How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Shah Your Own Question

Dr. Shah
Dr. Shah, Doctor
Category: Medical
Satisfied Customers: 3898
Experience:  Years of experience in patients' management.
12501846
Type Your Medical Question Here...
Dr. Shah is online now
A new question is answered every 9 seconds

My liver enzymes are high ALT 81 and AST 68 as of yesterday.

Customer Question

My liver enzymes are high ALT 81 and AST 68 as of yesterday. I have been stressed, drinking too much eating too much and not exercising. My doctor has given me 3 months to reverse this or an ultrasound. By stopping my bad habits or greatly minimizing them is this possible?
Submitted: 3 years ago via HealthBoards.
Category: Medical
Expert:  Dr. Shah replied 3 years ago.

Dr. Shah :

Hello, Welcome to Just answer! I would like to get more information so that I can address your concern appropriately.

Dr. Shah :

Is this your first abnormal report?

Customer:

Yes

Dr. Shah :

Do you have any symptoms?

Dr. Shah :

such as nausea, abdomen pain, jaundice

Customer:

None that I have noticed.

Dr. Shah :

tiredness

Dr. Shah :

Any wt. loss or anorexia?

Customer:

Some nausea early in the am occasionally and some fatigue not generally, no weight loss etc.

Dr. Shah :

When was your last blood test?

Dr. Shah :

excluding the current one

Customer:

Monday the 14th this week

Customer:

Just saw my doctor last night

Customer:

3 months ago was my last one....new doctor

Dr. Shah :

Was you blood test normal in previous blood test?

Dr. Shah :

Are you taking any medications on regular basis?

Dr. Shah :

Do you have any medical illness?

Customer:

I don't believe she tested my liver function...choloesterol was high and am now on zocor and it tested normal yesterday. Medications, high blood pressure lotensin, zocor, zanax as needed

Customer:

No medical illness

Dr. Shah :

How much do you drink and how often?

Customer:

2 drinks every few nights

Dr. Shah :

Thank you for the information. Based on your description, I don't see any alarming features at this time. Moreover, you don't have any symptoms at all. Your liver function tests are not that bad, usually in acute live damage you see reports in several hundreds. I think if you stop drinking and maintain healthy life style, your liver function test will come back to normal.

Dr. Shah :

All you need is monitoring liver function tests for few months.

Customer:

thank you....

Dr. Shah :

You are welcome!
Now you can press "ACCEPT" button to end this conversation. This is the only way I can get credit for my time with you. I am still available to help you if you have any follow up question.
Thank you for visiting just answer.

Dr. Shah, Doctor
Category: Medical
Satisfied Customers: 3898
Experience: Years of experience in patients' management.
Dr. Shah and 2 other Medical Specialists are ready to help you
Expert:  Dr. Thomas, MD replied 3 years ago.
Hello from JA
In the case of isolated liver enzymes to this degree one can not just ignore it and one must investigate the possibilities before simply observing, in my view. Even if observing, one must be aware of the possibilities and investigate as indicated.
Medication effects are possible, and zocor can cause liver inflammation. This is an indication to stop or switch the zocor. 2 drinks every other night would not normally do this, but could aggravate a medication effect, so the other possibility is toxic drug interaction, or alcohol toxicity if more drinking has been going on.
Chronic hepatitis, even without symptoms, can result is mildly elevated liver enzymes, and should still be investigated. Test for Hep C and Hep B should occur, but also a blood test called ANA to rule out auto-immune hepatitis...or, if enzymes continue to elevate and zocor has been stopped, these tests should all be run. Finally, iron studies and ferritin should be run as a blood test to rule out hemachromatosis, since this is a reversible form of liver problem. So first, I would discontinue not only the alcohol, but the zocor as well, unless the zocor was started after the elevated finding. I would also, finally, have your physician review all medications for toxic effects.
Good luck
let me know if you have further questions

Always ask from clarification as needed, Please Click Accept to give answer credit. Come back if needed. Bonuses and positive feedback most helpful. Answers for informational purposes only.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.