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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are ALT Of 91 And AST Of 43 Indicative Of A Liver Disease?

One month post Partum Alt 91 Ast 43 (normal on lab range) Normal alk phos Non drinker No meds No medical history, negative family history negative hep b and c Normal cbc BMI normal Normal blood pressure No recent trauma or physical stress Not diabetic Lipid profile slightly elevated, as To be expected recently post Partum No gallbladder history Should I be concerned? I m scared I have cirrhosis or something terrible. Please help, I m scared
Wed, 16 Mar 2016
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General & Family Physician,  's  Response
Hi & Welcome to HCM.
I can understand your concern.
There's nothing to worry, as it is suggestive of a benign but reversible condition of the liver during pregnancy.
Isolated increase in the liver enzyme ALT in absence of liver or gall bladder disease or alcohol intake is highly suggestive of intrahepatic cholestasis of pregnancy or fatty liver. It usually resolves 4-8 weeks after delivery and usually recurs in subsequent pregnancies. Regarding the slightly elevated lipid profile, avoid fatty vegan and non vegan meals, avoid fast and junk foods, eat home cooked foods, increase the intake of fruits and vegetables and do regular exercise.
Regards.
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Are ALT Of 91 And AST Of 43 Indicative Of A Liver Disease?

Hi & Welcome to HCM. I can understand your concern. There s nothing to worry, as it is suggestive of a benign but reversible condition of the liver during pregnancy. Isolated increase in the liver enzyme ALT in absence of liver or gall bladder disease or alcohol intake is highly suggestive of intrahepatic cholestasis of pregnancy or fatty liver. It usually resolves 4-8 weeks after delivery and usually recurs in subsequent pregnancies. Regarding the slightly elevated lipid profile, avoid fatty vegan and non vegan meals, avoid fast and junk foods, eat home cooked foods, increase the intake of fruits and vegetables and do regular exercise. Regards.