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Gastroenterology (Expert Forum)
elevated Ast and Alt / triglycerides
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 Ast and Alt / triglycerides
by bigdavid, Apr 24, 2004 12:00AM
IM not sure where to start but I try to explain what I been going through the past few weeks.
To give you a better understanding cause my doctor say not worry too much.
ill listed below all my recent blood work that i have done and the results and the difference
Between each and I hope you can give me explanation.EACH ONE IS DATED .
date of report test name Results reference interval
01/15/02 ast(sgot) 19 0 - 40
alt sgpt 21 0- 40
creatine, serum 1.1 0.5-1.5
triglycerides 199 0 - 149
cholestrol, total 201 100 - 199
hdl 35 40 - 59
ldl 126 0 - 99
rbc 6.00 4.10 - 5.60
hemoglobin 17.4 12.5- 17.0
hematocrit 50.8 36.0- 50.0
WHEN I REVIEWED THE BELOW BLOOD TEST WITH MY DOCTOR SHE ONLY PRESCRIBED TO ME
WAS PRILOSEC 40 MG FOR 30 DAYS
date of report test name Results reference interval
10/20/03 ast(sgot) 13 0 - 41
alt sgpt 32 0- 45
creatine, serum 1.3 0.4 -1.5
triglycerides 599 0 - 149
cholestrol, 209 120 - 220
hdl
ldl
rbc 5.90 4.70 - 6.10
hemoglobin 16.6 14 - 18
hematocrit 50. 42.0- 52.0
bilirubin tot 0.6 0.2 -1.2
luc 4.4 0.0 - 4.0
rdw 14.4 11.5 14.0
helicobacter antobody IGG 4.9 elisa <175=neg 1.75-225 equivqacal or equal to 2.25 positive
date of report test name Results reference interval
3/15/04 triglycerides 329 0 - 150
total bilirubin 63.0 30 - 125
ast 20 0- 33
alt 28. 0 - 45
ggt 30 0- 65
creatinine 1.4 0.7 -1.5
cholestrol 197 140 - 199
hdl 38 35 -80
ldl 93.0 0 -129
the above test where done by my insurance company and that was there results. date 3/15/04
date of report test name Results reference interval
3/28/04 ast 72 37
alt 64 40
I didn't have the full report on this day, HERE I TOLD THE DOCTOR I DO HAVE FREQUENT HEART BURN AN WHEN I USE TO TAKE PRILOSC IT HELPS ME FOR COUPLE OF WEEKS BUT WHEN I STOP IT, IT COMES BACK ,SO HE PRESCRIBED TO ME CLIDINIUM W/CHLORDIAZEPOX 2.5-5 MG CAPSULE .40 PILLS .
date of report test name Results reference interval
4/13/04 creatinine 1.3 0.4 - 1.2
bilirubin total 0.8 0.0 1.0
ast 55 37
alt 76 40
Hep. a ab, igm negative
HEPATITIS A AB /TOTAL POSITIVE
HBCAB NEGATIVE
HBSAB NEGATIVE
HBSAG NEGATIVE
HBEAB NEGATIVE
HBEAG NEGATIVE
HEPATITIS C AB. TO FOLLOW
HEPATITIS C (RIBA) NEGATIVE
BILIRUBIN, DIRECT 0.2 0.0- 0.3
HEPATITS C VIRUS (RIBA)
HEPATITS C VIRUS ANTIBODIES NEGATIVE
FROM 2001 TO 2002 I WAS ACTIVE WORKING OUT 5 DAYS A WEEK WEIGHT LIFT TRAINING. IN 2003 FOR ALMOST 8 MONTH I DIDN'T NOT WORK OUT AT ALL AND I WAS SITTING CLOSE TO 10 HOURS A DAY AT WORK.
STARTING EARLY MARCH I STARTED WORKING OUT AGAIN 5 DAYS A WEEK
NOTE I WAS VERY SORE AND IT TOOK A LONG TIME FOR MY SORENESS TO EASE DUE TO WORKIGN OUT.
IN OCTOBER 2003 MY 11 YEAR OLD NEPHEW JUMPED ON ME WHILE I WAS A SLEEP ON MY LEFT SIDE OF MY RIB WHICH WAS VERY PAINFUL IT TOOK ALMOST 5 WEEK TO EASE THE PAIN I DID TAKE a lot OF MORTON TO HELP WITH THE PAIN . I ALSO DUE TAKE a lot SUPPLEMENTS ,,MANY OF THEM ALL NATURAL though I MENTION SOME
BLACK SEED, ALOE VERA, MILK THISTLE,GENSING,GARLIC TABLETS, FIBER, FLAX SEED, MULTI VITAMINS,L-GLUTAMINE,GLUCOSAMINE AND CHONDORTIN SULFATE, CORAL CALCIUM, I DON'T TAKE THEM ALL EVERY DAY,OR ALL AT ONCE BUT I DO TAKE THEM DURING THE DAY .I DON'T DRINK AT ALL NEVER DID ,I DONT USE ANY DRUGS .
