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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated Liver Enzymes?

What causes elevated liver enzymes ? My liver enzymes came back elevated Ast 78 alt 137 .. I delivered twins April 16,2016 at 22 weeks preterm labor ,unfortunately they both passed, I was on antibiotics for 2 months for UTI s that didn t go away and Tylenol for massive headaches for most of my pregnancy ...My family Dr tested full blood count , hepatitis everything came back negative ,, we know it s coming from the liver..I stopped taking all medication I take tramadol for headaches but I stopped and she retested and my levels got lowered they were at Alt 193 and Ast 87 ..Dr wants to retest in 1 more week .. I was scheduled for plastic surgery but my anesthesiologist won t perform surgery with my levels this high,, we know it s from medication taken in the past..What is best way to lower and how long does it take to get them lower?
posted on Fri, 29 Jul 2016
Twitter Mon, 12 Aug 2019 Answered on
Twitter Tue, 13 Aug 2019 Last reviewed on
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General Surgeon,  's  Response
Hi,

Liver enzymes may be raised because of various causes. In your case, some may be more possible but in every case, it requires evaluation of the cause. Most common causes of such liver derangement's are Alcohol, Viral hepatitis, Non-alcoholic fatty liver disease, Drugs.
Gamma GT is most commonly raised due to alcohol intake and in case you take alcohol, you need to keep a control over it.
If you don't take it, you need following tests: hepatitis virus markers, Ultrasound Abdomen and HIDA scan. A lot many times, liver dysfunction is due to Non-Alcoholic Fatty Liver Disease (NAFLD). So, if you have any evidence of fatty liver in Ultrasound and your other tests are negative, this rise is liver enzyme would be attributed to NAFLD. For this, you need to reduce your weight, reduce fat in the diet.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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What Causes Elevated Liver Enzymes?

Hi, Liver enzymes may be raised because of various causes. In your case, some may be more possible but in every case, it requires evaluation of the cause. Most common causes of such liver derangement s are Alcohol, Viral hepatitis, Non-alcoholic fatty liver disease, Drugs. Gamma GT is most commonly raised due to alcohol intake and in case you take alcohol, you need to keep a control over it. If you don t take it, you need following tests: hepatitis virus markers, Ultrasound Abdomen and HIDA scan. A lot many times, liver dysfunction is due to Non-Alcoholic Fatty Liver Disease (NAFLD). So, if you have any evidence of fatty liver in Ultrasound and your other tests are negative, this rise is liver enzyme would be attributed to NAFLD. For this, you need to reduce your weight, reduce fat in the diet. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon