Question

An infant of three months old was found to have elevated levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) during a physical examination, exceeding the normal range by over 60 and over 120 respectively. What could be the causes of these abnormal values? How should treatment be approached? The infant’s bilirubin index has been consistently high, around 11 to 12. What could be the reason for the elevated ALT and AST in this situation?

Answer

Elevated aminotransferase levels can be caused by various factors, including viral hepatitis (especially hepatitis B), alcoholic hepatitis, fatty liver, drug-induced liver damage, autoimmune liver disease, and overexertion or lack of sleep. This usually indicates that the liver is being damaged, and treatment should be sought promptly. Here are some suggestions:

  1. Visit a regular hospital for a detailed examination to determine the specific cause.
  2. Conduct targeted treatment based on the underlying cause.
  3. Avoid alcohol consumption and spicy foods.
  4. Do not overexert or stay up late.