What Does My Blood Test Report Indicate?

Posted on Wed, 14 Jan 2015

Question: On Sunday I took 2000 mg of tylenol over 17 hours (4 extra strength tablets) and then I had a blood test the following day (so on Monday, ~27 hr after the first dose and ~10 hr after the last dose). My AST/SGOT and ALT/SGPT levels were slightly elevated--44 and 56, respectively. My Alk phosphatase level and bilirubin level are both normal (60 and 0.7, respectively), as were platelet counts and other routine blood tests done. I have talked to my Doctor and I am following up with more tests with my Doctor on Monday, I just wanted to understand the relationship between acute tylenol use and liver enzyme levels. From what I read, even therapeutic doses of acetaminophen may cause elevated liver transaminase levels...is it possible that the tylenol use contributed in this case?

Answered by Dr. Anshul Varshney (1 hour later)

Brief Answer:
Yes definitely it can cause.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney.
I understand your concern.
Yes, Acute high dose (even in the therapeutic range) ingestion can definitely raise the liver enzymes.

Very high doses are known to cause even liver failure.

Moreover, many times acute atypical viral illnesses that is causing fever might be responsible.
I hope it helps.
If you have any further query, please ask me.

Above answer was peer-reviewed by : Dr. Yogesh D