Fatty Liver, Consumption Of Alcohol, Overweight. Taking Prednisolone, Crestor. Elevated SGOT, SGPT, Triglycerides. Causes For Elevated Liver Enzymes ?
Thanks for your query.
Based on your case profile you have fatty liver with inflammation, called steatohepatitis
There are quite a few probable causes of steatohepatitis in you -
1) Alcohol - may be seen in any body consuming more than 20g alcohol per day
2)Metabolic syndrome - Usually associated with raised TG, insulin resistence, hypertension, obesity with a waist circumference > 100cm
3) Prednisolone
4) Crestor - can also cause elevated SGOT & SGPT
The liver injury because of any of the other causes is exacerbated and more severe in people who take alcohol.
It could also be that the initial insult could have been secondary to alcohol and now it could be maintained by the other listed causes
One should also rule out any superadded viral infections HBV and HCV
With respect to management you have to -
1) Quit alcohol
2) Daily aerobic exersise of atleast 1hr
3) Prednisolone is anyway a short term treatment
4) If SGOT/ SGPT still remains elevated then a trial at stopping crestor and seeing the response
Regards
Dr XXXXXXX