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What Is The Cause And Treatment For Acute Hepatitis?

Posted on Mon, 19 May 2014

Question: i was admitted to hospital with upper right side pain the highest alt level was my first blood taken i also had a ultrasound that showed showed a smooth liver with fatty infiltrations and gallstones but no sign of collisi sorry spelling isnt gthe report statedbfatty liver . i wasdischarged with a refferal to see a gastro doc to find out the reason for the hepaitis . i had blood drawn 4 weeks later and they are now alt 41 and asp 63 . a little about me im 26 a mother of two morbidly obese but recently lost 28lb i harly ever drink alcohol . what could this be ? ive read about XXXXXXX XXXXXXX and scared im going to die could this be XXXXXXX ? if so what is the life expectancy ? also terrified of cirrhosis ? been left with so many unanswered questions can you help please. my blood culture showed no infection and hep panel showed no viral hep.

Answered by Dr. Dr. Klerida Shehu (5 hours later)

Brief Answer:
Causes to high liver transferase...

Detailed Answer:
Hi there,

I have gone through your medical history and reports you sent in carefully.

I have noticed that you have really high Alanine transferase and alkaline phosphatase. They are indicative for acute hepatitis.

Apart obesity and diet, I'd like to know:
- if you were having any other health problem at the time you were tested (common cold, upper respiratory infection ,etc.)? Sometimes, viruses like Citomegalovirus or Ebstein Barre virus can cause acute hepatitis with high transaminase.

- were you taking any medication at the time when you got tested? Certain medications might cause acute hepatitis too.

It is important to :
- follow a healthy diet to lose weight and improve liver function tests results at the same time
- keep exercising to get best results
- avoid drinking alcohol

If you follow such healthy regimen, there is no fear for developing cirrhosis. The fatty liver can be reversed, thus, no cirrhosis. Unless, you are having other health problems.

Wish you health!
Dr.Klerida

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

Follow up: Dr. Dr. Klerida Shehu (8 minutes later)

i had no cold or chest infections at all. i also wasnt taking any medication only thing i was given in the ambulance was paracetamol and morphine. could this be XXXXXXX im still having alot of upper right niggling pain? if it is XXXXXXX does it mean i will die soon? im worried i may have already progressed on to cirrhosis. ive already started to eat healthy but finding exercise hard at the moment as im literally paralized with fright over what is happening. prior to this i was having nausea in the morning and i also went into hospital in september with similar pain but nothing was detected in my blood then. can u give me an idea of what could be happening ive added a few more tests results attached please help x

Answered by Dr. Dr. Klerida Shehu (22 hours later)

Brief Answer:
Following suggestions...

Detailed Answer:
Hi back,

Thank you for providing the requested data.

I have gone through your medical reports carefully and noticed that your lab tests were within the normal range. Furthermore, the tests for viruses resulted negative too.

At this point, my assumptions go for possible :
- XXXXXXX
- acute ischemic hepatitis due to severe hypotension you might have been experienced prior to this.
- another suggestion could be a possible hepatic thrombosis (as per your severe pain situation you are going through).

The final diagnosis of XXXXXXX is determined through liver biopsy. While, a Ct-Scan of abdomen or angiography would determine problems related to blood vessels (thrombosis) of liver.

Hope it was of help! Let me know if you need further assistance!
Dr.Klerida

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

Follow up: Dr. Dr. Klerida Shehu (10 minutes later)

what is the average prognosis of XXXXXXX ? ddo i have much time left :( and the other two possibilities can u recover from them. im very scared any info you have on XXXXXXX would be very much appreciated

Answered by Dr. Dr. Klerida Shehu (36 hours later)

Brief Answer:
Following answers...

Detailed Answer:
Hi back,

With regards to prognosis of XXXXXXX it does not mean necessarily to develop cirrhosis. Furthermore, if you had improvement after starting treatment, then, this makes me think that you have good chances to get your symptoms reversed.

So, at your case, I do not think that it is the case of time, but to actions. In other words, you have a long life ahead to live. You need to follow a healthy lifestyle and diet regimen:
- lose weight
- exercise
- eat healthy

All the best!
Dr.Klerida

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

Follow up: Dr. Dr. Klerida Shehu (8 minutes later)

i havent really started any treatment just been eating less because of my anxiety so my levels have been dropping. can u live a normal length of life with XXXXXXX if u make the dietary changes ? i have my appointment with my gastro this afternoon and im a mess atm. im still naturally worried avout cirrhosis because of the niggling pain im still getting in my ribs. can u please give me more info on XXXXXXX please thank u

Answered by Dr. Dr. Klerida Shehu (3 days later)

Brief Answer:
Advised to add vit.E&silymarin supplementation

Detailed Answer:
Hi back my dear,

Yes, you can live a normal length of life with XXXXXXX if you follow the right dietary and diet changes. You might not develop cirrhosis.

As mentioned earlier, your lab reports are perfectly normal, no sign for liver damages. Reducing weight is highly recommended.

I'd suggest to add vit.E supplementation as a potent anti-oxidant helping liver to get regenerated and sylimarin.

Wish you health!
Dr.Klerida

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