ANA is antinuclear antibodies, non specific test
ALT is alanine aminotransferase
AST is aspartate transaminase
These are all tests which look for damage to certain body systems. The results cannot be taken in isolation from the clinical symptoms.
When the computer says ' what have you tried so far', we like to know what other doctors or information you have already so that we do not duplicate.
If you can give me some more informtion I will try to be more specific to your case.
Tell us more about why these test were run, your general health and any medication you are already taking.
Thanks for the extra information, the information you have given me helps explain the readings.
The arthritis problem explains the raised rheumatoid factor and ANA results while the ALT and AST are related to the effect of hepatitis on the liver. With the problems you have then we look to maximize function and quality of life, however we are not going to be able to resolve these problems as they are chronic conditions.
In terms of your ability to work then you need to be able to find a job that is not physically demanding while at the same time flexible enough to allow you time off when your symptoms go through 'a bad patch'. Your medication appears reasonable for your symptoms and you will need regular check ups to monitor the state of the liver, so they will use the ALT and AST levels as indicators.
You need to maximize your health by eating healthily, plenty of fruit and vegetables , drinking 8 glasses of water daily and avoiding alcohol completely.
I would suggest seeing a counselor to work through some of the emotional impact of the problems you have, and the affect on your ability to work.
Does this help?
Creatinine is a byproduct of muscle metabolism, the BUN creatinine ratio is used to examine kidney function but again it can indicate a range of problems including kidney damage, or it can be related to the effect of your medication or dehydration. But it can be a sign of kidney stones, or be related to bleeding in the intestine.
So again it cannot be taken in isolation, but instead used in conjuction with your clinical symptoms. As long as there has been no sudden change in this figure then we would monitor your symptoms and keep an eye on this level. It is also a reason to avoid alcohol.