rising ALT level - possible liver disease

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Date Joined Jan 2016
Total Posts : 16
   Posted 1/26/2016 11:11 AM (GMT -7)   
thanks all. what a great weight off my shoulder.

This morning I started thinking what if I had it during my pregnancy and passed it to my daughter unknowingly? the doctor never told me what he tested me for during my pregnancy. I got all woke up and sent him an email asking him did you test me for Hepatitis during my pregnancy. Thanks god that he tested me for Hepatitis during my pregnancy and it returned negative :)

Since I'm trying to get pregnant again, my PC doesn't suggest Milk Thistle. I guess I will just try to eat a healthy diet and hopefully my ALT level will decrease in the next few months.

Forum Moderator

Date Joined Oct 2010
Total Posts : 4803
   Posted 1/26/2016 12:44 PM (GMT -7)   

My Mike had Hep C, genotype 1a for over 40 years. His liver decompensated and he was End Stage for a long time. And very ill. However...he was a drinking man and the combo with Hep C and alcohol is BAD. He was transplanted after 6 months of documented sobriety in May 2011. Woo Hoo, right? Well, not so fast.

The Hep C does not leave your blood with the OLD liver. Rather it starts to work on the new liver pretty much right away. He didn't get treatment until several years post Transplant when his fiber scan level was already F3. Not so good. But he cleared it, thank goodness...since May 2014 on Sovaldi and Olysio.

Please know that he still gets blood draws frequently as he has had some problems along the way...he had a tumor on the old liver, so they have him see an oncologist twice a year (no recurrence), he has some cardiac issues that get followed (he had an aortic valve replacement last year), and he has stage 3 kidney disease. But remember this all took over 40 years of cooking that pesky Hep C in his system

My point: Liver disease is slow except in cases of AIH (auto immune hepatitis where your own immune system attacks your liver. In that disease the AST/ALT scores jump to in the thousands!!! So you are not a candidate for that one just now.

Another point: Though Mike is undetected for Hep C post treatment and transplant, every time he has a medical problem his liver function tests go crazy. His AST/ALTs have been in the teens since treatment. TEENS!

But each time he has had a procedure with anesthesia (heart surgery, hernia repair, shoulder surgeries, elbow surgery recently to repair a tendon), his liver functions zip up....he was something like 70/80. Which freaked him out. But that settled in a week or two. His GFR went way down and his GGTP will zoom from the 20s to 700 or 800 something. And also settles down quickly when the drama resolves.

I think you are doing all you can do with the tests. Best to eat a healthy diet, especially edif you are pregnant, keep very hydrated, take your prenatal meds prescribed by your doctor and run any OTC supplements by the doc or nurse practitioner as well. Note that some folks have been known to have liver failure from something as simple as too much tylenol. If you indulge in the use of that OTC, keep track of the mgs per day. Mikes recommendation is less than 2000 mg a day. And you have to check to see the ant of acetaminophen is in your cold pills or pain pills and add it all up. That can be worse on a body that booze.

I hope all of this is nothing...and you can get back to enjoying your family.

Mike is a 66 year old male who was infected in 1969 or 1970 who spent 43 years doing all this damage...and now he is alive and doing well. Even if you do have the virus Hep C, there are treatments now that can cure you!

Mama Lama
MamaLama, Forum moderator - Hepatitis
Partner received liver transplant (May 1, 2011) FL
Hep C 1a Treatment - Sovaldi/Olysio (March - May 2014)
Undetected since week 4. Undetected 12 weeks post treatment.
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