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What Causes Elevated GGT And Bilirubin Levels In Adults?
Question: Hi Doctor,
My name is XXXX and I am 35 year old XXXXXXX male. I am a non-smoker, non-alcoholic and moderate non-vegetarian (once in 10 days). I weigh 69 kgs and have a moderately active life. My Lipid Profile (cholesterol, Triglycerides etc) are out of normal range. This has been the case since 2012 when I started tracking these parameters. Off late my SGPT and SGOT levels. I have no symptoms of loss of appetite, tiredness, weight loss etc (I have gained 2-3 kgs in last two months without corresponding increase in my food intake). My urine and stool are of normal color and regular frequency. My BP is normal. I have attached last 3 reports since Jul 2014.
What could be the reasons for my Lipid Profile and LFT results to be out of range? What should I do?
Seek your recommendations.
Regards
XXXX
My name is XXXX and I am 35 year old XXXXXXX male. I am a non-smoker, non-alcoholic and moderate non-vegetarian (once in 10 days). I weigh 69 kgs and have a moderately active life. My Lipid Profile (cholesterol, Triglycerides etc) are out of normal range. This has been the case since 2012 when I started tracking these parameters. Off late my SGPT and SGOT levels. I have no symptoms of loss of appetite, tiredness, weight loss etc (I have gained 2-3 kgs in last two months without corresponding increase in my food intake). My urine and stool are of normal color and regular frequency. My BP is normal. I have attached last 3 reports since Jul 2014.
What could be the reasons for my Lipid Profile and LFT results to be out of range? What should I do?
Seek your recommendations.
Regards
XXXX
Brief Answer:
It could be due to Genetic disease.
Detailed Answer:
HI XXXX
Greetings from Dr.Divakara.P
Thanks for posting your query.
I went through your reports . There is mild elevation in your Total Bilirubib and GGT ( liver enzyme ) . This can happen in an viral infection and there is nothing to be worried about it . One more possibility is some genetic disease like Rotar syndrome or XXXXXXX syndrome where there will be mild elevation in Bilirubin . Even these syndromes are harmless and nothing needs to be done for them . So just relax.
Coming to your cholesterol levels they are very much deranges especially Triglycerides . For your age these values are extremely high. There is a high possibility that the elevated cholesterol levels runs in your family . ( due to genes )
You need to be started on medication like Tablet Atorvastatin+Fenofibrate. I know you are taking Lipotab but how effective it is is doubtful .
Along with that you need to do a proper diet and good aerobic exercise.
Diet : Avoid Sweets , Carbonated drinks ( pepsi, Coco cola ), Avoid Non Veg especially Mutton , Beef , Egg yolk strictly , occasionally you can take Chicken and fish.
Eat more of vegetables , fruits and drink plenty of water.
Exercise : Do aerobic exercise like Brisk walking , Jogging , Running , Cycling , Swimming for atleast 20 minutes per day . Be regular do it daily .
Also increase the intensity or duration of exercise every 2 weeks .
Keep doing these and repeat Lipid Profile after 3 months and revert back .
Hope this information was useful to you.
Any clarifications feel free to ask .
Regards.
It could be due to Genetic disease.
Detailed Answer:
HI XXXX
Greetings from Dr.Divakara.P
Thanks for posting your query.
I went through your reports . There is mild elevation in your Total Bilirubib and GGT ( liver enzyme ) . This can happen in an viral infection and there is nothing to be worried about it . One more possibility is some genetic disease like Rotar syndrome or XXXXXXX syndrome where there will be mild elevation in Bilirubin . Even these syndromes are harmless and nothing needs to be done for them . So just relax.
Coming to your cholesterol levels they are very much deranges especially Triglycerides . For your age these values are extremely high. There is a high possibility that the elevated cholesterol levels runs in your family . ( due to genes )
You need to be started on medication like Tablet Atorvastatin+Fenofibrate. I know you are taking Lipotab but how effective it is is doubtful .
Along with that you need to do a proper diet and good aerobic exercise.
Diet : Avoid Sweets , Carbonated drinks ( pepsi, Coco cola ), Avoid Non Veg especially Mutton , Beef , Egg yolk strictly , occasionally you can take Chicken and fish.
Eat more of vegetables , fruits and drink plenty of water.
Exercise : Do aerobic exercise like Brisk walking , Jogging , Running , Cycling , Swimming for atleast 20 minutes per day . Be regular do it daily .
Also increase the intensity or duration of exercise every 2 weeks .
