What Can Lead To Increased Liver Enzymes In The Nhs?

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Elevated liver enzymes can be caused by various factors, including alcohol use, certain medications, herbs, and vitamin supplements, diabetes, family history of liver disease, hepatitis, and exposure to hepatitis. The three main causes of liver disease are obesity, an undiagnosed hepatitis infection, and alcohol misuse. To reduce the risk of many types of liver disease, individuals should maintain a healthy weight, avoid excessive alcohol consumption, and take appropriate medications.

Early-stage non-alcoholic steatohepatitis (NASH) is a condition that causes excess fat to build up in the liver. NASH is on the rise in the UK due to increasing levels of obesity and reduced physical activity. Raised liver enzymes can also be caused by infections, liver obstruction, metabolic conditions, and cancer chemotherapeutic agents.

The most common cause of abnormal LFTs in the asymptomatic population is Non Alcoholic Fatty Liver Disease (NAFLD), which is thought to be the most common cause of abnormal LFTs in the asymptomatic population. Liver blood tests can indicate damage or inflammation inside the liver, and initial investigation of LFT for potential liver disease will include tests such as bilirubin, Alkaline Phosphatase (ALP), and Alanine aminotransferase (ALT).

In conclusion, elevated liver enzymes can be caused by various factors, including alcohol use, certain medications, herbs, vitamin supplements, diabetes, family history of liver disease, hepatitis, and alcohol misuse. By addressing these preventable risk factors, individuals can better manage their liver health and reduce the risk of liver diseases like NASH.

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Liver diseaseThe term “non-alcoholic fatty liver disease” (NAFLD) is used to describe a condition in which there is an accumulation of fat in the liver, which does not result from excessive alcohol consumption. Individuals with a high body mass index (BMI) may experience an accumulation of adipose tissue in the liver, which can lead to the development of non-alcoholic fatty liver disease (NAFLD).Hepatitis Infection with a viral agent, or…myhealth-devon.nhs.uk

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More and more people have been consuming drinks for liver detox.

Your liver plays a very vital role in keeping you healthy and alive. It’s essentially responsible for cleaning and filtering your blood from the digestive tract before flowing to the rest of the body. It also metabolizes drugs and detoxifies chemicals. More than that, your lover secretes bile that helps digest fat and carry waste away.

Those are just some of its many functions. That’s why it’s crucial to keep it in tip-top shape. Cleansing and detoxifying can help protect it from disease and keep it healthy.

What is the most common cause of elevated liver enzymes?

Common causes of elevated liver enzymes include: Nonprescription pain medicines, particularly acetaminophen (Tylenol, others). Certain prescription medicines, including statins, which are used to control cholesterol. Drinking alcohol.

Why is my ALT high but everything else normal?
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Why is my ALT high but everything else normal?

High levels of ALT in your blood may be a sign of a liver injury or disease. Some types of liver disease cause high ALT levels before you have symptoms of the disease. So, an ALT blood test may help diagnose certain liver diseases early.

What is an ALT Blood Test?. An ALT test measures the amount of ALT in your blood. This test is commonly used to help diagnose liver damage or disease.

ALT (alanine transaminase) is an enzyme, a protein that speeds up certain chemical reactions in your body. It is found mainly in your liver. Usually, you will have low levels of ALT in your blood. But when liver cells are damaged, they release ALT into the bloodstream. High levels of ALT in your blood may be a sign of a liver injury or disease. Some types of liver disease cause high ALT levels even before you have symptoms of the disease. So, an ALT blood test may help diagnose certain liver diseases early, when they may be easier to treat.

An ALT test is usually ordered as part of a group of liver function tests.

When do doctors worry about elevated liver enzymes?
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When do doctors worry about elevated liver enzymes?

Elevated liver enzymes may mean a person’s liver is not working properly. Common causes include fatty liver disease and cirrhosis. Managing these conditions will help treat high enzyme levels.

Doctors test people for elevated liver enzymes if they have symptoms of conditions that typically cause liver damage.

In this article, learn about the causes of elevated liver enzymes, as well as the symptoms and treatment of each of these conditions.

Liver enzymes is an umbrella term for a collection of proteins that support specific chemical reactions. These proteins include:

Should I worry about an abnormal liver function test?
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Should I worry about an abnormal liver function test?

Abnormal results don’t always mean you have a problem with your liver. Other conditions can cause high or low levels of certain substances that these tests measure. For example, high levels of ALP can be a sign of bone disease or liver disease. So, your provider will also consider your symptoms, medical history, risk for liver disease, and any medicines you take.

If you have been ill recently, certain types of abnormal results may be temporary. In this case, your provider may repeat the tests later to see if your results return to normal.

Learn more about laboratory tests, reference ranges, and understanding results.

Can high ALT levels be temporary?
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Can high ALT levels be temporary?

