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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Liver Biopsy Be Done Earlier?

My AST is 51 & my ALT is 82. My doctors nurse called me and said the doctor wants me to come in and talk about a liver biopsy. I have an appointment for Dec. 2nd. Should I see him sooner? I am a 68 yr old female. Had surgery for lip cancer in July, tooth pulled this past monday. Blood tests were normal in May.
Wed, 13 Apr 2016
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General & Family Physician 's  Response
Hi thanks for asking question.
Noted you have elevated liver enzymes...

USG done .If fatty liver present then it can elevated.
Second complete LFT profile with viral marker study done...
If you have malabsorption syndrome then celiac disease like condition Also lead enzyme elevation.
If muscle problems or heart failure present then also yes enzymes can elevated...

Finally if above causes not present then biopsy done for final diagnosis.
Doctor might suspecting metastasis as you have positive cancer history...

Hope your concern solved....

Take care...

Dr.Parth
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Should Liver Biopsy Be Done Earlier?

Hi thanks for asking question. Noted you have elevated liver enzymes... USG done .If fatty liver present then it can elevated. Second complete LFT profile with viral marker study done... If you have malabsorption syndrome then celiac disease like condition Also lead enzyme elevation. If muscle problems or heart failure present then also yes enzymes can elevated... Finally if above causes not present then biopsy done for final diagnosis. Doctor might suspecting metastasis as you have positive cancer history... Hope your concern solved.... Take care... Dr.Parth