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Are Elevated ALT And AST Levels A Cause For Concern?

Posted on Tue, 21 Jun 2016

Question: After chemo are elevated ALTs and ASTs
Of 134 and 148, respectively, especially high ? Are the dangerous. Mine have been gradually coming down.

Answered by Dr. Dr.P.Ratnakar Kini (48 minutes later)

Brief Answer:
Will come down

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

Yes, your liver enzymes are about 3-4 times above the upper limit of normal. It cannot be considered dangerous as long as there are no symptoms of liver cell failure like bleeding, altered mental status etc.

Chemotherapy is known to damage liver cells which is reflected as raised liver enzymes. These are unpredictable reactions to chemotherapy.

You have mentioned that enzyme levels are coming down. This is a good sign.

Let me know if you have any more questions.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (16 minutes later)

I really dont have any other synptoms -- still tores but that could be due to a lot of things inclusing radiation. I am also going theough a divorce and am beey anxious much of the time -- when i get anxious i having some reflux type bimiting of mucous that suddenly comes upon me. Would this be a bad symptom ?

Answered by Dr. Dr.P.Ratnakar Kini (9 hours later)

Brief Answer:
No

Detailed Answer:
Hi,
Reflux symptoms get worsened due to anxiety.
This is not really a bad symptom.
You can get relief with Nexium.

Regards,
Dr.R.K.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar