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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done Liver Function Test. Under Strict Diet Control. Matter Of Concern?

Hi Doctor, I did my liver function tests on 14th Oct and my SGOT was 87 IU/l and SGPT was 120 IU/L and I repeated the test again on 27th Oct 2012 and the report showed SGOT is 95 IU/L and SGPT was 131 IU/L. During this time I am under strict diet control and avoided all kinds of oily food. Is it a matter of concern and what is that I am required to do to reduce it. Regards Kishore
Wed, 31 Oct 2012
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General Surgeon,  's  Response
Hello!

Thank you for the query!

Such results can be caused by viral liver infection, alcohol intake, fatty liver, gall stones and bad diet.
It is advisable for you to have HBV and HCV antibodies tested to find if there is any infection, have liver tests with GGT tested, amylase level in the blood, abdominal ultrasound to see if the liver is not fatty.
You have repeated this test in a two weeks. Liver cell regeneration takes at least 3 weeks so it is done too early. If you find all this tests negative, you should not worry as it is possible that this results are not a sign of any disease. Another liver tests should be done in a month or later.

Hope this will help.
Regards.
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Internal Medicine Specialist,  Dr. Enrique Molina's  Response
Hi Kishore,
I hope that you have followed up with a gastroenterologist / hepatologist for further evaluation. If you are overweight then you should lose weight to get rid of any fat in the liver. Avoid alcohol completely. Make sure you have been tested for the most common (and uncommon) liver diseases such as viral hepatitis, autoimmune liver disease, wilson's disease, hemochromatosis, alpha 1 antytripsin deficiency, etc.
If your doctor is unsure about the reason for your abnormal liver enzymes you may require a liver biopsy. Also make sure you are not taking any medications that could damage your liver. Check with your doctor. Hope that helps. Let me know if you have any further comments or questions.
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  User's Response
Hi

Welcome to HCM.
The enzymes reflect there is some damage to the liver.
Common causes of liver damage are alcoholism and hepatitis due to viruses.

The cause needs to be identified.

For that certain tests are needed---

1. Complete liver profile including viral markers.
2. Ultrasound scan of the liver and the gall bladder.

Kindly consult, get treated and get well soon.

Regards
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Done Liver Function Test. Under Strict Diet Control. Matter Of Concern?

Hello! Thank you for the query! Such results can be caused by viral liver infection, alcohol intake, fatty liver, gall stones and bad diet. It is advisable for you to have HBV and HCV antibodies tested to find if there is any infection, have liver tests with GGT tested, amylase level in the blood, abdominal ultrasound to see if the liver is not fatty. You have repeated this test in a two weeks. Liver cell regeneration takes at least 3 weeks so it is done too early. If you find all this tests negative, you should not worry as it is possible that this results are not a sign of any disease. Another liver tests should be done in a month or later. Hope this will help. Regards.