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What Do These Low Thyroid Levels And Elevated SGOT Levels Indicate?

Posted on Tue, 13 May 2014

Question: hi sir i am XXXXXXX ..34 years old ...MY CHOLESTEROL IS 221..TRIGLYCERIDES 123..HDL CHOLESTEROL 47..LDL CHOLESTEROL 149...VLDL CHOLESTEROL 24.60....NON-HDL CHOLESTEROL ...174...MOREOVER MY URIC ACID IS 8.20...SGOT 62 ...SGPT IS 93..UREA IS 34...CREATININE IS .85....GGTP IS 47...ALP 75...BILIRUBIN TOTAL IS .78...BILIRUBIBN DIRECT IS .15...BILIRUBIN INDIRECT IS .63..TOTAL PROTIEN IS 7.40...A:G RATIO IS 1.55 CALCIUM TOTAL IS 9.20..PHOSPHORUS IS 3.30...SODIUM IS 140 POTASSIUM IS 4.44...CHLORIDE IS 104....URIC ACID SERUM IS 8.20....T3 FREE 3.08...T4 FREE .94..TSH ULTRASENSTIVE IS 13.82....ON CONSULTATION WITH MY PHYSICIAN ..MY URINE ROUTINE REPORT IS ...PH IS 6.0...ALBUMIN NIL...SUGAR NIL..PUS CELLS 1-2..EPITHLIAL CELLS 1-2...RBC'S NIL...CRYSTALS NIL...CASTS NIL...OTHERS NIL...MY FULL ABDOMEN ULTRA SOUND REPORT IS AS FOLLOWS...LIVER IT IS ENLARGED 16.28 CM WITH SIGHTLY INCREASE IN HEPATIC ECHOGENICITY...INTRA HEPATIC BILIARY RADICAL AND PORTAL VEIN (0.86 CM ) ARE NORMAL...GALL BLADDER ..IT IS NORMAL IN SIZE...CBD IS 0.32CM...PANCREAS NORMAL IN SIZE...SPLEEN NORMAL IN SIZE..BITH KIDNEYS ARE NORMAL IN SHAPE AND CONTOUR ..THE CORTICOSINUS ECHOGENCITY IS NORMAL..SLGHTLY SPLITTIN IS SEEN IN CENTRAL ECHOPATTERN OF RIGHT KIDNEY..NO CALCUS OR HYDRONEPHROSIS IS SEEN...RIGHT KIDNEY 11.75 CM X 4.93 CM...LEFT KIDNEY 10.92 X 4.74 CM... NO PARAAORTIC LYMPHADENOPATHY IS SEEN...NO FREE OR LOCAIZED FLUID IS SEEN IN ABDOMEN...URINARY BLADDER IS WELL DISTENDED 282ML APPROX..NORMAIL IN SHAPE..BLADDER WALL THICKNESS IS NORMAL..NO CALCULUS OR MASS IS SEEN IN INTRENSICALY...PROSTRATE IS NORMAL IN SHAPE SIZE 2.35 CM X 3.22 CM X 2.38 CM.....APPROX WEIGHT OF PROSTRATE GAND IS 9.43 GM..APPROX 28ML OF URINE IS SEEN IN BLADDER.....IMPRESSION..HEPATOMEGALY (FATTY LIVER)..SLIGHT SPLITTIN CENTRAL ECHOPATTERN OF RIGHT KIDNEY IS DUE TO URINARY TRACT INFECTION...RESIDUAL URINE IS 28 ML APPROX...PLZ SUGGEST WHAT I DO FURTHER...

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer: as detailed. Detailed Answer: Hi XXXXXXX To recapitulate the most important and positive findings::: T3 FREE 3.08...T4 FREE .94..TSH ULTRASENSTIVE IS 13.82. This is definitely Hypothyroidism and needs treatment. The increased TSH levels have a direct bearing on your Lipid Profile. ..SGOT 62 ...SGPT IS 93. .GGTP IS 47...ALP 75 all go with the ultrasonography findings of fatty liver with hepatomegaly and indicative of an active process in the liver as the ultrasonography of the bile ducts, gall bladder are normal. In addition there is a comment on the right kidney-slight splitting central echopattern; but the urine report is normal. So this can be due to old infection and stone you had in the past with resultant scarring. Since you have shown to the Physician , I hope you are already under treatment. May I please know what treatment are you already on , so that I can suggest you more if required.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. T Chandrakant (7 hours later)

thanks sir for your reply..my physician suggested me eltroxin 50 mg at morning ...tab rynamaza (doxofyline tabletip 400mg)once daily at before sleep...tab shelcal 500 mg once daily...morning walk...walk after dinner..avoid fried items ..quit drinking.well plz suggest me... I drink occassionaly...its mandatory to avoid alcohol..well my stomoch size increses from last two- three months..i think it is due to thyroid..plz suggest me diet and what items i should avoid in my daily diet..moreover i am taking lemon juice at early morning ..shall i continue it..i take it after lunch too..pz suggest me what i do as my uric acid is also high (8.20)..plz suggest what i do further

Answered by Dr. T Chandrakant (33 minutes later)

Brief Answer: Please Follow medicines and advise Detailed Answer: Good Morning XXXXXXX The prescription looks great.Please continue as advised by Your Physician. The drinks have an adverse effects on all the diseases including high uric acid. And in case of increased SGOT and SGPT levels , there is strictly NO-NO. This is because it is proved that alcohol will damage the already ailing liver cells and delay the uric acid excretion by the kidneys. Stomach size is increased due to all the factors you have. Lemon juice is good. It is effective if you are taking lemon in a glass of warm water half an hour before your food. This is evidence based to help reduce fat from body and the very natural Vitamin-C helps rejuvenation of the liver cells and is known to help removal of extra uric acid from the body. The timing is very important. Lemon juice and drinking plenty of water will help reduce the uric acid to normal levels. As is going to help avoid formation of kidney stone and infection. As for food: the best way to follow the Diet charts provided by the Dietitian in your area. Please consult and discuss with the Dietitian with showing all the reports and may be a co-consultation with your Physician. Just follow this for one month , repeat all the tests to allow the Physician alter or adjust the doses accordingly. Wish you a complete recovery and a changed person in good staid

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. T Chandrakant (8 hours later)

well thanks for your reply..sir plz suggest is there any need to consult specialist in my case ..i.e gastreologist...

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer: You May please go for a second opinion. Detailed Answer: Thanks for your appreciations, XXXXXXX A second opinion of a Gastroenterologist just to know if He is thinking on other lines can be taken. He may advise some Hepato(liver)protector Medicines. Overall Physician (MD Medicine ) in India does take a nice care of all problems together.

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj