Discussions By Condition: Liver conditions

Liver function blood test question

Posted In: Liver conditions 28 Replies
  • Posted By: mjf333
  • August 7, 2008
  • 01:45 AM

I recently went and had a physical and blood work done. Everything came back very good except the liver function test. It looked like there was 4 catagories involved but not sure what they were. It looked like something looked lower than it should. All the hepatitis tests came back negative. The DR told me to come back in 3 months to have a re-test. No drugs, no smoking no needles and a social drinker and not overweight. I also Feel fine.

Quick background -
2001 - I took lamasil for 6 months but I had my liver tested before and after and everything was good.
2006 - Blood test everything was normal
2008 - I had a hernia operation in July. Blood work was taken, but I am not sure they check the liver pre-operation.

It's been on my mind and I have been to every site possible. Should I be worried or can the test be either not accurate or could it be something minor?

Thanks in advance -
Mike

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28 Replies:

  • I'm not a doctor or anything, but I've become quite knowledgeable about liver function tests since contracting nonviral hepatitis from taking an antibotic in March. The problem is when the counts are high--the following should be included: AST, ALT, Bilirubin. Not sure what the fourth would be, but those are the biggies. Normal for AST is 8-20, and ALT normal is 10-32. Normal for Bilirubin is 0-1.3. If you need any more info, let me know.
    mamacita 13 Replies Flag this Response
  • Thanks for the response. I called my dr today to try and get the test moved up and she said the 3 month test is fine and not to worry. My guess (and only a guesss and I at least hope) is if she thought it was more serious she would be doing something sooner. Maybe if it was more serious something else maybe off also on the test - Since all the hepatitis test were negative that might mean something also. (alot of guesses here) Do correct me if I am wrong -lol. All I can recall from test is the normal on one of the items was 6 -10 and i think I was 1-5. Just a vague memory. So how are you and what steps did you have to take? Thanks again for the response, I do appreciate it Mike
    mjf333 12 Replies Flag this Response
  • I can't imagine what those tests were for, so listen to your doc and don't worry about it. I told you what normal is for the liver function tests I've become so familiar with and you are nowhere near that. Hepatitis can be viral and non-viral. Mine is non-viral and doesn't show up on a "hepatitis" test. They go by the AST, ALT and bilirubin counts. That can't be what you are talking about because the numbers for normal are different. As for me, I still have hepatitis. My counts were coming down but in the past four weeks have started going back up again. I had a liver biopsy today and won't know the results until Monday. It was a scary procedure. I have a great doctor who says maybe it has become auto-immune hepatitis. If not, he is going to send me to Vanderbilt to a hepatologist (liver specialist). I'm a rare case, apparently. There is nothing you can do--no drugs for this--because it's your liver. You don't drink alcoholic beverages and you rest and try to eat healthy foods. If you are worried about your liver, just be sure you don't take Tylenol or any medicine whatsoever! And watch the "social" drinking. I no longer enjoy my glass of wine every evening with dinner, but it's a small price to pay. Thanks for asking.
    mamacita 13 Replies Flag this Response
  • Thanks again for your response. Sorry I don't have the correct info on the results. I kind of feel stupid. I just remember the doctor had 4 things circled. Just a few more questions I would like you to try and answer then I will stop bothering you... 1) Since the blood test was not just for the liver but was a routine physical blood test that measued everything - white and red blood cells, chloresterol, thyroid, sugar, etc etc etc Do you think if it was more serious some other number would be off also. Everything else was very good. 2) I had hernia surgery 3 weeks before at a very sophisticated hospital in Greenwich,CT. They took blood pre-operation. Don't you think they must check the vital organs (liver included) in that test? 3) Did you have any symtoms of anything then? Or now? 4) I read how the liver can regenerate itself. Other than advanced liver disease needeing transplants, can in most cases the liver be brought back to it's normal state? Thanks again, sorry to keep asking questions. I am going to take the DR. and your advice and just stop worrying.......
    mjf333 12 Replies Flag this Response
