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Having elevated SGPT and SGOT along with gall bladder stones. Suggest? - Online Doctor Chats

Date : 03-Jun-2013
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:i have a query for you ... this is regarding my SGPT and SGOT values which are gigh
User:Triglycerides-207....SGPT-432 sgot-570...i have gallbladder stnes
User:there are multiple stones...
User:so i was just curiour to know if the high SGPT/SGOT is because of yriglycerides or galltomes
User:All the viral Hepatitis tests are negative
User:so i just curious to know if the high SGPT/SGOT is because of tryiglycerides or gallstones
Doctor:May I know your age and gender?
Doctor:And the reason why the test was done?
User:my age is 29 Female
Doctor:Are you there?
User:i was getting episodic pains in my upper abdomen once in a month or two... all the doctors which i consulted told it was a gas problem... but this time when i got the pain, it prolonged for 6 hours.. and then the doctor decider to get all the test done the test we found that there were gallstones and high SGPT and SGOT and triglycerides
Doctor: XXXXXXX I see your previous chat and we had a discussion about high SGPT and SGOT earlier.
User:yes .. i did... but that time i was unaware of the triglycerides
Doctor:In the absence of viral hepatitis, the high SGPT and SGOT may be related to a general viral infection.
Doctor:Gall stones may be influencing the levels too.
Doctor:In addition triglyceride levels also can affect the levels.
User:oh.. ok...
Doctor:It would be good to know whether or not the liver is looking normal on ultrasound scan.
User:the liver looks normal.. size is also normal is what report says
User:more over.. the doc this week said there is no medicine for gallstones.. and did precrible anything.. so was wondering how will it go
Doctor:If the liver appears normal and hepatitis is ruled out,
Doctor:a serious condition like hepatitis, liver/gall bladder inflammation is ruled out.
User:there are multiple stones 2-3 mm each
User:Doctor didnt precrible anything for gall stones
Doctor:Gall stones are not treated with medicine.
Doctor:Surgical removal of gall bladder is done by few surgeons to prevent future gall stones
Doctor:since gall stones can be a recurring problems.
Doctor:*problem. this the only solution..
Doctor:Let me answer this in a different way, XXXXXXX
Doctor:The elevated liver enzyme suggest there is some liver inflammation - which is caused by less worrisome problems.
Doctor:Like I said earlier, hepatitis virus is ruled out.
Doctor:So is a structural problem of liver.
Doctor:In the absence of the above 2 condition, liver enzymes generally reduce with time.
User:no there is no structural problem...the size is normal
User:this clearifies my doubt on....enzymes.. thankyou.. but the gallstones worry remains
Doctor:Once the liver enzymes comes down.
Doctor:you can opt to get the gall bladder removed
Doctor:which is the treatment for multiple recurring gall stones.
Doctor:You may repeat the liver enzymes say once every month or 3 months
Doctor:as the levels improve consult a surgeon
Doctor:for the needful.
Doctor:Have you followed?
User:thanks for clarification
User:it was helpful
User:have a nice day
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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