Ask a doctor on the topic of Internal medicine

Poor liver values GGT 192 GPT 120 GOT 59

October 1, 2017 | 50,00 EUR | answered by Dr. med. Frauke Gehring

Hello,

I am very scared.

Three weeks ago I went to the doctor for back pain in the upper left shoulder. I have been feeling somewhat tired for the past two years, but I attribute it to getting older.

The doctor did an ECG, blood test, and urine test.

The urine was okay.
ECG was also okay.

I was called about the blood test results. The liver values are not good.
I went back to the doctor and he is sending me for an MRI.
The liver values were as follows:
G-GT: 192
GPT: 120
GOT: 59
AP: 78
CHE: 11.2
BILD 0.21

Other values (listed for completeness):
LDH: 225
AMYL: 81
LIPASE: 38
CHOL: 246
TRIG: 225
HDL: 37
LDL: 176

NA: 136
K: 4.4
CA: 2.31
FE: 131

LEUKO: 5.4
ERY: 4.76
HB: 15.2
HCT: 43%
MCV: 90
HBE: 32
MCHC: 36
PLTC: 268
Ultrasound has not been done yet. I have an MRI appointment on 09.10.
My father died four years ago from pancreatic cancer (with metastases to the liver). His mother died of liver cancer at 55.

I am now in panic mode because of the MRI and the values, and I have been researching for hours on the internet. Normally, I don't go to the doctor often and I am not usually anxious.

I am severely overweight (at least 25 kg).
I would assess my diet as problematic in terms of fat, fast food, and habits.
However, for the past three years, I have been regularly taking 20 mg of Omeprazole daily. Very rarely (once every six to seven weeks, two Paracetamol 500 for headaches)
For about half a year, I have been going to the beer garden with friends regularly two to three times in the evenings.
However, I must say that on other days I do not drink any alcohol, and on beer garden days, I usually have one to two beers and sometimes a Sambuca (0.02) on the house.

However, there were four occasions between May and August this year where I ended up drinking more due to peer pressure. By "more" I mean that there were already about four to five wheat beers and five/six Sambuca.

I immediately stopped all alcohol consumption after seeing these results.

Now my question is: Can such bad values still come from diet or the aforementioned amounts of alcohol, or should I be prepared for the worst?

One more thing: Two days before the blood test, I also went to the beer garden in the evening. However, I only had a Radler and a Sambuca. The evening before the blood test, I had two glasses of red wine. But I was completely sober when I appeared for the test.
Could it really be because of that? I hope so.
I am really scared of the MRI.

Best regards

Dr. med. Frauke Gehring

Good morning,

If I may assume that a beer contains at least 500 ml for you, and you certainly have a fatty liver due to overweight, these values are quite logical! There has been too much alcohol consumed, and if the liver is already damaged, it will naturally tolerate it even worse.
The pancreatic enzyme values amylase and lipase are perfect. Unfortunately, you did not write your age. Pancreatic cancer is extremely rare in people under 50.

Of course, it would be advisable to quickly do an ultrasound to alleviate your fears! That can be done quickly.

Sincerely, Dr. Gehring.