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Suggest Treatment For Elevated Liver Enzyme Levels

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Posted on Tue, 11 Apr 2017
Question: What could be the reasons for liver emzymes to go "off the chart"? We are discussing a 38 year old mother of a 16 month old. Normally a very healthy woman. She has been complaining about being tired. No pain. Her Doctor did a blood test,called her back for a repeat and they were higher than the first test. He has her scheduled for a liver scan on Monday.
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Slightly deranged enzymes have no clinical significance.

Detailed Answer:
Helo dear,
Firstly thanks for choosing HealthcareMagic for your query.
Have gone through your question and i appreciate your concern.

As per your query answer to your question is,
Slight derangement of liver functions in a otherwise health individual has no significance in clinical practice,However to be on safer side ultrasonogram of liver should be done to rule out any possible pathology.Exact reason for mild derangement can't be given without extensive investigations(Not at all required).

Liver enzymes should be raised atleast 2 to 3 times then normal to have any clinical significance.
One example is,
Normal serum Bilirubin level should be less then 1 mg/dl,however only levels more then 3mg/dl are clinically significant and requires attention and investigations.
The same is true with ALT,AST,GTT etc,Only levels more then 2-3 times normal have clinical significance.
So my advice is don't worry,Slight derangement has no significance.Go for Ultrasound scan and if it is normal you are clear from gastro side.

Though not asked yet weekness,fatigue,and lassitude in a 38 years old female can be because of hypothyroidism or anaemia.

Suggestions-
Thyroid profile test
Complete blood count
Peripheral smear of blood.

A multivitamin antioxidant should be taken daily to reduce oxidative stress on liver.
If posssible please attach a copy of all the reports.

Take home advice-
Every thing is fine.
Follow up with reports.

I hope i answered your query well,In case you need any other professional advice feel free to ask,I would be glad to help.

Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ramesh Kumar (2 hours later)
Here are the results of her blood test:
ALT 716
AST 740
ALCFOS 127
The last acronym could be incorrect.
doctor
Answered by Dr. Ramesh Kumar (2 hours later)
Brief Answer:
Please mention the refrence value and its unit.

Detailed Answer:
Hi again,
Please mention the normal reference value used by the laboratory, as normal value depends and varies from laboratory to laboratory and from country to country.
If possible attach a copy of report.
Waiting.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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Suggest Treatment For Elevated Liver Enzyme Levels

Brief Answer: Slightly deranged enzymes have no clinical significance. Detailed Answer: Helo dear, Firstly thanks for choosing HealthcareMagic for your query. Have gone through your question and i appreciate your concern. As per your query answer to your question is, Slight derangement of liver functions in a otherwise health individual has no significance in clinical practice,However to be on safer side ultrasonogram of liver should be done to rule out any possible pathology.Exact reason for mild derangement can't be given without extensive investigations(Not at all required). Liver enzymes should be raised atleast 2 to 3 times then normal to have any clinical significance. One example is, Normal serum Bilirubin level should be less then 1 mg/dl,however only levels more then 3mg/dl are clinically significant and requires attention and investigations. The same is true with ALT,AST,GTT etc,Only levels more then 2-3 times normal have clinical significance. So my advice is don't worry,Slight derangement has no significance.Go for Ultrasound scan and if it is normal you are clear from gastro side. Though not asked yet weekness,fatigue,and lassitude in a 38 years old female can be because of hypothyroidism or anaemia. Suggestions- Thyroid profile test Complete blood count Peripheral smear of blood. A multivitamin antioxidant should be taken daily to reduce oxidative stress on liver. If posssible please attach a copy of all the reports. Take home advice- Every thing is fine. Follow up with reports. I hope i answered your query well,In case you need any other professional advice feel free to ask,I would be glad to help. Regards.