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I have a medical test which result of ALT 78 i have to maintain it doctor give me medicine ( Hepatoprotective regenrator & detoxicant ) ( antioxidant ) is these syrup are enough for me plz sugest me i want to make it down in 1 week
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replied February 27th, 2017
Welcome to e health forum.

The ALT elevation as mentioned in your history is very mild. Laboratory test results need to be assessed keeping in mind the complete clinical status of a patient.

In the determination of any liver conditions, just elevated enzyme are not significant. Presence of other signs , symptoms, other lab parameters and radiological investigations are necessary to make a proper diagnosis.

The first sign of liver disease, that is Jaundice (Yellowish discoloration of the sclera of the eyes) due to accumulation of bilirubin, occurs with bilirubin range of 2-3 mg/dL (34 to 51 μmol/L). Skin discoloration occurs at much higher levels.

Some general symptoms of liver disease include nausea, vomiting, decreased appetite, ‎indigestion, change in stools, jaundice, itching, etc. ‎In severe conditions with greater liver dysfunction abdominal distension, swelling of the legs, ‎anorexia, lethargy could be evident. ‎

In case you have the above signs and symptoms, then additional tests including Urinalysis for bilirubinuria, Serum albumin, liver enzymes (ALT, AST, ALP, LDH), as well as a liver ultrasound - will be needed to evaluate the level of liver damage.

In case, if you do not have any other signs and symptoms other than the mild elevated enzyme levels then these could be transient liver inflammation due to sub-acute infections, inherited (genetic) liver conditions associated with bilirubin metabolism ( mild version of inherited liver enzyme defect disorders like Gilbert syndrome or Crigler Najjar Syndrome (type 2).

The management of such mild conditions is symptomatic with regular follow up every 6 months. No other specific treatment is required in these conditions.

In your case, due to the lack of complete information, it would be recommended that you consult your doctor or a hepatologist for further medical advice.

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