Elevated Liver Enzymes: Testing and Appointment Insights - Gastroenterology and Hepatology

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Elevated liver enzymes?


During high school, my liver enzyme levels spiked significantly.
However, after taking medication and adjusting my lifestyle, I saw improvement.
But after serving in the military, the increased stress and lack of sleep have made me concerned about my liver enzyme levels again.
What tests are needed to check liver enzymes, and how long do they take? I called the appointment hotline of a major hospital, but after connecting, it just kept ringing and was in a billed state.
What are the consultation hours for the hepatobiliary and gastroenterology department? The information on the website is unclear! Is the hepatobiliary and gastroenterology department only available on Wednesdays? Can I get an appointment on Saturday mornings? As a soldier, my schedule is quite inconvenient! Please advise!

A Bing Ge, 20~29 year old female. Ask Date: 2005/08/18

Dr. Chen Zhiping reply Gastroenterology and Hepatology


Hello, if you are concerned about abnormal liver function, you can initially have a blood test to check for GOT and GPT levels.
These tests can be performed at some clinics or laboratories, and it is not necessary to go to a hospital for this.
In terms of appointments, you can see a physician in the Department of Internal Medicine or Family Medicine, in addition to the Hepatobiliary Department.
If liver issues are confirmed, you can then be referred to the Hepatobiliary Department.
Our outpatient clinic for Hepatobiliary and Gastroenterology is open Monday to Friday, and you can make an appointment with Dr.
Chen Rui-Chang, Dr.
Tsai Tsung-Long, Dr.
Lin Ming-Hui, Dr.
Chen Zhi-Ping, Dr.
Yao Zhen-Rong, or Dr.
Yuan Hong-Dao during their office hours.
On Saturdays, internal medicine attending physicians rotate, and it may not necessarily be a hepatobiliary or gastroenterology specialist, but you can use the Saturday clinic for an initial examination and then determine if a referral to the Hepatobiliary Department is needed.
Sincerely, Dr.
Chen Zhi-Ping from Internal Medicine.

Reply Date: 2005/08/18

More Info


Understanding elevated liver enzymes is crucial for maintaining liver health, especially if you have a history of liver issues. Elevated liver enzymes, such as AST (aspartate aminotransferase) and ALT (alanine aminotransferase), can indicate liver inflammation or damage. Given your concerns about your liver health due to stress and lack of sleep, it’s essential to approach this systematically.


Testing for Liver Function
To assess your liver function, the primary tests include:
1. Liver Function Tests (LFTs): These are blood tests that measure the levels of liver enzymes (AST, ALT, alkaline phosphatase, and bilirubin) and proteins produced by the liver. Elevated levels of AST and ALT can indicate liver inflammation or damage.

2. Viral Hepatitis Tests: If you have a history of elevated liver enzymes, it’s important to test for viral hepatitis (such as Hepatitis B and C). This typically involves blood tests to check for the presence of viral antigens or antibodies.

3. Imaging Studies: An abdominal ultrasound can help visualize the liver and detect any structural abnormalities, such as fatty liver disease or cirrhosis.

4. Additional Tests: Depending on your history and initial test results, your doctor may recommend further tests, such as a liver biopsy or FibroScan, to assess liver stiffness and fibrosis.


Appointment Insights
Regarding your concerns about scheduling an appointment, it’s understandable that navigating healthcare systems can be frustrating, especially with busy schedules. Here are some tips:
- Contacting the Clinic: If you’re having trouble reaching the clinic via phone, consider visiting the clinic in person if feasible. Sometimes, direct communication can yield quicker results.

- Appointment Availability: Many gastroenterology clinics have specific hours for appointments, and it’s common for them to have limited hours on weekends. Typically, liver specialists may have designated days for consultations. If the website is unclear, don’t hesitate to ask directly when you manage to contact them.

- Military Considerations: As a soldier, your time may be limited, so it’s worth inquiring if the clinic offers any special hours for military personnel or if they can accommodate your schedule.


Importance of Follow-Up
Given your history of elevated liver enzymes and the potential impact of stress and sleep deprivation, it’s crucial to follow up with your healthcare provider. Regular monitoring of liver function is essential, especially if you have experienced fluctuations in your liver enzymes in the past.

Lifestyle Modifications
In addition to medical evaluations, consider lifestyle changes that can positively impact your liver health:
- Diet: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support liver health. Avoid excessive alcohol consumption and limit processed foods high in sugar and unhealthy fats.

- Exercise: Regular physical activity can help reduce liver fat and improve overall health.

- Sleep: Prioritize good sleep hygiene. Aim for 7-9 hours of quality sleep per night to help your body recover and maintain optimal liver function.

- Stress Management: Engage in stress-reducing activities such as yoga, meditation, or hobbies that you enjoy.


Conclusion
In summary, monitoring your liver health through appropriate testing and regular follow-ups is essential, especially given your history and current concerns. Don’t hesitate to reach out to your healthcare provider for clarification on appointment scheduling and to discuss your testing options. Taking proactive steps in managing your health will help you maintain a healthy liver and overall well-being.

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