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Diagnosed with high liver enzymes, fatty liver. Prescribed regimen. Will I be okay?

hello my husband was just diagnosed with high liver enzymes from family dr who did an ultrasound ruling out enlargement or cancer , just a fatty liver . The readings he was concerned about are as follows, ast is 194 and the ackp is real high didnt get the number. His recommendation was to decrease ibuprofen intake which he has taken for years, decrease to stop wellbutrin recently added to prescription regimen in dec 2012 and to stop taking niacin which he has been taking for about two years and follow up in 4 weeks to take more blood work. Do you think this is a good plan? Should we see a specialist? What kind?
Asked On : Sat, 2 Mar 2013
Answers:  3 Views:  224
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General Surgeon 's  Response
Your husband's liver enzymes which were elevated will come down slowly.
Follow the doctors advice to stop the drugs.
Stop alchohol also.
It is a good plan.
After 4 weeks,he is asked for blood tests.IF they are abnormal too,you can consult a Gastro enterologist.
Nothing to worry
He will be well soon
Wish him speedy recovery
Answered: Mon, 4 Mar 2013
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Your family doctor is right.
Pain killers like ibuprofen,anti cholesterol medicines like niacin and anti depressants like Wellbutrin,all can result in increase of liver enzymes and can result in fatty liver.
Besides these medications ,other causes for high liver enzymes and fatty liver could be alcohol consumption,diabetes,obesity,high triglycerides etc.
You must stop all medications as advised by your doctor.
Quit alcohol,if taking.
Stop junk foods,sweets and colas.
Avoid deep fried foods.
Consume fresh fruits and green vegetables.
Reduce calorie intake and reduce your weight.
Do regular exercises.
Get your liver enzymes checked after 8 weeks.
If still high then you may consult a gastroenterologist and get yourself evaluated thoroughly,other wise most likely they should be all right.
Answered: Mon, 4 Mar 2013
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General Surgeon Dr. Grzegorz Stanko's  Response

Thank you for the query.

Increased liver tests can be caused by alcohol, medicines, bile ducts obstruction, liver viral infection, liver cancer, fatty liver. That is why I suggest you to have some more tests before fatty liver diagnose. AP, GGTP, bilirubin, amylase, HbSAg, Anti-HCV should be also checked. You should also visit gastroenterologist.

Hope this will help.
Answered: Tue, 5 Mar 2013
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