Can I travel with bilirubin 2.0 and AST and ALT 300 to 400?

Question

Hello doctor,

15 days ago, my bilirubin level was 4.0 mg/dL, and my AST and ALT levels were approximately 1200 U/L.

Now, my bilirubin level is 2.0 mg/dL, and my AST and ALT levels are around 300 to 400 U/L.

Can I travel by flight or train for a vacation?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

The improvement in your bilirubin and liver enzyme levels is a positive sign, but AST (aspartate transaminase) and ALT (alanine transaminase) levels of 300 to 400 U/L are still significantly elevated. This indicates that your liver is still recovering from active inflammation, such as hepatitis (a liver inflammation) or another type of liver injury.

Whether you can travel depends mainly on your current condition. If you do not have fever, vomiting, severe weakness, abdominal pain, confusion, dehydration, or worsening jaundice, short-distance travel may be possible with adequate rest and hydration.

However, strenuous vacations, alcohol consumption, irregular meals, and excessive fatigue should be avoided until your liver function improves further.

Train travel is generally less physically stressful than long flights, but either may be acceptable if your doctor has not advised strict bed rest and you are otherwise clinically stable. Carry all your medical reports and medications with you, drink plenty of fluids, avoid oily outside food, and avoid self-medication.

Ideally, consult your treating doctor before long-distance travel, especially if the exact cause of the liver injury is still being evaluated.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.