liver test results
dear doctor<br><br>for the last couple of months, i have been experiencing abdominal and back pain, on and off. it happens whenever i take any form of medications.<br>recently, it has been getting worse esp whenever i take my cholesterol medications. my doctor has even changed my meds, but i still &quot;react&quot; to it.<br>i have visited another doctor and he sent me for a liver test. according to results, the following are high:<br><br>- gamma globulin 42 (18-32)<br>- ast 69 (10-32)<br>- alt 102 (10-32) <br>-gamma gt 106 (5-40)<br><br>all the other levels are in the normal range.<br><br>my cholesterol levels are also elevated.<br><br>what does the results indicate and how can it be treated?<br><br>thank you for your assistance
dear sham park<br>cholesterol medication can cause abnormal liver functions - one is usually worried when the count is 2-3 times higher than normal. i would just monitor this to see that the levels stay stable and change or stop medication if it constantly increases.
Cholesterol is related to thyroid function with low thyroid function hypothyroidism giving high cholesterol and those with hyperfunction hyperthyrodism giving lowed cholesterol values.   

The TSH is elevated and abnormal indicating that free T4 and free T3 should be measured and if abnormally low and symptoms suggestive of hypothyroidism present then meds can be started. If they are still normal then the condition is called subclinical hypothyroidism.   

  

As to the bilirubin, I would repeat the bilirubin in a non-fasting state. Some people with Gilberts syndrome have elevations in total bilirubin and normal direct bilirubins upon fasting which aggravated the total bilirubin. I would also look at your CBC closely for indications of a hemolytic anemia which would also account for indirect bilirubinemia (total bilirubin) such as what happens with certain medications or conditions.   

  

The AST/ALT, you don't give the upper limit of normal and so generally the values are referenced with regards to how how many times normal they are out. Those are low level abnormalities that can be due to many causes including medications, alcohol, fatty liver, chronic hepatitis and other possibilities. Low levels are usually repeated several weeks later to see if they are still there after looking at things that may contribute to the liver elevations.   

  

All of this must be taken within a clinical context. That means that lab values can be be understood without a valid clinical history and physical. You state known and so the comments above are general in nature and would defer to the doctor for a clearer picture and understanding pertaining to your case. brief answer: hi, what is the reason for getting the investigations? detailed answer: hi, thanks for posting the query, may i know which investigations were done to give the xxxxxxx score for your heart? do you have any previous illness like diabetes and hypertension? do you take any medicines?... if you have had problems with excessive bleeding this may be related. obviously you must be seeing a doctor and you should address this question to the person ordering your tests. good luck. see more... all laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. having said that, any muscular activity will raise ck level. you may visit this site for information on this topic: https://www.mayomedicallaboratories.com/test-catalog/clinical+and+interpretive/8336 see more... changes are certainly possible, but if you feel a hard lump, or if you are uncertain of the significance of what you are feeling, you should see your doctor for an evaluation to make sure. see more... would advise an exam by your doctor to be sure. see more... I answered your question, but I'll go further here for you. My FASTING glucose was 174, and they told me it was possibly diabetes. They recommended followup with my doctor within 2 weeks.   

  

The doctor will perform an A1C test - that will indicate whether you do or don't have diabetes. It's a simple finger stick that takes 5 minutes to read.   

  

Satisfied now? brief answer: its probably the heart detailed answer: hello and welcome in hcm i can understand your concern according to the history you explain its not osteoporosis causing this pain. there are three organs that you have to control . first the heart with the following tests: repeat ecg, and the... you'll need to be evaluated by your physician and possibly have blood tests. don't try to self diagnose. taking medication for mild constipation will not solve your weakness. see more... the most direct test is to measure pressure in the spinal fluid. this is done with a spinal tap and pressure measuring column. the fluid column is measured, and then the fluid is drained off. just draining the fluid can relieve symptoms. analysis of the fluid would rule out more serious conditions. this procedure is easily performed in a doctor's office or emergency room. see more...