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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Elevated Liver Enzymes Be Related To Urine Being Positive?

My urine came up positive on a recent blood test along with elevated liver enzymes. I'll have a drink or two perhaps once a month and that's it. My first question is: could the two findings be related and why wait a month with no alcohol to repeat the test when it was 3 weeks before the test that I had a glass of white wine? I am 53, 5'2" and weigh 150. I'm not on any medication. I went to the doctor this past week because I've been thirsty, frequest urination, tired, wt gain, etc and thought it might be early diabetes although I'm told my sugars were fine on the blood test. My left arm has had pins & needles for the last month also.
Thu, 6 Oct 2016
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Gastroenterologist,  's  Response
hi.
thanks for posting query at HCM.

firstly, you provided insufficient history. you did NOT mention WHAT came up positive in urine?
secondly, was elevated liver enzymes investigated properly?

advice:
have blood routine test to exclude anemia
vitB12 maybe ingested or a multivitamin drug after discussing with treating physician to overcome the neuropathy- numbness ( since diabetes is excluded)

Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal).

Value of AST or ALT greater than 85 or above maybe investigated further.
Alcohol ingestion and obesity are common causes of fatty liver disease.

advice :
- abstinence from "Alcohol"
- LOW fat diet should be followed, AVOID junk food and beverages
- decreased oil consumption (oily food)
- NO red meat
- green vegetables should be ingested daily
- use lemon juice (lemonade) once in a day
- reduce weight if overweight/obese
-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound.

any further questions are welcomed.

hope to answer your concern.

wish you good health.

regards,
Dr Tayyab Malik
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Can Elevated Liver Enzymes Be Related To Urine Being Positive?

hi. thanks for posting query at HCM. firstly, you provided insufficient history. you did NOT mention WHAT came up positive in urine? secondly, was elevated liver enzymes investigated properly? advice: have blood routine test to exclude anemia vitB12 maybe ingested or a multivitamin drug after discussing with treating physician to overcome the neuropathy- numbness ( since diabetes is excluded) Usually ALT or AST values higher than two times the upper normal limit , is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. advice : - abstinence from Alcohol - LOW fat diet should be followed, AVOID junk food and beverages - decreased oil consumption (oily food) - NO red meat - green vegetables should be ingested daily - use lemon juice (lemonade) once in a day - reduce weight if overweight/obese - recheck liver enzymes after 6 to 8 weeks and/or ultrasound. any further questions are welcomed. hope to answer your concern. wish you good health. regards, Dr Tayyab Malik