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Hi 1 Month Before During Routine Chk Up My Lft

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Posted on Thu, 8 Oct 2020
Question: Hi 1 month before during routine chk up my lft was elevated
Ultrasound abdomen showed enlarged liver 16.5
Grade 2 fatty liver
Lft was elevated ast alp ggt bilrubin
My ht is 5 10
Weight is 127
Hba1c was 6.7
BP 150/90
So started on medications for hypertension
And diabetes
After one month my blood sugar and hypertension is well controlled
Lost 7 kg from diet and exercise
Today I have taken lft again which shows same value but ast and bilirubin is more elevated

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Follow up: Dr. Dr.P.Ratnakar Kini (0 minute later)
Hi 1 month before during routine chk up my lft was elevated
Ultrasound abdomen showed enlarged liver 16.5
Grade 2 fatty liver
Lft was elevated ast alp ggt bilrubin
My ht is 5 10
Weight is 127
Hba1c was 6.7
BP 150/90
So started on medications for hypertension
And diabetes
After one month my blood sugar and hypertension is well controlled
Lost 7 kg from diet and exercise
Today I have taken lft again which shows same value but ast and bilirubin is more elevated

doctor
Answered by Dr. Dr.P.Ratnakar Kini (54 minutes later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for posting our query.
I am Dr.R.K and I am pleased to assist you.
Your ALT is more than 2 times the upper limit of normal which is significant.
Non Alcoholic Fatty Liver Disease is the most common cause of raised ALT.
Some of the risk factors of NAFLD are obesity, high blood glucose and high cholesterol, some of which you have.
Though you have controlled your blood glucose, your weight is still very high.
Your BMI is about 38 which is very high ( I presume the weight of 127 you have mentioned is in kilograms)
You need to reduce your weight and keep the BMI at below 25.
You need to undergo few other tests as well to rule out other causes of altered LFT and that includes-
1. Viral markers ( HBsAg, Anti HCV
2. Tests for metabolic and autoimmune liver diseases.
You can consult a liver specialist for these tests.
Meanwhile in addition to reducing weight, you can take Silymarin, Vitamin E and Obeticholic acid for relief.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr.P.Ratnakar Kini (0 minute later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for posting our query.
I am Dr.R.K and I am pleased to assist you.
Your ALT is more than 2 times the upper limit of normal which is significant.
Non Alcoholic Fatty Liver Disease is the most common cause of raised ALT.
Some of the risk factors of NAFLD are obesity, high blood glucose and high cholesterol, some of which you have.
Though you have controlled your blood glucose, your weight is still very high.
Your BMI is about 38 which is very high ( I presume the weight of 127 you have mentioned is in kilograms)
You need to reduce your weight and keep the BMI at below 25.
You need to undergo few other tests as well to rule out other causes of altered LFT and that includes-
1. Viral markers ( HBsAg, Anti HCV
2. Tests for metabolic and autoimmune liver diseases.
You can consult a liver specialist for these tests.
Meanwhile in addition to reducing weight, you can take Silymarin, Vitamin E and Obeticholic acid for relief.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (52 minutes later)
Hi dr
Happy to consult u again
Last time before a month I consulted u for the same issue I lost 5kg in a month from low carb diet
Today I have taken lft test again all the values are same but
bilrubin went from from 1.7 to 2.2
Ast from 43 to 51
Ggt has come down 60 - 40
If I wanted to consult you how to do that

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Follow up: Dr. Dr.P.Ratnakar Kini (0 minute later)
Hi dr
Happy to consult u again
Last time before a month I consulted u for the same issue I lost 5kg in a month from low carb diet
Today I have taken lft test again all the values are same but
bilrubin went from from 1.7 to 2.2
Ast from 43 to 51
Ggt has come down 60 - 40
If I wanted to consult you how to do that

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Follow up: Dr. Dr.P.Ratnakar Kini (0 minute later)
HCV hep b all r negative
Do I need fibroscan
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Follow up: Dr. Dr.P.Ratnakar Kini (0 minute later)
HCV hep b all r negative
Do I need fibroscan
doctor
Answered by Dr. Dr.P.Ratnakar Kini (1 hour later)
Brief Answer:
Yes

Detailed Answer:
Hi,
Yes, you can get it done. But since you are obese, you may need special probe to get it done.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr.P.Ratnakar Kini (0 minute later)
Brief Answer:
Yes

