Blood Test

[Kimmylynn2000]

My blood tests have been running like those:

MPV 7.2
Bilirubin 0.4
AST 310
ALT 225

How concerned should I be?

[fretboard]

Your ALT and AST are almost 10 times as high as they should be.  You should talk to your doctor, if you have HepC I'd say it's time to tx.  With your bloods that high I'd say your immune system is likely trying to fight off the HepC virus and unfortunately that's a fight your system will lose. Please, check it or wreck it,

[SurfsideGal]

Those numbers sound great to me. It is common for HCV patients to have ALT and AST about 1 and 1/2 times the upper range of normal. Doctors usually don't worry too much unless they are up around 400 or more. And, all it means is that your liver is inflammed from the virus and leaking some enzymes into the blood stream. It is far from too late.

[helenschild4]

Thanks for this info but it might be bad news for me.  I have just seen the dr. for the first time.  My Ast is 34 and Alt is 31 so that is not good is it?  I am so depressed and don't know why the VA has not sent me to anything but a hepc class back in 2009.  They always checked my enzymes and said they were fine.  Now it is probably too late for me.

[SurfsideGal]

Hi Kimmylynn. Are you a hepatitis C patient? If you have not been tested I would think your physician would want to test you with your lab values being elevated. The MPV is nothing to worry about. It's just a measurement of the size of your platelets. Docs don't make a fuss about it. Your bilirubin is low, better low than high. Your AST and ALT may indicate some advanced fibrosis (scarring). When the ratio is greater than 1:1 (with AST being higher) it sometimes means you have a lot of scar tissue in your liver. What is your doctor telling you?