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Suggest Treatment For Elevated ALT And AST Levels

Posted on Fri, 28 Aug 2015

Question: Sir,
In my latest blood test i found that there is
HDL-32
LDL-157
AST-86
ALT-117
i am 27 & having BMI of 33, weight is 96kg, doctor informed me that AST & ALT increase is just because of BMI & high Chlestrol, once you bring down the weight & maintain healthy diet AST & ALT will be back to normal.

Please reply.
Thanks

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
Increased ALT and AST may be due to altered lipid profile in your case.

Detailed Answer:
Hello

Increased ALT and AST may indicate liver injury and it may be due to many causes like hepatitis, altered lipid profile, metabolic disorder etc. It may be due to altered lipid profile in your case.

You may need few more investigations like routine hemogram,random blood sugar, urine RE/ME, viral markers, ultrasound of abdomen.

I suggest to take tablet ursodeoxycholic acid 300 mg twice daily for three months. It helps in regeneration of liver cells.
You may also need statins like atorvastatin 10 mg.One tablet to be taken at night. It will control raised lipid level in blood.
You should avoid alcohol if you take it.
You are rightly advised for weight control, this is very important for you.

You should increase your physical activity and go for brisk walk regularly.
Avoid saturated fat and take lot of fibers in your diet.
Avoid red meat and high fat milk products.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Get well soon.
Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Indu Kumar (28 minutes later)

Thanks,

So its normal? if i control my weight & diet it will come down? Doctor asked me to take Essential Forte 300mg, i am staying in middle east , he told me this is normal considering the middle east life style just bring down the weight?

Please reply.

Thanks

Answered by Dr. Indu Kumar (9 minutes later)

Brief Answer:
Yes,these findings are common in young adults due to changing life style.

Detailed Answer:
Hello

Yes,these findings are common in young adults due to changing life style.
First,you can try life style and diet modification.
If findings persists then you may need above discussed medicines.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Get well soon.
Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Indu Kumar (3 hours later)

Sir,

I am 27 years old having BMI of 33, recently i did ECG, please find my ECG report & let me know is this normal?

HR-76bpm

P-115ms

QRS-80ms

PR-172ms

QT/QTc-365/411ms

P/QRS/T-35/-2/17

RV5/SV1-1.043/0.956MV

Is it normal?

Please reply.

Thanks

Answered by Dr. Indu Kumar (16 hours later)

Brief Answer:
ECG findings are absolutely normal.

Detailed Answer:
Hello
Sorry for replying late

ECG findings are absolutely normal.
Heart rate,P wave,PR interval,QRS width,QT/QTc etc are within normal limit.
There is no need to be worried as findings are normal.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Prasad