
Suggest Ways To Rule Out Hemochromatosis



can't say for sure
Detailed Answer:
Hello,
your results can be caused by various conditions. I'm making a list:
- fatty liver: an ultrasound scan should suffice to prove it.
- alcohol consumption, particularly taking into account the high gamma-GT.
- other inflammatory diseases like rheumatoid arthritis may cause a high ferritin level (ferritin rises when an inflammatory process is active).
- various causes of liver injury (ferritin is released when liver cells die).
- hemochromatosis: the ferritin levels are usually expected to be higher. Checking the iron saturation is a good screening test. A normal saturation excludes iron overload. An MRI of the liver may prove iron overload. Liver biopsy is the best test to reveal it.
Please remember that lab tests are interpreted in the context of clinical information, so your symptoms and other findings may be important. If no symptoms (or other problems) are present then I would guess that fatty liver or alcohol consumption are the most likely causes.
I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.
Kind Regards!


Is this chronic/acture and will lifestyle/weight loss bring back down the AST/GGT/Ferr?
gradual elevation is suspicious
Detailed Answer:
A gradual elevation of the enzymes and ferritin levels is suspicious for iron overload but it can't be documented with the current data. Since it took more long enough (more than 1 year) to develop, it's a chronic process probably.
The high liver enzymes require radiological assessment of the liver and related organs (pancreas, gallbladder) to determine its cause. An ultrasound scan would be an appropriate first test.
You can't do anything about the enzymes unless you're obese or overweight. In such a case loosing some weight will help.
The polyp seems irrelevant. A surgical consultation is required for it but no enzyme elevations (or ferritin elevation) is expected from it.
Kind Regards!

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