Should I be worried if I have high or low alanine transaminase (ALT) test results?. If your ALT test result is high or low, it doesn’t necessarily mean that you have a medical condition that needs treatment. Other factors can affect your levels, including:

  • Exercise : Intense or extreme exercise can cause a temporary increase in ALT levels.
  • Medications : Several medications and supplements can affect ALT levels, including over-the-counter pain medications such as acetaminophen.
  • Sex : Scientists believe hormonal differences contribute to sex differences in ALT levels.
  • Menstruation : ALT levels can increase or decrease during your menstrual cycle.
  • Age : ALT levels tend to decrease with older age.
  • Heritage : Research shows that people who have Mexican-American heritage are more likely to have elevated levels of ALT.
  • Body mass index : Several studies have revealed an association between ALT levels and body mass index (BMI), which may change the interpretation of test results in people who have obesity.

In addition to the above factors, when analyzing your ALT results, your healthcare provider will take into consideration many aspects of your health and situation, including:

  • Your medical history.
  • How high or low your ALT results are.
  • Previous ALT results.
  • The results of other tests usually taken alongside ALT.
  • If you’re experiencing symptoms.
Can high ALT be nothing?
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Can high ALT be nothing?

It’s important to know that having a high ALT test result doesn’t necessarily mean you have a medical condition. Less than 5% of people with elevated ALT levels have severe liver conditions. Other factors can affect your ALT levels. Your provider will take into consideration several factors, including other blood test results and your medical history, when analyzing your results.

What does it mean if my alanine transaminase (ALT) is low?. Having a lower than normal ALT result is uncommon and usually isn’t a cause for concern. However, a lower than normal ALT level could indicate a vitamin B6 deficiency or chronic kidney disease.

If your ALT result is lower than what’s considered normal, your healthcare provider will likely have you retake the test or undergo further testing to make sure nothing is causing your low level.

When to worry about ALT levels in NHS?
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When to worry about ALT levels in NHS?

Abnormal results. Marked elevations of ALT or AST (greater than 1, 000 IU/L) suggest drug-induced liver injury (such as paracetamol overdose), acute viral hepatitis, ischaemic, or autoimmune hepatitis and may require referral to secondary care for further follow up.

ALP. Alkaline phosphatase (ALP) is a non-specific liver enzyme mainly found in the bile ducts of the liver.

Increases in ALP together with an elevated GGT can indicate cholestasis. ALP can also be slightly raised in hepatocellular disease such as primary biliary cholangitis, biliary obstruction and genetic disorders of bile synthesis and excretion.

What are the three worst things for your liver?

Foods that are high in sugar, fat, and salt put extra stress on the liver. Fast food, packaged foods, and processed foods tend to contain a lot of these elements.

What is an alarming ALT level?
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What is an alarming ALT level?

An ALT test result of >100 IU/l is a clear indicator of serious liver disease, but a mildly elevated ALT result (30–100 IU/l) is often ascribed to the use of medication (for example statins) or alcohol, obesity, or, for lower ALT levels (<50 IU/l), considered as part of the normal distribution of test results.

Background. Hepatitis C (HCV) and hepatitis B (HBV) virus infection can lead to serious complications if left untreated, but often remain undetected in primary care. Mild alanine aminotransferase (ALT) elevations (30–100 IU/l) are commonly found and could be associated with viral hepatitis; unfortunately, these findings frequently remain without follow-up.

Aim. To determine if and how mild ALT elevation can be used to identify hidden HCV and HBV infection in primary care.

Design and setting. Primary care patients referred for liver enzyme testing were selected by a large primary care Diagnostic Centre (Saltro).

Can you have high liver enzymes and nothing be wrong?
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Can you have high liver enzymes and nothing be wrong?

Elevated liver enzymes might be found during routine blood testing. In most cases, liver enzymes are only mildly raised for a short time. This usually doesn’t signal a chronic, serious liver problem.


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What Can Lead To Increased Liver Enzymes In The NHS?
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Elle Pierson

Hi, I’m Elle Pierson, RN, MBA—a passionate Healthcare Consultant dedicated to empowering individuals and organizations to achieve better health outcomes. As a TEDx Speaker, Author, and Mentor, I bring my expertise in medicine and healthcare management to help others navigate complex systems with confidence. My mission is to inspire change and create meaningful solutions in the world of healthcare. Thank you for joining me on this journey!

Education: Bachelor of Science in Nursing (BSN) and Executive MBA from Texas Woman’s University.
Email: [email protected]

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11 comments

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  • I stopped drinking 9 years ago cold turkey after 40 years of drinking every night and had been told by several doctors I had all the symptoms of cirrhosis. Recently I had a liver biopsy and an ultrasound and while my liver is enlarged and fatty with some scarring I don’t have cirrhosis so quitting the drinking has saved me and it could save you too…

  • I’m 44 years old. I was always a heavy weekend drinker. Usually 7 to 9 beers a night for 3 nights a week over decades. I recently noticed myself becoming more easily inebriated to alcohol. My appetite when down and I was always extremely bloated after eating. My skin was itchy as well. It scared me to the point of getting blood work done, with all liver funciton metrics coming back normal. Just to make sure, I went in for an abdominal ultrasound. During the time I was waiting for results, I got down on my knees and prayed to God to give me a second chance. He did. My abdominal scan came back normal too. It looks like I’ve skirted cirrhosis. No more drinking for me.