  • To try to answer your questions: Although my ALT and AST (those are the two liver biggies) are extremely elevated, everything else on my cbc (complete blood count) is perfectly normal. So obviously, you can have elevated liver counts and everything else be fine. Before you have surgery, I'm sure they do a complete blood check, and that would include your liver counts. If you had viral hepatitis or HIV or something, they would need to know that and it would show up on the blood labs. I had a liver biopsy yesterday and they did a complete blood count and liver function test on me first thing so they would have the results before the biopsy. So yes, I'm sure they looked at all that before your hernia surgery. Symptoms? Heck yes. Orange urine, yellow eyes (jaundice, in other words), digestive problems, extreme fatigue, itching, flu-like symptoms-chills, fever. These are symptoms of non-viral hepatitis, which is what I have. I don't have them now, but I still have hep. The liver can regenerate itself if you catch the problem in time. But some problems are beyond regeneration. There isn't any medicine or treatment for liver disease except, in some cases, you can take steroids for auto-immune hepatitis. Trust me--if you had elevated liver counts, your doc would have had a talk with you. For example, Tylenol can destroy your liver. You doc would have asked if you have been taking tylenol or drinking alcoholic beverages or taking antibiotics or something You doc told you that you would be fine and to come back in 3 months. Count your lucky stars that you are healthy. BUT do me a favor--when you go back to the doc, pay attention to the blood test, ask for a copy or something. That way you will know what the heck you are talking about! You don't even know what you are worried about!! So stop worrying and live!
    mamacita 13 Replies
    • August 10, 2008
    • 01:17 AM
    • 0
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  • lol, you made me laugh with your last paragraph. I will pay attention next time. She did ask me if I had any alcohol the night before. It was like 5 days before the test I had some. She also gave me the option to come back in a month or wait 3. At the time I said 3 is fine. Then when I got home my wimpy side took over. When I called back to change it to one, I guess it wasnt an option any more - lol You have been great helping me with my worry. I do feel much better. I may have some more questions down the road. I hope you feel better and thanks again...... Mike
    mjf333 12 Replies
    • August 10, 2008
    • 03:33 AM
    • 0
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  • lol, you made me laugh with your last paragraph. I will pay attention next time. She did ask me if I had any alcohol the night before. It was like 5 days before the test I had some. She also gave me the option to come back in a month or wait 3. At the time I said 3 is fine. Then when I got home my wimpy side took over. When I called back to change it to one, I guess it wasnt an option any more - lol Ketorolac is the only med I was taking about 3 weeks before the test. Not sure if that could of caused any problems. Not sure if your familiar with that med. You have been great helping me with my worry. I do feel much better. I may have some more questions at some point. I hope you feel better and thanks again...... Mike
    mjf333 12 Replies
    • August 10, 2008
    • 04:01 AM
    • 0
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  • Ketorolac is an anti-inflammtory drug (I think), so if you took it and also took Aleve or Tylenol or something along with it, it could possibly have elevated your liver counts. Look up the side effects in Google and see. HOWEVER, don't get your panties all in a wad about it. :p You are fine or she wouldn't have told you to wait three months.
    mamacita 13 Replies
    • August 11, 2008
    • 01:32 AM
    • 0
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  • Yeah I am better now. Talking about it helps. If I am being too nosey just say so: How did you know you had non-viral? Did you have symptoms first? Were you taking the meds at the time. So eventually you can be hepatits free right? . I read the non-viral is usually from some medication someone is taking causing the issue like in your case. I have been eating more organic food, carrots oranges etc.. Nice talking to ya - have a good one! Mike
    mjf333 12 Replies
    • August 11, 2008
    • 02:07 AM
    • 0
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  • Well, they knew it was NON viral because the blood tests said it wasn't viral (like Hep A,B C, etc.). I had jaundice as my first symptom--orange urine. Then I turned yellow a couple of weeks after that. It came from taking an antibiotic for a sinus infection. No--they aren't sure if I can ever be hepatitis-free. The docs know very little about drug-induced hepatitis. On paper, you would think that it would eventually go away since the liver rejuvenates itself and I stopped taking ALL medicines. But instead, my counts have started going back up. The biopsy results will be here today and I'll know more. Meanwhile, I'm telling everyone i know to quit taking just any and every drug your doc prescribes. There are fantastic resources on the internet so you can research everything. In my case, the drug I took was a flouroquinolone and when you read about them it scares the crap out of you. I would never have taken 21 of those pills if I had researched that drug. As for food, I have gone strictly organic, home-grown, steamed, not fried, etc. Loss of appetite is a biggie when you have hepatitis, and I have to make myself eat. Before, I was the biggest chow-hound around. But YOU don't have hepatitis, so enjoy yourself!
    mamacita 13 Replies
    • August 11, 2008
    • 01:35 PM
    • 0
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  • Thanks and I have learned alot from you and I am not really worring as much. Please let me know how you make out with the test. (I will say a little prayer for you). Mike
