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There is a wide variety of causes for elevated liver enzymes (commonly, although incorrectly, called liver function tests, or LFTs). Elevated LFTs can only be interpreted in the context of a full clinical history -- that means that only a trained health care provider can determine the underlying cause of elevated LFTs in a particular individual. An important fact to remember is that while lab results (eg, elevated LFTs) are important in medicine, lab results alone are very infrequently diagnostic of a particular condition. When analyzed by trained personnel, they aid tremendously in reaching a diagnosis, but they absolutely never replace a proper clinical history. That means that for us patients, we cannot expect solid answers to questions like "why do I have elevated LFTs?" unless we ask our physicians. The only thing we can gain from asking perfect strangers questions like this is that we get a better understanding for what the tests mean and why they must be interpreted in such a way. Hopefully I can help illustrate this. The major liver enzymes measured in an LFT analysis are serum levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase (ALP). ALT and AST are markers of injury to liver cells, while ALP is a marker of injury to the system of bile ducts that drain bile from the liver (also called the biliary tree). Liver and biliary tree damage are the most common causes of elevated LFTs, although other seemingly unrelated conditions can cause elevated LFTs as well. For example, hypothyroidism can cause elevated LFTs for unknown reasons. Viral and alcoholic hepatitis are among the most common causes of liver injury; these result in elevated LFTs, with ALT and AST being elevated to a greater degree than ALP. There are many other conditions that cause a similar elevation in LFTs; this underscores the importance of evaluating high LFTs in the proper clinical context (ie, with your physician). Elevated LFTs with a predominant rise in ALP is suggestive of damage or obstruction of the biliary tree (which disrupts the flow of bile out of the liver, called cholestasis). There are a number of conditions that can cause this, including a stone in the common bile duct (choledocholithiasis), cancer of the head of the pancreas, primary sclerosing cholangitis, primary biliary cirrhosis, and many others. The preceding list isn't meant to frighten you; it's merely to illustrate the wide variety of causes of cholestasis. On the other hand, one's LFTs may be elevated without any clinical significance. Yes, this is yet another reason to have one's test results evaluated by a physician. Again, it's absolutely fine -- indeed, it's preferred! -- that you ask these sorts of questions to your physician. Only she is able to answer your question adequately, with a strong understanding of your clinical presentation, past medical history, social history, etc.

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8y ago
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14y ago

The most common causes of chronic liver failure (where the liver fails over months to years) include:

* Hepatitis B

* Hepatitis C

* Long term alcohol consumption

* Cirrhosis

* Hemochromatosis (an inherited disorder that causes the body to absorb and store too much iron)

* Malnutrition

The causes of acute liver failure, when the liver fails rapidly, however, are often different. These include:

* Acetaminophen (Tylenol) overdose.

* Viruses including hepatitis A, B, and C (especially in children).

* Reactions to certain prescription and herbal medications.

* Ingestion of poisonous wild mushrooms.

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14y ago

I assume you are asking what can cause high liver enzymes. There are several things and some of the more common ones are:

To much Tylenol

Drug use / overdose

Hepatitis

Mono

Cirrosis of the liver

liver cancer

being overweight

Alcoholism

Cyst on the liver

When you have high liver enzymes you really need to take all other symptoms / circumstances into account and do further testing from there.

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13y ago

The most common cause is alcohol abuse/dependence. Hepatitis A,B and C are also causes. There are many other causes, as well.

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Q: What causes elevated liver levels?
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