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Suggest Treatment For High ALT Levels

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Posted on Mon, 17 Oct 2016
Question: I had a Ferritin level of 143 last week. Am currently awaiting today's Ferritin levels. I have porphyria and have to have phlebotomy treatments at Ferritin above 50. 143 is the highest I've ever been. Today, my ALT measured at 68. It was 32 in December 2015. People with porphyria are at high risk of liver damage. Does my ALT test suggest there is now liver damage?
doctor
Answered by Dr. Hardik Sanghvi (25 minutes later)
Brief Answer:
Yes high ALT suggest liver damage.

Detailed Answer:
Hi, dear
I have gone through your question.
I can understand your concern.

You have porphyria. Your ALT level is slightly increased. It is liver enzymes and its value is directly related with liver damage.

So it is liver damage.

Hope I have answered your question. If you have any doubts then feel free to ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you very good health.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Hardik Sanghvi (5 hours later)
What can be done for liver damage? What type of treatments are used? Is there a way to reverse it? How does one prevent it from getting worse?

Thank you.
doctor
Answered by Dr. Hardik Sanghvi (14 hours later)
Brief Answer:
Its all due to protoporphyrin deposition.

Detailed Answer:
Hi, dear
I have gone through your question.
I can understand your concern.

Liver disease is common in porphyria.
Basically it is due to excess porphyrine deposited in liver.

It LEDs to cholestasis, mild liver damage on late cases severe liver disease.

Basic aim of treatment is to reduce protoporpyrine level.

Drugs like ursodeoxycholic acid, activated charcoal, cholestyramine are useful depending on type of liver damage and severity.

You should go for ultrasound liver and liver biopsy once and start treatment accordingly.

Hope I have answered your question. If you have any doubts then feel free to ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you very good health.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Hardik Sanghvi

Hematologist

Practicing since :2008

Answered : 7043 Questions

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Suggest Treatment For High ALT Levels

Brief Answer: Yes high ALT suggest liver damage. Detailed Answer: Hi, dear I have gone through your question. I can understand your concern. You have porphyria. Your ALT level is slightly increased. It is liver enzymes and its value is directly related with liver damage. So it is liver damage. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using health care magic. Wish you very good health.