<human>: a 54 year old women has hepatitis b positive, she had liver function test and the results were : ALT=34.3 u/l AST=25 alkaline phosphatase=406 so what would you reccomend?
<bot>: HELLO & WELCOME TO Chat Doctor FORUM MOHAVE NOT MENTIONED ANY SYMPTOMSREGARDING LIVER DISEASE:YELLOW Color OF CLERK/ URINE, ASCITES, VOMITING, ABDOMINAL PAIN, LOSS OF APPETITE REGARDING SEPT/ SEPT LEVEL : YOU SHOULD REPEAT THIS TEST FOR THE COMING SIX MONTHS IF THIS Persists >19 AND IF SEPT/GOT LEVEL WILL RISE AND CROSS 38 THEN IT INDICATES PERSISTENT LIVER INJURY, TREATMENT IS MUST AND YOU SHOULD CONSIDER ANTIVIRAL MEDICINES. MOST OF THE LABORATORY AND DOCTOR CONSIDERS GOT/SEPT UNTO 100 NORMAL BUT THIS IS MISNOMER AND YOU SHOULD CONSIDER TREATMENT ONCE SEPT/ GOT >38. ALPINE PHOSPHATASE IS RAISED AND WITHOUT ANY OTHER INFORMATION, VERY DIFFICULT TO COMMENT. ALKALINE PHOSPHATASE MAY BE ELEVATED IN OTHER ORGAN DISEASE ALSO. TAKE CARE & GET WELL SOON Chat Doctor. 