HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Fatigue, Weight Loss And Hair Loss. Have Raised AST And ALT Level. Worried For Red Vomit And Stool

default
Posted on Thu, 21 Feb 2013
Question: Ast 334 alt 278 symptoms as of this exact instant are : PAIN extreeme pain, others are fatigue, excessive hair loss, weight is just dropping daily, if i eat in less than 15 min i am in major pain , the blood work was done because i was perscribed tegratol BUT I DID NOT TAKE IT the doctor(psychiatrist) said i need an MD or to go to the E.R. but i couldnt go i had no babysitter i am in big pain right now
its 6:30pm XXXXXXX time ... I just threw up and i have not eaten or drank anything red or pink (I ate chicken no dipping sauce drank a lil soda and a lot of water) yet there was red/pink in the toilet when I vomited
doctor
Answered by Dr. Dr.P.Ratnakar Kini (1 hour later)
Hi
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to answer your query.

The AST and ALT are very high and are suggestive of liver involvement.
The red vomitus could be probably hemetemesis (blood vomiting) which can occur in certain liver diseases.
Since you are in pain, the second possibility is ulcer disease causing both pain and blood vomiting.

It is an emergency and you should report to ER immediately.

I hope that answers your question.
If you have no more questions, kindly accept this answer and rate this service.

Regards,
Dr.Ratnakar Kini
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr.P.Ratnakar Kini (9 minutes later)
the p.a. at the place where i go said that she thinks it could be pancreas?? what exactly do i tell the ER i dont have insurance and i know if i go up there just saying my stomach hurts they are going to have me wait for HOURS AND HOURS is this something i could go to a private doctor about and if so what kind of doctor
doctor
Answered by Dr. Dr.P.Ratnakar Kini (12 minutes later)
Hi,
You could tell the ER people you are having blood vomiting.
An upper GI endoscopy has to be done.

If you want to go to a private doctor, you need to go to a gastroenterologist.


I hope that answers your question.
If you have no more questions, kindly accept this answer and rate this service.

Regards,
Dr.Ratnakar Kini


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr.P.Ratnakar Kini (12 minutes later)
I'm sorry, but i don't feel like you are telling me anything other than common knowledge. I guess I should ask what you would tell a patient sitting right in front of you in your office. What do you think all of my symptoms added together point toward the most?? I know I can not hold anyone on this site responsible for my diagnosis nor would I try to. I just would like to hear a more conclusive answer.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (8 minutes later)
Hi,
I have told in my first post itself about the possibilities.
1. Liver disease
2. Peptic ulcer disease.

The high AST and ALT points towards liver disease. Liver disease can cause portal hypertension ( high pressure in the portal venous system) causing blood vessels in the food pipe to engorge which may bleed.

The severe abdominal pain may also occur in peptic ulcer disease which can also bleed.

To know whether it is due to liver disease or peptic ulcer, an upper GI endoscopy should be done. I have mentioned about it already in my earlier post.

It is not time for a detailed discussion online. But it is time for early intervention and so I advised you to go to ER.

I hope that answers your question.
If you have no more questions, kindly accept this answer and rate this service.

Regards,
Dr.Ratnakar Kini


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr.P.Ratnakar Kini (5 minutes later)
Ok thank you Doctor. I will consider going to the ER and I will aslo leave a positive review now.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (27 minutes later)
Thank you..
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2215 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Fatigue, Weight Loss And Hair Loss. Have Raised AST And ALT Level. Worried For Red Vomit And Stool

Hi
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to answer your query.

The AST and ALT are very high and are suggestive of liver involvement.
The red vomitus could be probably hemetemesis (blood vomiting) which can occur in certain liver diseases.
Since you are in pain, the second possibility is ulcer disease causing both pain and blood vomiting.

It is an emergency and you should report to ER immediately.

I hope that answers your question.
If you have no more questions, kindly accept this answer and rate this service.

Regards,
Dr.Ratnakar Kini