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). Value of AST or ALT greater than 85 or above maybe investigated further. Viral hepatitis
( HAV, HBV, HCV) are common cause of elevated liver enzymes
. Typhoid fever
may also affect liver and cause high liver enzymes.
- abstinence from "Alcohol"
- 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
If HbsAg is positive also test for HBV DNA and HbeAg. HBsAg can not be completely eradicated in a patient suffering from HepB. However, complications maybe prevented if proper medication is taken and proper diet plan
is followed. Treatment is advised IF high values of liver enzymes AND high viral LOad
on a PCR.
If HBV DNA count in PCR are not high, liver enzymes should be monitored regularly while HepB markers maybe checked every 6 to 12 months.
Hope to answer your concern. Any further questions are welcome. Wish you good health.
Dr Tayyab Malik