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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Ascertain That There Is A Problem In The Liver?

hello these are my biochemistry analysis results:

iron.........78.9micg/dl

glucose......90mg/dl

BUN.U........9mg/dl

creatinine serum.......0.72mg/dl

magnesium.......2.2mg/dl

SGOT..........45 IU/L*..........(NORMAL 10-42)

SGPT........... 83 IU/DL*....(NORMAL 10-33)

25-OH-VITAMIN..........26.7NMOL/L*.....NORMAL(47.7-144)

CALCIUM SERUM.......9.4MG/DL

GAMMA GT.......77U/L*,,,,,,,(NORMAL 7-30)

i just want to know if there is a serious problem in liver

knowing that i use RANITIDINE as a stomach medecine and progesterone for period regulation.......thanks

Mon, 25 Jul 2016
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Gastroenterologist 's  Response
Thank you for posting your query at HCM.

hepatitis presentation.
whats your height?weight?are you obese?
further evaluation advised if not done yet.
have you been vaccinated for HepB?

increase in the level of liver enzymes(AST,ALT, gGT) reflect an INJURY to the Liver. medically, the condition is know as "Hepatitis". it maybe caused by:
1. Virus (A, B, C, D, E)
2. Alcohol
3. "drug induced liver injury" (medication)
4. Gall bladder or common bile duct pathology
5."Fat excess"

further evaluation needed
1. Viral serology ( hepA, B and C) anti HAV, HBsAg, anti-HBV, anti HCV
2. lipid profile
3. ultrasound abdomen

advice:
-abstinence from "Alcohol"
- LOW fat diet should be followed
- NO red meat
- vegetables should be ingested daily
- Moreover, less activity should be carried out (no sports). rest MORE.
- use lemon juice (lemonade) once in a day
-"recheck liver enzymes after 6 to 8 weeks".

if viral causes and lipid profile are normal and your non-alcoholic, then progesterone or ranitidine maybe causing liver injury. visit treating physician and discuss for change in drug/dose.

further queries are welcomed.

Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .

wish you good health.
regards,
Dr Tayyab Malik
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How To Ascertain That There Is A Problem In The Liver?

Thank you for posting your query at HCM. hepatitis presentation. whats your height?weight?are you obese? further evaluation advised if not done yet. have you been vaccinated for HepB? increase in the level of liver enzymes(AST,ALT, gGT) reflect an INJURY to the Liver. medically, the condition is know as Hepatitis . it maybe caused by: 1. Virus (A, B, C, D, E) 2. Alcohol 3. drug induced liver injury (medication) 4. Gall bladder or common bile duct pathology 5. Fat excess further evaluation needed 1. Viral serology ( hepA, B and C) anti HAV, HBsAg, anti-HBV, anti HCV 2. lipid profile 3. ultrasound abdomen advice: -abstinence from Alcohol - LOW fat diet should be followed - NO red meat - vegetables should be ingested daily - Moreover, less activity should be carried out (no sports). rest MORE. - use lemon juice (lemonade) once in a day - recheck liver enzymes after 6 to 8 weeks . if viral causes and lipid profile are normal and your non-alcoholic, then progesterone or ranitidine maybe causing liver injury. visit treating physician and discuss for change in drug/dose. further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited . wish you good health. regards, Dr Tayyab Malik