Patient's question:
When I went for the prenatal card registration, I found that both ALT and AST were elevated. Today, I got a prenatal screening and also rechecked these two indicators, and the results were even higher than the first time! The doctor said it might be necessary to protect the liver. I'm worried that taking medication will be harmful to the baby. What should I do? Will this elevation have a significant impact? I haven't had a cold recently, and my sleep is also quite good. My liver function tests for the two pairs of halves are normal, and I don't have hepatitis B!!!Doctor's answer:
Hello, abnormal liver function during pregnancy is most commonly caused by factors or etiologies such as hepatitis B, hepatitis C, intrahepatic cholestasis of pregnancy, etc. Based on your condition, as the gestational age increases, liver function is deteriorating. This requires liver-protective treatment because in the second and third trimesters, due to fetal growth, the liver burden increases, which may lead to liver failure and pose life-threatening risks to both the mother and child.Medical advice:
1. It is recommended to check blood total bile acid levels to see if they are elevated.
2. It is recommended to undergo liver-protective treatment. Medications that can be used include creatinine, vitamin C, biphenyl dimethyl, You Si Flu, and others. These drugs are pregnancy category C medications, meaning they should be used with caution during pregnancy. However, given your abnormal liver function, a risk-benefit assessment is necessary, and liver-protective treatment is required.
3. It is recommended to drink more water and rest.
Doctor's inquiry: May I ask if you have any abnormal symptoms such as skin itching on your limbs or jaundice?