Elevated Liver Enzymes: Causes and Concerns Explained - Gastroenterology and Hepatology

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Elevated liver enzymes, such as GOT (AST) and GPT (ALT), can be concerning and often indicate underlying liver inflammation or damage. A liver enzyme level of 173 is indeed elevated, especially when compared to your previous level of around 80. Understanding the implications of these elevated levels is crucial for your health.

Firstly, elevated liver enzymes do not automatically mean that you have liver cirrhosis. Liver inflammation can occur for various reasons, including viral hepatitis (like B or C), fatty liver disease, alcohol consumption, certain medications, or autoimmune conditions. The fact that your doctor has ruled out hepatitis B and C is a positive step, but it does not provide a complete picture of your liver health.

Liver inflammation, known as hepatitis, can be acute or chronic. Acute hepatitis can result from infections, toxins, or autoimmune diseases, while chronic hepatitis often stems from long-term liver damage due to factors like alcohol abuse or non-alcoholic fatty liver disease (NAFLD). If left untreated, chronic inflammation can lead to fibrosis, and eventually cirrhosis, which is the scarring of the liver tissue.

Regarding your treatment with the medication "賜得健" (likely a liver support supplement), it is essential to understand that while such supplements may help support liver function, they are not a cure for underlying liver disease. The increase in dosage from 140mg to 150mg may be a response to your elevated liver enzymes, but it is crucial to follow your doctor's advice closely and monitor your liver function regularly.

The fluctuations in your liver enzyme levels can be attributed to various factors, including diet, lifestyle, and any underlying conditions. Stress, lack of sleep, and poor dietary choices can exacerbate liver inflammation. It is vital to maintain a balanced diet, avoid alcohol, and manage stress effectively to support liver health.

If your liver enzymes continue to rise or if you experience symptoms such as jaundice (yellowing of the skin and eyes), fatigue, or abdominal pain, further investigation may be necessary. This could include imaging studies like an ultrasound or a liver biopsy to assess the extent of liver damage.

In summary, while elevated liver enzymes are a cause for concern, they do not necessarily indicate cirrhosis. It is essential to work closely with your healthcare provider to determine the underlying cause of your liver inflammation and to develop an appropriate treatment plan. Regular monitoring and lifestyle modifications can significantly impact your liver health and overall well-being. If you have further questions or concerns, do not hesitate to reach out to your healthcare provider for clarification and guidance.