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Can Someone Have Liver Disease With Normal Liver Enzymes?

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Posted on Fri, 1 Nov 2019
Question: Can someone have liver disease with normal liver enzymes?
doctor
Answered by Dr. Ramesh Kumar (39 minutes later)
Brief Answer:
Very rare case scenario.

Detailed Answer:
Hello and thanks for choosing 'Ask A Doctor' service for your query,
I've gone through your problem.

Liver disease as such is a very broad and Ill-defined term.
It may range from normal fat deposition over the liver to liver failure or cancer.

But as a rule of thumb whenever there is a problem with any organ of body the cells forming it would start to die off hence releasing the enzymes stored inside them into the bloodstream in high quantity. The same is true with the liver.

Liver cells stores and produce enzymes named SGOT SGPT Bilirubin etc. If there is a moderate to a severe problem with liver then the cells would die off releasing these enzymes in the blood.
So, in general, liver disease with normal liver enzymes is a rare case scenario.
Rest for a more professional answer share your details like symptoms history etc in an elaborative way.

Hope I was helpful,
Thank you.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Ramesh Kumar (35 minutes later)
Brief Answer:
Follow up.

Detailed Answer:
Respected patient,
Blood analysis is just a part of investigating a patient however if a person progresses to hepatitis or any other condition he/she would show common symptoms of hepatitis like fatigue. flu-like symptoms. dark urine. pale stool. abdominal pain. loss of appetite. unexplained weight loss. yellow skin and eyes, which may be signs of jaundice.
Symptoms plus investigations plus history=Diagnosis.
You just have fatty liver which is a very common finding at age above 30.
Rest assured you have nothing.
Thank you.
Do rate the answer.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ramesh Kumar (4 minutes later)
I have mild NAFLD and I got my blood results today. My liver enzymes are normal but the fatty liver is still present. I have been drinking heavy about 10-15 drinks eveyday for 2 weeks, before the Liver Function Test. What I would like to know is can my NAFLD have progressed to Hepatitis or Alcoholic Fatty Liver even though my Liver enzymes, AST and ALT, are normal?
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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Can Someone Have Liver Disease With Normal Liver Enzymes?

Brief Answer: Very rare case scenario. Detailed Answer: Hello and thanks for choosing 'Ask A Doctor' service for your query, I've gone through your problem. Liver disease as such is a very broad and Ill-defined term. It may range from normal fat deposition over the liver to liver failure or cancer. But as a rule of thumb whenever there is a problem with any organ of body the cells forming it would start to die off hence releasing the enzymes stored inside them into the bloodstream in high quantity. The same is true with the liver. Liver cells stores and produce enzymes named SGOT SGPT Bilirubin etc. If there is a moderate to a severe problem with liver then the cells would die off releasing these enzymes in the blood. So, in general, liver disease with normal liver enzymes is a rare case scenario. Rest for a more professional answer share your details like symptoms history etc in an elaborative way. Hope I was helpful, Thank you.