My AST came in at 226. Will my Dr. still clear me for surgery?

Question

My labs finally came in and my AST came in at 226, but my ALT was normal. The two weeks prior to my blood test I was on narcotics, and Cipro for a severe kidney infection and I had the office coordinator tell him this. Can anyone tell me if he will clear me for surgery with this AST count, considering the circumstances with the meds I was on? I don't drink alcohol, and don't have liver disease, or any symptom of liver disease. My ekg was totally normal. Anyone?

Gustavo E. Galante, MD · Answer

This may be an issue, particularly if you will be having general anesthesia. The anesthesia team may request additional testing or a GI consultation. it probably should be evaluated regardless of surgery. It would be helpful to know what your prior testing showed to compare if you had any in the past.

Joseph Franklin, MD · Answer

Liver function tests can be elevated for a variety of reasons.   Your surgeon may choose to recheck your AST before surgery.   If it appears to be returning to normal, the he/she MAY clear you for surgery.   If it is still elevated, then you will likely be referred for additional testing.   Generally, Cipro and narcotics don't cause elevation of AST levels.

My AST came in at 226. Will my Dr. still clear me for surgery?

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