Toxic hepatitis

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I've been diagnosed with toxic hepatitis with liver enzymes over 2000 6 weeks ago. After 6 weeks all liver parameters were good(bilirubin,alp etc, protrombine time was ok)) only ast and alt are up and down in recent month. One week they are around 180 and this morning around 300. Dr said it takes time to fully recover, 3 months, but I didn't find any cases online with fluctuating results.

All viruses came back normal on initial testing(A,B,C)

Does anyone have any idea?


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  • Posted

    Some toxins are more persistent than others.  They can get absorbed into body fat and leach out slowly (or quickly depending on fat metabolism), prolonging recovery.  Metallic compounds can also take time to clear.  

    Hang tough and see how things look at 90 & 180 days.  It looks like you're recovering nicely.  

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    • Posted


      I am most worried because of fluctuation of ast and alt. I didn’t find any cases like this. Mostly liver enzymes fall gradually but do not rise and fall. 

      I have toxicity due to herbal medicine, ofcourse i stopped the medicine.

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  • Posted

    Did you consume alcohol for instance? Or where you severly dehydrated? That could give some fluctuations. At least it’s nowhere near the initial 2000. If you want to feel safe consult another hepatologist. If you are not the worrying type, just check at your next scheduled appointment. If they go down all is good. If they go up (especially above say 500) I’d say something new might be going on.
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    • Posted

      No alcohol since I was diagnosed, and normally don't drink at all. and I'm drinking enough water. I will see in a month. I did another ultrasound and liver is fine. Doing blood work next week again so I hope the numbers are down.

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