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Scared after bloodwork?

Hi - I recently had bloodwork performed my all was fine except ALT and AST (Refer to below). I'm very scared that I have Cirrhosis due to drinking and especially heavy drinking the last couple years. The Doctor said that the numbers don't look like I do and we'll re-check in a few months... I have told him I have had abdominal pain and such with it. He thinks it's all after COVID effects... thoughts?

Platelets 274 Thousand/uL 140 - 400 Thousand/uL
WBC 5.7 Thousand/uL 3.800 - 10.800 Thousand/uL
Albumin 4.2 g/dL 3.6 - 5.1 g/dL
Alkaline Phosphatase 73 U/L 36.000 - 130.000 U/L
Bilirubin, Total 0.6 mg/dL 0.200 - 1.200 mg/dL
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683231 tn?1467323017
Having elevated liver enzymes means something is bothering your liver currently.

I have had liver cirrhosis diagnosed in January 2008. I had hepatitis c which was the reason my liver enzymes were elevated and the cause of my liver cirrhosis. I was likely infected with hep c back in 1978 so it took 30 years for my liver injury to progress to cirrhosis.

Now that my hep c is cured my liver enzymes are normal even though I have liver cirrhosis. I do have low platelets because of my cirrhosis.

I saw several references that say covid can cause elevated liver enzymes.

Trust your doctors advice.

If the amount you drink is concerning to you that is a sure sign you should consider reducing or better still abstaining from all alcohol consumption.

Best of luck
Helpful - 0
Thank you for your reply, I appreciate it. I am currently abstaining from Alcohol (1 week in) and plan to much longer.

You're correct - need to Trust my doctor's assessment a good friend told me that also, if they see something concerning they send you in for additional testing etc. Not say - Let's recheck in a few months.

Thank you kindly
Best of luck wishing you good health
683231 tn?1467323017
“ Mild, asymptomatic elevations of alanine transaminase (ALT) and aspartate transaminase (AST) levels, defined as less than five times the upper limit of normal, are common in primary care. The prevalence of elevated transaminase levels is estimated to be approximately 10%, although less than 5% of these patients have a serious liver disease.”

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