The results were - Alkaline Phosphatase - H 188; AST/SGOT - H56; and ALT/SGPT - H 155. I
What are normal levels of AST and ALT?
The normal range of values for AST (SGOT) is from 5 to 40 units per liter of serum (the liquid part of the blood).
The normal range of values for ALT (SGPT) is from 7 to 56 units per liter of serum
Alkaline Phosphatase (ALP) Normal level of ALP in Adults: 30–126 units per liter (U/L) or 0.5–2.0 microkat/liter (mckat/L)
■Very high levels of ALP can be caused by liver problems, such as hepatitis, blockage of the bile ducts (obstructive jaundice), gallstones, cirrhosis, liver cancer, or cancer that has spread (metastasized) to the liver from another part of the body.
■High ALP levels can be caused by bone diseases, such as Paget's disease, osteomalacia, rickets, bone tumors, or tumors that have spread from another part of the body to the bone, or by overactive parathyroid glands (hyperparathyroidism). Normal healing of a bone fracture can also raise ALP levels
■Heart failure, heart attack, mononucleosis, or kidney cancer can raise ALP levels. A serious infection that has spread through the body (sepsis) can also raise ALP levels.
■Being pregnant. Women in the third trimester of pregnancy have high ALP levels because the placenta makes ALP
■Going through menopause. Postmenopausal women may have higher ALP levels than women who still have menstrual cycles
■Taking medicines that may damage the liver, such as some antibiotics, birth control pills, long-term aspirin use, and oral diabetes medicines.
The bleeding of your nose might be due to the elevated liver enzymes.
■Your age. Children normally have much higher ALP levels than adults because rapid bone growth is normal in children and bones make ALP.
Therefore, your blood results of Alkaline Phosphatase - H 188; AST/SGOT - H56; and ALT/SGPT - H 155.is unusually high.
The following are possible causes for abnormal or elevated liver functions(LFT) or liver enzymes tests:
1) liver damage ; injury or liver disease. damage or injury from different types of disease.
2) Muscle damage in heart attacks./ Mi.
3) Acute viral hepatitis A and B.
4) Chronic Hepatitis
5) Chronic Hepatitis C
6) Cirrhosis (advanced scarring of the liver).
7) Fatty liver.or steatosis or steatohepatitis
In the United States, the most frequent cause of fatty liver is alcohol abuse.
8) Other causes of fatty liver include diabetes mellitus and obesity.
9) Rarely, abnormal liver enzymes can be a sign of liver cancer.
10) Chronic hepatitis B,
11) Hemachromatosis (iron overload), genetic excessive absorption of dietary iron leading to accumulation of iron in the liver with resultant inflammation and scarring of the liver
13) Wilson's disease- Inherited disorder with excessive accumulation of copper in diverse tissues including the liver and the brain. Copper in liver can lead to chronic liver inflammation.
14) Alpha-1-antitrypsin deficiency,
15) Celiac sprue,
16) Crohn's disease,
17) ulcerative colitis,
18) Autoimmune hepatitis.
19) Gallbladder disease or Gallstones
20) Pronounced liver damage inflicted by toxins as from an overdose of acetaminophen (brand-name Tylenol)
21) Prolonged collapse of the circulatory system (shock) when the liver is deprived of fresh blood bringing oxygen and nutrients
22) A host of medications can cause abnormal liver enzymes levels. such as antidepressants; anti seizure meds; painkillers; and antibiotics and cholesterol-lowering drugs.
23) Other common health conditions, such as diabetes, heart disease, and thyroid disease.
In addition The bleeding of your nose might be due to the elevated ALP.