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Advice on liver function tests - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   hello
Doctor :   Dr. xxx here
User :   please can you help me with my LFT
Doctor :   Yes procedd
Doctor :   Can you just type in the values
User :   HB - 15.0 g/dL
User :   WBCs 8.4
Doctor :   Ok falls within normal its not LFT
User :   Platelet count 330
Doctor :   WBC units plz
User :   RBCs 4.91
User :   10*9/L
User :   RBCs 10*12/L
Doctor :   ok
User :   Haematocrit - 0.410
Doctor :   Ok
User :   MCV - 84.1 fL
User :   MCH - 30.5 pg
Doctor :   So you have your haemogram report not LFT i guess'
User :   this is a FBC
User :   with LFT
Doctor :   ok
User :   Neutrophil 4.40 10*9/L
User :   Lymph Count 3.30 10*9/L
Doctor :   Neutrophil is not available in percentage?
Doctor :   Ok
User :   Eosinophil count - 0.00
User :   Serum Albumin - 47 g/L
User :   Alk Phos - 60 u/L
Doctor :   Haemogram values are all normal
User :   ALT/SGPT Serum level - 13 u/L
User :   Serum gamma GT Level - 15 u/L
Doctor :   ok
User :   Serum total bilirubin level - 94 umol/L
User :   bilirubin is abnormal
User :   i believe
User :   I am a 20yr old male, fit and otherwise healthy
Doctor :   Ok
Doctor :   I have to convert the values to normal units
Doctor :   Generally we have refernce in g/dl, IU/l, and mg/dl so just give me momemnt
User :   ok sorry i am in UK
Doctor :   We are from india
Doctor :   Just a moment
User :   ok
Doctor :   ok
Doctor :   ALT/SGPT are in the normal range.
Doctor :   ALP is also normal norm,al range of ALP is between 30 IU/L and 115 IU/L
User :   but my bilirubin is high?
Doctor :   Yes its mild elevation'
Doctor :   Otherwise your values are normal
Doctor :   I have to ask you few questions to serve you better
Doctor :   What were your comolaints and why was an LFT done?
Doctor :   Do you consume alcohol
Doctor :   Are you on longterm medications?
User :   ok
User :   I had a routine blood test for headaches (mild) and unconjugated hyperbilirubinemia was found
User :   I consume alcohol once per month, no more than 20 units
Doctor :   Ok
User :   I am not on any long-term medications, nor do i have any long term conditions
User :   would you like to know the tests that i have had?
Doctor :   The causes for unconjugated hyper bilirubinemia are
Doctor :   Yes
Doctor :   Do you have yellowish discoloration of conjuntiva. skin
User :   No just of sclera
Doctor :   Ok
Doctor :   Since when
Doctor :   Are you vaccinated for HEP B
User :   I have had an ultrasound, MRI scan, 24hr urine test, copper test (eye) all negative
User :   yes, hep screen was negative
Doctor :   Ok
User :   blood smear was abnormal
Doctor :   Probably will have stomatocytes
User :   Stomatocytes, target cells and atypical lymphs
User :   how did you know?
Doctor :   Yes they are typical findings in liver diesasse
User :   So I have liver disease?
Doctor :   Yes probably
Doctor :   There are other factors too
Doctor :   If the bile produced is not excreted or blocked or if there is excess production
Doctor :   Will remain in the Liver and cause some damage
Doctor :   And when enters in circulation will have colour changes
User :   So why is my ALT not elevated?
User :   as i thought that this would be raised with liver disease
Doctor :   It not necessary for all values to rise
Doctor :   ALT is the enzyme produced
Doctor :   When there is milder damge or obstruction oin bile flow the ALT production remains unaltered
User :   Why do i have liver disease? I dont even drink
User :   Also what is the prognosis
Doctor :   Its has got good prognisis
Doctor :   All needed is to take to liver protective agebnts
Doctor :   And the Ultrasound
Doctor :   Did it reveal any kind of obstruction or hepatomegaly?
Doctor :   Enlargement of liver
User :   No nothing, it was completely normal
User :   bile ducts were fine, so was blood flow through liver
Doctor :   Then need not worry
Doctor :   There is no considerable damage to liver
User :   what should i do now
User :   should i go to the hospital? Is this serious?
Doctor :   Just avoid alcohol/ fatty foods and stick to regular fat free diet
Doctor :   With some slat and protein restricted diet
User :   Will this affect my life expectancy
Doctor :   There will be good expectancy
Doctor :   Until there is an tumour or severe damage
Doctor :   Its totallyt reversible
User :   let me recharge
Doctor :   Ok
User :   done
User :   Do i need to see another doctor
Doctor :   No not required
User :   they have asked me to repeat LFTs annually
Doctor :   were you prescribed any meds
Doctor :   Yes that a precautionary measure
User :   Wont this be too late?
User :   No meds
Doctor :   Just to keep in check whether the liver is recovering
Doctor :   Then just start having Liver supplements like
Doctor :   TAB LIV 52
User :   ok
User :   should i be worried?
Doctor :   No
User :   and will i eventually need a liver transplant
Doctor :   It a just a minimal raised values
Doctor :   Its doesnt signify abnormal functioning
Doctor :   It just some hinderence in bilirubin production
Doctor :   Will resove if you follow th etips suggested
User :   So if it is a disease, it wont be serious?
Doctor :   Yes your is more of abnormal functioning
User :   So it will be serious? Or wont be
Doctor :   not serious
Doctor :   Will resolve in few days just follow the tips suggested
User :   This has been going on for nearly a year
User :   is that a bad sign
Doctor :   No
Doctor :   The values will revrt back in a minimum of two years period
User :   Ok, what are the chances of this progressing to cirrhosis
User :   or damage
Doctor :   Very less
Doctor :   Unless you have history of excessive drinking
User :   no not at all
Doctor :   Damage will be set right with liver supplements
User :   But should i avoid alcohol completely
Doctor :   Yes that will help you
Doctor :   Avoid Fatty foods'
User :   ok
User :   please can you outline the possible diseases that could be causing this
User :   Is gilberts a possibility?
Doctor :   No unless there is raised values of Total bilirubin too
Doctor :   You will also have symptoms of spleenomegaly and hepatomegaly
Doctor :   Its a traid of the three
User :   ok what are the symptoms
Doctor :   Spleenomegaly
Doctor :   hepatomegaly
Doctor :   weight loss
Doctor :   Loss of appetite
Doctor :   With raised total bilirubin/ ALP
User :   ok i have none of those
User :   I do have pain over liver and sleepiness
Doctor :   Then need not worry
Doctor :   Thats tiredness
Doctor :   Will resolve on due course
User :   Ok so my levels are ok and indicate nothing serious?
Doctor :   Yes
User :   ok thankyou
Doctor :   Wishng you speedy recovery
User :   many thanks for your help
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