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Ultrasound showed fat infiltration. Alright to drink occasionally after liver enzymes become normal?

I am a 53 year old female, weight 146-height 5 4 . I recently had an ultra sound because of elevated liver enzymes . There was some fat infaltration. One month after the ultra sound my liver enzymes were AST-29, ALT-57. I was told to continue to abstain from drinking alcohol for a total of three months and have my enzymes checked again. I had been drinking 3 to 4 glasses of wine a night for many years because I have high cholesterol and thought this would help with the cholesterol. If my liver enzymes return to a normal range is it all right to have an occasional glass of wine?
Asked On : Fri, 26 Oct 2012
Answers:  2 Views:  628
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General Surgeon 's  Response
Hello madam,

I have gone through your problem. You said that you are drinking wine for many years and had fatty infiltration of the liver along with raised liver enzymes.

Fatty infiltration of the liver is seen in obese patients and patients who take alcohol. You also had raised liver enzymes which shows that you had alcoholic hepatitis. Now your liver enzymes had returned to normal, but still there is a chance for you to have hepatitis (raised liver enzymes) in future if you take alcohol.

My advice is to abstain from drinking alcohol and consult your physician for your high cholesterol. There are cholesterol lowering drugs with which you can maintain your body cholesterol at a low level.

good luck to you.
Answered: Fri, 26 Oct 2012
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Internal Medicine Specialist Dr. Enrique Molina's  Response
Your "fatty liver" is probably "alcoholic liver disease" believe it or not. You do not seem to be obese, and for a woman to drink over 2 drinks of alcohol per day, that is excessive.
If your cholesterol is abnormal then you should do diet and exercise (or be on medications to lower cholesterol). Alcohol is not going to help you with this. You might be getting confused with the fact that 1 (ONE) glass of wine a day is good for your heart and circulation. But remember that woman have a much lower tolerance to alcohol compared to men (genetic differences), and you can develop liver cirrhosis much quicker than a man that drinks the same amount of alcohol. I still allow you to drink an occasional glass of wine in special social occasions.
Answered: Sat, 27 Oct 2012
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