What Does This Liver Function Test Report Indicate?

Posted on Wed, 7 Dec 2016

Question: Hi .. I am a 55 year old male.. I do drink Dailey.
I had blood work in may, all was perfect except ast was 48 and alt was 65. I reduced alcohol. Did not quite. Began exercising eating low carb and low fat. I lost 25 pounds and feel great. Redid blood work again this week and ast was 22 and alt 18. All other lIver function and cholesterol blood sugar were perfect. She did say liver was slightly swollen from alcohol consumption. But all looked good. I am having CT scan anyway. Your thoughts on the ast and alt returning to normal..is it a good sign ?

Blood work
Hepatitis was all non reactive

XXXX, XXXXXXX XXXX, 08/17/1961
603-826-5111MRN: 451
KFP CHARLESTOWN
157 MAIN STREET , CHARLESTOWN, NH 0000
0000

FINAL RESULT
Accession ID: WC008853C     Lab Ref ID: 01A149141
Order Date: 11/09/2016
Collection Date: 11/09/2016 17:30:00
Received: 11/10/2016 13:39:05
Report: 11/10/2016 13:35:00
Specimen Received: 11/10/2016 06:19:00
Requesting Physician: XXXX, XXXXXXX Ordering Physician: XXXX, XXXXXXX
HEPATIC FUNCTION PANEL
NAME     VALUE     REFERENCE RANGE     LAB
F     PROTEIN, TOTAL     6.9     6.1-8.1 (g/dL)     NL1
F     ALBUMIN     4.6     3.6-5.1 (g/dL)     NL1
F     GLOBULIN     2.3     1.9-3.7 (g/dL (calc))     NL1
F     ALBUMIN/GLOBULIN RATIO     2.0     1.0-2.5 ((calc))     NL1
F     BILIRUBIN, TOTAL     0.7     0.2-1.2 (mg/dL)     NL1
F     BILIRUBIN, DIRECT     0.2     < OR = 0.2 (mg/dL)     NL1
F     BILIRUBIN, INDIRECT     0.5     0.2-1.2 (mg/dL (calc))     NL1
F     ALKALINE PHOSPHATASE     57     40-115 (U/L)     NL1
F     AST     22     10-35 (U/L)     NL1
F     ALT     18     9-46 (U/L)     NL1
0
0
PERFORMING LAB: NL1, Quest Diagnostics LLC-Quest Diagnostics LLC
200 Forest St, 3Rd Fl, Suite B, Marlborough
MA
01752-3023 XXXXXXX XXXX
Result:          Accession ID:     WC008853C

Answered by Dr. Abhijit Deshmukh (4 hours later)

Brief Answer:
Hello looks normal now

Detailed Answer:
Hello
Welcome to HCM
Thank you for your query
I understand your concern
Well you had hepatitis related to dialy alcohol consumption.
Good you stopped it and reduced your weight
With that your liver inflammation has subsided and liver function tests are normal
But thus is likely to return back if you resume alcohol consumption
In addition worthwhile getting an sonography of liver done to look for scarring if they have some suspicion of cirrhosis or liver scarring worthwhile getting an fibroscan done too. It is good that reports are better.
Also get your sugar and lipids checked regularly and continue your diet and lifestyle modifications
Hope this answers your query
Good that you have a positive approach towards illness.
Happy to help

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Abhijit Deshmukh (55 minutes later)

Wouldn't have been fatty liver without hepatitis?
A1c was 5.0 lipid was total 178 hdl 98 triglycerides 44

Answered by Dr. Abhijit Deshmukh (13 hours later)

Brief Answer:
Hi yes

Detailed Answer:
Hello
Thank you for your query
Well you had mild hepatitis when sgot and Sgpt were raised and is recovering now
Since now the liver enzymes are normal it is likely to be fatty liver only
Best wishes

Above answer was peer-reviewed by : Dr. Vaishalee Punj