Re: Lab test interpretation needed

[Guest guest]

,

The reference range for Alkaline Phosphatase seem to be incorrect if

your son is under the age of 16. It should be between 117 and 400 which

means his is normal. Secondly DBILI also known as Direct Bilirubin

cannot be higher that Total Bilirubin (TBILI) as it is a component of

total bilirubin. You might want to look at the numbers again.

Everything seems pretty normal otherwise.

In health,

Mark Schauss

www.carbonbased.com

[ ] Lab test interpretation needed

My doctor made no mention of my son's liver panel at our last appt, when

I asked for copies of the report, I found the following:

ALT 23 (5-30)

AST 25 (7-31)

ALK 240 H (70-160)

TBILI 0.6 (0.0-1.0)

DBILI 0.9 H (0.0-0.2)

ALB 3.9 (3.5-5.0)

GGT 13 (2-30)

T4 9.6 (4.5-11.5)

TPROT 6.5 (6.4-8.3)

I don't have a previous report to which to compare it. is

currently on DMPS, but occasionally do a DMSA round. Are these

elevations significant and should I avoid the DMSA? currently

takes Milk thistle. Is there anything else I can give him to help with

liver function?

Thanks.

[Guest guest]

> ALT 23 (5-30)

> AST 25 (7-31)

> ALK 240 H (70-160)

This means he is a normal healthy child. This is he enzyme used to

grow bones. It is way higher in kids than adults.

> DBILI 0.9 H (0.0-0.2)

This is potentially a problem and is worth understanidng more. Get old

blood work, check it with new draws.

Possibilities:

1. a lot of blood cell destruction recently (e. g. bruising).

2. liver metabolism issues, e. g. Gilbert's syndrome (which I believe

is one of the things more prevalent among ashkenazi jews).

3. lab error or sample handling error.

4. Liver problems impairing bile production.

Have someone who knows how to do it look at him for signs of jaundice.

Andy . . . . . . . . . . . . .

[Guest guest]

Andy,

DBILI couldn't be that high if the TBILI was less than the direct

bilirubin. There is a mistake there somewhere.

Mark

[ ] Re: Lab test interpretation needed

> ALT 23 (5-30)

> AST 25 (7-31)

> ALK 240 H (70-160)

This means he is a normal healthy child. This is he enzyme used to

grow bones. It is way higher in kids than adults.

> DBILI 0.9 H (0.0-0.2)

This is potentially a problem and is worth understanidng more. Get old

blood work, check it with new draws.

Possibilities:

1. a lot of blood cell destruction recently (e. g. bruising).

2. liver metabolism issues, e. g. Gilbert's syndrome (which I believe

is one of the things more prevalent among ashkenazi jews).

3. lab error or sample handling error.

4. Liver problems impairing bile production.

Have someone who knows how to do it look at him for signs of jaundice.

Andy . . . . . . . . . . . . .

=======================================================

[Guest guest]

I found that rather puzzling too.....

Andy .. . . . . . . . .

> Andy,

>

> DBILI couldn't be that high if the TBILI was less than the direct

> bilirubin. There is a mistake there somewhere.

>

> Mark

>

> [ ] Re: Lab test interpretation needed

>

>

> > ALT 23 (5-30)

> > AST 25 (7-31)

> > ALK 240 H (70-160)

>

> This means he is a normal healthy child. This is he enzyme used to

> grow bones. It is way higher in kids than adults.

>

> > DBILI 0.9 H (0.0-0.2)

>

> This is potentially a problem and is worth understanidng more. Get old

> blood work, check it with new draws.

>

> Possibilities:

>

> 1. a lot of blood cell destruction recently (e. g. bruising).

>

> 2. liver metabolism issues, e. g. Gilbert's syndrome (which I believe

> is one of the things more prevalent among ashkenazi jews).

>

> 3. lab error or sample handling error.

>

> 4. Liver problems impairing bile production.

>

> Have someone who knows how to do it look at him for signs of jaundice.

>

> Andy . . . . . . . . . . . . .

>

>

>

>

>

> =======================================================

>