OCTOBER 2003 USE WEIGHT 210 TODAY I WEIGHT 223 IM 30 YEARS OLD 5 8".
I FIND OUT THAT MY WIFE DONE A BLOOD WORK ON SEPT /28 /03 AND SHOWED HEPATITIS B. REACTIVE AND HER AST WAS 13 AND ALT 19 ,HER DOCTOR SAID SHE MIGHT OF HAD IT FOR A LONG TIME .
WHEN I REVIEWED MY BLOOD TEST WITH MY DOCTOR IN APRIL I ASKED TO BE VACCINATED FOR HEPATITIS B. AND GOT THE FIRST SHOT.
I BEEN WITH MY WIFE FOR 3 YEARS, HOW COME I DIDN'T GET INFECTED WITH HB IF MY WIFE HAD IT ? MY DOCTOR WANT ME TO DO A SONO WHICH IM GOIGN TO DO IN MAY 7 .
HERE IS MY QUESTIONS
1. WHAT CAN YOU TELL FROM MY PAST AND RECENT BLOOD TEST ?
2.CAN I HAVE HB EVEN THO MY LAST BLOOD TEST SHOWED NEGATIVE?
3.WHAT CAN CAUSE MY LIVER ENZYME TO ELEVATE ?
4.CAN I HAVE LIVER CANCER AT THIS YOUNG AGE ?MY MOTHER HAD COLON SURGERY AT AGE 51(CANCER)
5.WHAT DOES HEPATITIS A, AB TOTAL (POSITIVE) MEAN?MY MOTHER SAYS I WAS VACCINATED FOR HEPATITIS A IN VENEZUELA?
6.NEXT TIME I DO BLOOD TEST WILL I HAVE HEPATITIS B. ANTIBODY CAUSE I TOOK THE VACCINATION FOR IT?
7.MY WIFE AND HER RESULT WHAT DOES IT MEAN?I HAVE A BABY WITH HER AND A RECENT A WEEK OLD BABY WHICH WAS BORN WITH HEART DEFECT CAN HB BE THE CAUSE ?
8. WHAT YOU RECOMMEND READING MY BLOOD TEST.
9.CAN ANY OF MY KIDS BE INFECTED WITH HEPATITIS B.EVEN although THEY WERE VACCINATED AT BIRTH?
ANY DANGER FROM MY WIFE TO THEM OR EVEN ME FOR HAVING ANTIBODY FOR HEPATITIS A?
10 . CAN NATURAL OR TOO MUCH SUPPLEMENTS CAUSE MY LIVER ENZYME TO INCREASES?
11. STARTING TO WORK OUT HEAVY AFTER A LONG ABSENT ELEVATE MY LIVER ENZYME
I KNOW I MADE THIS LONG PLEASE ANSWER ME AS SOON AS POSSIBLE, IM SO CONFUSED
I DON'T KNOW WHAT TO THINK. IM SO DISTRESSED. PLEASE TAKE THE TIME TO REVIEW EVERYTHING I MENTION ABOVE EXPLAIN EVERYTHING TO ME FROM READING MY REPORTS AND ANSWER MY CONCERNS. THANK YOU SO MUCH.
To give you a better understanding cause my doctor say not worry too much.
ill listed below all my recent blood work that i have done and the results and the difference
Between each and I hope you can give me explanation.EACH ONE IS DATED .
