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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Increase In LFT After Taking Treatment For Misdiagnosed Mono, Returned To Normal After A Month. Reasons?

I had mono symptoms starting 10 Nov 12 with low grade fever for 2 weeks where I was misdiagnosed and Completed three antibiotic courses and lots of painkillers, Then I performed liver enzymes blood tests on 25 November where they came back as ALT 123 and AST 127 Bilirubin total 2 direct 0.5 then I did the tests again on 5 Jan 13 were ALT 131 and AST 96 Bilirubin total 2.8 direct 0.5, is this normal? When my liver enzymes go back to normal? Notes: I have negative Hep C and B, positive EBV Recently strep throat and swollen lymph nodes I am obese 140 kg male 30 years old
Thu, 17 Oct 2013
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General & Family Physician,  's  Response
Hi,

Thanks for consulting HealthcareMagic!

First of all, usually mildly elevated liver enzymes do not hint towards any serious or long term liver problem. There are multiple reasons for these elevations-

Few conditions which mild elevation in liver enzymes include Cytomegalovirus (CMV) infection, Infectious mononucleosis which are viral infections, being overweight, taking OTC drugs like Paracetamol, few other pain killers etc.

We need to exclude some other possibilities for elevation of AST, ALT(liver enzymes) like Alcoholic hepatitis and due to excess fats such as- Cholelithiasis (Gall bladder stones), Cholecystitis (inflammation of gall bladder), autoimmune hepatitis, Hypothyroidism etc. Usually, there would be 10 - 100 times than that of normal, SGOT and SGPT elevation in case of acute hepatitis and
If you like my answers and wish me to answer in future, bring it to my attention: Dr Vasanth. Url link is as follows:
http://doctor.healthcaremagic.com/doctors/dr-vasanth/66057

Wish you good health!
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Increase In LFT After Taking Treatment For Misdiagnosed Mono, Returned To Normal After A Month. Reasons?

Hi, Thanks for consulting HealthcareMagic! First of all, usually mildly elevated liver enzymes do not hint towards any serious or long term liver problem. There are multiple reasons for these elevations- Few conditions which mild elevation in liver enzymes include Cytomegalovirus (CMV) infection, Infectious mononucleosis which are viral infections, being overweight, taking OTC drugs like Paracetamol, few other pain killers etc. We need to exclude some other possibilities for elevation of AST, ALT(liver enzymes) like Alcoholic hepatitis and due to excess fats such as- Cholelithiasis (Gall bladder stones), Cholecystitis (inflammation of gall bladder), autoimmune hepatitis, Hypothyroidism etc. Usually, there would be 10 - 100 times than that of normal, SGOT and SGPT elevation in case of acute hepatitis and If you like my answers and wish me to answer in future, bring it to my attention: Dr Vasanth. Url link is as follows: http://doctor.healthcaremagic.com/doctors/dr-vasanth/66057 Wish you good health!