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Liver infection with increased sgpt level - 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 : 37 Questions
User :   My sgpt alt level is 1643 and bilirubin level is 4.0mv/dl (2.6 direct and 1.4 indirect). Kindly tell me the possible cause and medication.
Doctor :   hi
User :   hi sir
Doctor :   Dr. XXXXXXXX here
Doctor :   let me read what you have typed
User :   ok
Doctor :   when were these levels checked?
Doctor :   please provide your age, height, weight.
User :   sgpt level was checked a week ago and bilirubin level 2 days ago
User :   19/5'1"/45
Doctor :   ok
Doctor :   is there any history of alcohol consumption?
User :   no
Doctor :   were liver infection detected? were tests for Hepatitis B, C?
User :   actually i am asking on behalf of my sister and have furnished her details
Doctor :   ok
User :   liver infection was detected
Doctor :   was ultrasound scan done for her?if yes what did it reveal?
Doctor :   what infection was detected in teh liver?
User :   no it was not done
Doctor :   do you have th entire liver profile report?
Doctor :   if yes please provide the details of other tests too
User :   she had blood test only and the details regarding that test that were abnormal i told you
Doctor :   ok. so do you mean to to say only the bilirubin levels and the SGPT level were high?
User :   yes
Doctor :   what were the SGPT, ALP, GGT, Albumin and globulin levels?
User :   everything other than those i told you were normal
Doctor :   what tests were done to detect infection? and what infection was detected?
Doctor :   the tests values show damage to liver
Doctor :   an ultrasound scan will be helpful to know the extent of damage whether it is mild/moderate or severe.
Doctor :   is she on any treatment at present?
User :   is this infection self curable by maintaining a proper diet
User :   she is on medication
Doctor :   the infection part can be cured with medications and diet and increased water intake
Doctor :   make sure she drinks lots of fluids in form of juices and water
Doctor :   about 10-12 glasses per day
Doctor :   maintain a protein free (without animal protein) diet for her, it should be bland, without spices
Doctor :   she should be taking her medications regularly without missing the dose
Doctor :   and repeat the liver function tests after 1 week
Doctor :   to see if the medications have worked or not, if the medications have not worked well, she might need to be put on higher ones to control the infection
Doctor :   meanwhile when she goes in for the repeat test, get an ultrasound scan also done.
Doctor :   have you followed what I have said?
User :   yes
Doctor :   is there anything else I can help you with?
User :   at present nothing comes to my mind. i may contact you later
Doctor :   sure you can get back to me if you have further queries
Doctor :   thanks for consulting me. bye for now
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