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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Elevated SGOT/SGPT Levels After Treatment For Hepatitis B, Low Bilrubin.
Does SGOT/SGPT Require More Time To Drop To Normal?

My cousin 48 Yrs old got operated for bypass four month ago,2 wks b4 we found he suffering for Hepatic B.His Bilurin increased to 10 & SGOT/ SGPT level above thoused. Now after 2 wks his bilirubin reduce to 1.8 but SGPT & SOPT levels are around 500. Does SGOT/SGPT reqd more time to drop to normal? What diet you suggest?
Fri, 13 Jul 2012
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Endocrinologist 's  Response
Hepatitis B positive with SGPT and SGOT suggests acute hepatitis B. SGPT and SGOT would take 2-3 months to come down, however as long as he is asymptomatic there is little to worry. What is worrisome is a chronic carrier state that can develop in a few patients. Have HbsAg re-checked at 6 months with ELISA. If it is negative, there is little to worry, if it persists - we need to do further tests. Also have close family members checked for HbsAg and if they are negative they must take Hepatitis B vaccine for prophylaxis.
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Elevated SGOT/SGPT Levels After Treatment For Hepatitis B, Low Bilrubin.
Does SGOT/SGPT Require More Time To Drop To Normal?

Hepatitis B positive with SGPT and SGOT suggests acute hepatitis B. SGPT and SGOT would take 2-3 months to come down, however as long as he is asymptomatic there is little to worry. What is worrisome is a chronic carrier state that can develop in a few patients. Have HbsAg re-checked at 6 months with ELISA. If it is negative, there is little to worry, if it persists - we need to do further tests. Also have close family members checked for HbsAg and if they are negative they must take Hepatitis B vaccine for prophylaxis.