My WBC count is low, and my AST/ALT ratio is 2.129. Should I be worried about my AST and ALT levels?
ADVERTISEMENT

Q. What is the correlation between low WBC count and AST levels?

Answered by
Dr. Rajesh Gulati
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 16, 2022

Hello doctor,

I am a 20-year-old male. I have been prescribed the tablet Adderall. I do not take drugs or alcohol. Five years ago, I went to the doctor for a palpable cervical lymph node that measured 1.5 cm on an ultrasound. They told me to return if it did not go back in a couple of months, and I was not sick then. However, this lymph node is still enlarged. I just had a CT scan of it again. However, the radiologist did not confirm the same size as the original ultrasounds. I am sure it is the same size as what I can feel. CT scan also revealed a mucous retention cyst in my left sphenoid. My stomach always hurts, and I randomly throw up, usually in the morning. My blood work was mostly normal except for my AST/ALT ratio, which is 2.129. My white blood cell count is also low. All other laboratory reports are normal. My doctor is concerned about lymphoma. I think the next step is undergoing a biopsy. However, I am unsure if I should be worried about that high AST/ALT ratio because the AST is out of range, but the ALT is normal. Is there any correlation between low WBC count and AST?

#

Hello,

Welcome to icliniq.com.

If it is lymphoma, it would have significantly grown by now. From the attached images (attachments removed to protect the patient's identity), it does not seems to be some benign enlargement. You should not worry about it. Still, a biopsy should be done to confirm the diagnosis. TLC (total leucocyte count) is low. I suggest you repeat the test every two weeks. If it is stable, you should not worry. It also seems to be gastritis. I suggest you take antacids.

Thank you doctor for the reply,

What is your opinion on my liver enzyme levels (AST/ALT). Should I be concerned about these levels?

#

Hello,

Welcome back to icliniq.com.

It needs monitoring after two weeks. I suggest you can undergo an ultrasound abdomen to see the liver anatomy. Though I do not suspect any abnormalities, I suggest you get tested for HIV (human immunodeficiency virus) and hepatitis to rule out infection. I suggest you take the tablet Udiliv (Ursodeoxycholic acid) 300 mg twice daily for raised liver enzymes.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Asthenia - Causes, Symptoms, Diagnosis, and Treatment

Severe recurrent headaches ...   Read full

Although I am on vitamin D supplement, why does the knee pain persist?

The pain mostly arises on stress on knees using stairs and disappears with rest of a few days ...   Read full

Although I took an I-pill the next day, can I still be pregnant?

But since you are stressed out and tense, this may further delay your period ... The hormonal dose and the stress you have been all through these days have most probably led you to this situation of the period for only two days .   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask a Medical Oncologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.