Keep doing these and repeat Lipid Profile after 3 months and revert back .
Hope this information was useful to you.
Any clarifications feel free to ask .
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr Divakara,
Thank you for your reply.
I was taking Isabgol along with Lipotab and during that period the Lipid profile improved. But then I started feeling bloated and discomfort with Isabgol so I stopped. My doctor hadrecommended Fibotab (by Torrent Pharma) as a replacement for Isabgol but that is unavailable at Pharmacies. Can you recommend a suitable replacement for Fibotab?
What about my high levels of SGOT and SGPT? Do you recommend getting myself investigated for determined the cause of high levels of Bilirubin , SGOT and SGPT? Though I have no problems, what could be long term implication of these high levels?
Awaiting your response.
Thanks and regards
XXXX
Thank you for your reply.
I was taking Isabgol along with Lipotab and during that period the Lipid profile improved. But then I started feeling bloated and discomfort with Isabgol so I stopped. My doctor hadrecommended Fibotab (by Torrent Pharma) as a replacement for Isabgol but that is unavailable at Pharmacies. Can you recommend a suitable replacement for Fibotab?
What about my high levels of SGOT and SGPT? Do you recommend getting myself investigated for determined the cause of high levels of Bilirubin , SGOT and SGPT? Though I have no problems, what could be long term implication of these high levels?
Awaiting your response.
Thanks and regards
XXXX
Brief Answer:
Fibotab won't help for cholesterol
Detailed Answer:
HI
Ispagol or Fibotab are bulk forming agents mainly used in people with diarrhoea/Constipation . They will not help in reducing your cholesterol levels.
Anyhow if you still insists for that you can ask for Polycarbophil calcium ( this is the content of Fibotab ) brand name is Shreeji.
As of your SGOT , SGPT levels are concerned your recent report showed it as normal . Only Bilirubin and GGT were elevated and since it is very mild elevation I don't recommend any evaluation for that.
There are no long term implications that you need to worry.
Hope this information was useful to you.
Any clarification feel free to ask .
Regards.
Fibotab won't help for cholesterol
Detailed Answer:
HI
Ispagol or Fibotab are bulk forming agents mainly used in people with diarrhoea/Constipation . They will not help in reducing your cholesterol levels.
Anyhow if you still insists for that you can ask for Polycarbophil calcium ( this is the content of Fibotab ) brand name is Shreeji.
As of your SGOT , SGPT levels are concerned your recent report showed it as normal . Only Bilirubin and GGT were elevated and since it is very mild elevation I don't recommend any evaluation for that.
There are no long term implications that you need to worry.
Hope this information was useful to you.
Any clarification feel free to ask .
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Nothing needs to be done now.
Detailed Answer:
HI
I went through that but again these are minor elevations and nothing needs to be done . Such kind of elevations can happen due to minor viral infections or even due to intake of certain medications .
Do one thing repeat it after 3 months again and if the values are more than the present one then you can undergo the following tests.
IgM and IgG Hepatitis A antibodies, HBSAg, HCV RNA, IgM Anti-HBE Antibodies , Serum TSH and Ultrasound Abdomen .
But I feel that there is no need for any further evaluation as of now .
Regards.
Nothing needs to be done now.
Detailed Answer:
HI
I went through that but again these are minor elevations and nothing needs to be done . Such kind of elevations can happen due to minor viral infections or even due to intake of certain medications .
Do one thing repeat it after 3 months again and if the values are more than the present one then you can undergo the following tests.
IgM and IgG Hepatitis A antibodies, HBSAg, HCV RNA, IgM Anti-HBE Antibodies , Serum TSH and Ultrasound Abdomen .
But I feel that there is no need for any further evaluation as of now .
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks a lot Dr.
Interacting with you has been very helpful. Will follow the regime advised by you and redo the test after 3 months. Hopefully everything will be underr control by then.
Thanks once again
Regards
XXXX
Interacting with you has been very helpful. Will follow the regime advised by you and redo the test after 3 months. Hopefully everything will be underr control by then.
Thanks once again
Regards
XXXX
Brief Answer:
Take care.
Detailed Answer:
HI
Take care and do start the cholesterol medicine . Also get your siblings ( brothers and sisters ) to get their Cholesterol checked as there is a high possibility of them too having high values .
Regards.
Take care.
Detailed Answer:
HI
Take care and do start the cholesterol medicine . Also get your siblings ( brothers and sisters ) to get their Cholesterol checked as there is a high possibility of them too having high values .
Regards.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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