Pregnancy complicated by liver injury

Patient's question:

Pregnant for 6 and a half months, Alanine Aminotransferase (ALT) 180: Aspartate Aminotransferase (AST) 99. All hepatitis B and C tests are normal. Had an ultrasound, diagnosis: increased liver speckles, enhanced echo. I don't know why, asked the doctor, she didn't say anything either. Just looked at Ligan Long Granules and Yin Zhi Huang Granules. Can I take them?

Doctor's answer:

Hello, factors or causes that may lead to elevated transaminase levels include viral hepatitis such as type A, B, C, and D hepatitis, alcoholic liver disease, fatty liver disease, autoimmune hepatitis, drug-induced hepatitis, gallstones or intrahepatic bile duct stones, etc. The most common ones are hepatitis B and C, as well as alcoholic liver disease. Other factors include poor rest and the use of cold medicine. In some cases, the cause remains unknown. Since you have ruled out hepatitis B and C, at least the most common contagious ones have been excluded.
Advice: You can refer to the above situation and try to rule out the possibilities yourself. If you cannot rule them out, you can leave it for now. Regarding the medication for pregnant women, it may not be ideal. I recommend taking silymarin and allopurinol tablets, as these two medications are relatively safe. Eat more fruits and vegetables, avoid overexertion, and don’t get angry. Regularly follow up on liver function tests.

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