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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for elevated ALT levels in LFT

I was reciently hospitalized for high liver functions, all have returned to near normal except alanine transaminase which continues to climb one week ago it was 441 now it is up to 991. I feel fine but have lost apetitle. During the treatment for bloodpoisoning I had a bad reaction to the antibiotic and they have me aspertain IV, I don't know the doses but could that cause the number to climb & what should I do? They don't seem to know what to think about the single going out of range value.

Mon, 6 Mar 2017
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Gastroenterologist 's  Response
Thanks for posting query at HCM.

Its seems acute Liver injury.
Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal).

viral hepatitis ( HAV,HBV,HCV) are common cause of elevated liver enzymes. Typhoid fever may also affect liver and cause high liver enzymes.
All these causes should be ruled out.

further advice :
- abstinence from "Alcohol"
- LOW fat diet should be followed, AVOID junk food and beverages
- decreased oil consumption (oily food)
- NO red meat
- green vegetables should be ingested daily
- use lemon juice (lemonade) once in a day
- reduce weight if overweight/obese
-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound.

any further questions are welcomed.

hope to answer your concern.

wish you good health.

Dr Malik
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