Can derangement in my liver enzymes be due to binge drinking?

Q. Can derangement in my liver enzymes be due to binge drinking?

Answered by
Dr. Sagar Ramesh Makode
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 28, 2017 and last reviewed on: Aug 21, 2023

Hello doctor,

I just had blood work done. The tests for my liver came back deranged and I have to have another test next week. My LFTs have always been normal. The night before I had the test I drank a lot and got tipsy. There was a hangover the next day. Could this be the reason for my deranged levels? I am assuming deranged means not normal or really bad results. Can you clarify the meaning of deranged? I am currently taking Vyvanse, Strattera, and Spironolactone. Please help.



Welcome to

Yes, deranged in medical terms means abnormal, and likely, in your case, there must be elevated liver enzymes like SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamic-pyruvic transaminase). Likely, the cause is alcohol only. It directly affects one's liver. In the short term, such damage recovers within a week period, but chronic high consumption may lead to permanent damage. So you should repeat LFTs (liver function tests) after a week. Also, get an ultrasound of the liver done to look for chronic damage.

Have you consumed any other drugs the day prior?

Alcohol is the far most common cause.

Thank you doctor,

I had LFTs done four months back and they were normal and an ultrasound done 11 months ago was also normal. So I am guessing there cannot be a big increase like that in a short time. Most likely, the culprit is the alcohol the night before.



Welcome back to

Fine, so if the ultrasound was normal, then it is likely a binge-induced derangement of liver enzymes. It will resolve within a week. Anyway, such repeated insults will leave some amount of damage persistent and keeps on accumulating. So try to moderate your alcohol consumption.

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