Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Have Cronhs Disease. ALT Is 74. Recommendations?
Hi,I have severe Crohn 's disease,and have lost my entire colon,as well as a little over 2/3 of my small intestine.My liver testing all came back normal except my ALT (SGPT),which was a 74.My Albumin was 4.3,Alkaline Phosphatase was 118,my AST (SGOT) was 29,my Bilirubin total was 0.6,and my Blood Urea Nitrogen was 16,all within normal levels.I can't drink any alcohol due to Crohns,and do not smoke.Should I be really concerned over one slightly elevated test,when all the other tests are not low or high,but very normal.
Wed, 15 May 2013
Hi welcome to Health care magic forum.
Thanks for calling H.C.M.Forum.
You have severe crohn's disease, entire colon is lost, liver function tests normal, except S.G.P.T is 74.
Actually alcohol is not contraindicated in crohns disease, it is avoided due to elevated S.G.P.T, and irritability of the intestines.
I advise you to completely avoid the gluten containing foods completely like wheet, barley etc.
You can have an advise of dietician for avoiding gluten free foods. As it may co exist try to avoid lactose containing foods, like milk etc.
Try to practice yoga, meditation, reading books ofyour interest, and hearing music.
Wishing for a quick and complete recovery.
Best regards.
Thanks for calling H.C.M.Forum.
You have severe crohn's disease, entire colon is lost, liver function tests normal, except S.G.P.T is 74.
Actually alcohol is not contraindicated in crohns disease, it is avoided due to elevated S.G.P.T, and irritability of the intestines.
I advise you to completely avoid the gluten containing foods completely like wheet, barley etc.
You can have an advise of dietician for avoiding gluten free foods. As it may co exist try to avoid lactose containing foods, like milk etc.
Try to practice yoga, meditation, reading books ofyour interest, and hearing music.
Wishing for a quick and complete recovery.
Best regards.
I find this answer helpful
Hello and welcome to HCM.
Thank you for your query.
Yes, your SGPT is indeed raised. But, your alkaline phosphatase is also close to the upper limit (i.e. 120). SGPT is an important enzyme in assessing liver damage, but it can also be raised in a few other conditions. As you have not mentioned any relevant medical history, it is difficult to comment much. But let me list the conditions in which we can see a raised SGPT. They are:
-Liver disease/disorders (eg. viral fever, infectious mononucleosis, hepatitis, alcohol-induced conditions, pancreatic diseases, etc.)
-Muscle injury (accidents, etc.)
-Myocardial infarction (i.e. heart attack; but not in acute stages)
-Medication (eg. cocaine, etc.)
-Acute kidney failure
-Cholesterol lowering drugs
If you can relate to any of the above mentioned details, then this rise in SGPT levels is normal. You need not worry about it.
But, if you cannot relate to any of these conditions, then wait for 7-14 days and recheck your liver function lest (LFT), which will include all these parameters. If there is a rise in SGPT and other parameters, you will have to consult a doctor. If there is drop in SGPT levels, then you can rest.
I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.
Best wishes.
Thank you for your query.
Yes, your SGPT is indeed raised. But, your alkaline phosphatase is also close to the upper limit (i.e. 120). SGPT is an important enzyme in assessing liver damage, but it can also be raised in a few other conditions. As you have not mentioned any relevant medical history, it is difficult to comment much. But let me list the conditions in which we can see a raised SGPT. They are:
-Liver disease/disorders (eg. viral fever, infectious mononucleosis, hepatitis, alcohol-induced conditions, pancreatic diseases, etc.)
-Muscle injury (accidents, etc.)
-Myocardial infarction (i.e. heart attack; but not in acute stages)
-Medication (eg. cocaine, etc.)
-Acute kidney failure
-Cholesterol lowering drugs
If you can relate to any of the above mentioned details, then this rise in SGPT levels is normal. You need not worry about it.
But, if you cannot relate to any of these conditions, then wait for 7-14 days and recheck your liver function lest (LFT), which will include all these parameters. If there is a rise in SGPT and other parameters, you will have to consult a doctor. If there is drop in SGPT levels, then you can rest.
I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.
Best wishes.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Inflammatory bowel disease
Loading Online Doctors....