What to Do If Your Liver Enzyme Levels Are 198? - Gastroenterology and Hepatology

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If your liver enzyme levels are at 198, it indicates that your liver is experiencing some form of stress or inflammation. The two primary liver enzymes that are typically measured in blood tests are Alanine Aminotransferase (ALT, also known as GPT) and Aspartate Aminotransferase (AST, also known as GOT). Normal levels for these enzymes are generally below 40 U/L, but this can vary slightly depending on the laboratory and the specific methods used.

When your ALT and AST levels are elevated, it can be a sign of liver damage or inflammation. In your case, a level of 198 is significantly above the normal range, which warrants further investigation. Here are some steps you should consider taking:
1. Consult a Healthcare Professional: The first and most crucial step is to consult a healthcare provider, preferably a hepatologist or a gastroenterologist. They can provide a thorough evaluation of your liver function and determine the underlying cause of the elevated enzyme levels.

2. Further Testing: Your doctor may recommend additional tests, including:
- Hepatitis Panel: To check for viral hepatitis (A, B, C).

- Liver Ultrasound: To visualize the liver and check for any abnormalities such as fatty liver disease or cirrhosis.

- Other Blood Tests: To assess for autoimmune liver diseases, metabolic liver diseases, or other conditions that can affect liver function.

3. Lifestyle Modifications: While you await further testing and results, consider making some lifestyle changes that can support liver health:
- Avoid Alcohol: Alcohol can exacerbate liver damage, so it’s best to avoid it entirely until you have a clearer understanding of your liver health.

- Healthy Diet: Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Avoid processed foods, excessive sugars, and unhealthy fats.

- Stay Hydrated: Drink plenty of water to help your liver function optimally.

- Regular Exercise: Engage in regular physical activity to maintain a healthy weight and improve overall health.

4. Monitor Symptoms: Keep an eye on any symptoms that may arise, such as jaundice (yellowing of the skin and eyes), fatigue, abdominal pain, or changes in appetite. Report any new symptoms to your healthcare provider promptly.

5. Avoid Self-Medicating: Do not take over-the-counter medications or supplements without consulting your doctor, as some can be harmful to the liver, especially if liver function is already compromised.

6. Regular Follow-ups: Depending on the results of your tests, your doctor may recommend regular follow-ups to monitor your liver enzymes and overall liver health. This is crucial for catching any potential issues early.

7. Consider Vaccinations: If you have not been vaccinated against hepatitis A and B, discuss this with your healthcare provider. Vaccination can help prevent these viral infections, which can further complicate liver health.

In summary, an enzyme level of 198 is a signal that your liver may be under stress, and it’s essential to take this seriously. By consulting with a healthcare professional, undergoing further testing, and making necessary lifestyle changes, you can help protect your liver and improve your overall health. Remember, early intervention is key in managing liver health effectively.