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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do The Following Test Results Suggest?

are these high levels? Total Bilirubin: 1.0 mg/dL     Final            High     Direct Bilirubin: 0.5 mg/dL     Final            Ast: 88 U/L     Final                 Alt: 108 U/L     Final                 Alkaline Phosphatase: 108 U/L     Final                  Total Protein: 7.8 g/dL     Final                  Albumin: 4.0 g/dL     Final                  A-g Ratio: 1
Tue, 13 Oct 2015
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General & Family Physician 's  Response
Hi & Welcome.
I can understand your concern for the liver function tests (LFTs).
Incomplete data like age, gender, body weight, any history of alcohol intake or cigarette smoking or any other symptoms like abdominal pain, dyspepsia, vomiting.

The liver enzymes (AST, ALT, & Alkaline phosphatase) are elevated and which is suggestive of some liver problem (injury) due to suspected diseases of the liver & gall bladder.

I would advise you to get an abdominal ultrasound scan to rule out liver problem especially fatty liver.

Beside you also need to have certain life style modifications so that the elevated liver enzymes will return back to their normal level:

1. Avoid smoking, alcohol intake, fatty veg and non veg meals
2. Eat home cooked foods with vegetables, a lot of fruits, drink plenty of water
3. Do regular exercise, reduce the weight if you are overweight &
4. Repeat LFTs after 4-6 weeks.

Hope the suggestions given above could be useful.

A feed back is appreciated.
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Internal Medicine Specialist Dr. Uma Motapothula's  Response
thank you for contacting HCM. These labs suggests Direct intra hepatic problems.

liver abnormalities are
intrinsic liver issues
--- from external factor like infections (hepatitis) and alcojolic cirrhosis
--- from internal factors like genetic disorders
extrinsic liver issues like duct obstruction like stones and cancers

I think yours going in favor of infections. I would recomend you test for hepatitis infections.

please contact us if you gave any pain, that will be from stones etc.
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What Do The Following Test Results Suggest?

Hi & Welcome. I can understand your concern for the liver function tests (LFTs). Incomplete data like age, gender, body weight, any history of alcohol intake or cigarette smoking or any other symptoms like abdominal pain, dyspepsia, vomiting. The liver enzymes (AST, ALT, & Alkaline phosphatase) are elevated and which is suggestive of some liver problem (injury) due to suspected diseases of the liver & gall bladder. I would advise you to get an abdominal ultrasound scan to rule out liver problem especially fatty liver. Beside you also need to have certain life style modifications so that the elevated liver enzymes will return back to their normal level: 1. Avoid smoking, alcohol intake, fatty veg and non veg meals 2. Eat home cooked foods with vegetables, a lot of fruits, drink plenty of water 3. Do regular exercise, reduce the weight if you are overweight & 4. Repeat LFTs after 4-6 weeks. Hope the suggestions given above could be useful. A feed back is appreciated.