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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are My Possibilities Of Having A Liver Damage?

I just came from ER with pain to my right side under rib area. Gullbladder out 2yrs ago. They said I had gastritus. But my alt/sgpt was 74 and my ast/sgot was 38. This pain comes and goes after alcohol. But I have not had a beer in 3 days and it was the worst pain ever at this site. I am worried about liver damage. What do you suggest to get a diagnosis?
Fri, 2 Jan 2015
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Gastroenterologist,  's  Response
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
ALT of 74 is on the higher side and it indicates the liver cells are damaged. Alcohol might not be the cause as in alcohol induced damage AST will be more than ALT.
I would advise you to get an ultrasound scan of the abdomen done and also get tested for Hep B and Hep C.
The pain you get after drinking alcohol could be due to alcoholic gastropathy or acute pancreatitis. An upper GI endoscopy and serum amylase and lipase test may be done if you get the pain again.

I hope that answers your question.
Regards,
Dr.R.K.
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What Are My Possibilities Of Having A Liver Damage?

Hi, Thanks for posting your query. I am Dr.R.K and I am pleased to assist you. ALT of 74 is on the higher side and it indicates the liver cells are damaged. Alcohol might not be the cause as in alcohol induced damage AST will be more than ALT. I would advise you to get an ultrasound scan of the abdomen done and also get tested for Hep B and Hep C. The pain you get after drinking alcohol could be due to alcoholic gastropathy or acute pancreatitis. An upper GI endoscopy and serum amylase and lipase test may be done if you get the pain again. I hope that answers your question. Regards, Dr.R.K.