  • My dad started drinking when he was a teenager and became an alcoholic. At the age of 48 he passed away from Cirrhosis. He was diagnosed about 1 1/2 years before he died. It was a long and painful death. As his daughter it was very hard perusal my dad slowly die and all the things he went through. You wouldn’t believe the effects your liver has on your body until you get something like this. Before he got really bad, he decided to sell all his guns and bow (he was a big time hunter and outdoorsman) because he wouldn’t need them anymore. It broke my heart knowing he was doing this and why. He got so at the end he would go in and out of like a deep sleep and when he was awake sometimes he wouldn’t make any sense. It was from the toxins building up in his body causing this. My dad went down hill very fast the last few days before he passed away. We were told he’d either go into a coma and not wake up or the blood vessels in his throat would rupture and he’d bleed to death. I definitely didn’t want to see either but the latter seemed far scarier. Especially it being your parent. Instead he drowned in the fluids that built up. I had to stand there and watch him gasping for air and their wasn’t a damn thing I could do about it but tell him I loved him and goodbye, hoping he could hear me. Finally I couldn’t take it anymore and I ran outside and screamed until I couldn’t scream anymore. You know it’s gonna be painful losing them but not until you actually experience it. He has a granddaughter that never got to know him.

  • thank you for sharing your story. The fact that you are sharing it gives me hope for my little brother who just turned 33 and for the past 17 days he has been in the TLC unit in Madison Wisconsin, ( very thankful for the doctors and staff who are not only intelligent but very caring ) he too, started throwing up blood, but the toxins had already started breaking down the cells in his brain causing his body to basically shut down. Thank god my older brother went to check on him and basically saved his life, he would have bleed to death. He has been in a coma and everytime he starts coming out of it, the doctors find something else wrong. I do feel hopeful after perusal your story. They are worried about brain damage still, but knowing you spent 5 weeks like this, i am a little more relaxed thinking this is the bodies natural instinct to shut down so it can repair itself. I have read alot of the comments on here and i do agree something should be done, banning it will only cause chaos, we all know the prohibition didn’t work, even the president of the U.S. was buying and stashing it… and making it illegal will never stop ppl from getting it, it would just be opening the door for a new drug trade, my brother always drank the heavy beer with the highest percent of alcohol, so how about lowering the amount of alcohol in these beers, and like the energy drinks, there are ingredients in them that too much at one time reeks havic on the body, how about limiting the amount ppl can buy at one time.

  • My grandma was a very heavy drinker and she got cirrhosis and the doctor told her to quit. Well she did not quit and so 8 years later she died from it. Now on the other hand I never drink or smoke. Im the only one in my large family that has never did any of that stuff. Well I fell very ill a couple of years ago and found I that I have stage 4 cirrhosis caused by an autoimmune desease that is eating away at my lungs, liver, spleen and my stomach. I’m scared but my treatment is liver function testing every 3 months and im also on a immune suppressive medication that has been working so far.

  • I was drinking morning noon and night 30 – 40 units daily for over a decade and when i stopped after that amount was told i had fatty liver. I dont buy it when people in these articles say they weren’t heavy drinkers and they only had a couple a night and are at deaths door. There are probably other factors involved such as diet, genetics etc

  • Alot of people lie about how much they consume because normal drinkers simply can’t understand why someone would drink as much as alkies do…I drank a half litre of vodka a day and my livers in ok shape. I think this guy was probably doing a couple pints in the pub and the goin home and polishing off a bottle of wine after..

  • Hi Lonya steff, here’s some information about who can have a liver transplant. If you go to the nhs.uk website, go to the Health A-Z section and look up ‘Liver transplant’. You will see a tab at the top of the page called ‘Who can use it’ which explains who can have a liver transplant. If you have any further questions you should speak to your GP.

  • How is it that this guy can drink 2 beers a night and get cirrhosis, yet I drink 12 beers a night and haven’t had an issue for 7 years? That just seems messed up. Why do I keep getting away with this?? Maybe I should just quit while I’m ahead. I can’t be lucky my whole life. Right now I’m getting away with murder (or more accurately, suicide), that can’t go on forever.

  • Actually 2 pints is 32 US fl. ounces or 2.8 beers… 4 drinks a day for men with a maximum of 14 a week does not have adverse effects on health. 2 pints a day is within daily safe limits and a bit over the weekly limit but nowhere near enough alcohol to cause liver damage… so it seems to me this guy is underestimating how much he drank.

  • Thanks for your story. I am a bit worried about this myself but I have never drunk a drop of alcohol and only drink pure water for last 35 years. Now almost 60 I got an auto immune illness from breathing poison fumes 5 years ago. Apart from lots of symptoms like falling over hundreds of times etc. I have got this swollen belly and congestion feeling below lungs. Breathing issues and fatigue. Urine like bad sulphur smell for weeks now. Could a skinny bloke like me who eats good vegan food get liver disease or is it just another transient system mal function ? Does anyone know? Thanks.

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