liver and my ALT is 109 and my AST is 51. He isnt sure what is going on, but wants to wait a few weeks and repeat the liver panel. I am tired of having yet another "not sure"anwser. Can the elevated ALT/AST be r/t the anemia? help
I have been sick with nauseau and lightheadness since then. I went for a second opinion today as well as for a check up and was please to find out that my hemoglobin was up to 12.9 and my ferritin level was 30. The new Dr- aslo a checked my liver and my ALT is 109 and my AST is 51. He isnt sure what is going on, but wants to wait a few weeks and repeat the liver panel. I am tired of having yet another "not sure"anwser. Can the elevated ALT/AST be r/t the anemia? help
Doctor's Answer
by Kevin Pho, MD, Feb 28, 2007 12:00AM
, Feb 28, 2007 12:00AM
It is possible that the two can be related, but no significant diseases jump out at me.
I would evaluate the liver separately from the anemia. Blood tests to look for hepatitis as well as an ultrasound to evaluate for anatomical diseases of the liver can be considered. If you drink alcohol or take any medications that may lead to the elevation, this should be stopped.
If the liver enzymes continue to elevate, a liver biopsy can be considered for a more definitive diagnosis.
These options can be discussed with your personal physician, or in conjunction with a gastroenterologist.
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_
I would evaluate the liver separately from the anemia. Blood tests to look for hepatitis as well as an ultrasound to evaluate for anatomical diseases of the liver can be considered. If you drink alcohol or take any medications that may lead to the elevation, this should be stopped.
If the liver enzymes continue to elevate, a liver biopsy can be considered for a more definitive diagnosis.
These options can be discussed with your personal physician, or in conjunction with a gastroenterologist.
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_
Member Comments (1)
by Kalio1, Mar 07, 2007 12:00AM
To: BZYMOM
I have read iron deficient anemia can sometimes be associated with Hep C infection. I'd be tested for Hepatitis B and C and to rule those out as a possible cause.
by Kalio1, Mar 07, 2007 12:00AM
To: BZYMOM
I have read iron deficient anemia can sometimes be associated with Hep C infection. I'd be tested for Hepatitis B and C and to rule those out as a possible cause.
