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What Causes Elevation In The ALT And AST Levels While Treating Jaundice?
i have jaundice with total billirubin level being 4.4, however my ALT and AST levels have gone upto 1800 and 2300 respectively. it is being almost 5 days since the treatment and my bland diet startedbut today morning my eyes have also turned yellow, deos this mean billirubin is increasing? should I be concerned?
Tue, 2 Aug 2016
Jaundice can occur due to:
• Viral hepatitis A, B, C, D & E
• Red blood cell destruction - hemolysis
• Bilirubin from the liver is unable to move into the digestive tract properly – obstruction
Treatment depends on the cause of jaundice. Jaundice that occurs due to hemolysis may be treated by elevating the iron levels in the blood through iron supplements or with the intake of foods rich in iron. Jaundice due to viral hepatitis B & C may be treated with anti-viral medications. Jaundice due to viral hepatitis A & E is treated conservatively by liver tonics such as Liv-52. Surgery may be required in cases of jaundice caused by obstruction. In some cases, jaundice may even develop as a result of, as a side effect from certain medications. In such cases, the jaundice may be treated by altering the dosage or changing the medication. In your case, increase bilirubin, SGPT & SGOT are due to liver problem. It will take time to completely recover.
Advise
1. Go to a hospital and contact a doctor as you might need intensive supportive treatment
2. Take proper rest. Do not involve in strenuous activity for few months.
3. Make sure that you drink clean, uncontaminated water
4. Take vegetables and fruit juice.
5. Avoid alcohol and medicines known to cause liver damage such as paracetamol
6. Divide your meals into smaller portions and eat them frequently during the day
7. Avoid oily & spicy food
8. Investigations – Serum bilirubin, SGPT/SGOT, Hb%, HBV/HCV screening
Good luck!!
• Viral hepatitis A, B, C, D & E
• Red blood cell destruction - hemolysis
• Bilirubin from the liver is unable to move into the digestive tract properly – obstruction
Treatment depends on the cause of jaundice. Jaundice that occurs due to hemolysis may be treated by elevating the iron levels in the blood through iron supplements or with the intake of foods rich in iron. Jaundice due to viral hepatitis B & C may be treated with anti-viral medications. Jaundice due to viral hepatitis A & E is treated conservatively by liver tonics such as Liv-52. Surgery may be required in cases of jaundice caused by obstruction. In some cases, jaundice may even develop as a result of, as a side effect from certain medications. In such cases, the jaundice may be treated by altering the dosage or changing the medication. In your case, increase bilirubin, SGPT & SGOT are due to liver problem. It will take time to completely recover.
Advise
1. Go to a hospital and contact a doctor as you might need intensive supportive treatment
2. Take proper rest. Do not involve in strenuous activity for few months.
3. Make sure that you drink clean, uncontaminated water
4. Take vegetables and fruit juice.
5. Avoid alcohol and medicines known to cause liver damage such as paracetamol
6. Divide your meals into smaller portions and eat them frequently during the day
7. Avoid oily & spicy food
8. Investigations – Serum bilirubin, SGPT/SGOT, Hb%, HBV/HCV screening
Good luck!!
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