Hi,I am Dr. Shanthi.E (General & Family Physician). I will be looking into your question and guiding you through the process. Please write your question below.
32 Year Old Male. Heavy Drinker. Routine Blood Work After
32 year old Male. Heavy drinker. Routine blood work after starting Lisinopril 20mg. Labs came back ALT 210, AST 199. All other labs came back WNL other than WBC @ 3.9 (minimum lower limit 4.1) and Hemoglobin 16.7 (upper limit 16.5). Also hematocrit 49.3 (high is 48). I suppose my question is, everywhere I've read online state if ALT is greater than AST it is indicative of being viral as in hep c. With that said, the same ratio typical with alcoholic liver disease is usually 2-1 ratio. My question is, do you still see those numbers that close together in alcohol related disease or does it appear to be more viral? Or cant you tell by the lab values alone? Also, what is the difference in values normally seen in hep c patients? Oh, and also, MCV is 109.8 with a UL of 99.0 Thank you for your time.