I am a 26 year old male weighing 184 5'7. I have been experiencing weird symptoms over past 3 months. I should mention I am a recovering binge eating addict. I used to eat fast food 2-3 times a day usually meal size after work. Lately I have been eating healthier but have been experiencing weird symptoms. I have been experiencing following: -Weird breath that tastes almost like musty or moldy -Brain fog -Dry skin -Weird urine odor -Stomach tightness and constant dry mouth. -Fatigue -Weird odor farts Here are some of my blood test results:
SGOT(AST): 42 SGPT(ALT): 86 Bilirubin:1.2 Alkaline Phospate: 82 Albumin:4.9 Globulin:2.9 Protein:7.8 A.G. Ratio 1.7 Choloestorel:254 LDL:192 WBC:6.5 RBC:5.29 Platelets:344
I am worried. I have had elevated liver enzymes since seven years but never these symptoms. Urinalysis is all clear. Is it possible to have cirhossis with these numbers. And should I be worried? I have also lost ten pounds since last year. Also I do not drink alcohol. I also have no jaundice and no ascites(I think as physician did physical exam)
Hello. I welcome you to icliniq.
Your concerns are quite reasonable but let me tell you some of the facts about this.
Your weight is slightly to the higher side. Your BODY Mass Index BMI is 27.2. Ideally it should be less than 25. The BMI is the proportionate of your weight given to your height.
So fatty liver disease is a possibility here given your deranged liver function tests and with no use of alcohol. Your Fib 4 score ( a tool to tell significant fibrosis of the liver) is 0.34 which is normal. This means it is unlikely that you have cirrhosis at this stage of the life. Yes since as age goes on with the similar elevation of the liver enzymes can definitely cause liver cirrhosis. A general rule is it take 10 to 15 years of fatty liver disease to result in liver cirrhosis.
There are few other tools to calculte the risk of liver cirrhosis - I would need the the reference range of the AST to calculate APRI and one other fibrosis score. You should upload the lfts report online as I can see that. Plus I am going to ask you some more tests to be sure of that it is fatty liver disease and not anything else, as a cause of deranged liver function tests.
Now coming to your symptoms, they can not be defined by fatty liver disease alone. There may be thyroid dysfunction or any other disease process causing fatigue, lathargy, dry mouth ane dry skin namely diabetes, automimmune disease, and metabolic disease such as wilson disease or hemochromatosis, annd this might be the underlying cause of.deranged lfts as well.
So the optimal step is that you get the tests and let me know the results to guide further course of management. Also let me know have you used or using any herbal or homeopathic medications? And kindly let me know some personal information like are you married? do you have risk for viral hepatitis like tattooing over skin, high sexual behavior Like unprotected sex ? travel history?
Fatty liver diseaseInvestigations to be done:
complete ANA profile including ANA, ASMA, AMA
Fasting blood sugar HBa1c
Anti LKM 1 antibody
Serum iron, transferrin saturation
Vit B12 and RBC folate
Vit. D levels
Serum Ca , Phosphorus, mg
Bun Cr electrolytes
upload previous lfts report
Will guide based one investigation findingsRegarding follow up:
follow up with the investigations.
Was this answer helpful?|
Query: Hi doctor, I have been taking Protonix for almost three weeks for acid reflux. I had some blood laboratory work done and it showed my AST 812 and ALT 1,115. Could this be a rare side effect of Protonix? My glucose also went up to 192 and lipase is 72. I do not drink, smoke or use drugs... Read Full »
Query: Hi doctor, My 2 year old daughter had an abscess on left side of her face. We got it operated and the biopsy result found to be tuberculosis. But, 45 days of TB culture report came back negative. It was operated a year ago and she was started on TB drug. The medicines prescribed were tablet Macox... Read Full »
Query: Hi doctor, I am a 29 year old male. My weight is 75 kg and height is 5'11". Two years ago, I was a heavy drinker. But, nowadays I only drink beer once a week for about 6 to 7 pints. My SGOT AND SGPT levels were much higher two years ago. I think they were around 150 to 175. I just got my LFT done b... Read Full »
Ask your health query to a doctor online?Ask a Medical Gastroenterologist Now