
I Just Had An Annual Exam And My Ast Was

Question: I just had an annual exam and my ast was 39 and my alt 18, What would be your recommendation?
Brief Answer:
It's normal.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concerns.
Your tests are perfectly normal.Liver function tests are significant only when the level of enzymes is atleast 3 times the normal value.
So as per the reports are concerned it's absolutely normal.
Mild variation in levels have no clinical significance.
Few question-
Are you an alcoholic?
Thanks
Waiting for reply
It's normal.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concerns.
Your tests are perfectly normal.Liver function tests are significant only when the level of enzymes is atleast 3 times the normal value.
So as per the reports are concerned it's absolutely normal.
Mild variation in levels have no clinical significance.
Few question-
Are you an alcoholic?
Thanks
Waiting for reply
Above answer was peer-reviewed by :
Dr. Prasad


No ...I fast on Monday and Tuesday...then go out with my husband for dinner and have 2-3 glasses of wine then that's it. Is there something on the test that would make you ask if I am an alcoholic?

I go out with my husband the other days of the week. We work from home and look forward to getting out of the house.
Brief Answer:
Follow up.
Detailed Answer:
Hello yes if you are alcoholic then I would suggest you to go for an ultrasound upper abdomen to rule out fatty liver disease( most common cause of mild deranged liver enzymes).
Thank you.
Follow up.
Detailed Answer:
Hello yes if you are alcoholic then I would suggest you to go for an ultrasound upper abdomen to rule out fatty liver disease( most common cause of mild deranged liver enzymes).
Thank you.
Above answer was peer-reviewed by :
Dr. Prasad


I thought you said my numbers were normal. What is mild deranged liver enzymes?
Brief Answer:
Follow up.
Detailed Answer:
Hi again,
Mildly deranged means just above the maximum normal limit.
However liver enzymes elevation is significant only when they are elevated three times the normal upper limit.
Thanks.
Follow up.
Detailed Answer:
Hi again,
Mildly deranged means just above the maximum normal limit.
However liver enzymes elevation is significant only when they are elevated three times the normal upper limit.
Thanks.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj

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