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What Causes Elevated AST And ALT Levels With Chest Pain?

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Posted on Mon, 4 Jan 2016
Question: my wife is having chest pain like severe heartburn. she went to the doctor yesterday and they did blood work. her results came in today and everything looks normal but her ast is 102 and her alt is 110. What could this mean? Thank you
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Answered by Dr. Vivek Chail (34 minutes later)
Brief Answer:
AST and ALT increases in many conditions, chest burning is probably GERD

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. The AST ans ALT are liver enzymes and usually an elevation means a probability of increased liver enzymes from an inflammation or condition of the liver.

2. Less commonly, such an increase might happen in conditions involving the upper gastrointestinal tract.

3. Conditions like mild liver inflammation, gall bladder stones, fatty liver and obesity, inflammatory bowel disease, alcohol consumption, thyroid problems, muscle conditions, metabolic causes like hemochromatosis, autoimmune disorders and due to drugs and medicines, can cause increase in AST and ALT levels.

4. The chest pain and heart burn is most commonly from conditions like esophagitis, GERD or gastritis. Cardiac cause for burning chest pain is rare.

5. A detailed evaluation is recommended supporting the clinical symptoms including the nature and frequency of symptoms. I suppose the doctor has asked for more specific tests and probably they will be able to come to a definite cause for the symptoms.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Note: For further follow up on digestive issues share your reports here and Click here.

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

Radiologist

Practicing since :2002

Answered : 6873 Questions

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What Causes Elevated AST And ALT Levels With Chest Pain?

Brief Answer: AST and ALT increases in many conditions, chest burning is probably GERD Detailed Answer: Hi XXXX, Thanks for writing in to us. I have read through your query in detail. Please find my observations below. 1. The AST ans ALT are liver enzymes and usually an elevation means a probability of increased liver enzymes from an inflammation or condition of the liver. 2. Less commonly, such an increase might happen in conditions involving the upper gastrointestinal tract. 3. Conditions like mild liver inflammation, gall bladder stones, fatty liver and obesity, inflammatory bowel disease, alcohol consumption, thyroid problems, muscle conditions, metabolic causes like hemochromatosis, autoimmune disorders and due to drugs and medicines, can cause increase in AST and ALT levels. 4. The chest pain and heart burn is most commonly from conditions like esophagitis, GERD or gastritis. Cardiac cause for burning chest pain is rare. 5. A detailed evaluation is recommended supporting the clinical symptoms including the nature and frequency of symptoms. I suppose the doctor has asked for more specific tests and probably they will be able to come to a definite cause for the symptoms. Hope your query is answered. Please do write back if you have any doubts. Regards,