The liver helps in digestion, rids the body of toxins, and produces cholesterol. Sometimes, liver diseases can be congenital (from birth) or get damaged due to infections, obesity, and excessive alcohol consumption. Damage to the liver can lead to scarring or liver cirrhosis and liver failure, a potentially fatal condition.
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ALT and AST are out of range. What does it mean?
Query: Hi doctor,I had a blood work on my liver. The results came back saying that my ALT and AST are very high and out of range. So, I would like to know what that exactly means. When I received my laboratory test report they said that I should seek medical advice. My AST is 75 and my ALT is 35. My MCV 11... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Alcohol-induced liver damage has caused increased enzyme levels. Possibly early stages, as no jaundice is seen. MCV high (mean corpuscular volume) is due to associated vitamin B12 and folic acid deficiency. Malnutrition... Read Full »
My GGT levels are high. What should I do? Should I take any tests?
Query: Hi doctor, I received my blood reports today, and the GGT levels were elevated. My liver enzymes were constantly high, as I had previously been informed. I do not consume alcohol. I take tablet Carbamazepine 500 mg daily for epilepsy and tablet Salpraz for dyspepsia, which I understand may both aggr... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Have you taken any abdominal ultrasounds? Do you suffer from fatty liver? Please respond to all these questions for better evaluation and assessment. There is no need to be anxious about such a value. Read Full »
What can cause red hives to appear on the body after drinking alcohol?
Query: Hello doctor, I am a male aged 24 years with an overall healthy history. However, I have noticed in the recent past a bunch of red hives on (swollen red-colored, not-painful) different parts of the body (knees, legs, cheek, arms) appearing after drinking beer or wine. This happened now twice in a r... Read Full »
Answer: Hello, Welcome to icliniq.com. I am sorry, but the picture you uploaded (attachments removed to protect the patient's identity) seems a little bit taken far away, not giving me a full description of what it is. Yes, you should get your liver function tests. This will help us to detect any subtle da... Read Full »
Can abusing Co-Codamol result in liver damage and upper abdominal pain?
Query: Hi doctor,I have a history of abusing Co-codamol for two years. Often, I took 30/500 mg several times a day. I have some mild right upper quadrant stomach pain for a few weeks after stopping Co-codamol. Before a year, I took an abdominal ultrasound. My liver function test and urinalysis came back wi... Read Full »
Answer: Hi, Welcome to icliniq.com. You have stopped taking Co-codamol now. It is merely impossible to stop using opioid medicines. After stopping it, it is unlikely to have its effects on the body. You have stomach pain after stopping the medicine. It suggests narcotic bowel syndrome (NBS). In this, the ... Read Full »
My father is talking irrelevantly after being admitted to the ICU. What can be done?
Query: Hello doctor, My father had a chronic liver problem. Last week, he began to puke blood. At once, he was admitted to an ICU of a private hospital. The endoscopy was done, and the doctor prescribed him medicines for binding the areas in the food pipe where the bleeding occurred. That was done. The blo... Read Full »
Answer: Hello, Welcome to icliniq.com. It is decompensated liver disease. This condition has a very bad prognosis if it is not treated well. He needs liver transplantation. But, things should be stabilized with an adequate dose of antibiotics and diuretics. He is talking incoherently because toxins have ac... Read Full »
What does high value of ALT, AST, and ALP indicate?
Query: Hello doctor, I want to show my LFT report. I was suffering from jaundice. In my first test result total bilirubin was 11.2 mg/dL (D: 2.1, ID: 9.1), and the values of ALT, AST, and ALP are 53, 41, and 162 u/l, respectively. Hepatitis B was negative. In my second test results, the total bilirubin c... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I can understand your concern and the following is my opinion about your asked question. ALT (alanine transaminase) or SGPT (serum glutamic pyruvic transaminase) is the liver cells' enzyme. So, raised the level of which is suggestive of liver cell (hepatocyte) damag... Read Full »
I developed a few symptoms after my recently diagnosed early stage liver disease. What to do?
Query: Hi doctor,I developed a liver disease due to alcohol consumption. However, it is in the early stage and my face has also turned black. I have a burning sensation in my stomach and I do not feel hungry. Also, I feel my stomach is not clear and I have had these symptoms for the past three months. I ha... Read Full »
Answer: Hi, Welcome to icliniq.com. Well, your liver function tests suggest that you might still be drinking alcohol, or have recently consumed alcohol (attachment removed to protect the patient's identity). The best treatment for alcohol-related liver disease is prevention, which means you have to stop ... Read Full »
Query: Hi doctor, I am a 25-year-old and former heavy drinker who has reduced drinking in the past few months. I am also a diabetic type I patient who has good control over it with a healthy weight and normal blood pressure. I take insulin for diabetes type 1, Bricanyl inhaler which is used occasionally, a... Read Full »
Answer: Hi,Welcome to icliniq.com.I can understand your concern. As your recent report of ultrasound suggests mild echo texture and mild means less coarse, so we need to believe in recent reports only. I just want to ask a few concerning questions Are there any recent blood test reports of liver function te... Read Full »
Kindly suggest a permanent solution for my repeated vomiting episodes.
Query: Hello doctor, I am suffering from vomiting for a long time. I had a consultation with an MD, and they gave me medicine for the same. They told me that I am affected by gastric problems and acidity. Still, I am suffering from the same problem with forceful vomiting. Sorry, I forgot their prescriptio... Read Full »
Answer: Hello, Welcome to icliniq.com. I completely understand your concern and I know it can be very frustrating to suffer from repeated episodes of vomiting since long time. There are numerous causes of repeated vomiting since long like 1. Obstruction in esophagus, stomach, and intestines. 2. Chronic inf... Read Full »
Does intake of Xarelto cause an increase in AST and ALT?
Query: Hi doctor, I am taking Xarelto 20 mg daily for DVT from the past four weeks. My blood work shows increased AST, which is double than normal, and ALT, which is triple than normal. Should I take today's dose? I take a lot of medicines for different health conditions. I have attached the photo of my pr... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have seen the attached prescription (attachment removed to protect patient identity). You are taking Alendronate, Alprazolam, Rivaroxaban, and Simvastatin for your different conditions. For example, Alendronate for osteoporosis, Simvastatin for hyperlipidemia, and... Read Full »