How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Maestra Your Own Question

Category: General
Satisfied Customers: 0
Type Your Question Here...
Maestra is online now
A new question is answered every 9 seconds

I have an elevated AST 180 and an elevated WBC 17.5 why

Customer Question

have had lower abdominal pain and temps at times. going on for 3 months
Submitted: 12 years ago.
Category: General
Expert:  nenemay88 replied 12 years ago.
Hey,I couldn't find any specific thing with all three symptoms together. but I did look for both elevated AST and WBC and found this out.

When an organ (such as the heart or liver) or body tissue is diseased or damaged, additional AST is released into the bloodstream. The amount of AST in the blood is directly related to the extent of the tissue damage. After severe damage, AST levels rise in 6 to 10 hours and remain high for about 4 days. The AST test may be done at the same time as a test for alanine aminotransferase, or ALT. (See Alanine Aminotransferase test.) The ratio of AST to ALT (AST:ALT) sometimes can help determine whether the liver or another organ has been damaged. AST also can help determine the cause of the liver damage. Both ALT and AST levels are reliable indicators of liver damage.
A test for AST is done to:

Help diagnose liver disease, especially hepatitis and cirrhosis. Liver disease may produce symptoms such as pain in the upper abdomen, nausea, vomiting, and, sometimes, jaundice.
Monitor recovery from or treatment for liver disease.
Very high levels (10 to 20 times greater than normal) of aspartate aminotransferase (AST) can indicate recent or severe liver damage (hepatitis caused by a viral infection or drug overdose), a large tumor that is decaying (necrosis), or shock.
Moderately high levels (5 to 10 times greater than normal) of AST can indicate a heart attack or heart failure, kidney or lung damage, liver damage (such as from cirrhosis), mononucleosis, Duchenne muscular dystrophy, some types of cancer, or a rare autoimmune disease that affects muscles (myositis).
AST levels may be high when a disease first develops (which is often when tissue damage is most severe). Decreasing levels of AST in the blood may be a sign of recovery from the disease or injury.
Many conditions may cause elevated AST levels, including severe burns, traumatic injuries, pulmonary embolism, or heat exhaustion and heatstroke. Ingestion of poisonous mushrooms also may cause elevated AST levels.

I couldn't find to much about elevated WBC, but I did find that High WBC levels are usually associated with leukemia, but I'm not sure what else.

My suggestion is that you call your doctor right away, and tell him what is going on with you, and ask him about taking a AST and ALT test. The ALT will help find if you have some kind of liver damage.

I really hope this information helps you a lot, I will keep you in my prayers. God Bless

Expert:  Maestra replied 12 years ago.
An elevated AST along with an elevated WBC can be a sign on mononucleosis or chronic appendicitis. It could actually be a number of things. What other results did you get?

Along with the WBC, you should have gotten a WBC differential. This diffferentiates the kinds of white blood cells into categories; lymphs, segmented neutrophils, bands, monoscytes, eosinophils, basophils, etc. If you had mono, the differential would show an increase in atypical lymphocytes (NOT monocytes. Appendicitis would show an increase in segmented neutrophils, and usually an increase in bands.

AST (This used to be called SGOT) is indeed elevated with liver disease, which can be elevated in hepatitis and mono. AST is an enzyme released by damage to organ cells.

I would not worry at this stage about leukemia. Unless you are being treate for leukemia already, leukemia patients, before treatment often have WBC counts over 50,000.

The normal range for WBC is 5,000-10,000, usually reported as 5.0-10.0 Yours would be reported as 17.5, typically. Some poeple have transient rises in WBC when they are fighting off an infection. Usually, they are not even aware of it!

More information would be needed to better figure out what COULD causing your values. A differential, ALT, Alk Phos, Calcium, Potassium,RBC, MCV, Hct, Hgb, and RBC indices.

Good Luck!

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
< Previous | Next >
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
  • He answered my question promptly and gave me accurate, detailed information. If all of your experts are half as good, you have a great thing going here. Diane Dallas, TX

Meet The Experts:

  • Dr. Y.

    Dr. Y.


    Satisfied Customers:

    I am fellowship trained specializing in general urology and reconstructive urology.
< Last | Next >
  • Dr. Y.'s Avatar

    Dr. Y.


    Satisfied Customers:

    I am fellowship trained specializing in general urology and reconstructive urology.
  • John's Avatar


    Home Appliance Technician

    Satisfied Customers:

    Appliance repair business owner for over 43 years.
  • Tina's Avatar



    Satisfied Customers:

    JD, BBA Over 25 years legal and business experience.
  • GM Tech (Cam)'s Avatar

    GM Tech (Cam)

    GMC Mechanic

    Satisfied Customers:

    GM Grand Master Technician 2007. 14 years experience.
  • dermdoc19's Avatar



    Satisfied Customers:

    30 years practice in general and cosmetic dermatology
  • Dr. Gary's Avatar

    Dr. Gary

    Cat Veterinarian

    Satisfied Customers:

    DVM, Emergency Veterinarian, BS (Physiology)
  • Dr. Pat's Avatar

    Dr. Pat

    Bird Veterinarian

    Satisfied Customers:

    25+ years working primarily or exclusively with birds

Related General Questions