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What Should I Do When The Increase In Liver Enzymes Is Significant?

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Posted on Sun, 22 Jul 2018
Twitter Sun, 22 Jul 2018 Answered on
Twitter Tue, 22 Feb 2022 Last reviewed on
Question : HI doctor, I am attaching report of LFT done one week earlier. kindly suggestion further action and recommendation. I am vegetarian but normally take 4 to 5 time alcohol in a week.
doctor
Answered by Dr. Ramesh Kumar (24 minutes later)
Brief Answer:
Please go through explaination.

Detailed Answer:

Hello,

As per your query answers are:
1) Increase in liver enzymes is significant only when the enzymes levels are raised more then three times the normal range. Same is with bilirubin levels i.e level of bilirubin less then 3mg/dl in a asymptomatic patient is called subclinical jaundice and patient requires no treatment unless symptomatic.

Tests suggested are-
Ultra sound of upper abdomen-As you are an alcoholic levels of these enzymes may be raised in blood due to a condition called fatty liver. Fatty liver disease rarely causes any symptoms, but it's an important warning sign that you're drinking at a harmful level. Fatty liver disease is reversible. If you stop drinking alcohol for two weeks, your liver should return to normal.

Serology including HCV, HBsAg and HAV these viral infections may cause increase in the levels of blood enzymes.

As of now recommendations are-
Food plan-
- Whole grains are very beneficial to consume. These can be in the form of whole wheat bread or cereal, brown rice, whole grain pasta, grains such as whole oats, wild rice, rye, oatmeal and corn are also beneficial and can be taken if suits your food pattern.
- Fruits and vegetables should be a significant part of any diet to help in recovering from a liver disease. They are full of essential nutrients and are easy to digest.
- Healthy proteins in the form of low-fat milk and dairy products along with , beans, and soy products can also be a part of a healthy liver diet.
Take anti oxidants daily.
- Silibinin, also known as silybin, is the major active constituent of silymarin, a standardized extract of the milk thistle seeds, containing a mixture of flavonolignans consisting of silibinin, isosilibinin. It should be taken two times a day.Its a very potent liver rejenuvator and is very effective in maintaining liver healthy.

Ayurvedic tablet Liv 52 should be taken once daily.

Follow up with reports of tests.
Hope i was helpful.

Wish you a great day ahead.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2901 Questions

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What Should I Do When The Increase In Liver Enzymes Is Significant?

Brief Answer: Please go through explaination. Detailed Answer: Hello, As per your query answers are: 1) Increase in liver enzymes is significant only when the enzymes levels are raised more then three times the normal range. Same is with bilirubin levels i.e level of bilirubin less then 3mg/dl in a asymptomatic patient is called subclinical jaundice and patient requires no treatment unless symptomatic. Tests suggested are- Ultra sound of upper abdomen-As you are an alcoholic levels of these enzymes may be raised in blood due to a condition called fatty liver. Fatty liver disease rarely causes any symptoms, but it's an important warning sign that you're drinking at a harmful level. Fatty liver disease is reversible. If you stop drinking alcohol for two weeks, your liver should return to normal. Serology including HCV, HBsAg and HAV these viral infections may cause increase in the levels of blood enzymes. As of now recommendations are- Food plan- - Whole grains are very beneficial to consume. These can be in the form of whole wheat bread or cereal, brown rice, whole grain pasta, grains such as whole oats, wild rice, rye, oatmeal and corn are also beneficial and can be taken if suits your food pattern. - Fruits and vegetables should be a significant part of any diet to help in recovering from a liver disease. They are full of essential nutrients and are easy to digest. - Healthy proteins in the form of low-fat milk and dairy products along with , beans, and soy products can also be a part of a healthy liver diet. Take anti oxidants daily. - Silibinin, also known as silybin, is the major active constituent of silymarin, a standardized extract of the milk thistle seeds, containing a mixture of flavonolignans consisting of silibinin, isosilibinin. It should be taken two times a day.Its a very potent liver rejenuvator and is very effective in maintaining liver healthy. Ayurvedic tablet Liv 52 should be taken once daily. Follow up with reports of tests. Hope i was helpful. Wish you a great day ahead.