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MedHelp Member's Question

very high sgot and sgpt. im scared please advice

by scardycat, Jan 24, 2007 12:00AM
I am a 34 yr old woman. Dont drink. dont smoke. Dont eat meat. Exercise daily.  I was in ER last week with sharp pains under my chest bone. Excruciating pain. worst I ever felt. It comes on when I indulge in rich foods that I normally never eat due to strict diet. I have to go back next week for more blood work. the ER doctor was concern with my current blood test results.



What does this mean? IM scared. please advice



flagged:

13.6 wbc

38.5 hematocrit

85.50 neutophil

8.10 lmyphocyte

137 sgot/ast

81 sgpt/alt



i was givin an aftrcare paper with explanations of hepatitis, heoatitis A, B and C.

does that mean i have one of them? Dr said to wait for next blood test to see.
Member Comments (9)

by stevenNYer, Jan 25, 2007 12:00AM
I think your ALT and AST is not that high.  The doc probably ruling out Hep A, B, and C.  Hopefully is A, which is minor stuff.  But even if its B and C, it's not the end of the world.  I was diagnosed with B 6 months ago.  This site has been helpful for support and info.  Best wishes on your results.

by copyman, Jan 25, 2007 12:00AM
To: scardycat
it could be gall baldder related. your symptoms are classic signs of gall bladder disease or stones.

by Cheesegrater, Jan 25, 2007 12:00AM
FYI, there is some science in those numbers.



The ratio of AST to ALT has some clinical utility, but has important limitations. In many forms of acute and chronic liver injury or steatosis (fatty infiltration of the liver), the ratio is less than or equal to 1. This is particularly true in patients with hepatitis C. However, an AST/ALT ratio greater than 2 characteristically is present in alcoholic hepatitis. A recent study7 of 140 patients with nonalcoholic steatohepatitis (NASH; confirmed by liver biopsy) or alcoholic liver disease found a mean AST/ALT ratio of 0.9 in patients with NASH and 2.6 in patients with alcoholic liver disease. Within the population studied, 87 percent of patients with an AST/ALT ratio of 1.3 or less had NASH (87 percent sensitivity, 84 percent specificity). The severity of NASH as measured by the degree of fibrosis increased, as did the AST/ALT ratio. A mean ratio of 1.4 was found in patients with cirrhosis related to NASH. Wilson's disease, a rare problem, can cause the AST/ALT ratio to exceed 4.5 While these ratios are suggestive of certain conditions, there is too much overlap between groups to rely on them exclusively when making a diagnosis.





Source:http://www.aafp.org/afp/20050315/1105.html

by scardycat, Jan 25, 2007 12:00AM
thanks everyone. Just FYI they ruled out kidney stones because of my urine test results. as for galdbladder that was one of the things tested. thyroid, Hep A,B,C and some others. I will found out Tuesday.

I just know i cant live with the pain. whenever i indulge just a lil i feel like im going to die from the pain under my chestbone. it drops me to the ground!

thanks again for your answers.

Be well to all

>^,,^<

by chcnme, Jan 26, 2007 12:00AM
To: scardy cat
Hi Scardy.  Did they work you up in the ER with something other than labs, such as an ultrasound or CT, or -- did they just pull labs on you?  Did your discharge instructions from the ER tell you to come back if you continue to have severe gut pain?  Did they tell you to followup with a doctor on Tuesday, or.... is there a doc's name and phone number on those discharge instructions?



You should not just sit there in that kind of pain waiting for someone to tell you something on Tuesday.  With the kind of pain you describe, you need to be seen by someone as soon as possible - even if it means getting back to the ER today.



Best of luck.

by lightmind, Jul 07, 2008 09:59AM
To: scardycat
First I would like to know. 1. Was that pain under the bottom or the top of your chest bone? (The clinical name is the sternum). If it was the the bottom. I would seriously suggest you have an ultrasound to check for ball stones. You see when a person has developed gall stones (easily treatable using a large variety of techniques.) and then ingests high fat content foods. The ball bladder puts bile into the system via the gall bladder duct to br3eak down some of the more complex fats and fatty acids. If there is a gall stone present that impedes the flow of bile this can produce the types of pains you are describing. A few of the more common home remedies are drinking water that has lemon juice in it (1 teaspoon per 8 ounces.) and 1/2 teaspoon of olive oil every other day for 2-3 weeks. This softens the gall stones due to the citric acid being ingested along with chemical components that make up gall stones such as pigments or calcium