This week we speak with Dr. Michael J. Levinson about Liver Tests.

Question: What does it mean when I get a report from my doctor on my routine laboratory studies that my liver tests are up?

Answer: Liver enzymes (ALT and AST) are enzymes that are formed in the liver and may indicate inflammation in the liver or problems with other major organs.  Occasionally, alkaline phosphate and GCT will show to be elevated.  These elevations are associated with drainage of bile, gallstones, tumor blockage, alcoholic liver disease or drug-induced (herbal of prescription) disorders.  Again, a specific diagnosis should be pursued.  Another elevation that sometimes presents itself is bilirubin.  This is the main bile pigment that sometimes produces a yellow discoloration in the skin and eyes.

Albumin and Prothrombin are the only true liver tests for determining disorders and other specific problems in the liver relating to protein levels and blood clotting.

If you get an elevated liver test, your physician will explain what type of elevation it is and what needs to be done, if anything.

Important Facts to Remember:

• No correlation between degree of liver test elevation and severity of disease.
• Please tell you doctor about ALL medications especially over the counter or herbal medications.
• The tests should be followed until normal or a firm diagnosis is made.

Dr. Michael J. Levinson – Dr. Levinson graduated with a Bachelor’s degree from the University of Florida and with honors from UT Medical School. He is a Fellow of the American College of Physicians and a Fellow of the American College of Gastroenterology. He serves as an Associate Professor at the UT College of Medicine and as Chief of the GI Teaching Service at Baptist Memorial Hospital where he has received the Outstanding Teacher Award many times. Dr. Levinson is part of Memphis Gastroenterology Group and can be reached at 901.747.3630 or memphisgastro.com.

**This answer is not intended as and does not substitute for medical advice.