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Have elevated bilirubun, SGOT and SGPT. What does it indicate? - Online Doctor Chats

Date : 17-Jul-2013
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2259 Questions
User:i am XXXXX
Doctor:How can I help you today?
User:i have elevated levels of bilrubin,sgot,sgpt
User:i have got my report yesterday
Doctor:How much are the values?
Doctor:Are you there?
User:bilrubin total - 2.95 mg/dl
User:SGOT 46
User:SGPT 72
User:what does thes eindiacte ?
Doctor:It means that the liver function has been affected
User:Bilrubin direct - 0.45 mg/dl
Doctor:Mostly the insult seems to be in the liver or the outflow of liver secretions
Doctor:It can be because of many causes
Doctor:Like alcohol, liver infection, etc
User:i am non-alcohlic, non smoker and vegeterian
Doctor:I will recommend that you get more tests done to find the cause
User:should i send you my report
Doctor:The tests can include hepatitis virus serology
Doctor:Do you have other reports apart from this?
User:yes , i have done complete body check up from thyrocare
User:these were 64 tests
Doctor:You can send it at YYYY@YYYY
Doctor:atten: Dr Vaishalee Punj
User:what will be the subject line
Doctor:Address it to my name
User:just sending
User:can you please suggest any doctor here in gurgaon whom i can visit ?
Doctor:Till then we can discuss about liver injury
Doctor:I am not aware of doctors in Gurgaon
Doctor:Our customer care team can assist you with it
Doctor:Or you can visit WWW.WWWW.WW
User:have recieved report...just sent
Doctor:Not yet
Doctor:It usually takes some time
User:i have also enlarged liver sometime back
User:is this curable ?
Doctor:We need to find a cause
Doctor:It depends on the cause
Doctor:You need to get checked for hepatitis virus serology
Doctor:starting with hepatitis B
Doctor:If negative then going for hepatitis A and C
User:what are the symptoms for these diseases ?
Doctor:Also we need to rule out causes of obstructive jaundice by doing ultrasound
Doctor:The most common symptom is fatigue
Doctor:Yellow eyes, skin , urine, stools
User:yes is there
User:eyes and skin are good
Doctor:Itching of skin due to raised bilirubin
Doctor:Pain in abdomen may be there
Doctor:Mostly we need to take precautions so that bilirubin does not build up in body
Doctor:The precautions can include drinking more water
User:i never felt pain in abdomen ..or it got unnoticed
Doctor:Take care to drink pure water
Doctor:Take hygienic diet
User:so got my report ?
Doctor:Not yet
Doctor:Heavy files take time
User:it is only 456kb
Doctor:Its reached the customer care team
Doctor:They are forwarding it to me
User:are there any foods which can improve bilrubin levels ?
Doctor:ok got the reports
Doctor:Give me a min to review
Doctor:I think you forgot to attach reports
Doctor:Can you check in your email?
User:no it is there
User:can you check with your customer care team
User:may be they forgot
Doctor:I will check
Doctor:Can you check in the sent items if you attached the reports
Doctor:Since they send the email as such
Doctor:Ok now got it
Doctor:give me a min
Doctor:Mostly the reports are ok
Doctor:The only worrisome findings are the ones you mentioned
Doctor:It usually goes down in a month if proper precautions are taken after finding a cause
Doctor:How long do you have the symptoms?
User:from last 3 years
User:i got this checked up in 2011
Doctor:Do you have any idea about the cause?
User:no idea ?
Doctor:Did you take any medicines before the start of the episode?
User:yes..i remember in 2009 i was diagonised with typhoid and malaria...
User:i am not sure if that was the cause
User:also i have very low appitite...
Doctor:It is possible
User:i do not feel hungary at all
Doctor:I also want to recheck for typhoid and malaria
Doctor:These things have not been checked in your current report
Doctor:Malaria can definitely cause jaundice
User:so what all test do you suggest ?
Doctor:Typhoid can cause jaundice in 1- 8 %
User:i will get them done ..
Doctor:For malaria you may go for a repeat peripheral smear
User:and typhoid ?
Doctor:For typhoid, Widal test can be done
Doctor:Serial testing of typhoid would be better
User:any more tests for liver ?
Doctor:I want you to consult an XXXXXXX medicine specialist and take the tests under his supervision
Doctor:Yes more tests like serology for hepatitis viruses
Doctor:These are the minimum
Doctor:I also want you to take precautions in your diet
User:what all precautions i need to have ?
Doctor:As both typhoid and hepatitis can be caused by drinking contaminated water
Doctor:Drink pure water
Doctor:Some of the hepatitis viruses can be sexually transmitted
User:i have aquaguard installed from last 5 years
Doctor:The reverse osmosis one?
Doctor:Do not drink mineral water outside my area is not so it is uv purifier
Doctor:You should also take liver 52 syrup
User:for how many days i need to take liv-52 ?
Doctor:UV does not take out viruses
Doctor:Till you get better
User:i will getthese tests done and get back to you..
User:thanks for your help
Doctor:Thanks for consulting
User:bye for now
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