What do these AST and ALT levels indicate?
AST-57; ALT-64; ALB- 4.7; ALK-42; TBili-.63
Ultrasound would show fatty liver a week later likely due to alcohol consumption.
Recently had labs done again, see below.
AST-42; ALT-46; ALB-4.5; ALK-56; TBili-1.00
For the first month i did nothing but eat well, excercise, and i did not drink at all. Feeling great! I fell off my regimen for about a week and wasnt feeling great. I went back to doc and got the labs done since i had a week of drinking and eating not as well. My doc said my numbers dropped but were still slightly elevated amd to make sure i get back ont health kick, which i have.
Question: although in the normal range i am concerned that my TBili went up that much that quickly. Ive read that TBili rising and other enzymes being in a normal range could be a sign of liver damage.
Either way, given the 2 labs shown is there any reason to be concerned about the rise from .63 to 1.0??
There is nothing of concern
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.
I don't think there is anything of concerns as:
1. Your bilirubin is still in the normal range
2. To be significant bilirubin should be increased at least two times
3.Isolated elevation of bilirubin usually don't indicate liver disease, as it may be due to some other non-hepatic causes like haemolysis, lab error XXXXXXX Syndrome etc
As I already explained that isolated elevation of bilirubin , without elevation of AST or ALT, usually is of non-hepatic cause. As AST and ALT are more specific tests for liver function instead of bilirubin. Whenever there is damage to hepatocyte that is liver cells, AST and ALT will definitely increase
I hope I have answered your query and this will help you . Wish you a good health
Also ive read that at early stages of cirhossis, Bilirubin will rise and other enzyme numbers could be normal. Have you heard of this? Any truth to this?
AST AND ALT are increase rather than bilirubin in cirrhosis
Welcome back and sorry for delay
No its not true. In cirrhosis it is the AST AND ALT which increase first rather than bilirubin
Also I have already explained that your bilirubin level is still within normal range so need not worry. But definitely you should avoid this drinking pattern of taking alcohol 7 days continously
Take care and good bye
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