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Gastroenterology (Expert Forum)
Causes of mildly elevated GGT
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
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Causes of mildly elevated GGT
by Barryt, Mar 06, 2004 12:00AM
I am a healthy 47 year old male who recently had an insurance physical. My GGT was mildly elevated (77) and the ALT was borderline at 45. All other findings are normal. Additional history: urinary tract infection about 4 weeks prior to insurance physical was successfully treated with 1 week of Levaquin. I take 10mg AdderallXR and I have about 1-2 glasses of wine per week (I've never consumed alcohol excessively). Should I be concerned about the liver enzyme findings? Could they have been caused by the medications? What follow-up testing (if any) should I do?
Doctor's Answer
by Kevin Pho, MD, Mar 08, 2004 12:00AM
, Mar 08, 2004 12:00AM
Alcohol consumption is one of the more common reasons why the GGT can be elevated. Other possibilities would include medications (ensure that the Levaquin or Adderall isn't causing liver enzyme elevation - this is entirely possible). I would suggest repeating the liver enzymes in a few weeks after abstaining from alcohol to see if the trend starts to decrease.
If the liver enzymes continue to be elevated, a liver ultrasound can be performed to evaluate for any anatomical dysfunction (i.e. a mass or fatty liver). I would also suggest a hepatitis screen to ensure there is no infectious liver process.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
If the liver enzymes continue to be elevated, a liver ultrasound can be performed to evaluate for any anatomical dysfunction (i.e. a mass or fatty liver). I would also suggest a hepatitis screen to ensure there is no infectious liver process.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
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