I was diagnosed with HepA on November 12th. Got tested for B and C both negative.
My billirrubin levels are back to normal. Jaundice is gone.
My TGO & TGP were almost down to normal and suddenly they started to increase agian.
I have been doing the tests once a week and the two last ones were the ones increasing.
Could it be something more serious?
How long does it take for the enzimes go back to normal?
I'm staring to worry about chronic liver illness. Is it possible?
I went to a hepatologist today and he told me that it is not normal for the liver enzimes to increase again,
he asked me to rested for Hep A, B and C, CMV and HIV.
Now I'm sacred to death that I could have HIV. How often cases like these happan?
Sorry bruno hardly anyone ever comes in here worried about hep A, so most of us don't know much about it. The vast majority of us have hep C and just a few with hep B. The reason for that is because about 80% of the people who become infected with hep C remain infected with it permanently (I had it for 25 years for instance). And the reason hardly anyone here has hep B is because about 95% of the people that are exposed to hep B end up clearing it on their own. The reason I'm telling you this is because hep A is the most harmless form of hepatitis under most circumstances. And just about no one is ever permanently (i.e. chronically) infected with it, like those with hep C so often are. The vast, vast majority of those who get hep A clear it on their own eventually. I really don't know a lot about hep A because like I said hardly anyone ever comes onto these hep forums with it. But again, I've never ever heard of a chronic, long lasting permanent infection from hep A. The typical pattern is infection and possible symptoms (including jaundice and high liver enzymes etc) - this is the acute phase, and the acute phase can several weeks to a few months, and then it eventually is over with. You get better and then you have immunity from it after that. That's usually all there is to it as far as I know. And that's why no one with hep A hangs out here, no one has hep A long enough to have to worry about it!
That's not to say hep A cant hurt, and maybe even kill certain people who are especially vulnerable. The elderly, the sick, the very young, people with weak immune systems (like AIDS) and people like myself who already have another type of hepatitis can be badly hurt or even killed from a hep A infection. But if you're an otherwise healthy adult and in reasonably good shape, it should definitely be something that just comes and goes.
As far as your enzymes elevating, what does your doctor say about it? It's not uncommon for the hepatitis C virus to go in and out of detection and as far as I know for liver enzymes to go up and down during the acute phase prior to clearing the virus permanently. Your enzymes elevating somewhat this soon after being infected and just recently clearing the disease may be meaningless. In fact you're really just out of the woods if you were infected as recently as November. It'll probably take a little while for your liver to settle down and fully recover from its bout with hep A. Also you should have yourself checked for hep B and C too just to be sure you don't happen to have them too. But obviously you should just follow up with your doctor and listen to what he/she says and continue to have your enzymes checked. I suspect things will settle down given enough time, so try and not get worked up over it for no good reason. And incidentally my enzymes have been elevated (AST and ALT usually averaging in the 60ish range) for about 25 years from hep C and my liver is in very good shape. Hope you get things worked out, take care and try not to worry too much in the meantime.
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