What Does My Liver Test Report Indicate?

Posted on Mon, 28 Sep 2015

Question: I was hospitalized for alcoholism on feb 2014 for 5 days. Ast was 162 and alt 104 and also hepB. Hospital never mentioned any medication for hepB.

I continue to drink occasionally and completely stop two weeks ago and tested 65 ast and alt of 57 and HVb is 3400. My dr wants me to take viread for hepB but I'm concern that it may not be necessary. For one, hospital never mentioned that I need to medicate my hepB when I was in the hospital in a worse condition. My primary dr also said my hepB of 3400 is low. Why now and what could be the reason?

Answered by Dr. Dr. BR Hudda (5 hours later)

Brief Answer:
Please consider these guidelines

Detailed Answer:
Hello
I share your concern
Your AST and ALT level are still high but you need not to worry about hepatitis B virus level, it's low, your doctor is right.

I would advise you for an ultrasound to rule out liver enlargement or fatty liver.
Here I would like further information for better assessment like
Since how long have you been drinking ?
Do you smoke ?

Your hepatitis B virus level is low, not significantly high so keep a regular follow up and check

Please write back to me work these details so that I will be able to tell you more accurately
Best wishes

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. BR Hudda (1 hour later)

I drank heavily for about 4 years. I smoked for 20 years, stopped for 5 years and started smoking again a year ago. I smoked about half a pack a day.

My ultrasound says liver enlargement by 19cm with a suggestion of fatty infiltration or chronic liver disease.

Answered by Dr. Dr. BR Hudda (1 hour later)

Brief Answer:
Please consider these guidelines

Detailed Answer:
Hello
Welcome again and thanks for the details
You should follow these guidelines
Complete abstinence of alcohol and smoking is required
Regular liver function test and hepatitis B virus test to keep a close watch and monitoring.
You should also avoid fatty fried spicy and junk food or other heapatotoxic drugs
Use condom during sex if you are sexually active.
Don't share your brush or razor with anybody
You should have lots of fresh fruits and vegetables

Hope this answers your question
Please feel free to ask for follow up
Best wishes

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Dr. BR Hudda (11 hours later)

How long will it take to normalize my ast now that I'm alcohol free? I know you mention complete alcohol abstinence but will it be ok to enjoy a beer occasionally? Can I take cialis?

I meant can I take cialis occasionally?

Answered by Dr. Dr. BR Hudda (49 minutes later)

Brief Answer:
You should avoid all kind of alcoholic beverages

Detailed Answer:
Hello
Welcome again and thanks for the details
It may take from 3 to 6 months to normalise completely if you follow preventive measures to let your liver heal fully.

You should avoid all kind of alcoholic beverages even cialis and beer.
Hope this answers your question
Best wishes

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