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Liver function test suggested - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   Hi
User :   Hello
Doctor :   How can I help you ?
User :   I have recently done liver function test
User :   twice in a gap of 2 months
User :   in both the tests my SGPT count is little elevated
Doctor :   Ok
User :   first time it was 55
User :   and 2nd time 53
User :   first time GGT was also little elevated
User :   but 2nd time it came normal
User :   I wanted to know the effects of elevated SGPT
Doctor :   Ok.
User :   could you please help me?
Doctor :   Yes ,
Doctor :   May I know if your SGOT was also elevated ?
User :   no
User :   both the cases it was normal
Doctor :   And how about your S.Albumin and S.Bilirubin ?
User :   both normal
User :   in both the tests
Doctor :   Ok.
Doctor :   Usually elevated SGOT/SGPT levels indicate A temporary dysfunction in liver rather than a chronic damage.
User :   ok
Doctor :   Uusally s.albumin indiactes a long term affect like hep. b., or jaundice or heaptitis - chronic or cirrhosis
User :   ok
Doctor :   High S.Albumin indicates those .
User :   ok
User :   in my case all these are within normal limits
Doctor :   If there is high S.Bilirubin it indicates the present state of liver dysfunction or recent liver dysfunction.
User :   ok
Doctor :   Usually a high or elevated SGOT/SGPT levels indicate sometimes muscle damage or temp. hepatitis like Hep.A
User :   ok
Doctor :   Thus, the exact levels of AST (SGOT) and ALT (SGPT) cannot be used to determine the degree of liver disease or predict the future. For example, individuals with acute viral hepatitis A may develop very high AST and ALT levels (sometimes in the thousands of units/liter range). But most people with acute viral hepatitis A recover fully without residual liver disease.
User :   ok
User :   in my case what do you think might have gone wrong?
User :   my cholesterol count is also little elevated
User :   total count is 188
User :   and normal range is till 180
Doctor :   It would be a temporary hepatitis like Hep.A or a severe tiring muscular work out or over exerted exercise regime. Do you have any ?
User :   I do not have a heavy exercise regime
Doctor :   That is not very high and does not correlate with LFT's
Doctor :   Ok.
User :   nor any tiring muscular work
User :   what do you suggest to bring down this SGPT level?
Doctor :   You might have a had a bout of hepatitis which is very sub-normal or not a classical symtomatic disease pattern, so would have showed up like this .
Doctor :   Do you have any history of hepatitis previously ?>
User :   not at all
User :   never had hepatitis earlier
Doctor :   Ok.
Doctor :   May I know your age please ?
User :   29 years
Doctor :   Have you had an over does of Paracetamol any where in the near past ?
User :   no
Doctor :   this can also caus e this.
Doctor :   Ok.
User :   I generally do not take any medicine for long
User :   until doctor prescribes
User :   but I never had a long dosage of paracetamol
Doctor :   Or any other medication you want to mention ?
User :   nothing
User :   I am under no medication
User :   my thyroid profile is also normal
Doctor :   Do you have any digestive problems like diarrhoea or vomitings or constipation in the recent past ?
User :   no
User :   sometime I have problems in digestion
User :   like if I eat spicy food
Doctor :   Ok.
User :   I get loose motion
User :   or gas forms
Doctor :   Ok.
User :   but with non spicy food I do not have any issue
Doctor :   Ok.
User :   I also generaly get tongue ulcers
User :   for the past one year
User :   can it be because of high SGPT?
Doctor :   It is rare, that you get tongue ulcers
Have you been earlier diagnosed with Celiac Sprue or Crohn's or Ulcerative colitis ?
User :   I am not sure
User :   I met one doctor
User :   he prescirbed multivitamins for a month
Doctor :   Ok.
User :   but it did not help
User :   after that I did not follow up
Doctor :   Do you have a family history of liver problems.
User :   the ulcer generally reappears every 20-30 days
Doctor :   Ok.
User :   and exactly at similar place of the tongue
User :   to be precise, the left side of the tongue
User :   the ulcers are generally not more than 2
Doctor :   How is your hemoglobin level and S. Vit.B1,B2.B6,B12 ?
Doctor :   Ok.
User :   with round shape and white outer patches
User :   hemoglobin
User :   around 14
User :   is the count
Doctor :   Ok, That is good.
User :   there is not family history of liver disease
Doctor :   How about any sexual exposure , any recent or past blood transfusions , etc ?
User :   I mean no family history of liver disease
Doctor :   Ok.
User :   nothing
Doctor :   Ok,That is fine.
Doctor :   May I ask your weight please ?
User :   90 kgs
User :   heights is 177 cms
Doctor :   Ok.
User :   so what do you suggest for me?
Doctor :   You are a bit higher on the BMI.
User :   yes
Doctor :   The most important and simple reason for high AST/SGOT or ALT/SGPT levels is Obesity.
User :   ok
Doctor :   Fatty liver can be a major cause of raised levels of SGPT .
User :   ok
Doctor :   Your BMI is 29 , it has to be a min. of 24.
User :   I have started excercising
Doctor :   This decrease in 5 points can cause , decrease in 17 kgs of weight.
User :   and cut down fatty food intake
Doctor :   You have to be not more than 74-75.
Doctor :   Ok.
Doctor :   That is good.
User :   I do not think17 kgs will be possible for me
User :   as I beleive my bones are heavy
User :   I am 90 kgs bt I do not look that heavy
User :   I will try to get it to 80 kgs atleast
Doctor :   Please adopt to planned diet to loose pounds and exercise better. You can log in to the diet consultation which is given by our dietician and can start working on that.
Doctor :   It is free of cost.
Doctor :   Do you have anything else I can help you with ?
User :   and I ma following taht for the last 2-3 weeks
User :   or weight lose programme should be enough
User :   yes I have already done that
User :   any medications required for me?
Doctor :   I would recommend no medications for weight loss as you are not morbidly obese, it is slightly obese.
User :   ok
Doctor :   Ok, I would any way recommend Ayurslim from Himalaya
User :   I mean any medication for this high SGPT?
User :   ok
Doctor :   That shall comedown once you loose some weight.
Doctor :   A 10% reduction in weight will bring it down by 25%.
User :   grt
Doctor :   Ayurslim one tab. every day, is a pure herbal product with no side effects.
User :   ok
Doctor :   It has to be taken 1 hr before your best meal - lunch /dinner .
User :   ok
Doctor :   And have lots of fruits, veggies, juices, low calorie diet.
Doctor :   Do you h ave anything else to ask ?
User :   nothing else
User :   thanks so much for your time
Doctor :   Thank you for consulting me , Take care , Bye for now.
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