Hello and welcome to HCM,
The analysis of the liver function tests is as follows:
ans SGPT are two liver enzymes. They are elevated in cases where there is injury
to the liver cells. In your case SGPT is elevated.
Isolated SGPT elevation is rare. It can increase in chronic alcoholic disease.
2. Bilirubin- Total, direct and indirect bilirubin: The total bilirubin
is elevated, direct bilirubin is within normal limits. Thus, it is the indirect bilirubin which is responsible for elevation of total bilirubin. Indirect bilirubin is elevated in conditions like hemolytic anemias. A clinical correlation is required to know the cause of elevated indirect bilirubin.
3. Alkaline phosphatase
and gamma glutamyl transferase : These two enzymes are secreted by the lining epithelium of biliary tract. Alkaline phosphatase is within normal limits. Gamma glutamyl transferase is elevated in conditions like alcoholic liver disease
. Estimation of 5-nucleosidase is required to prove that elevation of gamma glutamyl enzyme is due to alcoholism
ratios are within normal limits.
Thus, to conclude there is elevation of SGPT, indirect bilirubin and gamma glutamyl transferase.
An alcoholic liver disease is suspected however, the cause of elevated indirect bilirubin needs to be found.
Thanks and take care
Dr Shailja P Wahal