Get your Health question answered in 3 easy steps

162 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

Alcoholic. Concern related to normal liver enzymes in spite its increase size

Answered by
Dr.
Dr. Ashish Mittal

Psychiatrist

Practicing since :2004

Answered : 1856 Questions

default
Posted on Wed, 16 Jan 2013 in Liver and Gall Bladder
Question: I was tested for high liver enzymes in 2010 i then kept drinking now i went to the doctor in 2012 and enzymes are normal why is this ? i can feel my liver is enlarged but cant quit what to do im scared
doctor
Answered by Dr. Ashish Mittal 2 hours later
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.

Important aspects of your query are:
•     49 year old male
•     Known case of alcohol dependent syndrome
•     Concern related to normal liver enzymes in spite its increase size.

Following liver function are monitered to see damage related to alcohol use:
-Serum bilirubin
-Enzymes like SGPT, SGOT and GGT

SGPT and SGOT show extent of liver damage. GGT is more related to recent alcohol use.

Normal range for SGPT (ALT) 10-40, SGOT (AST) 10-35. From your reports it is clear that enzymes are not elevated. ALT and AST elevate in presence of parenchymal damage because of alcohol use and they return in normal range after stoppage of alcohol or severe damage to liver.

Currently following steps will help you:
-Repeat your liver function test: To eliminate lab errors, which is common sometimes.
-Have Ultrasound of abdomen to see extent of liver enlargement and damage
-Irrespective of extent of liver damage quit alcohol. You can take help of psychiatrist.
-You may need help of gastroenterologist if there is liver damage in above tests.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards,
Dr Ashish XXXXXXX Mittal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Lab Tests
Medical Topics ,  

Recent questions on Liver dysfunctions

doctor1 MD

3 days back I recovered from Dangue. I complained for feeling of bloatinesss after food. The doctor asked to do a liver function test. My SGPT count is 309 and SGOT is 255. Also GGT is 83. I dont understand what wrong with me. Should I do ultra sound?

doctor1 MD

hello doctor

i have an acidity problem .my age is 23

i had a loose motion 3-4 times in between 1 1/2 months

but now i m okay now

doctor adviced me to do the ultra sound of whole abdomen,blood test,stool test

i have done the ultra sound and my kidney and liver is in normal condition

but in my blood test my sgot is 110,sgpt is 90,direct bilirubin is 62,globulin is 3.3

i have not done stool checkup yet



doctor1 MD

lower sternal to just center of bosom, quick stab of pain approximatly 15 x daily, no injury , no pointers as to why, has been existing and increasing in frequency for over 6 months. sensitive to touch and unable to pinpoint exact spot

doctor1 MD

My gastroenterologist suspects Gilbert s. My total bilirubin is 3.2. My direct is 0.44 (normal is up to 0.4). No bilirubin in uring. Urobilinogen is 1.0 (which is the upper limit for normal). I read that in Gilbert s patients, urobilinogen is typically subnormal. Does my 1.0 rule out Gilbert s? (Note: I eat a banana every day, including in the days prior to the urine test. For the urine test, I simply provided one sample at the doctor s office in the morning. That was my second urinatination of the day and was of low amount. All my other serum tests are normal.)

doctor1 MD

I was diagnosed with NASH (non alcoholic steatohepatits), a hereditary form in my family, 19 months ago and was immediately taken off prescription pain meds (Opana and Morphine ) and obtained my medical marijuana recommendation. 10 days ago my liver function was tested and there are no signs of liver disease . I was very ill when I was diagnosed so I m wondering if the multiple infections I had at the time caused a false positive or if daily use of cannabis (mostly in food) has cured me.

doctor1 MD

Hi, I am a 23 years old male, working in an MNC. For the last few years(5-6) I am having some physical and psychological problems. 1. Physical problems: Most of the physical problems are related to the habit of masturbation as I have experienced...

doctor1 MD

I had i kidney transplant a year ago i have awelling in both calf muscles ist no a dvt or my kidney or my liver could it be my meds?