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Problems about liver function tests - 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 : 2008
Answered : 3390 Questions
User :   Hello, is anyone there
Doctor :   Hi,
User :   Hello Doctor
User :   how are you
Doctor :   Fine , thank you
Doctor :   How can i help you ?
User :   Doctor i have been having problems with my liver now
Doctor :   please proceed
User :   following is my test results
User :   HAV-Igm Ab to Hepatitis A virus, Serum by CMIA Non Reactive (0.77)
User :   HEV-Igm Ab to Hepatitis E virus, Serum by E.I.A Negative (0.07)
User :   Australian Antigen (HBsAg) Not Detected
User :   Date SGPT Billurubin 27 Aug 2010 38 1.10 11 Sep 2010 35 0.60 18 Oct 2010 26 1.51 26 Nov 2010 46 1.19 22 Dec 2010 49 1.24 2 Jan 2010 57 1.20
User :   ignore the last line
Doctor :   ok,
User :   27 Aug 2010 Sgpt 38 Billuribin 1.10
User :   11 Sep 2010 SGPT 35 Billurubin 0.60
User :   18 Oct 2010 sgpt 26 Billu 1.51
User :   26 Nov 2010 sgpt 46 billu 1.19
User :   22 Dec 2010 sgpt 49 billu 1.24
User :   2 Jan 2010 sgpt 57 billu 1.20
User :   doctor following are my test results
Doctor :   ok,
User :   i am not sure if this si joindice...
Doctor :   no , they are normal
User :   but i have a dull pain in my liver area...
User :   n my sgpt n billurubin have been fluctuation very often...
Doctor :   may i ask you at what time of the day was the sample drawn ?
Doctor :   and relation with food in drawing the sample
User :   early in the morning after fasting
Doctor :   right , timing
User :   all the test were dont with 10 hours of fasting
Doctor :   fluctuations are normal
User :   doctor is this jaundice
Doctor :   no ,it is not jaundice
Doctor :   the fluctuations depend on the meal had night before drawing the sample
User :   i have been on a strict diet for a month now...i.e no salty no oily n spicy food not even non veg....i am only have boiled vegaables like carrot spinach raddish etc
Doctor :   and it is how the liver works
User :   i also have a dull pain in my liver area
User :   have weakeness
User :   n feel feaverish @ times n then again get back 2 normal
Doctor :   ok, though you are on fat free diet , i do not consider that its totally fat free as all foods do contain fat in lesser quantity
User :   i9 am currently taking Liv 52 ds
Doctor :   ok, since the symptoms can be related to liver problem
User :   n soem ayurvedic medicens for jaundice
User :   i am really confused
Doctor :   it would be better to rule out any structural abnormality by a USG scan
User :   wat is usg scan doc
Doctor :   i don think there is need for any ayurvedic medicine
Doctor :   though there is no harm in consuming
Doctor :   USG is ULTRASONOGRAPHY scan
User :   wat is usg scan doc
User :   is it for teh liver
User :   n how much will it cost
Doctor :   yes, its for all abdominal organs
Doctor :   but can have a good focus on liver also
Doctor :   Do you consume alcohol ?
User :   yes i do..but i havent consumed since 4 months now
Doctor :   good,
Doctor :   thats fine
User :   i am really conserned about my sgpt and billurubin not comming 2 normal
Doctor :   they may be borderline raised , but considered normal
Doctor :   you need not worry
Doctor :   proceed as follows
Doctor :   get the USG done
Doctor :   and also a GGT test which shows any damage due to the alcohol on liver
User :   how much will it cost doc
Doctor :   its a blood test
Doctor :   may i know in which country do you reside ?
User :   Mumbai
User :   India
Doctor :   ok, the scan could be around 300rs and the GGT test around 100 rs
User :   do u feel i need a liver fnction test
User :   n what does it say
Doctor :   no,
Doctor :   Scan shows the structural abnormality and the GGT raised values say about damage to the liver by alcohol
User :   the first test results i showed you are they normal...i.e. HAV-Igm Ab to Hepatitis A virus n HEV-Igm Ab to Hepatitis E virus
Doctor :   yes, they are normal
User :   are these tests for jaundice
Doctor :   yes, they are for jaundice/hepatitis caused by VIRUS
User :   but wen u have jaundice dosent ur sgpt n bilurubin increases above
User :   like in my case
Doctor :   yes,
Doctor :   but the value will be way more increased in jaundice
Doctor :   like SGPT if more than 50 and Bilirubin more than 2
Doctor :   then it is considered mild jaundice
User :   so is mine mild jaundice
Doctor :   no, as the reading are less than 50 and 2 respectively
Doctor :   i do not consider it to be jaundice
Doctor :   its just a part of normal fluctuation
Doctor :   its seen in every individual
User :   what diet should i be fllowing now
Doctor :   only when tested frequently the fluctuations can be made out
Doctor :   better fat free , spice free
User :   for how long doc
Doctor :   not more than 1 month
User :   doc if you are saying that my sgpt n billu levels fluctuating are nomal then y i have mild pain near my liver area n feaveris feeling comming n going
Doctor :   thats why i need a USG scan
Doctor :   as such pain can be seen in Gall bladder stones ,
User :   do i need 2 fast 4 these scan also
Doctor :   stones can also exist without jaundice
User :   ok then ill do both the test you told me
Doctor :   no, no fast needed for scan
User :   n what about ggt
Doctor :   yes, it needs a fasting blood
User :   ok
User :   anyother suggestions doc
Doctor :   yes, drink more water, have fruits containing Vit C, avoid hot foods, no salt restriction
Doctor :   and do not be anxious , you are normal according to the test reports
User :   ok
User :   how to i contact u later after the test
Doctor :   you can log into the chat at the same time al the days except on wed and thrusdays
User :   alright thank u....
User :   i had take 30 mins plan
Doctor :   Thanks for consulting me , kindly provide your feednback
User :   how much time i have left
User :   cani use this time again later on..
Doctor :   please wait i will check
Doctor :   no you cant use , as its a single session chat package
User :   ok
Doctor :   you are left with around 6 minutes
Doctor :   oh , sorry i thnk around 3 minutes
User :   doc my brother had yello joindice 3 months back his last test 2 days back were sgpt 16 and billu 0.98....he still has mild pain in the liver area
Doctor :   the clock is concealed to us too
User :   ok i can c now
Doctor :   the reports are normal
User :   n the pain
Doctor :   same applies to him too , get the scan
User :   ok
User :   thank u
Doctor :   Thanks for consulting me , kindly provide your feedback
User :   k
Doctor :   bye for now
User :   ok
Doctor :   take care
User :   hank you..
Doctor :   get back with the tests we will discuss in detail
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