date of report test name Results reference interval
01/15/02 ast(sgot) 19 0 - 40
alt sgpt 21 0- 40
creatine, serum 1.1 0.5-1.5
triglycerides 199 0 - 149
cholestrol, total 201 100 - 199
hdl 35 40 - 59
ldl 126 0 - 99
rbc 6.00 4.10 - 5.60
hemoglobin 17.4 12.5- 17.0
hematocrit 50.8 36.0- 50.0
WHEN I REVIEWED THE BELOW BLOOD TEST WITH MY DOCTOR SHE ONLY PRESCRIBED TO ME
WAS PRILOSEC 40 MG FOR 30 DAYS
date of report test name Results reference interval
10/20/03 ast(sgot) 13 0 - 41
alt sgpt 32 0- 45
creatine, serum 1.3 0.4 -1.5
triglycerides 599 0 - 149
cholestrol, 209 120 - 220
hdl
ldl
rbc 5.90 4.70 - 6.10
hemoglobin 16.6 14 - 18
hematocrit 50. 42.0- 52.0
bilirubin tot 0.6 0.2 -1.2
luc 4.4 0.0 - 4.0
rdw 14.4 11.5 14.0
helicobacter antobody IGG 4.9 elisa <175=neg 1.75-225 equivqacal or equal to 2.25 positive
date of report test name Results reference interval
3/15/04 triglycerides 329 0 - 150
total bilirubin 63.0 30 - 125
ast 20 0- 33
alt 28. 0 - 45
ggt 30 0- 65
creatinine 1.4 0.7 -1.5
cholestrol 197 140 - 199
hdl 38 35 -80
ldl 93.0 0 -129
the above test where done by my insurance company and that was there results. date 3/15/04
date of report test name Results reference interval
3/28/04 ast 72 37
alt 64 40
I didn't have the full report on this day, HERE I TOLD THE DOCTOR I DO HAVE FREQUENT HEART BURN AN WHEN I USE TO TAKE PRILOSC IT HELPS ME FOR COUPLE OF WEEKS BUT WHEN I STOP IT, IT COMES BACK ,SO HE PRESCRIBED TO ME CLIDINIUM W/CHLORDIAZEPOX 2.5-5 MG CAPSULE .40 PILLS .
date of report test name Results reference interval
4/13/04 creatinine 1.3 0.4 - 1.2
bilirubin total 0.8 0.0 1.0
ast 55 37
alt 76 40
Hep. a ab, igm negative
HEPATITIS A AB /TOTAL POSITIVE
HBCAB NEGATIVE
HBSAB NEGATIVE
HBSAG NEGATIVE
HBEAB NEGATIVE
HBEAG NEGATIVE
HEPATITIS C AB. TO FOLLOW
HEPATITIS C (RIBA) NEGATIVE
BILIRUBIN, DIRECT 0.2 0.0- 0.3
HEPATITS C VIRUS (RIBA)
HEPATITS C VIRUS ANTIBODIES NEGATIVE
FROM 2001 TO 2002 I WAS ACTIVE WORKING OUT 5 DAYS A WEEK WEIGHT LIFT TRAINING. IN 2003 FOR ALMOST 8 MONTH I DIDN'T NOT WORK OUT AT ALL AND I WAS SITTING CLOSE TO 10 HOURS A DAY AT WORK.
STARTING EARLY MARCH I STARTED WORKING OUT AGAIN 5 DAYS A WEEK
NOTE I WAS VERY SORE AND IT TOOK A LONG TIME FOR MY SORENESS TO EASE DUE TO WORKIGN OUT.
IN OCTOBER 2003 MY 11 YEAR OLD NEPHEW JUMPED ON ME WHILE I WAS A SLEEP ON MY LEFT SIDE OF MY RIB WHICH WAS VERY PAINFUL IT TOOK ALMOST 5 WEEK TO EASE THE PAIN I DID TAKE a lot OF MORTON TO HELP WITH THE PAIN . I ALSO DUE TAKE a lot SUPPLEMENTS ,,MANY OF THEM ALL NATURAL though I MENTION SOME
BLACK SEED, ALOE VERA, MILK THISTLE,GENSING,GARLIC TABLETS, FIBER, FLAX SEED, MULTI VITAMINS,L-GLUTAMINE,GLUCOSAMINE AND CHONDORTIN SULFATE, CORAL CALCIUM, I DON'T TAKE THEM ALL EVERY DAY,OR ALL AT ONCE BUT I DO TAKE THEM DURING THE DAY .I DON'T DRINK AT ALL NEVER DID ,I DONT USE ANY DRUGS .
OCTOBER 2003 USE WEIGHT 210 TODAY I WEIGHT 223 IM 30 YEARS OLD 5 8".
I FIND OUT THAT MY WIFE DONE A BLOOD WORK ON SEPT /28 /03 AND SHOWED HEPATITIS B. REACTIVE AND HER AST WAS 13 AND ALT 19 ,HER DOCTOR SAID SHE MIGHT OF HAD IT FOR A LONG TIME .
WHEN I REVIEWED MY BLOOD TEST WITH MY DOCTOR IN APRIL I ASKED TO BE VACCINATED FOR HEPATITIS B. AND GOT THE FIRST SHOT.
I BEEN WITH MY WIFE FOR 3 YEARS, HOW COME I DIDN'T GET INFECTED WITH HB IF MY WIFE HAD IT ? MY DOCTOR WANT ME TO DO A SONO WHICH IM GOIGN TO DO IN MAY 7 .
