Thanks for your query.
Your patient has a highly elevated serum SGPT level. In this case you should go for total liver function test (LFT) which include total bilirubin
, conjugated and unconjugated fraction, serum albumin, SGOT, SGPT and alkaline phosphatase
level. Along with these you should also have hepatitisB surface antigen (HBSAg), anti-HBSAg, test for hepatitis c virus
(ANTI-HCV), hepatitis A virus (Anti-HAV), Hepatitis E virus (Anti-HEV). Also wait for the other results to come which you have sent. It may be a case of viral hepatitis
. If alkaline phosphatase and conjugated bilirubin is very high you should have an ultrasonography
(USG) of abdomen. Keep the boy on bland diet, plenty of water per mouth and liver tonic and digestive enzymes until further diagnosis is reached.