What could be the reason for deranged liver enzymes?

Question

Hello doctor,

I just had blood work done. The tests for my liver came back deranged and I have to have another test next week. My LFTs have always been normal. The night before I had the test I drank a lot and got tipsy. There was a hangover the next day. Could this be the reason for my deranged levels? I am assuming deranged means not normal or really bad results. Can you clarify the meaning of deranged? I am currently taking Vyvanse, Strattera, and Spironolactone. Please help.

Answer 1

Hello,

Welcome to icliniq.com.

Yes, deranged in medical terms means abnormal, and likely, in your case, there must be elevated liver enzymes like SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamic-pyruvic transaminase). Likely, the cause is alcohol only. It directly affects one's liver. In the short term, such damage recovers within a week period, but chronic high consumption may lead to permanent damage. So you should repeat LFTs (liver function tests) after a week. Also, get an ultrasound of the liver done to look for chronic damage.

Have you consumed any other drugs the day prior?

Alcohol is the far most common cause.

Answer 2

Hello,

Welcome back to icliniq.com.

Fine, so if the ultrasound was normal, then it is likely a binge-induced derangement of liver enzymes. It will resolve within a week. Anyway, such repeated insults will leave some amount of damage persistent and keeps on accumulating. So try to moderate your alcohol consumption.