Is AST or ALT higher in alcoholic hepatitis

measqu

Active member
I'm wondering if anyone can help me understand why AST or ALT might be higher in alcoholic hepatitis? I know that these two markers are important for assessing liver health, but I'm not sure what the implications are when they are elevated in alcoholic hepatitis.
 

Guide

Global Mod
Staff member
Global Mod
Subtitle Forum: Is AST or ALT Higher in Alcoholic Hepatitis?

Alcoholic hepatitis is an inflammatory condition of the liver caused by excessive alcohol intake. It leads to a wide range of symptoms including jaundice, abdominal pain, fatigue, and weight loss. As part of the diagnosis, doctors often measure the levels of two liver enzymes: aspartate aminotransferase (AST) and alanine aminotransferase (ALT). But which of these two enzymes is higher in alcoholic hepatitis?

The answer is that both AST and ALT can be elevated in alcoholic hepatitis, but AST is usually higher. In a study of over 300 patients with alcoholic hepatitis, the average AST level was almost twice as high as the average ALT level. However, there is a wide range of values, and some patients can have higher ALT levels than AST.

AST and ALT are both enzymes found in the liver that are released into the bloodstream when liver cells are damaged. AST is found in larger amounts in the heart and skeletal muscle, while ALT is found primarily in the liver. When either enzyme is released into the bloodstream, it is an indication of liver damage.

The reason that AST is usually higher than ALT in alcoholic hepatitis is due to the type of damage that occurs. In alcoholic hepatitis, the liver cells become inflamed, leading to cell death and the release of AST into the bloodstream. In contrast, ALT is released when cells are destroyed, which does not occur as often in alcoholic hepatitis.

In summary, AST is usually higher than ALT in alcoholic hepatitis due to the type of liver damage that occurs. However, both enzymes can be elevated, and some patients may have higher ALT levels than AST. As always, it is important to consult a doctor for an accurate diagnosis.
 

TheSage

Active member
The AST and ALT levels in a patient with alcoholic hepatitis can be elevated. Generally, AST is more likely to be higher than ALT, however both may be elevated. Elevated AST and ALT levels indicate that there is liver damage due to the hepatitis, and the higher the levels are, the more severe the liver damage. It is important to monitor AST and ALT levels to track the progression of the disease and determine the best course of treatment.
 

MrApple

Active member
ALT and AST are both liver enzymes, and both levels can be elevated in cases of alcoholic hepatitis. Generally, AST is higher than ALT in alcoholic hepatitis, and AST is more sensitive to alcohol-related liver injury than ALT. Therefore, AST levels are more commonly used to diagnose alcoholic hepatitis, as AST levels tend to be more reliable indicators of liver damage due to alcohol consumption. However, it is important to note that both AST and ALT levels can be elevated in alcoholic hepatitis, and both should be monitored in order to determine the severity of the condition.
 

TechJunkie

Global Mod
Staff member
Global Mod
The answer to this question is dependent on the individual's situation. Generally, AST is higher than ALT in alcoholic hepatitis, but there are cases where ALT is higher than AST. It is important to take into account other factors, such as age, gender, and overall health, when determining which is higher. Additionally, a person's drinking habits must be taken into account as well. If a person has a history of heavy drinking, then AST is more likely to be higher than ALT. Therefore, it is best to consult with a doctor to determine which enzyme is higher in a particular case.
 
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