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What Causes Elevated Liver Enzyme Levels?

Posted on Fri, 28 Oct 2016

Question: Hello sir I had fever last Monday and after taking paracetamol and nimesulide for 2 days fever gone., but now I m detected with low platelets 41000 and after having 2 days kiwi fruit it increase to 61k still I feel very weak and also having itching in my wrist and ankle.I am also moderate drinker I use to drink average 8 unit only for weekends sat and Sunday. My Sgot and Sgpt is also at higher 333 and 232.

Answered by Dr. Kathy Robinson (32 minutes later)

Brief Answer:
alcoholic hepatitis

Detailed Answer:
Hello,
Having the liver enzymes that elevated means that you have alcoholic hepatitis, an inflammation of the liver caused by excessive alcohol. You should also be tested for hepatitis B and C just to make sure you do not have both illnesses.
Eight units of alcohol on weekends is directly toxic to your liver and blood cells. Any alcohol consumption should be stopped immediately to allow your liver and blood cells to recover.
If you find that you are unable to stop the alcohol consumption please seek assistance from a substance abuse counselor or a treatment center.
You are very young and if you are able to get rid of the alcohol now your body will most likely recover completely allowing you to have a healthy life.
I wish you the best,
Dr. Robinson

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

Follow up: Dr. Kathy Robinson (11 minutes later)

I m quiting alcohol it's not a big issue but I m afraid whether it's cirrhosis. ? and also I m consuming fruit, because it's look very tasteless to have normal food. is it OK to take fruits only

Answered by Dr. Kathy Robinson (13 hours later)

Brief Answer:
Takes time

Detailed Answer:
Hello,
It takes time for your liver to heal. As young as you are it should heal. You just have to let the doctor follow the liver enzymes and make sure they come back to normal. If they are not going back to normal your doctor may want to do an ultrasound or other testing.
You need to eat some protein, eating just fruit is not healthy.
You need to eat more vegetables than fruits and some sort of protein, like meat or tofu or nuts.
You need carbohydrates, proteins and fats in your diet to stay healthy. Take a multivitamin daily and make sure it has both thiamine and folate in it. Drink plenty of water.
Regards,
Dr. Robinson

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

Follow up: Dr. Kathy Robinson (38 hours later)

this is my new report bilburin decrease from 3 to 2.45, sgot decrease from 333 to 290 but sgpt increased from 232 to 462. alkaline phosphate in limit And HbsAg negative. doctor prescribed urcosol 150. can I use it or go with liv 52 and ayurvedic medicine. ? please mention about low platelets count too is it safe to take urcosol 150 with low platelets.

Answered by Dr. Kathy Robinson (6 hours later)

Brief Answer:
need Hepatitis C testing

Detailed Answer:
It is good that you got a hepBsAg test but you also need testing for Hepatitis C. the increasing SGPT makes it look more like a viral hepatitis than alcoholic, though even if you have hepatitis C the alcohol can make it worse. But since you stopped drinking, that may be why the SGOT is coming down.
Taking the Ursocol should be fine. It should not harm the platelet count.
Regards,
Dr. Robinson

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

Follow up: Dr. Kathy Robinson (40 hours later)

platelets count is now 2.24 lac normal .and hcv is negative very happy with reports still little worried about enzymes I think it ll take time to get lower wt u think doctor?

Answered by Dr. Kathy Robinson (9 hours later)

Brief Answer:
Glad to hear it

Detailed Answer:
Thanks for the follow up. I am happy to see that platelet count and HCV. It certainly can take several months for the numbers to get back down to normal. I wish you the best.
Dr. Robinson

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

Follow up: Dr. Kathy Robinson (3 days later)

this is my new report .bilirubin in limit SGOT decreased from 290 to 77 and SGPT decreased to 195 from 490. still out of limit . completed 5 day ursocol prescription. what u think I have to continue the ursocol or not because doctor has only prescribed this for 5 days.

Answered by Dr. Kathy Robinson (34 hours later)

Brief Answer:
sorry for delay

Detailed Answer:
I have been traveling and had no internet access. Sorry for the delay in response.
I think this looks good and is very hopeful that the numbers will return to normal. I would suggest stopping the ursocol and checking labs again in 3-4 weeks and see where you are at that time.
I wish you the best,
Dr. Robinson

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