Elevated Enzymes unknow cause

[unknownhotelier]

My LFT results are as follows
GOT/AST- 48.3(H),  Range 3.1 - 38
GPT/ALT - 84.9(H),            3 - 40
GGT 70.39(H),                   11 - 50
ALP -243.3,                       98 - 306
T. BIL - 0.72,                     0.2 - 1.1
D.Bil - 0.37(H)                   0.04 - 0.25

It all started with unknow sorts of bacterial infection by end of Oct,2014 after dat chronic sore throat.I am suffering from chronic diarrhea since January(3-4 times a day loose) they found H.Pylori in Jan itself. Then... last month they found yeast. My scan for stomach shows Grade 1 fatty liver and Heptomegaly. Lipid profile is also a bit High. Blood Glucose is normal. This was the first test performed wen it comes to LFT... ERS was 40 wen WBC was done... I was sexually active in OCT but protected penetrative and unprotected oral sex.... well multiple HIV tests have been negative until this month.

I am quite unsure what is causing all these but then my Liver tests has put me in trouble. Yes I have been a heavy drinker since last 10 years. My doctor has asked me to stay away from Alcohol for two weeks ... and asked me to eat only boiled or fresh veg and fruits and come back for test.

I have stared LIV.52 as advised by one of my frnds.

I wanted to know if i am in deep trouble.. I am scared now 28, being single and staying alone away from home.

Wanted to know if things will be OK and if probably someone could advise on wat to do....

[unknownhotelier]

Hi, fntn do you think that looking into latest results of test by last week I should go for Hep C or Hep B testing again??? If yes do you recommend any particular type of test???

Well i am particularly worried due to my wired symptoms...

[unknownhotelier]

HI my new results are as follows after two weeks of Alcohol abstinence

GOT/AST- 40.2(H),  Range 3.1 - 38 (decreased 8.1 points)
GPT/ALT - 74.7(H),            3 - 40    (decreased 10.2 points)
GGT 55.35(H),                   11 - 50  (decreased 15.4 points)
ALP -180.7,                       98 - 306 (decreased 62.6 points)
T. BIL - 0.72,                     0.2 - 1.1  (Same)
D.Bil - 0.30(H)                   0.04 - 0.25 (decreased 7.0 points)

I am worried that it might be Hep C cause its known to keep ALT elevated but then i had no know exposure...... My rapid test for Hep C and B was negative... Wat should I do to completely eliminate both the factors...

my doctor has asked me to stay away from alcohol for another 3 months and recheck the LFT after 3 months???

I am worried for Hep .... I am also worried that they might be also effecting my HIV tests???

I sorry but I want to come to an end for the same...
  

[fntn]

Yes, it looks less likely that viral hep is at work but your doctor needs to finish his or her's differential diagnosis process. But keep in mind, your fatty liver, by itself, can be the cause of your elevations. I know it's hard not to worry but your doctor seems to have a handle on things.

[unknownhotelier]

Rapid Hep. B and Hep.C were negative just after LTF test... Have tested for Hep. B ealier as well in Feb(rapid) ... For complete STD check ...  I don't do IV drugs or haven't had blood to blood contact or any transfusions in past.. No recent surgeries ..,
Can I rule out Viral Hep??? Any other things to check for???

Can I rule out

[fntn]

The mildly elevated enzymes may simply be caused by your known fatty liver disease. But there are a number of other causes of chronic hepatitis that your doctor will need to check for just to be sure. Hopefully you're not dealing with an additional viral form and you don't appear to have alcoholic hepatitis, but the alcohol may have caused some portion of the elevations you're seeing. And the alcohol along with the wrong type of diet would have contributed to the fatty liver.

Your direct bilirubin is only mildly elevated as well, with a normal total bilirubin level. This indicates that your liver is functioning properly, throughout the conjugation process, but there is a partial blockage of the bile as it leaves your hepatocytes. The cause is very likely a congested liver, due to the swollen liver cells (causing the hepatomegaly), and resulting in a compression of the bile canaliculi. So eventually, as your fatty liver is resolved, any impediment to flow will disappear and your direct bilirubin levels will return to normal.

Your doctor has a good plan by letting things stabilize and then taking another look. Also, you can certainly help yourself by: limiting the alcohol, following a disciplined diet and getting some exercise. Fortunately, unlike many of the other liver diseases, fatty livers can very quickly be resolved, sometimes within just a few months.