    mjf333 12 Replies
    • August 11, 2008
    • 02:42 PM
    • 0
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  • Mike, I was just on a website (still researching my hepatitis) and found some posts about Lamisil causing liver problems. Don't panic or anything, but you could check it out: www.injurytalk.com is the web site. There was only one poster who had this problem and it sounded like that wasn't the only thing that happened to him--he is blaming Lamisil for everything, I guess. I don't want to scare you, but you could check it out. As I said before, your doc wouldn't have waited 3 months if there was a problem with your liver--trust me. From now on before a pill goes in your mouth, you need to check it out on-line. That's what I'm doing.
    mamacita 13 Replies
    • August 13, 2008
    • 07:15 PM
    • 0
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  • Did you get back the results from your test yet?
    mjf333 12 Replies
    • August 13, 2008
    • 10:44 PM
    • 0
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  • The liver biopsy came back showing scarring--a result of the inflammation caused by the hepatitis. It showed inflammation also, of course. (This scarring also is what happens with cirrhosis!) The pathologist said the scarring was pretty bad considering that this all just started in March. However, my doc said the pathologist probably only sees something like this once or twice a year, if that often. Next step for me is to see a hepatologist at Vanderbilt Hospital. He is one of the top hepatologists in the country and specializes in liver transplants. They are having to work me in since he didn't have an opening until the end of October! I am sort of on-call--just waiting for him to have a cancellation and to zip down there. It takes me about 2 -3 hours to drive there. I'm hoping he has seen something like this before and knows what to do. There is nothing on-line. I've read hundreds and hundreds of research papers and so forth trying to find out about treatment, prognosis, etc. for this. Meanwhile, I started taking a natural "hepatic enzyme" to see if it will help me at all. Have a good weekend.
    mamacita 13 Replies
    • August 16, 2008
    • 01:46 AM
    • 0
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  • Maybe that enzyme will help you. You should feel confident that you will seeing one of the best doctors in that field. Knowledge of this type of material does seem hard to find. I am sure he is very familiar. Good luck and let me know how you make out.
    mjf333 12 Replies
    • August 20, 2008
    • 03:06 AM
    • 0
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  • Thanks for checking on me. I'll let you know what happens--if anything!:cool:
    mamacita 13 Replies
    • August 24, 2008
    • 00:20 AM
    • 0
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  • Hi, I'd like to jump into you 2's conversation if possible:) 29 female high liver enzymes test resultsAST 79ALT 132 haven't had any other tests for liver yet but my symptoms are EXTREME FATIGUE,Dizziness,muscle weakness,some joint pain NO jaundice or orange or brown urine I do have an abnormal pain under my left rib cage???? any suggestions would be greatly appreciated:)
    mae3057 50 Replies
    • October 11, 2008
    • 03:23 AM
    • 0
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  • Have you taken any medications lately or are you taken any now? How often do you consume alcohol? What did your doctor say this may be related to?
    mjf333 12 Replies
    • October 11, 2008
    • 03:12 PM
    • 0
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  • I don't take any meds now or in the past not even otc the only thing is I had a baby 6 months ago and became terribly sick for 6 months now doc says possibly lupus, going through the testing now but with just having elevated liver enzymes could that make me feel this sick???
    mae3057 50 Replies
    • October 12, 2008
    • 03:31 AM
    • 0
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  • By doing a good deal amount of research, I wouldn't think just having the elevated liver enzymes would be making you that sick. (someone could correct me if I am wrong). Someone else going on could be causing them to be high. This is kind of embarrasing, but I don't even know what my results were, high low etc. All I know if I have to go back for a follow up test next month from a previous blood test done on July 31st. This time I wil pay more attention. Many people don't even realize they have elevated liver enzymes until they have a blood test. I have read about people who are in great shape, run every day and then are surprised to find their liver enzymes are high during routine blood tests. Many factors can be causing this. I see you mentioned Lupus which I think is related to the immune system. I am not a Dr by ay means but I guess if the immune system is being bothered maybe that is what is causing the problem. Once your tests are confirmed I am sure your Dr. will be able to get you back to being healthy. I will say a prayer for your health. Have a good night! Mike
    mjf333 12 Replies
    • October 12, 2008
    • 05:52 AM
    • 0
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