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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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High AST And ALT Levels After Drinking Heavily. Could It Be The Reason?

I had a blood test conducted on Saturday however I was drinking fairly heavily on Friday night. I was unaware my doctor was going to want to take blood on Saturday which is why I didn't refrain from drinking. My AST level was 69 and my ALT level 88. My doc wants to re test; but could this be from drinking heavily the night before the test?
Mon, 6 May 2013
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Psychiatrist 's  Response
Hello,
welcome to Healthcare Magic.

Normal range for ALT and AST 10-35. So from your reports it is clear that ALT and AST levels are elevated. ALT and AST elevate in presence of parenchymal damage, probably because of alcohol use and they return in normal range after stoppage of alcohol.

Long term alcohol use lead to fatty liver and cirrhosis of liver. When liver enzymes like ALT and AST are raised there is need to monitor liver function test by retesting over a period of time, to assess condition of liver. It is better to have LFT again as advised by your physician.

Wish you good health and all the best.

Regards,
Dr Ashish Kumar Mittal
www.99doctor.com
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General Surgeon Dr. Grzegorz Stanko's  Response
Hello!

Thank you for the query.

First of all you need to know that your liver tests are only slightly elevated. When AST and ALT gets high, it reaches values around 1000.
Your liver tests are slightly elevated and it can be caused by heavy alcohol drinking indeed. It can also get elevated due to spicy foods intake, fatty liver, liver viral infection (however liver tests do get really high in such case).
So the idea of repeating this tests after some time is a very good one. It takes approximately 3 weeks to 3 month for the liver cell to regenerate. So you liver tests should be checked again in about month or so.
In a meanwhile you should avoid fatty foods, spicy foods and alcohol intake.

Hope this will help.
Regards.
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General Surgeon Dr. Dr. Ivan Romich's  Response
Hi and welcome to HCM.
AST and ALT are unlikely to get so fast elevated after dinking. It would more likely be GGT so is elevation can be caused by chronic frequent drinking. These are mildly elevated enzymes and tehre is still no reason to worry. Other causes are viral, autoimmune or toxic liver damage. The most common liver disorders is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didnt find anything and viral markers are negative then you have no reason to be concerned. YOu should treat it by changing dieatary and lifestyle habbits. Do exercise, avoid alcohol,smoking, fats,fast food and carbonated drinks.
Wish you good health.
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

It could be.
Alcohol damages many organs - heart, brain, stomach, liver and so on..
Liver is the most common - there are immediate and long term effects.
Elevation more than three times the upper limit of normal is considered 'significant' - and dictated the need for further and extensive investigations...

Take care
Wishing speedy recovery
God bless
Good luck
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High AST And ALT Levels After Drinking Heavily. Could It Be The Reason?

Hello, welcome to Healthcare Magic. Normal range for ALT and AST 10-35. So from your reports it is clear that ALT and AST levels are elevated. ALT and AST elevate in presence of parenchymal damage, probably because of alcohol use and they return in normal range after stoppage of alcohol. Long term alcohol use lead to fatty liver and cirrhosis of liver. When liver enzymes like ALT and AST are raised there is need to monitor liver function test by retesting over a period of time, to assess condition of liver. It is better to have LFT again as advised by your physician. Wish you good health and all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com