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Could Elevated Sgpt And Normal Sgot Mean Celiac?

Jill2011

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Jill2011 Newbie
Jill2011
Posted

I have been having various symptoms that seem consistent w/ Celiac. I am waiting for my Celiac test to come back, but in the meantime I was told that my SGPT was elevated while my SGOT was normal. My doctor said that those results point to alcohol abuse, but I only drink in moderation (rarely more than 1 glass). Could these values point to Celiac?

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Jill2011 Newbie
Jill2011
Posted
  • Author

I have been having various symptoms that seem consistent w/ Celiac. I am waiting for my Celiac test to come back, but in the meantime I was told that my SGPT was elevated while my SGOT was normal. My doctor said that those results point to alcohol abuse, but I only drink in moderation (rarely more than 1 glass). Could these values point to Celiac?

Whoops - I meant elevated SGOT and normal SGPT.

JoshB Apprentice
JoshB
Posted

Yes, but that doesn't mean much. There are many, many things that occur with celiac disease. It's a "great mimicker".

Jill2011 Newbie
Jill2011
Posted
  • Author

Yes, but that doesn't mean much. There are many, many things that occur with celiac disease. It's a "great mimicker".

My doctor seems to think that the only answer is alcohol abuse, which I assured her is not happening, but I'm not sure she believed me.

pain*in*my*gut Apprentice
pain*in*my*gut
Posted

My doctor seems to think that the only answer is alcohol abuse, which I assured her is not happening, but I'm not sure she believed me.

There are many, many reasons for elevated liver enzymes. Yes, alcohol abuse is one possibility, but other causes are obesity, diabetes, certain medications and viruses. Celiac disease and the other inflammatory bowel diseases can also cause liver enzyme abnormalities, but they usually are not a severe as the other causes.

How elevated was your SGOT (also know as AST)? SGPT is also know as ALT, so if you want to google it you won't get confused between the different terminology. ;)

Jill2011 Newbie
Jill2011
Posted
  • Author

There are many, many reasons for elevated liver enzymes. Yes, alcohol abuse is one possibility, but other causes are obesity, diabetes, certain medications and viruses. Celiac disease and the other inflammatory bowel diseases can also cause liver enzyme abnormalities, but they usually are not a severe as the other causes.

How elevated was your SGOT (also know as AST)? SGPT is also know as ALT, so if you want to google it you won't get confused between the different terminology. ;)

Thank you for your response and terminology advice :)

SGOT: 51

SGPT: 28

I'm generally slightly underweight for my height, and I've lost 12 lbs over the past 4-6 weeks (not purposefully). I'm not a diabetic, and I just had an upper and lower GI exam with only showed GERD.

I also have elevated MCV: 106.7

Up until about 3 months ago I felt completely healthy, but since then I've had constipation, diarrhea, brain fog, irritability, stomach pain, and the weigh loss. Also I'm premenopausal and was diagnosed with osteoporosis several years ago.

pain*in*my*gut Apprentice
pain*in*my*gut
Posted

Thank you for your response and terminology advice :)

SGOT: 51

SGPT: 28

I'm generally slightly underweight for my height, and I've lost 12 lbs over the past 4-6 weeks (not purposefully). I'm not a diabetic, and I just had an upper and lower GI exam with only showed GERD.

I also have elevated MCV: 106.7

Up until about 3 months ago I felt completely healthy, but since then I've had constipation, diarrhea, brain fog, irritability, stomach pain, and the weigh loss. Also I'm premenopausal and was diagnosed with osteoporosis several years ago.

Your AST is not that high (5-40 is usual normal range). That could totally be from a random virus (this happened to me about a year ago...my doc checked it again the next month and it was normal).

Your doc needs to properly evaluate the cause of the elevated AST instead of just jump to conclusions. I would be pretty angry and be looking for a new doc if I were you! :angry:

Check out this link:

Open Original Shared Link

Regarding the MCV, that indicates that you have macrocytic anemia. This can be caused by Vit B12 and or folic acid deficiency, as well as alcohol abuse (which is probably why your doc is stuck on the alcohol thing). It can also be cause by Celiac!

Keep us posted on your Celiac results. Hopefully you will get some answers...sounds like you have been pretty miserable... :(

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Skylark Collaborator
Skylark
Posted

We see a fair number of pre-diagnosis celiacs on the board with elevated liver enzymes. You might print this for your doctor, preferably a new one! Did they happen to take any biopsies on the upper GI exam, or did this idiot doctor miss doing that too?

Open Original Shared Link

If your celiac test comes back negative it's still worth trying the gluten-free diet. You might not have antibodies in your blood this early into the disease, or you might be gluten intolerant instead. There is also no harm in taking a B-complex supplement if you haven't started one already.

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