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Hepatologist
My bilirubin is high. And AST ALT Ratio is higher too. Otherwise no symptoms. Hence I wish to consult
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Hello. I have reviewed your laboratory findings regarding your elevated bilirubin and AST:ALT ratio.
While it is reassuring that you currently have no physical symptoms, "silent" elevations in liver enzymes and bilirubin should always be investigated to ensure liver health, especially at age 62.
1. Specialist Recommendation
Since you are specifically looking for expert guidance on liver markers, you should consult a Hepatologist or a Gastroenterologist. These specialists focus on liver and digestive system disorders and can provide a comprehensive diagnostic workup.
2. Potential Next Steps
A specialist will likely recommend further investigation to determine the cause of these elevations, which may include:
Ultrasound of the Abdomen: To visualize the structure of the liver and check for gallstones or fatty liver changes.
Viral Hepatitis Panel: To rule out chronic infections like Hepatitis B or C.
Detailed History: A review of any medications, herbal supplements, or alcohol consumption that could be impacting your liver enzymes.
Repeat Testing: A repeat of the liver function test (LFT) to see if the levels are stable, rising, or falling.
3. Immediate Advice
Until you see a specialist, it is advisable to avoid alcohol and any unnecessary over-the-counter medications or supplements that might stress the liver.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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I am a gastroenterology resident.. would be able to help u better..
There are various causes varied possibilities
My number Nine eight seven 4 8 0 two eight nine 1
Feel free to contact
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Need a few more details please consult for further evaluation and treatment
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"Hello. Elevated bilirubin combined with a high AST/ALT ratio in a 62-year-old requires a systematic evaluation, even in the absence of physical symptoms.
An **AST/ALT ratio greater than 1 or 2** can sometimes be indicative of specific conditions such as alcoholic liver disease, chronic viral hepatitis, or advanced fibrosis/cirrhosis. Since you are currently asymptomatic, it is the best time to investigate and prevent potential progression.
**Recommended Next Steps:**
* **Complete Liver Function Test (LFT):** To check levels of Albumin and Alkaline Phosphatase.
* **Imaging:** An Ultrasound of the abdomen to check the liver's structure and look for signs of fatty liver or duct obstruction.
* **Viral Markers:** Screening for Hepatitis B and C.
* **Clinical Correlation:** A review of any medications, supplements, or alcohol consumption is necessary.
I strongly recommend consulting a **Gastroenterologist or Hepatologist** for a physical examination and a FibroScan to assess liver stiffness. Early detection is key to effective management."
### **Key Points to Remember**
When posting on Practo, keep these things in mind:
* **Avoid Self-Diagnosis:** While the ratio is a helpful indicator, it isn't a diagnosis on its own.
* **Urgency:** A high bilirubin level (jaundice) always warrants a medical consultation to rule out biliary obstruction or severe liver inflammation.
* **Lifestyle:** Mentioning "no symptoms" is a good sign, but many liver conditions are "silent" until they reach an advanced stage.
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No superspecialist available right now
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Need some more details kindly consult
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Hi
Kindly send reports and any kind of symptoms, need more clinical history
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Mild rise in bilirubin and AST/ALT ratio can happen for several reasons and is often manageable once we identify the cause. Since you don’t have symptoms, that’s reassuring.
If you can share your reports or consult once, we can look at it properly and guide you clearly no need to worry.
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High bilirubin levels with elevated liver enzymes,need to be evaluated by visiting a gastroenterologist for ultrasound abdomen, hepatitis b and c viral markers,to rule out fatty liver, congenital liver disorders and viral hepatitis
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NEED SOME MORE INFORMATION FROM YOUR SIDE TO GIVE YOU BETTER TREATMENT PLAN AND ADVICE FEEL FREE TO CONSULT WITH ME
Next Steps
Book consultation with me and attached your whole investigation then we proceed further with your treatment....
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Attach the reports also.
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Sir, exact cause tabhi clear hoga jab aap proper values share karenge. Sirf itna bolne se ki bilirubin aur AST/ALT ratio high hai, diagnosis confirm nahi hota. Agar ratio zyada hai to alcohol related problem ka doubt rehta hai, aur kabhi kabhi sirf bilirubin thoda badha ho to wo normal variant (Gilbert) bhi ho sakta hai. Fatty liver, viral infection ya medicines bhi reason ho sakte hain.
Aap ek baar LFT repeat karwa lijiye, viral markers (HBsAg, Anti-HCV) aur ultrasound abdomen kara lijiye. Tab clear picture milegi. Tab tak alcohol aur unnecessary medicines avoid rakhein. Reports ke saath physician ya hepatologist ko dikha dena better rahega
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Need values....
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details Kindly consult
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Dr. Riya Gangwal
Psychiatrist
7 yrs exp
Indore
History matters when it comes to treatment. Any kind of substance use? Especially alcohol? Also was CBC report normal? Please share report for further evaluation and management.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Pls consult gastroenterologist for physical examination
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Sure
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.