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

122 Doctors Online
Doctor Image
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.

Taking zoloft for anxiety. Have high ALT and AST level. Chances of having liver or pancreatic cancer?

Answered by
Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 11271 Questions

Posted on Wed, 30 Jan 2013 in Liver and Gall Bladder
Question: I have had chroniclly high AST and ALT number for about 2 decades. The ranges go anywhere from 25 -67 for my AST and 39 - 111 for my ALT. The current numbers as iof yesterday are AST 67 - ALT 111. I am a hypochondriac and am now sure that i have liver or pancreatic cancer.
I am 6'1" and weigh about 265 so fatty liver is a possiblity. I am also on Zoloft for anxiety and for the past month have been taking higer than normal levels of Advil due to a pulled muscle. Am I dying, and are these numbers something to be worried about?
Answered by Dr. Praveen Tayal 1 hour later
Thanks for posting your query.
This is a common query by most people who have taken a liver function test.

I would like to clarify at the outset itself that when a liver function test is interpreted there two things to consider: Symptoms and Level of liver enzymes.

If the patient has no symptoms and the levels are not more than three times the baseline values then it is considered normal.
So presuming you do not have symptoms like fever, bloating, pain in the right lower chest, yellowish discoloration of skin and eyes, I do not find the values of liver enzymes concerning.
This can happen both due to the consumption of alcohol, intake of pain killers as well as sedentary lifestyle. This is not at all related to a liver cancer like you are presuming.
Things to be done by you
Get your blood sugar and lipids checked up
Get your viral hepatitis markers done
Reduce your weight
Reduce consumption of calories and sweets.
If your triglycerides are high,take anti lipid medicine
Do regular exercises
Take plenty of fresh fruits and vegetables
Quit fast foods and aerated cold drinks
Wait for 6 weeks and get your SGOT,SGPT and ultrasound abdomen done.
In all probabilities,you shall have lot of improvement however,if no improvement then you should consult a Gastroenterologist for detailed evaluation of your liver.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Praveen Tayal 32 minutes later
Thanks, that really helps. I'm going in for an ultrasound of my abdomen next week, but what is it they are looking for?
I have also been concerned that it could be related to pancreatic cancer. Is that a possibility? Or I guess likely, anything is possible I suppose.
Answered by Dr. Praveen Tayal 4 hours later
Thanks for writing again.
An ultrasound will confirm about fatty changes in the liver or any gall bladder pathology.
Pancreatic cancer is not a possibility without any constitutional signs and symptoms.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Praveen Tayal 10 hours later
I am probably being silly but let me follow up with this.

Like I said, I had a bad case of bronchitis last month which I am still recovering from. I actually coughed so hard that i ended up in the ER twice because I pulled a muscle or cracked a rib or something. I was given morphine both times and went home and soon felt better. The muscle pain happened on both sides of my ribcage. The pain on the left side has largely gone away but the pain on the right side. low on my rib cage, while not anywhere near as bad as it was, is still there. Is it possible that I coughed so hard that I bruised my liver?
In the er they did an MRI of the area and said there were no broken bones.
Answered by Dr. Praveen Tayal 8 hours later
Coughing cannot cause a bruising on the liver. The mild pain that you have is likely to be due to a mild chest wall muscular injury which will subside after rest and hot fomentation. Please do not worry.
You can consult me again directly through my profile URL
Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.
I wish you the very best in whatever you do.
Warm regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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

Recent questions on  Muscle pain

doctor1 MD

I have been diagnosed with diverticulitis and then had that overturnedand changed to IBS. I have been suffering for years with bad bowel habits as well as stomach cramps/pains/and bloating (gas). I have also gotten used to hearing my food/beverages digest after consumption and sometimes even when I do not eat I hear these uncomfortable yet familiar noises. During my colonoscopy I was told I have internal hemorrhoids as well as an ulcer. Majority of the timewhen I have a bowel movement I also see a light colored mucus substance. At timesI can use bathroom and continually just get clear or yellowish mucus instead ofactually going to the restroom. I have had episodes of bleeding light color blood for the past few years and have suffered from symptoms that range from migraines,extreme loss of weight and muscle pain sometimes so bad in my knee it is hard to walk or stand. Just yesterday I woke up and my arm was extremely sore and I honestly cannot explain the pain.something like a pulling sensation. This lasted for almost the entire day. I am just wondering if any of these signs sound familiar and what it could be. I am sure I have a lot of symptoms for IBS but I honestly think I may be battling something else. I was a size 12 and started losing weight until I got to a size 4. I got pregnant and shortly after having my child I begin to lose weight again, until I was down to a size 0 which I still am today. Something is not right and I am not sure what other avenues to turn too. Thank you in advance. I would also like to mention that for a while I was determined that I had celiac.I was tested (by blood) and told I did not have the trait to carry this disease.

doctor1 MD

I have a pain (similar to a bruise or damaged muscle pain) in my throat near my collarbone. It is particularly bad when breathing in and when lying down at night. I also experienced increased heart rate about 5 nights ago when in bed which is when this pain started. I am 25 years old, female, healthy BMI and no existing physical or mental health problems

doctor1 MD

I have tested positive for ana 3 times in last 3 yrs. have had GI problems,muscle pain so bad I could'nt hold up phone, chronic fatigue,weight loss,stabbing pain in left kidney area. Every MRI, Colonoscopy, many other tests.In past 3 yrs. nothing else has shown up in blood work and I've been pretty healthy for 1 year now.Gained some weight back. Up until about 2 months ago in about 2 weeks I lost 10 lbs. and have lost a few more since then. I'm 41 yrs. old 5'7" and weigh less than I did in high school. I used to weigh 125-135, now I'm down to 110lbs. having chest pain, nausea, headaches, fatigue,diahrhea and nausea,Stomach pain,burning in back, Skin feels itchy,blood pressures been up and down, large bruising on outer left thigh.
Blood tests are coming back abnormal low wbc, high bilirubin,high mch,high auto Eosinophil,
low Auto neutrophil absolute. Any idea what it could be and what kind of Dr. should I see?

doctor1 MD

hello sir i have had throid for years intially levels had been 0-4.5 ; 5.4, 6.5, 9.1, 5.8 as various periods of time i was given medicine thyronorm 25 mcg. levels were ok then . but a year back my levels were fine so i stopped medicine . now my level is borderline 4.3. but i have had symtoms of thyrois fr years with or without medication like... Fatigue Muscle pain Muscle stiffness      Poor exercise tolerance Abnormal coldness Difficult menstrual cycles Irritability      Anxiety Insomnia Feel fatigued when you awaken Frequent urination Headaches - migraine or other Poor memory and concentration Afternoon fatigue Shortness of breath Dry skin or hair Pale or puffy skin Dry mucous membranes Low blood pressure Thick tongue Heat intolerance what should i do ?

doctor1 MD

Can I take viagra whilst on prescriptions for ramipril 2.5mg, atorvastatin 20mg and omeprazole 20mg I have had haemochromatosis for 6 years Apart from that I’m healthy and run 60km on average per week including competitive races I have been...

doctor1 MD

I have a pain in the lower back area on the right side above the belt area and on the right side of my body next to the lower back. Have any suggestions? I have had these symptoms for almost 2 months

doctor1 MD

Hello Doc, Request your advice here please Medical history 1. Bronchitis asthma 2. Thalassemia Minor 3. Severe Iron deficiency anemia 4. Shoulder pain , muscle pain in shoulder has supraspinatus tear Recently diagnosed Blood pressure and has been...