Hepatitis Advice please community - Got lots of question on LFT - thank you so much

[GBB82]

So,

I am having a bit of a spin out on this... viral hepatitis questions!

ALT on the 10th May was 171. GGT was 120. I had an operation on 5th May (previous post had medication details).

15th May until 1st June - nausea, night sweats, lack of appetite bit of itching on back and thigh (Dr said it was a sweat rash as I was laid up at home), fatigue and malaise. I had dry mouth and some ammonia breath. Had a bad tummy, but only yesterday. Fine today.

From the 10th May - 3 weeks, to the day, later my ALT is 40. AST is 20. Everything else in Bilirubin is very low. GGT was 120, now 0. Protein CRP back to 0 from 15, too.

I now feel completely fine, but I get the odd ache in my back, feels like the right hand side. It is a dull ache and only really when I am sitting down. Other than the worry, obviously.

Questions from me - I didn't have really high risk exposure but still an exposure on 3rd March. Certainly a 'potential route' according to Dr but highly unlikely. The internet is not a kind place for research - would I expect an ALT of above 40 in acute hep? Or even above 171?

If I were to get jaundice, when would this start? I have seen a fair bit about it starting now the symptoms have subsided... but if my bilirubin levels were normal 3 days ago how does this happen?

I am white, 41. British. Non-illegal drug user - FYI

I am not doing well in my mind, to be honest. I seem to follow the classic 60-90 days for symptoms to start and I have had most of them to some degree - but they are so generic. I was also hugely, hugely anxious although this has diminished too.

Thank you, all advice well received btw I have tested for A,B and C on Friday - results should be a week for those who will say simply 'get tested'.

Gregg

[Tiger800xrt]

Hi Gregg,

Lots of info on the website regarding viral hepatitis here.

britishlivertrust.org.uk/in...

If your exposure was March then you're still within the timescale to clear Acute Hep B. Definitely stay away from Dr. Google, it will take you to dark places and I speak from experience. Took me 12 months to get all my LTF results within range, so don't expect things to revert overnight. Take a breath, try not to worry (easy to say I know) and wait and see what the test results comeback with. From there you'll be better placed to understand any issues you may be facing.

[GBB82 in reply to Tiger800xrt]

Hi, thanks for this. I am more wondering whether the pattern was typical? I've read that 171 would be low for acute Hep B and 40 even lower... I was ill but only for a week - fatigue, nausea, bit of itching, lack of appetite and pain in my back - now I'm pretty much back to normal. I have read thr ALT should be much higher than 171 and certainly 40 whilst symptomatic. I am worried, for sure.

[BritishLiverTrust3 Administrator British Liver Trust]

Dear GBB82,

If you [are in the UK and] would find it useful to talk things over, our nurse-led helpline is open Monday to Friday from 9am to 3pm on 0800 652 7330 (excluding bank holidays)

Best wishes

British Liver Trust

[GBB82]

Hiya - despite raised ALT at 171 it came down to 40 and all Hep tests were clear. Thank you everyone.