Common "Alt" queries answered by top doctors | iCliniq


ALT, alanine transaminase, is an enzyme made by the cells in the liver which gets released into the bloodstream if the liver is inflamed or damaged. An ALT test will help to measure the amount of ALT in the blood. The normal range lies between 29 to 33 IU/L (international units per liter) for males and 19 to 23 IU/L for females. High levels of ALT in the blood indicate liver problems such as hepatitis, cirrhosis, liver cancer, or other issues.

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My AST is 13, and my ALT is 6. Do I need further testing?

Query: Hello doctor, I recently had a blood draw at home by a visiting nurse for a life insurance application. AST (aspartate aminotransferase)/ALT (alanine aminotransferase) ratio came back high at 2.2. However, all other levels of my blood report are normal. AST is 13 U/L, and ALT is 6 U/L, so neither le...  Read Full »

Dr. Utkarsh Sharma

Answer: Hello, Welcome to I understand your concern and will help you regarding it. ALT/AST ratio can provide information about cirrhosis/liver damage but in proper context. These results are often interpreted in association with ultrasonography and other liver function tests. In your case, b...  Read Full »

My husband's liver enzyme values are elevated. What should we do now?

Query: Hi doctor,My husband is 26 years old. He is currently taking tablet Lamotrigine 25 mg, Alprazolam 1 mg, and Buspirone 5 mg. His blood investigations show ALT is 102, AST is 55, and alkaline phosphatase is 128. He does not have any symptoms. What do these values mean? What should we do now?Kindly giv...  Read Full »

Dr. Rajendran R. Nayar

Answer: Hi,Welcome to understand your concern.The report shows that your husband's liver enzymes are raised.From the history provided in his reports (attachments removed to protect the patient's identity), he is overweight with a BMI (body mass index) of about 29 and consumes alcohol. He is al...  Read Full »

I think I have a liver damage. Should I get tested for hepatitis A and B?

Query: Hello doctor, I just got my blood results, which I have uploaded. There are two files. One is about three months old and the other one is from today. I am afraid that I have a liver damage. Should I get tested for hepatitis A, B and C? I had donated blood four months ago and that time there was no p...  Read Full »

Dr. Naresh Kumar M.

Answer: Hi, Welcome to I've carefully reviewed all the provided data (attachment removed to protect patient identity). Two noteworthy abnormalities stand out. Firstly, the high percentage of lymphocytes combined with the low neutrophil count is commonly associated with viral fever. This pattern...  Read Full »

AST/ALT more than 1. Can this mean liver disease or cirrhosis?

Query: Hello doctor,Three years ago I was diagnosed with non-alcoholic fatty liver and at that time my liver enzymes were 3 to 4 times of the upper ranges. I then lost weight and with time my enzymes got normalized. However, in last test, I have noticed a pattern where AST is greater than ALT, though they ...  Read Full »

Dr. Anshul Varshney

Answer: Hi, Welcome to No, the concept of AST (aspartate aminotransferase): ALT (alanine transaminase) is not valid when the enzymes are in normal range. However, low platelet count can be an early sign of liver cirrhosis. It is not very uncommon to get liver cirrhosis in cases of NAFLD (non-...  Read Full »

Does intake of Xarelto cause an increase in AST and ALT?

Query: Hi doctor, I am taking Xarelto 20 mg daily for DVT from the past four weeks. My blood work shows increased AST, which is double than normal, and ALT, which is triple than normal. Should I take today's dose? I take a lot of medicines for different health conditions. I have attached the photo of my pr...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to I have seen the attached prescription (attachment removed to protect patient identity). You are taking Alendronate, Alprazolam, Rivaroxaban, and Simvastatin for your different conditions. For example, Alendronate for osteoporosis, Simvastatin for hyperlipidemia, and ...  Read Full »

My ALT and AST levels are high. Please help.

Query: Hi doctor, I am a 31-year-old male. My ALT and AST levels are high. I recently lost weight, and my ALT has not changed. Please help. Thanks.  Read Full »

Dr. Ramesh Kumar S

Answer: Hi, Welcome to I understand your concern. Some food plans are: Whole grains are very beneficial to consume. These can be in the form of bran, whole wheat bread or cereal, brown rice, whole grain pasta, and grains such as whole oats, wild rice, rye, oatmeal, and corn. They are also bene...  Read Full »

What causes severe abdominal pain with raised AST and ALT levels in an 8-year-old kid?

Query: Hello doctor, My 8-year-old daughter continues to have strong abdominal pains. A couple of months before, it was really bad and was also coupled with mono and fifths disease. At that time her levels were crazy high. AST = 1312, ALT = 1692. These levels freaked out the doctors so we went back the nex...  Read Full »

Dr. Deepak Patel

Answer: Hi, Welcome to I can understand your concerns. This appears to be a case of obstructive jaundice. The main cause of obstructive jaundice is gallstones. Since GGT (gamma-glutamyl transferase) levels are raised more than 70 in the first report it suggests an obstructive cause. AST (aspa...  Read Full »

My AST and ALT levels are high. How to bring these values to normal?

Query: Hi doctor, I am 24 years old with a weight of 218 lbs and a height of six feet five inches. I have an ALT of 74 IU/L and an AST of 109 units/L. I do not drink and do workouts three to four times a week by lifting weights. Please suggest.  Read Full »

Dr. Ajeet Kumar

Answer: Hi, Welcome to Your ALT (alanine transaminase)and AST (aspartate transaminase) values are above the upper limit of normal (ULN). ALT is more specific for liver disease while AST is nonspecific and its elevation suggests other reasons. It can have a muscle origin and it includes skelet...  Read Full »

I am experiencing in vomit and shortness of breath. Why?

Query: Hi doctor, I am a 36-year-old male. I had my checkup and GGT was 51 and ALT was 67 all others were within limits. Now I have a problem of headache, fast heartbeat only when trying to sleep, also feel like my left chest has a lot of gas. Why I am especially worried is I vomited and I highly suspect...  Read Full »

Dr. H. M. Abdul Rub

Answer: Hi, Welcome to As per the liver function test (LFT) of your blood, you have a mild increase in GGT (gamma-glutamyl transferase) and ALT (alanine aminotransferase). GGT suggests there is a possibility of mild damage to the liver and biliary system especially due to alcohol. We need to ha...  Read Full »

Please review my liver function blood tests.

Query: Hello doctor, I am 55 years old male, height 5 feet 5 inches, and weight 163 lbs. I do not drink or smoke. Presently, I am not under any medications. Previously, I took medicines for suspected acid reflux symptoms for six months but stopped since one year. I used to undergo comprehensive blood tests...  Read Full »

Dr. Kannane Tirougnanassambandare

Answer: Hi, Welcome to I note that your query is related to abnormal LFTs (blood liver function tests) SGOT (AST- aspartate transaminase) and SGPT (ALT- alanine transaminase). From the information you provided (attachment removed to protect patient identity), I understand that: You are asym...  Read Full »

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