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Hello, I Was Just Wanting A Second Opinion . To
Question: Hello, I was just wanting a second opinion. To summarise: I have had abnormal liver function tests the last 6 months. At the worst it was ALT156, AST 59, GGT 62 and platletes 284. Now it is ALT: 41, AST 23, GGT: 34 and platletes 313. My INR is 1 and Albumin 42. I am concerned because I did drink 3-4 glasses of wine most nights for about 10 years but no longer do this. My Urea level is low at 2.4 and Ammonia high at 37. What do you think the risk of permanent damage is, including scarring? I have had an abdominal ultrasound which was normal but not a fibroscan.
Brief Answer:
Doctor treat symptoms and not numbers dear body as a unit has millions of parameters. Every parameter could not fall with in normal range.As utrasound is normal nothing to worry about.
Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
Have seen your details and i appreciate your concerns,
Liver enzyme level is significant only when minimum of two enzymes are elevated to three times the maximum possible range.
Secondly deranged liver enzymes are common in patients with history of long alcohol intake. Give your body few months the enzymes level would return back to normal.
Your ultrasound is normal,I don't feel any further test is required unless there are any symptoms.
Take milk of thistle a liver rejenuvator for few months along with a good diet 50% complex carbohydrates 30% protein and 20% fats and very likely the enzymes would return back to normal in few months.
Eat clean
Avoid alcohol,
Do exercise regularly.
Hope i was helpful,
Follow ups are welcome,
Thanks
Doctor treat symptoms and not numbers dear body as a unit has millions of parameters. Every parameter could not fall with in normal range.As utrasound is normal nothing to worry about.
Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
Have seen your details and i appreciate your concerns,
Liver enzyme level is significant only when minimum of two enzymes are elevated to three times the maximum possible range.
Secondly deranged liver enzymes are common in patients with history of long alcohol intake. Give your body few months the enzymes level would return back to normal.
Your ultrasound is normal,I don't feel any further test is required unless there are any symptoms.
Take milk of thistle a liver rejenuvator for few months along with a good diet 50% complex carbohydrates 30% protein and 20% fats and very likely the enzymes would return back to normal in few months.
Eat clean
Avoid alcohol,
Do exercise regularly.
Hope i was helpful,
Follow ups are welcome,
Thanks
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hello,
Thank you for your advice.
Do you think a Fibroscan is justified here? My Doctor thinks no because my Fib 4 score is only 0.37 when I last had my liver tests/platelets completed. My most recent tests appear normal (below)
34 GGT
23 AST
41 ALT (slightly over)
Platelets 361
INR 1
Do you think the above is anything to be concerned about and do you think there is a chance there may be scarring on my liver? I am not sure how reliable the Fib 4 score/APRI/Forns is but all are considered very low risk.
Thank you for your advice.
Do you think a Fibroscan is justified here? My Doctor thinks no because my Fib 4 score is only 0.37 when I last had my liver tests/platelets completed. My most recent tests appear normal (below)
34 GGT
23 AST
41 ALT (slightly over)
Platelets 361
INR 1
Do you think the above is anything to be concerned about and do you think there is a chance there may be scarring on my liver? I am not sure how reliable the Fib 4 score/APRI/Forns is but all are considered very low risk.
O I forgot to mention that I gave birth about 8 months ago and my cholesteroal has recently been high:
Cholesterol - 6.4
Triglycerides 0.9
Cholesterol (HDL) - 2.07
Cholesterol (total/HDL) - 3.1
Cholesterol (LDL(Calc)) - 3.9
Any concerns about ammonia being a little high at 37 and urea being a little low at 2.4.
I am in New Zealand.
Cholesterol - 6.4
Triglycerides 0.9
Cholesterol (HDL) - 2.07
Cholesterol (total/HDL) - 3.1
Cholesterol (LDL(Calc)) - 3.9
Any concerns about ammonia being a little high at 37 and urea being a little low at 2.4.
I am in New Zealand.
Hello,
Just following up on the above, particularly the ammonia/urea part and high cholesterol.
Thank you!
Natasha
Just following up on the above, particularly the ammonia/urea part and high cholesterol.
Thank you!
Natasha
Brief Answer:
Follow up.
Detailed Answer:
Hi dear,
Post partum(after delivery) mild dylipidemia etc are common. Various changes takes place in body during pregnancy and child birth from blood volume to blood pressure.
I don't think that any of the data given by you is alarming.Things with settle down with time.
No further test required.
Your liver is fine.
Follow the advice given above.
Thank you!
Follow up.
Detailed Answer:
Hi dear,
Post partum(after delivery) mild dylipidemia etc are common. Various changes takes place in body during pregnancy and child birth from blood volume to blood pressure.
I don't think that any of the data given by you is alarming.Things with settle down with time.
No further test required.
Your liver is fine.
Follow the advice given above.
Thank you!
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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