Alcoholic Hepatitis

Inflammation of the liver that results from drinking too much alcohol is called alcoholic hepatitis. The symptoms include loss of appetite, jaundice, fatigue, nausea, vomiting, and kidney or liver failure.

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My ALT and AST are elevated. Does the high ALT indicate liver cirrhosis?

Query: Hi doctor, I just had a blood work done. I have been engaging in some excessive drinking bouts, including the night before the test. My liver panel numbers are ALT 179, AST 112, ALP 78, total bilirubin 78, albumin 45, and total protein 77. My understanding is that ALT and AST are elevated, and the...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. The high ALT (alanine transaminase) and AST (aspartate transaminase) do not indicate that you do have cirrhosis, but yes, it cannot be ruled out based on these tests. The rise in ALT and AST just indicates hepatitis, that could have several reasons. To help you better, I...  Read Full »

Are alcohol and tablet Tylenol the reason for my elevated liver enzymes?

Query: Hello doctor, I am a 37-year-old female. I had a VSG surgery with gall bladder removal six months ago. My ALT, AST, and ALP were fine and within the normal range during the time of surgery. But my recent blood reports show abnormal values of AST, ALT, and ALP. I have been drinking alcohol every w...  Read Full »


Dr. Penchala Prasad Kandikattu

Answer: Hello, Welcome to icliniq.com. I have gone through all your investigation reports (attachments removed to protect the patient’s identity). Elevated SGOT (serum glutamic-oxaloacetic transaminase) and SGPT (serum glutamic pyruvic transaminase) is not a criteria for liver cirrhosis. Chances...  Read Full »

Can we get a definitive diagnosis by a histopathological examination?

Query: Hi doctor, I have a few doubts regarding the pathology reports. Please clarify. It seems like advances in pathology is increasing diagnostic confidence. Can alcoholic liver disease biopsy result ever be 100% accurate by itself? Labeling something as "consistent with" could be a real problem for all ...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. Histopathology examination by biopsy is the most confirmatory method for many pathological conditions. Hyperlipidemia can lead fatty liver condition, which can be because of alcohol as well. From histopathology examination, it can be surely said that whether it is an in...  Read Full »

According to the reports, do I need an immediate liver CT scan?

Query: Hi doctor, I am a 46 year old male. I had gastric bypass surgery 7 years ago. Earlier, I was 540 lbs and now, my weight is 300 lbs. About 5 years ago, I started drinking hard alcohol (Vodka) weekly. As of three weeks ago, I started getting a tight, bloated, tingly sensation from my chest down to my ...  Read Full »


Dr. Happykumar Kagathara

Answer: Hello, Welcome to icliniq.com. I can understand your concern towards your abnormal laboratory values. Yes, you need a CT scan of the liver. Even, I suggest consulting your GI doctor for hospitalization. Your symptoms of tingling sensation and numbness are due to vitamin deficiencies. As you started ...  Read Full »

Please explain my blood report.

Query: Hi doctor, I just got my blood work done and would like to know exactly what these results mean. Also, I do want to mention that I am a heavy drinker. The report says that RBC is low at 3.19, MCV is high at 116, MCH is high at 39.2, RDW is high at 16.5, platelets are low at 141, calcium is low at 8....  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. You have large RBCs (red blood cells) indicated as elevated MCV (mean corpuscular volume), MCH (mean corpuscular hemoglobin) and RDW (red blood cell distribution width). This could be either due to alcohol intake or thyroid dysfunction or folic acid or vitamin B12 def...  Read Full »

What does it mean if SGPT is high?

Query: Hello doctor, My SGPT test result is 49. Is it dangerous for the liver?  Read Full »


Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to icliniq.com. Well, you did not share your body weight? Do you feel any symptoms like fatigue, weakness, or loss of energy? This information is important because only SGPT which is just nearly one and a half times raised cannot tell a diagnosis on its own. To answer your concern tha...  Read Full »

Can you please interpret my medical report.

Query: Hi doctor,I am suffering from dullness and tiredness all the time. Also, I have anxiety and irritation. My current medication includes Lodoz 2.5 and Cilaheart 5, VALZ 40. My medical report shows some abnormalities. Please suggest.  Read Full »


Dr. Muhammad M. Hanif Md.

Answer: Hi, Welcome to icliniq.com. I feel sorry for the dullness and tiredness you feel. It is really troublesome for a patient at this early age.  Read Full »

Please help me interpret my reports.

Query: Hello doctor, I am a 23 year old female. I am bulimic for the past nine years and also suffering from anxiety and depression for the past five years. I like to drink alcohol a lot. I recently had a checkup and I have attached my test reports for your reference. I am just taking vitamin supplements...  Read Full »


Dr. Sadaf Mustafa

Answer: Hi, Welcome to icliniq.com. Looking into your laboratory reports (attachment removed to protect patient identity), it appears that you are having hepatitis. It could be alcohol induced, viral or a combination of both. The ultrasound will guide to rule out lesions in the liver. It will also help us t...  Read Full »

Is it fine to take Prednisone and Azathioprine for autoimmune hepatitis?

Query: Hi doctor, I have been itching throughout my body, especially after eating, for about two years. I noticed fatigue and shortness of breath about 18 months ago. I stopped smoking before seven years. I stopped drinking before a year as my upper abdominal area started paining after drinking. Before fi...  Read Full »


Dr. Sadaf Mustafa

Answer: Hi, Welcome to icliniq.com. There are a few important facts I would want you to consider. We have to rule out other forms of hepatitis like viral hepatitis, amyloid or iron deposition, NASH (nonalcoholic steatohepatitis) and alcoholic liver disease. All three markers are non-specific; ant...  Read Full »

My ultrasound reports say 'bulky liver'. How can I get treated for that?

Query: Hello doctor,My SGOT level is 146, total bilirubin is 2.7, globulin is 4.5 and GGTP is 406. What should I do?  Read Full »


Dr. Chandra Prakash Tanwar

Answer: Hello, Welcome to icliniq.com. Looking at your reports, I see your SGOT (serum glutamic oxaloacetic transaminase) is elevated, and so are bilirubin and GGT (gamma-glutamyl transferase), while the albumin level is normal. It suggests that you have hepatitis. In your case, as you are overweight and p...  Read Full »

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