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Is Alcoholic Hepatitis Curable?

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Posted on Tue, 8 Apr 2014
Question: Is alcoholic hepatitis curable? I haven't been officially diagnosed with it but from researching it seems as though it's very likely. 1st test AST 66 ALT 18 2nd test after abstaining from alcohol for a week was AST 99 ALT 27
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Answered by Dr. Michelle Gibson James (10 days later)
Brief Answer: should go down Detailed Answer: Hi, thanks for using healthcare magic Some improvement can definitely occur but may not return completely to baseline. In addition, further progression to liver failure would be prevented once you are able to continue abstaining.Your AST levels ,even the repeat ones, though high indicate the liver is inflamed but if it was significantly impaired then the other liver tests would be abnormal- ALT, bilirubin Alcohol would also cause the other liver enzyme- GGT to go up The fact that you noted an increase after a week of abstainence likely means that the levels were still on the rise when you started and may now start to plateau or even out, then decrease. There are other causes of increased liver enzymes such as : (1) non alcoholic fatty liver- in this case fat build up in the liver occurs in persons where there is a history of increased weight, decreased activity levels, diabetes, high cholesterol, use of a diet high in carbohydrates (turn into fat and build up in liver) This is treated with a change in lifestyle and the use of statins. (2)infection- particularly the hepatitis viruses (3)trauma (4)side effect of medication Summary- it should go down once you are able to continue as you are doing. May take a few weeks I hope this helps,feel free to ask any other questions
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Is Alcoholic Hepatitis Curable?

Brief Answer: should go down Detailed Answer: Hi, thanks for using healthcare magic Some improvement can definitely occur but may not return completely to baseline. In addition, further progression to liver failure would be prevented once you are able to continue abstaining.Your AST levels ,even the repeat ones, though high indicate the liver is inflamed but if it was significantly impaired then the other liver tests would be abnormal- ALT, bilirubin Alcohol would also cause the other liver enzyme- GGT to go up The fact that you noted an increase after a week of abstainence likely means that the levels were still on the rise when you started and may now start to plateau or even out, then decrease. There are other causes of increased liver enzymes such as : (1) non alcoholic fatty liver- in this case fat build up in the liver occurs in persons where there is a history of increased weight, decreased activity levels, diabetes, high cholesterol, use of a diet high in carbohydrates (turn into fat and build up in liver) This is treated with a change in lifestyle and the use of statins. (2)infection- particularly the hepatitis viruses (3)trauma (4)side effect of medication Summary- it should go down once you are able to continue as you are doing. May take a few weeks I hope this helps,feel free to ask any other questions