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Gastroenterology  (Expert Forum)
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Higher AST/ALT and acohol and/or usage of flomax and eurocholine
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.

Higher AST/ALT and acohol and/or usage of flomax and eurocholine

by ***, Jul 11, 2007 12:00AM
My most recent AST/ALT was 37/33 respectively.  I typically run about 34-37 on my AST over the past several years.  My ALT was up from last years of 24 but I normally average in the 28-30 range.  Here are my questions:  1) I take flomax and eurocholine daily, can this have an impact on AST?, 2) I generally have at least 3 glasses of wine per day, how much does this elevate AST?  And does this create a problem?  I do not drink anything other than wine and am wondering what impact it has on scores.  By the way I am a male, 56 years old and work out 4 times per week on a treadmill (30 minutes per time).  

by Kevin Pho, MD, Jul 12, 2007 12:00AM
To answer your questions:
1) Many drugs can raise the liver enzymes.  However, the medications you mentioned are not common culprits, but still possible.

2) There is no defined rise in AST - the sensitivity would vary from patient to patient.  It is certainly possible that 3 glasses of wine can raise your AST.

Further evaluation of the liver can be done with an ultrasound as well as blood tests for hepatitis.

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_
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