HERE IS MY QUESTIONS
1. WHAT CAN YOU TELL FROM MY PAST AND RECENT BLOOD TEST ?
2.CAN I HAVE HB EVEN THO MY LAST BLOOD TEST SHOWED NEGATIVE?
3.WHAT CAN CAUSE MY LIVER ENZYME TO ELEVATE ?
4.CAN I HAVE LIVER CANCER AT THIS YOUNG AGE ?MY MOTHER HAD COLON SURGERY AT AGE 51(CANCER)
5.WHAT DOES HEPATITIS A, AB TOTAL (POSITIVE) MEAN?MY MOTHER SAYS I WAS VACCINATED FOR HEPATITIS A IN VENEZUELA?
6.NEXT TIME I DO BLOOD TEST WILL I HAVE HEPATITIS B. ANTIBODY CAUSE I TOOK THE VACCINATION FOR IT?
7.MY WIFE AND HER RESULT WHAT DOES IT MEAN?I HAVE A BABY WITH HER AND A RECENT A WEEK OLD BABY WHICH WAS BORN WITH HEART DEFECT CAN HB BE THE CAUSE ?
8. WHAT YOU RECOMMEND READING MY BLOOD TEST.
9.CAN ANY OF MY KIDS BE INFECTED WITH HEPATITIS B.EVEN although THEY WERE VACCINATED AT BIRTH?
ANY DANGER FROM MY WIFE TO THEM OR EVEN ME FOR HAVING ANTIBODY FOR HEPATITIS A?
10 . CAN NATURAL OR TOO MUCH SUPPLEMENTS CAUSE MY LIVER ENZYME TO INCREASES?
11. STARTING TO WORK OUT HEAVY AFTER A LONG ABSENT ELEVATE MY LIVER ENZYME
I KNOW I MADE THIS LONG PLEASE ANSWER ME AS SOON AS POSSIBLE, IM SO CONFUSED
I DON'T KNOW WHAT TO THINK. IM SO DISTRESSED. PLEASE TAKE THE TIME TO REVIEW EVERYTHING I MENTION ABOVE EXPLAIN EVERYTHING TO ME FROM READING MY REPORTS AND ANSWER MY CONCERNS. THANK YOU SO MUCH.
Doctor's Answer
by Kevin Pho, MD, Apr 26, 2004 12:00AM
, Apr 26, 2004 12:00AM
To answer your questions:
1) There are mildly elevated liver enzymes with a negative hepatitis screen. I would suggest an abdominal ultrasound as the next step. The H Pylori IgG is also elevated - treatment for this with antibiotics should be considered as well.
2) If the hepatitis tests are negative, it is unlikely that it is present. The hepatitis A antibodies are positive - suggesting that you may have been exposed to it in the past.
3) There are many causes - including fatty liver, alcohol or medications. An ultrasound would be a reasonable next test.
4) Cannot say over the internet. If liver cancer is a concern, the ultrasound or CT scan would be a reasonable first step.
5) The positive antibodies either means that you have been exposed to the virus or you have been vaccinated.
6) If the Hep B surface antibody is positive, that would be the best marked to see if you are immunized against it.
7) If you have been immunized against heptatitis A and B, it is unlikely to have effects on your children.
8) As above, I would recommend an ultrasound if not already done.
9) Hepatitis B is transmitted via body fluids and blood. If this is a concern, you can have them tested.
10) Any medication, including supplements, can raise liver enzymes.
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.
Thanks,
Kevin, M.D.
1) There are mildly elevated liver enzymes with a negative hepatitis screen. I would suggest an abdominal ultrasound as the next step. The H Pylori IgG is also elevated - treatment for this with antibiotics should be considered as well.
2) If the hepatitis tests are negative, it is unlikely that it is present. The hepatitis A antibodies are positive - suggesting that you may have been exposed to it in the past.
3) There are many causes - including fatty liver, alcohol or medications. An ultrasound would be a reasonable next test.
4) Cannot say over the internet. If liver cancer is a concern, the ultrasound or CT scan would be a reasonable first step.
5) The positive antibodies either means that you have been exposed to the virus or you have been vaccinated.
6) If the Hep B surface antibody is positive, that would be the best marked to see if you are immunized against it.
7) If you have been immunized against heptatitis A and B, it is unlikely to have effects on your children.
8) As above, I would recommend an ultrasound if not already done.
9) Hepatitis B is transmitted via body fluids and blood. If this is a concern, you can have them tested.
10) Any medication, including supplements, can raise liver enzymes.
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.
Thanks,
Kevin, M.D.
