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Quitted Smoking. Test Showed Raised ALT, Mildly Raised AST And Bilirubin Level. Any Suggestion?
Question: I got my blood work done and I am little concern about the results. I am 35 years old I quit smoking about a month ago. My bilirubin and ALT, AST are not looking good. Can you please comment on these ? I am very worried.
value standard range
ALBUMIN 4.7 3.8 - 5.0 g/dL
PROTEIN,TOTAL 8.0 6.0 - 8.0 g/dL
GLOBULIN 3.3 2.0 - 3.7 g/dL
A/G RATIO 1.4 1.0 - 2.0
BILIRUBIN,TOTAL 2.0 0.2 - 1.2 mg/dL
BILIRUBIN,DIRECT 0.5 0.1 - 0.5 mg/dL
BILIRUBIN,INDIRECT 1.5 0.2 - 0.8 mg/dL
ALK PHOSPHATASE 53 50 - 136 IU/L
ALT (SGPT) 105 8 - 45 IU/L
AST (SGOT) 43 2 - 40 IU/L
value standard range
ALBUMIN 4.7 3.8 - 5.0 g/dL
PROTEIN,TOTAL 8.0 6.0 - 8.0 g/dL
GLOBULIN 3.3 2.0 - 3.7 g/dL
A/G RATIO 1.4 1.0 - 2.0
BILIRUBIN,TOTAL 2.0 0.2 - 1.2 mg/dL
BILIRUBIN,DIRECT 0.5 0.1 - 0.5 mg/dL
BILIRUBIN,INDIRECT 1.5 0.2 - 0.8 mg/dL
ALK PHOSPHATASE 53 50 - 136 IU/L
ALT (SGPT) 105 8 - 45 IU/L
AST (SGOT) 43 2 - 40 IU/L
Hi,
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to answer your query.
Your bilirubin and AST are only mildly raised.
But ALT is significantly raised.
The most common cause is fatty liver disease.
I would advise you to get ultrasound scan of the abdomen done to rule out fatty liver.
If confirmed, tests for the underlying cause including diabetes and dyslipidemia should be done.
Other causes like viral infection ( hepatitis B and C) should also be ruled out.
I hope that answers your question.
If you have no more questions, kindly accept this answer and rate this service.
Regards,
Dr.Ratnakar Kini
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to answer your query.
Your bilirubin and AST are only mildly raised.
But ALT is significantly raised.
The most common cause is fatty liver disease.
I would advise you to get ultrasound scan of the abdomen done to rule out fatty liver.
If confirmed, tests for the underlying cause including diabetes and dyslipidemia should be done.
Other causes like viral infection ( hepatitis B and C) should also be ruled out.
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
Thank you for your reply doctor.
I should have mention the fact that I was on TRIMETHOPRIM-SULFAMETHOXAZOLE, 160-800 MG for 2 weeks due to prostatitis condition that I have. Could this medication alter my ALT/AST levels ?
I should have mention the fact that I was on TRIMETHOPRIM-SULFAMETHOXAZOLE, 160-800 MG for 2 weeks due to prostatitis condition that I have. Could this medication alter my ALT/AST levels ?
Hi,
Yes it can alter AST and ALT levels.
Stop that medication and repeat liver function test after 4 weeks.
Meanwhile as suggested earlier get ultrasound scan of the abdomen and tests for HBV and HCV done.
I hope that answers your question.
If you have no more questions, kindly accept this answer and rate this service.
Regards,
Dr.Ratnakar Kini
Yes it can alter AST and ALT levels.
Stop that medication and repeat liver function test after 4 weeks.
Meanwhile as suggested earlier get ultrasound scan of the abdomen and tests for HBV and HCV done.
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
Thank you so much.
This would be my last question. Before I started this treatment I had some blood test done. This is the result:
Would you be so kind to comment in detail ? My ALT AST levels were almost OK. After the treatment they went up.
SODIUM 139 135 - 145 mmol/L
POTASSIUM 4.5 3.5 - 5.0 mmol/L
CHLORIDE 102 98 - 107 mmol/L
CO2,TOTAL 23 21 - 31 mmol/L
ANION GAP 14 5 - 18
GLUCOSE 100 65 - 100 mg/dL
CALCIUM 10.3 8.5 - 10.5 mg/dL
BUN 12 8 - 25 mg/dL
CREATININE 0.96 0.72 - 1.25 mg/dL
BUN/CREAT RATIO 13 10 - 20
GFR if African American > 60 > 60 ml/min/1.73m2
GFR if not African American > 60 > 60 ml/min/1.73m2
ALBUMIN 4.6 3.8 - 5.0 g/dL
PROTEIN,TOTAL 8.1 6.0 - 8.0 g/dL
GLOBULIN 3.5 2.0 - 3.7 g/dL
A/G RATIO 1.3 1.0 - 2.0
BILIRUBIN,TOTAL 1.7 0.2 - 1.2 mg/dL
ALK PHOSPHATASE 53 50 - 136 IU/L
ALT (SGPT) 58 8 - 45 IU/L
AST (SGOT) 29 2 - 40 IU/L
This would be my last question. Before I started this treatment I had some blood test done. This is the result:
Would you be so kind to comment in detail ? My ALT AST levels were almost OK. After the treatment they went up.
SODIUM 139 135 - 145 mmol/L
POTASSIUM 4.5 3.5 - 5.0 mmol/L
CHLORIDE 102 98 - 107 mmol/L
CO2,TOTAL 23 21 - 31 mmol/L
ANION GAP 14 5 - 18
GLUCOSE 100 65 - 100 mg/dL
CALCIUM 10.3 8.5 - 10.5 mg/dL
BUN 12 8 - 25 mg/dL
CREATININE 0.96 0.72 - 1.25 mg/dL
BUN/CREAT RATIO 13 10 - 20
GFR if African American > 60 > 60 ml/min/1.73m2
GFR if not African American > 60 > 60 ml/min/1.73m2
ALBUMIN 4.6 3.8 - 5.0 g/dL
PROTEIN,TOTAL 8.1 6.0 - 8.0 g/dL
GLOBULIN 3.5 2.0 - 3.7 g/dL
A/G RATIO 1.3 1.0 - 2.0
BILIRUBIN,TOTAL 1.7 0.2 - 1.2 mg/dL
ALK PHOSPHATASE 53 50 - 136 IU/L
ALT (SGPT) 58 8 - 45 IU/L
AST (SGOT) 29 2 - 40 IU/L
Hi,
Both Bilirubin and ALT are only mildly raised which are not significant.
Rest of the report appears normal.
I hope that answers your question.
If you have no more questions, kindly accept this answer and rate this service.
Regards,
Dr.Ratnakar Kini
Both Bilirubin and ALT are only mildly raised which are not significant.
Rest of the report appears normal.
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
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