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What Does My Blood Test Report Indicate?

Posted on Mon, 26 Oct 2015

Question: Hi, I have an AST of 50 (range 6-40); ALT of 50 (range 10 - 49), an ALK of 103 (range of 27-129) total bilirubin of .3 (range: .0 - 1.0), my CRP is elevated to 1.7 (Range <1.0)Total cholesterol is up 216 (Range <200.)

Should I be worried about my liver?

Answered by Dr. Dr.P.Ratnakar Kini (47 minutes later)

Brief Answer:
No need to worry

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

Your liver enzymes are only a few units above normal range and this is not to be worried about. Most often it is due to fatty liver. An ultrasound scan may be done to confirm it.
If it is due to fatty liver weight reduction is the first step in the treatment ( if you are overwieght/obese). You also need to avoid alcohol ( if you have the habit of drinking alcohol).

I hope that answers your query.
Let me know if you have any more questions.
Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (3 hours later)

The results I gave you before were from my blood test in early Sept., about 4 weeks ago. I got another blood test today with a different lab. Results: AST: 66 (range 10-35); ALT 60 (range 6-29) all other hepatic function panels normal/within range.

Why is it increasing? Is it getting worse?
Had about 2 drinks per week since last test. Could use to lose some weight. Take a lot of medications.

Is this worrisome?

Answered by Dr. Dr.P.Ratnakar Kini (21 hours later)

Brief Answer:
Alcohol intake could be the reason

Detailed Answer:
Hi,
Thanks for getting back to me with more questions.
The enzymes have raised a little probably due to alcohol intake.
You need to quit drinking.
As suggested earlier get an ultrasound scan of the abdomen done.
Also get tested for hepatitis B and C.

Let me know if you have any more questions.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)

I haven't drank much in the past 4 weeks since the first lab test. Probably 2 - 3 drinks per week. Would it still be due to alcohol? Also, why get tested for Hep B & C? I am getting scared. Could this be anything bad?

Answered by Dr. Dr.P.Ratnakar Kini (12 hours later)

Brief Answer:
Alcohol intake is the probable cause

Detailed Answer:
Hi,
Even 2-3 drinks per week can raise the enzyme levels as your liver was already affected as evidenced by raised enzymes before.
Hep B and C are among the common causes of raised liver enzymes. Hence I advised you to get tested for those infections. There is no need to get scared.

I would still consider it to be due to alcohol.

Regards,
Dr.R.K

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Above answer was peer-reviewed by : Dr. Raju A.T