ALT/SGPT OF 76 IN A 21-YEAR-OLD, WITH FATIGUE, HEADACHES AND DIZZINESS

[donnawanna]

MY SON HAS NOT BEEN FEELING GOOD FOR TWO WEEKS.  BLOOD TEST SHOW HIS LIVER ENZYMES AT 76.  HE HAS A GREAT DEAL OF FATIGUE, HEADACHES AND DIZZINESS.  ALSO SED RATE IS ELEVATED, WHICH MEANS INFECTION.  BEEN TO 3 DOCTORS AND STILL HAVE NO ANSWERS.
ANYBODY EVER HAVE SAME SYMPTOMS AT THIS YOUNG AGE.  HE DOES NOT DO DRUGS, BUT IS IN COLLEGE AND AM SURE DRINKING HAPPENS ALOT.  HE HAS NOT DRANK IN 2 WEEKS AND THE TEST STILL REVEAL THIS (TESTS ONE DAY AGO)  HEPATITIS WAS MENTIONED FROM AN ER DOCTOR.  

[IceSkateFigureEight]

Hi,
My levels currently are almost the same number and I have the same symptoms. I was dx with Lyme Disease finally by the test doctors trust which is the Western Blot, where as the ELISA serum blood test is usually rarely accurate in the Lyme Literate and Centers for Disease Control community. Even someone who has had severe lyme w/seizures, their ELISA serum blood test never came back positive. Good luck.
Kris
PS: Just realized this was posted 2008. What was the outcome if its ok I ask?

[R Glass]

Could also be Hepatitis B or even A

[Trinity4]

We are not doctors so only a doctor can give a diagnosis based on your son's symptoms.  Did they test for mononucleosis?  Very common with college kids.

Symptoms
Signs and symptoms of mononucleosis may include:

Fatigue
Weakness
Sore throat, perhaps a strep throat that doesn't get better with antibiotics
Fever
Swollen lymph nodes in your neck and armpits
Swollen tonsils
Headache
Skin rash
Loss of appetite
Soft, swollen spleen
Night sweats
The virus typically has an incubation period of four to eight weeks, although in young children this period is shorter. Signs and symptoms such as fever and sore throat usually lessen within a couple of weeks, although fatigue, enlarged lymph nodes and a swollen spleen may last for a few weeks longer.

Liver issues
Problems with your liver also may occur:

Hepatitis. You may experience mild liver inflammation (hepatitis).

[Bill1954]

If hepatitis was mentioned by the ER doc, has any follow up been performed by a primary care physician? The antibody tests for Hepatitis C (HCV) are relatively inexpensive, and might be indicated due to elevated liver enzymes. As you already mentioned, alcohol can account for raised enzymes as well, along with a number of drugs (especially Tylenol).

HCV is generally considered to be an asymptomatic disease by the medical community; however, many patients complain of fatigue, etc. Why not ask his doctor to run a hepatitis panel, and see how things turn out? Other tests can help narrow down the cause; GGT can sometimes help a doctor with an alcohol-related diagnosis.

Best of luck, and let us know how things go—

Bill