Very high AST and ALT liver level symptoms?I have a history of high cholesterol since 2001. My last test in 2008 showed my cholesterol at 305 with the good being within normal levels and the bad being twice normal levels.
Last week I had 2 very similar "attacks" 3 days apart that started with severe back pain going up to my shoulder blades and then went to my stomach(mainly right side). I was very bloated and had a hard time breathing deeply. The stomach symptoms went away first but the extreme back pain lingered for a long time after that. I've had my appendix removed many years ago so I know it's not that.
After the 2nd attack I went to the doc the very next day and had my blood and urine tested. My urine was dark and had blood and bilirubin in it. My blood test came back with the following high readings:
Alkaline Phosphatase - 300(twice normal)
AST - 268(6x normal)
ALT - 682(10x normal)
They also did an ultrasound a couple of days later and found nothing wrong. I haven't had any more symptoms since the last attack. Any ideas?
Oh yeah I'm 34 and I work out every day and hike on the weekends.
Answer by abijann
I would ask to be referred to a gastroenterologist.
No blood test or film testing is 100% accurate.
There are many things that can cause a problem with
the liver...see if any apply to you:
alcohol consumption
medication toxification
chemical exposure
mushroom poisoning
viral infection (like Hepatitis A,B,C)
parasite infections
bilary obstruction (stone or growth)/malformation/infection
auto immune disease
hereditary conditions
fatty liver disease: fatty infiltration inside the liver causes by
...alcohol, over weight, diabetes, insulin resistance, certain drugs
...like steriods, high cholesterol/triglyceride levels, and others
cardiac/vascular problems
growth/cysts/ tumors/cancer
and others things
It needs to be determine for sure if this is a liver or
biliary problem, the cause of the elevations of these enzymes.
You may have further film testing like a CT scan or MRI.
They may do an ERCP if they believe that there is a
problem that exists in the biliary system. This is where
they numb the throat, sedate you, and ask you to swallow
the end of a scope. With this they can check out the
esophagus, stomach, and the first part of the intestines.
When they reach the part of the intestines where the
bile ducts enter the intestines...they will shoot dye into
that and see if anything is blocking the ducts, if they
see a stone they can remove it. If they see the ducts
are too narrow, they can widen them with tools that
are small enough to go through the scope.
Then you will be in recovery till you come to.
However, they may do a MRCP which will just
show them pictures of this area, but they can't do
anything about what they see, right away.
Usually gallbladder/biliary pain starts in the right front
and moves up to the shoulder area. Pain in the back that can
be near the spinal column and move to the right
side could be kidney infection or kidney stone.
It can go to the shoulder area.
But, this (the kidney problem) usually doesn't effect the liver tests.
Tests for the kidney are the Bun and creatinine
and these tests would be elevated then.
This could be a liver or gallbladder/biliary or kidney problem.
Or a combination of two or all of them.
I wish you the best and hope you are diagnosed
soon and treated so you can heal .
Best wishes to you.
Answer by Synesthesia
http://www.lef.org/magazine/mag2000/mar00-report.html
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