Strange AST and ALT results?


Question:
My blood test came back and my AST was 444! ALT was 162. I don't smoke nor drink. I actually eat very healthy and exercises regularly, what could've caused this result? My doctor scheduled a ultrasound for me, but I'm really worried.

Answers:
I'd be worried, too, but I tend to worry about things that don't need to be worried about. The doctor doesn't know what's wrong; that's why he ordered the ultrasound. He didn't immediately order you into the hospital, suggesting that he's not as worried as you and I might be.

Very high levels of AST may be caused by:

* Recent or severe liver damage, such as hepatitis caused by a viral infection or drug reaction.
* Decay of a large tumor (necrosis).
* Shock.

Moderately high levels of AST may be caused by:

* A heart attack or heart failure.
* Alcohol abuse.
* Having taken high doses of vitamin A.
* Kidney or lung damage.
* Liver damage, such as from cirrhosis.
* Mononucleosis.
* Duchenne muscular dystrophy.
* Some types of cancer.
* A rare autoimmune disease that affects muscles (myositis).

Slightly high levels of AST may be caused by:

* A heart attack or heart failure.
* Hemolytic anemia, such as that caused by sickle cell anemia or a reaction to blood transfusion.
* Cancer.
* Pancreatitis.

AST levels may be high when a disease first develops, which is often when tissue damage is most severe. Decreasing levels of AST in the blood may be a sign of recovery from the disease or injury.

Many other conditions, including severe burns, traumatic injuries, pulmonary embolism, or heat exhaustion and heatstroke, and ingestion of poisonous mushrooms may cause elevated AST levels.
Don't worry until there's something to worry about. I have had elevated AST levels for the past year, and got tested for everything (I work in healthcare and thought maybe I picked up something at work). All my tests came back normal though. Sometimes the liver enzymes are elevated for no reason other than to make you nervous.
Maybe you need a retest in a few months. At least that's what I have ahead of me.

I had an ultrasound, and they found nothing.

Don't worry. Do you exercise strenuously? That can cause high enzyme levels.
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