Detailed Answer:
Hi,
Yes, you can get it done. But since you are obese, you may need special probe to get it done.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (16 hours later)
Hi dr
I have uploaded my fibroscan report
It says f4
How long I can survive
Is it possible to proceed with my fertility treatment ivf
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Follow up: Dr. Dr.P.Ratnakar Kini (0 minute later)
Hi dr
I have uploaded my fibroscan report
It says f4
How long I can survive
Is it possible to proceed with my fertility treatment ivf
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Follow up: Dr. Dr.P.Ratnakar Kini (31 hours later)
Hello sir
Pls chk attached fibroscan report
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Follow up: Dr. Dr.P.Ratnakar Kini (0 minute later)
Hello sir
Pls chk attached fibroscan report
doctor
Answered by Dr. Dr.P.Ratnakar Kini (24 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
You need to discuss with your Doctor about the validity of the fibroscan score (as you are obese) and also it is no correlating with the liver function test result.
Yes, you can continue with IVF treatment.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr.P.Ratnakar Kini (0 minute later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
You need to discuss with your Doctor about the validity of the fibroscan score (as you are obese) and also it is no correlating with the liver function test result.
Yes, you can continue with IVF treatment.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (22 hours later)
My platelet count is 390000
Inr 0.9
Normal CBC
Repeated lft says alt 92 ast 53 bilirubin 2.2 ggt 40 rest of the values are normal
Screen for viral markers all r negative
Auto immune disease negative
When I ask my doctor they couldn't give me clear picture
I was really worried about fibroscan report
I'm in the process of weight reduction
Have u seen any cases like me
Please help
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Follow up: Dr. Dr.P.Ratnakar Kini (0 minute later)
My platelet count is 390000
Inr 0.9
Normal CBC
Repeated lft says alt 92 ast 53 bilirubin 2.2 ggt 40 rest of the values are normal
Screen for viral markers all r negative
Auto immune disease negative
When I ask my doctor they couldn't give me clear picture
I was really worried about fibroscan report
I'm in the process of weight reduction
Have u seen any cases like me
Please help
doctor
Answered by Dr. Dr.P.Ratnakar Kini (13 hours later)
Brief Answer:
Need more information

Detailed Answer:
Hi,
What did the doctor say to do next?
What medications did he prescribe?
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Dr.P.Ratnakar Kini (0 minute later)
Brief Answer:
Need more information

Detailed Answer:
Hi,
What did the doctor say to do next?
What medications did he prescribe?
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (39 hours later)
Today I got antibody test report
In that asma alone came positive 1:100 all other test are negative

My dr says its positive due to nafld nothing to worry about that
Any suggestions from ur side
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Follow up: Dr. Dr.P.Ratnakar Kini (0 minute later)
Today I got antibody test report
In that asma alone came positive 1:100 all other test are negative

My dr says its positive due to nafld nothing to worry about that
Any suggestions from ur side
doctor
Answered by Dr. Dr.P.Ratnakar Kini (6 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
You can discuss with your doctor about getting a liver biopsy done.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Dr.P.Ratnakar Kini (0 minute later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
You can discuss with your doctor about getting a liver biopsy done.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (11 hours later)
So is it due to nafld or AIHcan be confirmed only by biopsy
Or it is common with nafld
Any idea
My doctor is not ok with liver biopsy
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Follow up: Dr. Dr.P.Ratnakar Kini (0 minute later)
So is it due to nafld or AIHcan be confirmed only by biopsy
Or it is common with nafld
Any idea
My doctor is not ok with liver biopsy
doctor
Answered by Dr. Dr.P.Ratnakar Kini (5 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Yes, it can be confirmed whether it is due to NAFLD or AIH.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Dr.P.Ratnakar Kini (0 minute later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Yes, it can be confirmed whether it is due to NAFLD or AIH.
Regards,
Dr.R.K.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2215 Questions

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Hi 1 Month Before During Routine Chk Up My Lft

Hi 1 month before during routine chk up my lft was elevated Ultrasound abdomen showed enlarged liver 16.5 Grade 2 fatty liver Lft was elevated ast alp ggt bilrubin My ht is 5 10 Weight is 127 Hba1c was 6.7 BP 150/90 So started on medications for hypertension And diabetes After one month my blood sugar and hypertension is well controlled Lost 7 kg from diet and exercise Today I have taken lft again which shows same value but ast and bilirubin is more elevated