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Elevated liver enzymes and alcohol consumption - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   in march if had liver enzymes of ast 109 alt 55 ggt 1035 in september they were ast 44 alt 29 ggt 106. from sept to now I have had approximately 10 oz of liquor/mixed a week ( ususally in one day) how would that be affecting my liver no
Doctor :   Hi
Doctor :   let me read ur query
Doctor :   your GGT has increased considerably and is high
User :   no its started off high and has decreased
Doctor :   it indicates hepatic issues due to alcohol intake
Doctor :   you meant, march 2010 and sept 2010, in that case, yes, ur condition has improved
User :   well no, but how has it improved
Doctor :   in case you have reduced the intake from before, it would improve further
Doctor :   why do mean no
Doctor :   your AST , ALT and GGT have come down in sept 2010
User :   how is the 10oz affecting it now? thats what I like to know. if i were to get it tested today what do you think it would be just with the facts I have given you
Doctor :   let me know your average alcohol intake before march 2010
Doctor :   and the same from march to sept 2010
Doctor :   hepatic damage varies from person to person,
User :   every day any amount I could drink 26 oz in two days and then lay off and start over, they called it binge drinking had a seizure when I decided to quit but didn't know i shouldn't have quit on my own 4 or 5 days after quitting, I had a withdrawl seizure
Doctor :   it is all dependent on genetic pattern of liver enzyme synthesis, which metabolise alcohol
Doctor :   ok
Doctor :   In case you have reduced the intake, of alcohol, considerably, your LFTs will be much better
Doctor :   than the levels in sept 2010
User :   for a chronic drinker with these levels, it takes a while for enzymes to return to normal, but necessrily with the ggt because it will always be that way?
Doctor :   alcohol intake has effects on the liver as follows
Doctor :   initial stage - fatty liver
Doctor :   stage 2 - alcoholic hepatitis
Doctor :   in stage 2 , you will have all sorts of liver signs including liver enzyme changes
Doctor :   you were in that stage
Doctor :   in these stages, alcohol reduction will defintely reverse the changes
Doctor :   even in chronic condition, the liver enzyme levels of AST , ALT helps to determine the damage
Doctor :   if the levels are normal as in you, the condition has improved
Doctor :   so if u do the test of liver as of now, you will find better results
Doctor :   this is possible in case, you have reduced your alcohol intake
Doctor :   i hope you have followed my comments
User :   yes i'm just wondering if the drinking 10oz a week had screwed things up again
Doctor :   do u have any symptoms of pain, nausea, vomiting, loss of apptite etc ?
Doctor :   if u dont have, them, u will have improved
Doctor :   have any tests like liver ultrasound done ?
User :   no i'm actually normal, haven't been sick in 10 months always pain but thats just old age. ultra sound down years ok, told to slow down
Doctor :   ok,
Doctor :   in that case, u need not worry
Doctor :   your tests will be fine
User :   ok I'll get the lft done just to keep sane
Doctor :   i guess you have been anxious about them
Doctor :   i hope that has come down now
User :   always, my doctor never told me I had stage 2 just to stop drinking because I was going every month to find out the results. ok going to go and do it just for the hell of it
Doctor :   ok
User :   ty
Doctor :   is there anything i can help u with ?
Doctor :   you r welcome
Doctor :   take care and have a good day
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