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Suggest Treatment For Enlarged Liver When AST And ALT Levels Are High

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Posted on Tue, 2 Feb 2016
Question: I have high ast alt alk phos and ggt. Enlarged liver and enlarged duct. No gallbladder. I do not drink alcohol or take Tylenol.
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Answered by Dr. Abhijit Sonawane (2 hours later)
Brief Answer:
viral markers and autoimmune to rule out

Detailed Answer:
Hello,
Thanks for posting in HCM.
As you have properly described your condition, when we rule out alcoholic or drug induced hepatitis, usually next step is to rule out any viral infection or presence of autoimmune hepatitis.
As you told that your GGT levels have gone high it can suggest presence of autoimmune reason as compared to viral infection as I assume you do not have fever as you have not mentioned it.
I would like to advuce you to ask your doctors to check for presence of any autoimmune hepatitis.
The tests we usually perform to diagnose this is ANA, anti SM antibody, anti LKM 1 antibody.
For now I would advice you to get these tests done and either consult your doctor or get back with me with the reports will definitely advice you for further course.
I hope I have answered your query well. If you have any more query kindly write back to me will be happy to answer them.
Thank you
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Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Abhijit Sonawane

General & Family Physician

Practicing since :2011

Answered : 603 Questions

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Suggest Treatment For Enlarged Liver When AST And ALT Levels Are High

Brief Answer: viral markers and autoimmune to rule out Detailed Answer: Hello, Thanks for posting in HCM. As you have properly described your condition, when we rule out alcoholic or drug induced hepatitis, usually next step is to rule out any viral infection or presence of autoimmune hepatitis. As you told that your GGT levels have gone high it can suggest presence of autoimmune reason as compared to viral infection as I assume you do not have fever as you have not mentioned it. I would like to advuce you to ask your doctors to check for presence of any autoimmune hepatitis. The tests we usually perform to diagnose this is ANA, anti SM antibody, anti LKM 1 antibody. For now I would advice you to get these tests done and either consult your doctor or get back with me with the reports will definitely advice you for further course. I hope I have answered your query well. If you have any more query kindly write back to me will be happy to answer them. Thank you