Is A ALT Reading Of 77 A Cause For Concern?

Posted on Sun, 27 Mar 2016

Sun, 27 Mar 2016 Answered on

Wed, 1 Jun 2016 Last reviewed on

Question : My alt is 77 and other liver enzymes are normal , what does it mean ? Please dr .

Answered by Dr. Dr. Klerida Shehu (37 minutes later)

Brief Answer:
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Detailed Answer:
Hi and thank you for asking!

You are reporting to have ALT level 77, it is mildly elevated.
I need to ask to know more of your medical informations like:
- are you overweight
- are you drinking alcohol
- have you ever done abdominal ultrasound and if yes do you have fatty liver ?
There is nothing to be worried , your ALT level is mildly elevated .
Otherwise the most important causes ALT elevation is alcohol use and fatty liver.
I am waiting your medical information.

Hope it was helpful!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (8 minutes later)

1- My weight is 96 kg and tall is 185 cm
2- I didn't do ultrasound for liver
3- not drinking alcohol. Smoking cigarettes yes.

Also another information: I just finish yesterday course 10 days of triple therapy amoxicillin +clarithomycin+ omeprazol for H pylori .
And occasionally I took paracetamol (Panadol extra ) some day 2 tablet .

Answered by Dr. Dr. Klerida Shehu (8 hours later)

Brief Answer:
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Detailed Answer:
Hi back,
Thank you for your medical information.

First of all your body mass index BMI is 28 , it means that you are overweight. It may be the cause of mildly elevated ALT level.

The second is that you have use Amoxicillin and clarithromycin. Both of them have side effects like elevated liver panel.
Since you don't have a high level of ALT than I suggest to repeat the AST and ALT level , plus total bilirubin after 4 weeks. At the same time you should per form abdominal ultrasound to better evaluate liver structure.

Meantime I would recommend to :
- increase physical activity
- loose weight
- avoid fatty and fast foods
Hope it was helpful to you.
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (22 minutes later)

Thanks a lot dr
I really appreciate you
And I will take your advice .

Here the lab technician once gave me the result he said (ur enzyme high may be u have viral hepatitis) , really I got shocked from him

By ur answer I'm now feeling happy .

After 4 weeks I will do the investigation again plus US liver then I will politely asked you to see the result for me .

My name is XXXXX from Saudi Arabia - Jeddah
If you need anything from my country let me know
.

Thanks for your support and cooperation
Bye

Answered by Dr. Dr. Klerida Shehu (10 hours later)

Brief Answer:
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Detailed Answer:
Dear XXXXXXX
For the moment you will follow my advice.
If after changing lifestyle your transaminase level will be high than you should perform serological test for hepatitis.
But till now dot be worry. You will check your transaminase level after 4 weeks and than we will talk again what is happening.
Hope it was helpful to you!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (8 hours later)

I did today test for hiv , hepatitis b and hepatitis c : The result for the 3 investigation are negative

Answered by Dr. Dr. Klerida Shehu (5 hours later)

Brief Answer:
Good news..

Detailed Answer:
Hi back XXXXXXX
I am really happy to know that all hepatitis test are negativ.
So you are more quite now.
Please continue to follow my recommendations and don't worry everything will be back to normal.
Wish you health!
Dr.Klerida

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar