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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is The Rise In The Liver Enzyme Level And Vomiting A Cause Of Concern?

my husband drinks on average 6-8 beer per night

7 days a week, for over 15 years but has drank for more than 30. 6 mnths ago he was tested for high liver enzymes and now he is gagging and vomitting almost daily? should he be concerned? his stomach seems swollen.
Thu, 6 Oct 2016
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Gastroenterologist,  's  Response
Hi.
Thanks for posting query at HCM.

Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal).

Value of AST or ALT greater than 85 or above maybe investigated further.
"Alcohol ingestion" and obesity are common causes of fatty liver disease especially in the West.

Ultrasound abdomen and Fibroscan should be done immediately.

advice:
- abstinence from "Alcohol"
- LOW fat diet should be followed, AVOID junk food and beverages
- decreased oil consumption (oily food)
- NO red meat
- green vegetables should be ingested daily
- use lemon juice (lemonade) once in a day
- reduce weight if overweight/obese
-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound.

any further questions are welcomed.

hope to answer your concern.

wish your husband good n sound health.

regards,
Dr Tayyab Malik
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Is The Rise In The Liver Enzyme Level And Vomiting A Cause Of Concern?

Hi. Thanks for posting query at HCM. Usually ALT or AST values higher than two times the upper normal limit , is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease especially in the West. Ultrasound abdomen and Fibroscan should be done immediately. advice: - abstinence from Alcohol - LOW fat diet should be followed, AVOID junk food and beverages - decreased oil consumption (oily food) - NO red meat - green vegetables should be ingested daily - use lemon juice (lemonade) once in a day - reduce weight if overweight/obese - recheck liver enzymes after 6 to 8 weeks and/or ultrasound. any further questions are welcomed. hope to answer your concern. wish your husband good n sound health. regards, Dr Tayyab Malik