Should I completely refrain from alcohol if my liver enzyme levels are abnormal?

Hello

Welcome to icliniq.com.

I have seen the attached reports (attachments removed to protect the patient's identity). Your ALT (alanine transaminase) and AST (aspartate transaminase) are raised. Still, they are very mildly high, and it is not significant enough for you to stop alcohol immediately and take urgent treatment. You can attend upcoming functions, but please try to cut down on alcohol wherever possible. Increased AST and ALT only mean ongoing inflammation in the liver. Since they are mild in your case, that means a mild inflammation is there, which can be due to alcohol, medicines, or fatty liver. The following measures are required to keep them under control.

1. Cut down on alcohol as much as possible (if you are drinking at functions, skip alcohol at home, and you got to balance it somewhere).

2. Avoid oily and spicy food.

3. Increase physical activity and get in shape if you are overweight.

4. Repeat liver enzymes after one week to monitor the trend.

Follow these measures and follow up after one month.

Thank you.

Hello,

Welcome back to icliniq.com.

I suggest continuing physical activity. As you mentioned that your drinking has increased past few days, which was the reason I said to cut it down; otherwise, twice a week is fine. Have you done an ultrasound abdomen to make the correct diagnosis? And what about hepatitis B and hepatitis C?

Thank you.