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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Persistent Knee And Neck Pain Signs Of Abnormal Liver Function?

Thanks. Just got blood tests back with elevated AST and ALT scores. ALT 102 and AST 126. My doctor is confused. Suggested I have an alcohol problem and I do not drink but maybe once a month. Just beer and usually only one at a time. These levels are elevated from my last physical 3 years ago, when they were in the normal range. I have had some strange knee pain and tight neck pain in the past 2 months that I have never had before. Persistent for the past 2 months or so. I am a male 52 year old, former pro soccer player. Thoughts?
Thu, 18 Feb 2016
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General & Family Physician,  's  Response
Hi thanks for asking question.
Here you have elevated ALT and AST,suggestive of liver disease like hepatitis.
Here possibility of chronic hepatitis or carrier of HBSag has to be ruled out.
For that viral markers are useful.If HBSag positive more then 06 month then chances of carrier is present.If hepatitis is present viral markers will be elevated.
If still cause for hepatitis unknown then liver biopsy can be taken according to patient's examination.
Second here neck pain and knee pain may be because of some bone condition like osteoporosis or arthritis related changes.
You should check your vitamin D and calcium level , if they are low calcium and vitamin D supplement needed.
Take regular milk.If you are obese weight has to be reduced.
Regular light exercise helpful in arthritis related change.
Knee x ray can be taken to search for pathology.
I hope you will understand my concern.
Wish you good health
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Are Persistent Knee And Neck Pain Signs Of Abnormal Liver Function?

Hi thanks for asking question. Here you have elevated ALT and AST,suggestive of liver disease like hepatitis. Here possibility of chronic hepatitis or carrier of HBSag has to be ruled out. For that viral markers are useful.If HBSag positive more then 06 month then chances of carrier is present.If hepatitis is present viral markers will be elevated. If still cause for hepatitis unknown then liver biopsy can be taken according to patient s examination. Second here neck pain and knee pain may be because of some bone condition like osteoporosis or arthritis related changes. You should check your vitamin D and calcium level , if they are low calcium and vitamin D supplement needed. Take regular milk.If you are obese weight has to be reduced. Regular light exercise helpful in arthritis related change. Knee x ray can be taken to search for pathology. I hope you will understand my concern. Wish you good health