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HomeAnswersGeneral Medicineliver function testCan binge drinking cause derangement in my liver enzymes?

What could be the reason for deranged liver enzymes?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At December 29, 2017
Reviewed AtMay 22, 2024

Patient's Query

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 icliniq.com.

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.

Patient's Query

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 icliniq.com.

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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode


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