Conversation: The conversation between human and AI assistant.
[|Human|] Hi I was Dx with Hep A in March 3/1/17 and until today my liver enzymes labs are not getting better I am concerned that there might be some liver damage but my GI doctor does not seem to be to worried. They were like at 4000s when I was at the hospital and they were coming down nicely but for the past 3 wks my labs are increasing again and have not drop down to a normal level. They are at 691 my ALT and AST 450. They had drop down to like 400 but just seem to go higher again. Any advise thank you.
[|AI|]  Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These are very high liver enzymes levels. GOT and SGPT are sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common case is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.