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Liver function tests and analysis - 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 : 2009
Answered : 594 Questions
Doctor :   Hi
User :   Hello Doctor
Doctor :   I am Dr.
User :   Myself
User :   I recently got routine pathological check up done
User :   the reports have come and I am little worried
User :   so thought of consulting you
Doctor :   ok
Doctor :   what is the problem
User :   In the Liver function Test the SGPT reads as 55.3 U/L (Normal upto 49 U/L)
User :   Gamma GT reads as 37.2 U/L (normal 4-34 U/L)
Doctor :   ok
User :   In the Urine test it shows Albumin as Present (++)
Doctor :   what is SGOT?
User :   I wanted to have your views on this
User :   SGOT is 38
User :   (normal upto 46 U/L)
Doctor :   Do you drink alcohol?
User :   not at all
User :   no smoking either
Doctor :   why these labs were done?
User :   these were routine annual health check ups done by my employer
User :   it had entire package
User :   blood, heart, urine, stool, etc
Doctor :   ok
User :   Otherwise I did not have any complains
Doctor :   We will consider abnormal labs only when they are significant and associated with symptoms
User :   ok
Doctor :   Gamma GT is elevated in alcoholic patients
User :   ok
Doctor :   so even though it is very minorly elevated , beecoz u do not rink , it has no value now
User :   ok
User :   how about SGPT?
Doctor :   similarly SGPT increased with viral infections, alchol liver disease
Doctor :   it is the name of enzyme
User :   ok
Doctor :   they are minor errors
User :   ok
Doctor :   if you are at risk of getting hepatitis, it is not bad idea to get hepatitis profile
User :   ok
User :   I never had hepatitis before
Doctor :   it includies
User :   hepatitis profile is also done
User :   Total Bilirubin 0.5 mg/dl
Doctor :   not that
User :   ok
Doctor :   Hepatitis B
User :   ok
Doctor :   Hepatitis c and D
User :   ok
Doctor :   you can get these tests done
User :   I shall get these checks done
Doctor :   yes
User :   how abt albumin in urine
User :   ?
Doctor :   no sugars right?
User :   no sugars
User :   Sugar Nil
Doctor :   is it early monening sample
User :   second urine
User :   early morning
User :   I passed first urine at home
Doctor :   u can repeat the urine
User :   and within 2 hours this test was done with 2nd sample of urine in the lab
Doctor :   what is the creatinine
User :   you mean Serum Creatinine in blood test?
Doctor :   y
User :   Serum Creatinine 0.8 mg/dl
Doctor :   that is normal
User :   ok
User :   so how do you interprest albumin in urine in my case?
Doctor :   the normal range of urine albumin is around 0 - 8 mg/dl. So, if a urine sample test displays a reading of 2 mg/dl, it means 1 liter of urine contains 0.02 grams of albumin. When the reading is higher than the normal albumin levels, it indicates that the kidneys are not working properly.
User :   ok
Doctor :   how much is albumin
User :   it did not specify any level
Doctor :   ok
User :   only it shows "Present (++) (Normal Nil/Trace)
Doctor :   because creatinine is normal
Doctor :   i will repeat the urine test
User :   ok
Doctor :   if still ++, I will get 24 hour urine test for proteins
User :   ok
Doctor :   The normal value is less than 150 milligrams per day is
User :   ok
User :   The lab doctor has prescribed Livopil for 1 month and 1 tablet daily
User :   the doctor has mentioned this in the report
Doctor :   plz wait
User :   ok
Doctor :   Benign proteinuria
excessive exercise
User :   ok
Doctor :   there are normal variations
User :   ok
Doctor :   but to find out anbnormal causes
Doctor :   i need urine nitrites
User :   ok
Doctor :   it should be there
Doctor :   read
User :   just a min
User :   nothing mentioned as nitrites
User :   but some other terms are there
User :   I will read it
User :   Epithelial Cells = 0-1/HPF
User :   Pus Cells = 0-1/HPF
User :   RBCs = Nil
User :   Casts = Granular cast presnt
Doctor :   that is enough
User :   Crystals = Nil
Doctor :   i need specific info
User :   Others = Nil
User :   tell me
Doctor :   nitrities
User :   no, it is not mentioned in urine examination
Doctor :   ok
Doctor :   do the ANA, RF
Doctor :   these are blood tests
User :   ok
Doctor :   and repeat the urine analsisys
User :   ok
User :   several blood tests are also done
User :   but I do not know if it is ANA, RF
Doctor :   if still pisitive u can get 24 hrs urine proteins to see whether it is normal or high
Doctor :   I dont need all
User :   ok
Doctor :   tell me only abnomral values
User :   in blood tests no abnormal values
User :   except Cholesterol
Doctor :   ok
User :   VLDL = 22.6 mg/dl
Doctor :   plz tupe only abnomral
User :   Cholesterol Total = 188.3 mg/dl
Doctor :   and yype normal lab values adjacent to it
User :   both theseare mentioned as abnormal figures
User :   VLDL )normal 130 = 180 mg/dl
User :   total cholesterol desirable is Doctor :   ok
Doctor :   yojust borderline high
Doctor :   do exercise
User :   yes
User :   yes Iwill
Doctor :   cut down oils
User :   ok
Doctor :   ok then
User :   how about the drug Livopil? should I take it
Doctor :   thank you for consulting
User :   ?
Doctor :   ??
User :   the lab doctor has prescribed to take Livopil 1 daily for a month
User :   it is written in the report
Doctor :   why your doctor gave it
User :   may be because of the liver enzymes
Doctor :   did u ask him
User :   I did not speak to him after getting the reports
Doctor :   so he he gave as the lab value was abnormal
User :   yes
Doctor :   Livopil is a composition of herbs like AAAAAAA Kutki, Bhringraj, Kalmegh, Amla & chiryata for goodness of liver. Livopil is effective for alcohol induced liver damage; drug induced liver damage, viral hepatitis & anorexia. Has an antioxidant & antiviral properties.
User :   ok
Doctor :   it is ayurveda medicine
User :   ok
Doctor :   u can use the exististing bottle
Doctor :   and then stop
User :   I dd not take it yet
Doctor :   u have no liver disease
Doctor :   so i do not recommend
User :   as I got the reports today
User :   ok
User :   so only worry as per you is the albumin
Doctor :   then get 24 urine for proteins and make ur brains clear of doubts
User :   great
User :   thanks
Doctor :   bye
User :   thanks for your time
Doctor :   thank you
Doctor :   bye
User :   bye
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