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What Causes Elevated SGPT And SGOT Levels?

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Posted on Mon, 10 Nov 2014
Question: I run an ultamarathon 3 weeks ago but just now developed fever and itching,the fever is now gone after 5 days but some itching XXXXXXX rednesslike aflush remain ,lab tests show elevated sgot ,sgpt,cpk,albumin in the urine but normal ureic nitrogen and creatinine feel a little tired but othrwise ok,go to bathroom fine.
Thanks
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
Infection for sure

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. With elevated SGPT and SGOT levels I would strongly recommend an ultrasound investigation of the abdomen and pelvis to look for liver enlargement. If at all enlargement is seen, your presentation could be related to a possible infection (as your symptoms appeared acutely).

List of possibilities can include hepatitis, viral infections, regions with locally prevalent infections (eg. Q fever, West Nile fever, etc.), medication induced hepatitis, cholangitis, etc. Please do report to your doctor for further evaluation and a confirmed diagnosis to be able to initiate treatment at the earliest sir.

I hope you find my response helpful and can reach a doctor at the earliest. Please feel free to write back to me for any further clarifications, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Shoaib Khan (51 minutes later)
Thanks for your promt reply,test show sgpt 133,sgot88,cpk309,albuminum in the urine 100mg/dl,tryglicerides236,red globules5.38x10.6,white2.5x10.3,platelets 134x10.3.3xmm3,normal creatinine1.1,nit ureic4.39 all else is normal,feeling better,is these abnormal values,beside the infection,related to the 100 miles i run?when should retake blood test?
Very appreciative of your service.
All the best
doctor
Answered by Dr. Shoaib Khan (6 minutes later)
Brief Answer:
Not related to the run; retest after 2 weeks

Detailed Answer:
Hello once again sir.

I doubt your run is related to the infection, but there could be a possibility that the run might have aggravated it as it can cause a lowered immunity (temporarily).

I would recommend at least 4-6 weeks of following a strict diet and I would strongly recommend the following:

-Avoid meat
-Avoid fatty/fried/oily food
-Avoid eating or drinking outside
-Make sure you boil water before drinking it

A repeat blood test can be taken once every two weeks for the next 4-6 weeks sir. if the third test result reports a normal result, then we need not test again. But please make sure you follow my instructions for at least a month or two to avoid any possible damage to the liver.

Best of luck sir and please do not hesitate to write to me anytime.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Shoaib Khan (5 hours later)
you have been of great help! Just one final quick question:

During this time what if any excercise can I do? Im a very active person and like to regularly excercise.

Thanks!!
doctor
Answered by Dr. Shoaib Khan (6 hours later)
Brief Answer:
Strictly only mild forms of exercise

Detailed Answer:
Hello sir.

I am glad I could be of assistance.

I would recommend only mild forms of exercise sir, and a rich protein diet. Your body is currently vulnerable and you might end up losing weight, especially muscle mass which would be something undesired.

So please do go about only mild forms of exercise like a cardio-workout. Hope this helps you sir. Please do not hesitate to keep in touch and write to me about anything, I am always here to help.

Best wishes.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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What Causes Elevated SGPT And SGOT Levels?

Brief Answer: Infection for sure Detailed Answer: Hello sir and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. With elevated SGPT and SGOT levels I would strongly recommend an ultrasound investigation of the abdomen and pelvis to look for liver enlargement. If at all enlargement is seen, your presentation could be related to a possible infection (as your symptoms appeared acutely). List of possibilities can include hepatitis, viral infections, regions with locally prevalent infections (eg. Q fever, West Nile fever, etc.), medication induced hepatitis, cholangitis, etc. Please do report to your doctor for further evaluation and a confirmed diagnosis to be able to initiate treatment at the earliest sir. I hope you find my response helpful and can reach a doctor at the earliest. Please feel free to write back to me for any further clarifications, I am always here to help. Best wishes.