I am a 27 year old male that drinks alcohol more than average, but not at alcoholic levels (probably around 15-18 drinks per week). I have had 5 blood tests in the past 9 to 10 months for various reasons (insurance applications and follow-up with primary doctor), and in each test my ALT liver enzyme has been slightly elevated near the low-to-middle 60s (72, 54, 62, 64, 68, respectfully). All other blood tests are normal, including all liver function tests (AST is always around mid-20s) and others (cholesterol, glucose, thyroid, etc...). It has not caused me problems when obtaining life insurance or disability insurance and my doctor is not worried at all. In fact, my doctor specifically said that he is not worried because I display no symptoms of liver disease and my ALT is only slightly elevated. Also, it should be noted that I did not have any alcohol for three weeks before taking my last blood test, which resulted in an ALT level of 68.
Finally, I should also mention that I am 5'10 and 165 pounds. I am not overweight, I run 3 miles four times a week, eat moderately healthy, and have a lot of energy. I have really never been sick in the past or diagnosed with any allergies or illnesses.
My question is, should I be more aggressive with my doctor and request an ultrasound and more follow-up tests or just follow his recommendation and get re-tested in 6 months and see where my ALT is at.
P.S. I plan on completely abstaining from alcohol for 5-6 weeks before my next test.
Consuming 15-18 alcohol drinks per week has inflamed your liver. You should consider getting a liver biopsy if you really want to know the health state of your liver. Google for info so you understand the preparation/procedure. By the way, those are alcoholic levels.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.