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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated Liver Enzymes?

just had a blood test and one of my liver enzymes was one point above normal, (normal 32 mine was 33) I had a stomach virus 2 weeks before I had the blood test, I feel terrible. I am now going on vacation for 3 weeks and I am afraid to drink wine, my doctor said she would check further when I came back but that she wasn t worried. What should I do? could my stomach virus cause my enzymes to elevate a little?
Tue, 28 Nov 2017
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Ayurveda Specialist 's  Response
**
Thanks for contacting with your health concern

1. Mild elevation of liver enzymes are normal [i.e. why she wasn't worried] and stomach flu doesn't cause the liver enzymes to elevate [although liver produces enzymes in response to injury/infection]

2. For prophylaxis: check the values [if possible] during vacations [since if increasing there could be an ongoing hepatocellular injury like superadded infection can cause liver dysfunction] since mine concern would be viral hepatitis A and if the values are increased or you notice loss of appetite, nausea, vomiting, it could be a case of Hepatitis A.

PS. keep a note that although these tests are sensitive but very nonspecific and serve to detect liver disease rather than quantitative liver function so their high values don't signify a serious complication most of the time, it is the underlying pathophysiological process which needs to be diagnosed and managed.

3. as going for vacations, preventive measures which you can adopt

- maintain personal hygiene and cleanliness.
- boiled water or bottled water.
- strictly no alcohol, painkillers [except paracetamol]
- typhoid and cholera vaccine should be given a week before travel. [if traveling to unhealthy places]
- immunization against Hepatitis A & B
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General & Family Physician Dr. ROHITH P A's  Response
Hi
Inflamed or injured liver cells leak higher than normal amounts of certain chemicals, including liver enzymes, into the bloodstream, which can result in elevated liver enzymes on blood tests.
its advisable to avoid consuming alcohol.
thank you take care.
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What Causes Elevated Liver Enzymes?

** Thanks for contacting with your health concern 1. Mild elevation of liver enzymes are normal [i.e. why she wasn t worried] and stomach flu doesn t cause the liver enzymes to elevate [although liver produces enzymes in response to injury/infection] 2. For prophylaxis: check the values [if possible] during vacations [since if increasing there could be an ongoing hepatocellular injury like superadded infection can cause liver dysfunction] since mine concern would be viral hepatitis A and if the values are increased or you notice loss of appetite, nausea, vomiting, it could be a case of Hepatitis A. PS. keep a note that although these tests are sensitive but very nonspecific and serve to detect liver disease rather than quantitative liver function so their high values don t signify a serious complication most of the time, it is the underlying pathophysiological process which needs to be diagnosed and managed. 3. as going for vacations, preventive measures which you can adopt - maintain personal hygiene and cleanliness. - boiled water or bottled water. - strictly no alcohol, painkillers [except paracetamol] - typhoid and cholera vaccine should be given a week before travel. [if traveling to unhealthy places] - immunization against Hepatitis A & B