From last 5 years my alt and ast always high others are normal. In starting tested viral marker, ana of, ceruloplasmin, fibroscan all came normal...from then some time taken bilypsa then alt and ast normal, after sometime re high...my platelets up and down from 268xxxxxxxx00-148xxxxxxxx00-150000 recent 152000.
4 days ago re test lft where alt ,ast, bilirubin all are high.
Plz tell me is this jaundice value and proggsed to cirochis...lft attached
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You have mild jaundice. It can be managed by dietary precautions.
The other parameters are generally normal. You should avoid alcohol and tobacco completely. Have a nutritious diet. Graded Physical activity is also required.
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According to attached LFT report your LFT is derranged which resembles towards jaundice but due to insufficient history and reports which you haven’t attached might differ the diagnosis so its better to consult first to diagnose properly and treat the disease further to ensure your good health..
Fibro scan is normal so there may not be fibrosis.lft values don’t really indicate cirrhosis.if BMI high reduce
Diet control
Continue bilypsa
If possible you can do a liver biopsy to find out if there is fibrosis and the cause of altered
Lft
Stop alcohol
Lft values don’t indicate much jaundice
Slightly higher lft parameters
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
MY question is...HOW HIGH?
Rest depends on the above answer ð
Next Steps
Please also see below: Rx: 1. Tab Liv-52 - 1 tablet twice daily after meals 2. Syp. Sorbiline - 10 ml thrice daily after meals
Health Tips
Switch to high carb n low fat diet for 1 month...pls don't overstep the RDA. 2. Morning walk (normal speed) 30-60 minutes; Evening walk (optional): 20-30 minutes; Post - Dinner: Stroll for 10-15 minutes with partner/friend. 3. Have early Dinner...b/w 8 & 9. 4. Repeat LFT after 1 month.
You have mild jaundice but is it clinically significant or not for that you need proper evaluation and treatment if required so consult for better plan of action
Based on the information you've shared, it is not possible to conclude that you have cirrhosis. A persistently elevated ALT and AST for 5 years indicates ongoing liver injury, but normal FibroScan in the past suggests that significant fibrosis was not present at that time. Liver disease can progress over time, so a repeat evaluation is needed rather than assuming cirrhosis.
An elevated bilirubin means you have hyperbilirubinemia. If the bilirubin is high enough (usually >2–3 mg/dL), it can cause clinical jaundice (yellowing of the eyes and skin). The laboratory value alone should be interpreted along with symptoms and examination.
The fluctuation in your platelet count (268,000 → 148,000 → 152,000/µL) is not diagnostic of cirrhosis, especially since your current platelet count is within the normal range. A persistently falling platelet count together with splenomegaly and imaging evidence would raise more concern for portal hypertension.
Since your ALT, AST, and bilirubin are now elevated, you should be evaluated for the cause of this flare. Common possibilities include:
Fatty liver disease (MASLD/NAFLD)
Autoimmune hepatitis
Drug- or herbal-induced liver injury
Alcohol-related liver disease (if applicable)
Viral hepatitis (repeat testing if clinically indicated)
Less common metabolic liver diseases
Next Steps
I recommend consulting a gastroenterologist/hepatologist. You may need:
Repeat liver function tests (including direct/indirect bilirubin, ALP, GGT)
PT/INR and serum albumin (to assess liver synthetic function)
Complete blood count
Abdominal ultrasound with portal vein and spleen assessment
Repeat FibroScan if the previous one was done several years ago
Further tests based on your doctor's assessment (e.g., autoimmune markers, iron studies, etc.)
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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