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Dr. Andrew Rynne

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What Causes Elevated ALT Levels In LFT?

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Hi,
I am a 41 year old normally healthy female who recently had a baby 6 weeks ago. My ALT levels are normally fine but I was concerned so my MD ordered a liver enzyme test. The number was 64 U/l which according to palo alto medical foundation us WNL. Other labs report this value as high.

During my pregnancy I was put on low levels (50-100 mg ) of labetalol, and after my c section was put on percocet and then vicodin. I also continued the Labetalol. This was my second C section. Post Op I had some cellulitis and problems with my incision thus the reason they contiued me on vicodin. I no longer need the pain meds and do not take anything now for pain. I also am nursing.
I do not drink anything alcoholic, do not smoke and am gradually losing the pregnancy weight (I gained 30 pounds).
My QUESTION: Is the value of the ALT test alarming and should I question PAMF's upper limit of normal value? Again, my number for the ALT is 64 and 29 or 30 I believe for the AST.
Thanks
Wed, 7 Dec 2016
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General Surgeon,  's  Response
Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.
I don’t think this is related to your pregnancy. AST (SGOT) and ALT (SGPT) are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common casue is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis,cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionaly done Then appropriate treatment can be started.
I hope I have answered you query. If you have any further questions you can contact us in every time.
Kindly regards. Wish you a good health.
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What Causes Elevated ALT Levels In LFT?

Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can. I don’t think this is related to your pregnancy. AST (SGOT) and ALT (SGPT) are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common casue is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis,cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionaly done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.