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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Elevated Liver Enzymes When Suffering From Gallbladder Stones

I m 54 5 1 I weigh 162 my ALT (SGPT) is 106. My AST (SGOT) 70. I am concerned since I have been plagued with gall stones but I have changed my diet to eliminate them. I have been exposed to hepatitis working in the health care field. What are my options? I have an abdominal ultrasound appt scheduled for late March whAt can I do in the interim.
Wed, 8 Apr 2015
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
Gall stones do not cause elevated liver enzymes.
Uf the gall stones are symptomatic causing indigestion or pain abdomen, you need to get the gall bladder removed surgically.
Elevation of liver enzymes occurs due to damage to the liver cells or hepatocytes.
A history of hepatitis previously can be the cause of elevated liver enzymes.
What was the cause of hepatitis?
In case hepatitis was infectious in origin, a HBsAg needs to be done to assess the presence of hepatitis B infection.
In addition, other liver function test also need to be known for better assessment of liver functions.
In case liver enzymes are elevated in isolation without increase in other liver enzymes, then damage to the hepatocytes is occurring without any effect on other parts of biliary tract.
Consult your gastroenterologist for further work up.

Thanks and take care
Dr Shailja Puri
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Suggest Treatment For Elevated Liver Enzymes When Suffering From Gallbladder Stones

Hello and welcome to HCM, Gall stones do not cause elevated liver enzymes. Uf the gall stones are symptomatic causing indigestion or pain abdomen, you need to get the gall bladder removed surgically. Elevation of liver enzymes occurs due to damage to the liver cells or hepatocytes. A history of hepatitis previously can be the cause of elevated liver enzymes. What was the cause of hepatitis? In case hepatitis was infectious in origin, a HBsAg needs to be done to assess the presence of hepatitis B infection. In addition, other liver function test also need to be known for better assessment of liver functions. In case liver enzymes are elevated in isolation without increase in other liver enzymes, then damage to the hepatocytes is occurring without any effect on other parts of biliary tract. Consult your gastroenterologist for further work up. Thanks and take care Dr Shailja Puri