What Causes Elevated ALT Level In Blood With Vomiting And Dehydration?

Posted on Fri, 4 Dec 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 4 Dec 2015 Answered on

Thu, 24 Dec 2015 Last reviewed on

Question : ALT (SGPT) LEVEL OF 136 U/L. MY SON HAD THIS LEVEL BUT WAS DEHYDRATED AT THE TIME. HIS AST (SGOT) WAS 47 U/LIKE AT THAT TIME AS WELL. HE HAS BEEN SUFFERING FROM PERIODS OF VOMITING CAUSING HIM TO BECOME DEHYDRATED. HOW CONCERNING IS THIS?

Answered by Dr. Dr. Muhammad Sareer Khalil (-3 hours later)

Brief Answer:
Elevated ALT

Detailed Answer:
Hello and Welcome

I appreciate your concern

Elevated liver enzymes such as ALT can be due to or associated with a number of reasons including Alcohol, viral hepatitis, liver parenchymal disease, obesity, fatty liver hepatic metabolized or hepatotoxic drugs, fatty liver etc. Vomiting with elevated liver enzymes should prompt a viral hepatitis profile, an ultrasound abdomen pelvis and repeat Liver function tests in the next 2 months. Bilirubin levels need to be checked. Fluid replacement with isotonic solutions and anti emetics can be advised for the vomiting and resulting dehydration. Your son will likely get assessed for other conditions associated with vomiting such as Gastritis, gastrointestinal infections/food poisoning, raised intracranial pressure etc and treated accordingly.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

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Dr. M.S. Khalil

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