Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

188 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Blood work shows elevated ALT levels. What does it indicate?

Answered by
Dr.
Dr. Amit Jain

Gastroenterologist

Practicing since :2000

Answered : 1524 Questions

default
Posted on Tue, 19 Nov 2013 in Digestion and Bowels
Question: Was recently seen for routine medical exam. I am 28. In good health. No signs or symptoms of disease. Other than sinus infection 2 months prior.

During routine blood work up i was found to have alt level of 63 with norm range of up to 45. I then switched doctors and had test completed two days later. Test was then 67 with norm range of 55. Two weeks later was tested again and was 72 with norm range of 55. Then started to eat better and exercise. Went from being 6 foot 3 and 207 ( i was 215 at peek few months back) down to 195 now 4 weeks later. Was retested yesterday and was told was 62 with normal range of 55.

Other health history is as follows. 18 months ago i was tested for ldl it was 133 and had cotinued to eat hight fat diet until 4 weeks ago when test was 72. Ultrasound was completed abd was negative. I will attach test results.

My question what is causing this number. Is it actually healing or too early to tell or within margin of error. Also dr had mentioned autoimmune diseases alpha 1 antitrypsin and autoimmune hepatitis. These really scared me when he said was unlikely but possible. What is your opinion and why.

doctor
Answered by Dr. Amit Jain 6 hours later
Brief Answer:
Please see the details

Detailed Answer:
Hello! Thanks for putting your query in XXXXXXX I am a Gastroenterologist (DM).

It appears that you are having NAFLD (Non alcoholic fatty liver disease).

It was nice to hear that you have reduced your weight to 195. Your BMI is 24.4. You need to reduce few more and maintain that by continuing with regular exercise at least for 30 minutes per day and taking low fat diet. Also take Tablet ursodeoxycholic acid and capsule evion which I found very useful in my patients.

Increase in AST or ALT suggest that there is inflammation of liver cells which has many causes as I discussed earlier and few for which you have already been evaluated.

These tests like alpha 1 antitrypsin, autoimmune hepatitis and XXXXXXX disease are done routinely in patients with increased AST or ALT. These are although rare but possible and treatable cause. If these disease are detected in time they can be treated but when they are advanced they are difficult to treat.

It may take three to 4 months for ALT level to normalize if you continue with above.

I will further advise:
1. Alcohol if you are taking then please avoid it
2. I have gone through all the reports you have given. I will advise you to be evaluated for other common and treatable causes like Serum ceruloplasmin for XXXXXXX disease, ANA and SMA for autoimmune disease
3. Lipid profile and Ultrasound abdomen to see for liver echotexture


I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.

Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Drug/Medication
Medical Topics

Recent questions on  Fat restricted diet

doctor1 MD

My 2 yr child has been diagnosed with an enlarged liver and we are doing test at the hospital. First LFT had AST and ALT at 140 and 163, 5 days later it was 138 and 155 while Total Bilirubin was 1.3. Tested negative for all the Hepatitis tests. CT scan did not reveal any masses. He has pain while passing stool and is OK once that is done. Is on a fat free diet with lots of veggies and fresh fruit juice. After 7 days of the last LFT there was another LFT done for which the results will be out tomorrow. At this moment there is no yellowing of skin or eyes but he does seem sluggish. What could the problem potentially be? Thank You for your answer in advance!!!

doctor1 MD

My Father has been gone through the medical health check-up.I need your input over the attached reports.My father is taking medicine triglynase1 before lunch for the last one month.Before that for the last one year my father was taking medicine...

doctor1 MD

I had my gallbladder removed thre years ago and I've been researching it. All these holistic/functional medicine doctors say that we'lol never be able to digest fats well again. That it can lead to vitamin deficiencies and weight gain. Is there...

doctor1 MD

Hello, I was having symptoms of acute Viral Hepatitis with my SGOT and SGPT in thousands (1500 and 3000). With further diagnostics I am detected with Hepatitis E. I am taking rest and cautious fat-free diet along with Udiliv 300 for last 10 days. My total Bilurubin was 6.5 10 days ago. Still I am feeling weak. My appetite is normal and I am taking green vegetables, juices, fruits, porridge, home made curd and no fats. Till when i can expect complete recovery and what about weakness. When will I feel strengthen.

doctor1 MD

Hi Dr, I am 32 year old. Weigh 120kg. Been on heavy. side for many years. I have never had high sugar levels and it was always way below the 110. Recently last 4 months my job is extremely stressful and long hours. My eating has been very poor and...

doctor1 MD


Hi I am vicke , 53 years old, having hypertension since 7 mths ago with 150/95, dr gave me concor 2,5 mg, 1/2 tab once a day, after taking abt 3mths,my bp was stabil 115/75. But when I check in dr ofice it was 140/85, and dr increase the concor to 1tab, and my bp remain stabil around 112/74,but sincce last week I find it a little elevated till 125/81, it scared me, what is wrong? I need your advice, for your information I DO TREADmill 5 times a week,40 minutes each timesand having a fat free diet, I have gastric problem, so it rater difficult for me to eat much vegetable, waiting for your answer, thank you.

doctor1 MD

I am eating a almost fat free diet according to Dr. Ornish, exercise a lot, do not drink, do not smoke, yet can not reduce building of blockages....I have 4 stents in my arteries and am about to get 4 more next week. They wanted to perform by pass surgery, but I could mske my cardiologist change his mind...so, why after all this do my arteries still fill up...?