Is it common for a general practitioner to react this way?

Every test has various ranges – acceptable levels, etc. Maybe it is up as compared to your previous appointment, but not to the level where he would be worried (or it is medically necessary to do something).

I had that issue with my PSA (prostate) last year; my level was up compared to 2014, but not in any way out of the range of ‘normal’.

Bottom line, there may be nothing to ‘cure’ at this point. For all you know, the level may go down in 6 months – it might be a fluke, or a lab anomaly, or maybe you ate something different last week.

Don’t go looking for trouble.

I have little to add to @elbanditoroso‘s excellent response except a question: Why didn’t you ask your doctor about his nonchalance?

It sounds like he could work on his bedside manner. If you’re not a big drinker but are overweight, there is a chance your elevated liver enzymes are due to fatty liver disease which is diagnosed via a biopsy of the liver. I have it and there isn’t a whole lot they know about the disease. Eating healthy, exercise and loosing weight are all things that should help the problem.

Do you have your test results? Next to each result you will find an arrow pointing up for elevated out of range, or an arrow pointing down signifying below Normal Range, or no arrow at all indicating the result is within normal range. Here are the Normal Ranges (Mayo Clinic):

Standard Liver Panel Norman Ranges:

Alkaline Phosphatase (ALP): 45 to 115 U/L

Aspartate Aminotransferase (AST)(SGOT): 8 to 48 U/L

Alanine Aminotransferase (ALT): 7 to 55 units per liter (U/L)

Albumin: 3.5 to 5.0 grams per deciliter (g/dL)

Total Protein: 6.3 to 7.9 g/dL

Bilirubin: 0.1 to 1.2 milligrams per deciliter (mg/dL)

GGT: 9 to 48 U/L

LD: 122 to 222 U/L

PT: 9.5 to 13.8 seconds

If any of these values are out of range, look them up here. Scroll down the page and click the item open to find out what it means. If this causes you concern, call your doctor and explain what you discovered and why you are concerned. A competent RN can also take this call and inform the doctor. Sometimes, this is the best protocol.

Here is another site that tells you exactly what this test is for and what it means when the results are out of range.

He would be the one to receive these questions.

Out of curiosity, did you pursue the matter? Ask him what your levels were previously, what normal limits are, or maybe say something like; “Should I be alarmed or is that a good thing?” Just wondering if you carried the conversation further or went on to something else,

When I am curious about something at the doctor, I ask. I would have asked “what does that mean? What could cause elevated liver enzymes? What can I do to change it? What are my numbers and what should they be? What’s the highest that number can go to? Is it dangerous having the numbers at the level they are now? What can happen if they go higher? If they go higher, what can be done about them then?”

Regarding liver levels I know nothing except that a friend of mine had slightly elevated liver levels and I’m pretty sure they just kept an eye on them. Still, I would not take that as that’s the right thing to do, because I really have no idea. You can get a second opinion or ask your doctor more questions. Or, read up about it in reliable medical books.

Regarding do do goes do stuff like this? all the time! My FIL has had 4 blood tests in the last 6 months, because they had discovered his thyroid is slow, and they have been monitoring that and other things. This last time the doctor told him his iron is low and he should eat iron rich foods. It has been low on every test for six months! They never said anything before. Actually, I don’t see where they tested for iron, they did do a CBC that indicates low iron. It’s a longer story than that, but I’ll leave it there.

I remember when I was in my 20’s my roommate was pissed, because her GYN had not told her her pap smear was bad. Back the. Girls on BC were often made to come in every 6 months to get their prescription. While at her appointment she found out the last pap smear had a problem, but they had said nothing, because the doctor said retesting again in 6 months might show it resolved itself. WTH? First of all, what if she had stopped her BC pills and hadn’t come back in then? She should have been told.

I had them after a big steak and red wine. They fluctuate. If you have no other issues it’s a non starter. Your liver has incredible ability to regenerate and heal. If you are worried, cut out or down on fatty food and alcohol.

http://www.aafp.org/afp/2011/1101/p1010.html

Some people /Doctors are busy and only answer direct questions.
Perhaps he assummed that you did not need to elaborate any further?
I would had asked wahat caused it and should I be concerned?

I will ask him what caused it. I don’t drink anymore. Oh, three times a year I’ll have a Margarita but, other than that, no alcohol. I lost interest in it decades ago. I feel he wouldn’t believe me, though, and I’m tired of saying “I don’t drink” and have him not reply. It’s possibly from all the fat I eat although I’ve never thought of it as a lot.
I went from a husband for twenty one years who never ate chips or snacks of any kind to another one twenty eight years ago who always, but always, has a stash of pastries and chips sitting around. It’s sad, really. I think junk is a substitute of other things for him, they fill an unmet need and unfortunately now he is in poor health and addicted to diet sodas. He will , for instance, go to the store just to buy six liters of soda. That’s one addiction I’ve not picked up. He will eat a steak I’ve cooked on the grill and I’ll have a huge salad with eggs and dried cranberries, lettuce, red onions and tomatoes. Avocado chunks too if we have any.