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What causes elevated SGOT and SGPT levels?

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Posted on Mon, 30 Nov 2015
Question: Hi, I don't drink but very rarely. However for past two months I drank every night and now my sgpt and sgot are above 120 and 170. I don't remember which one is above 120 and 170. I quit the drinking last week completely. All hepatitis tests are good,everything else ok except Vitamin D deficiency. I got Vitamin D prescription for four weeks for 50000 u each week but nothing else. Well my SGPT and SGOT lower by itself as I am not even looking at alcohol. The doctor said that I should be fine as it was alcohol related and now I don't touch it and that another test may be after 6 moths. I have not been in such a situation before and now I want to be satisfied. What should I do? What kind of food should I eat spicy non spicy, tea , coffee, meat etc? Any limitation on gym and exercises and steam room etc. May be I am too worried but I need some satisfaction. When should I do another test. I have hypothyroid but totally under control. My doctor did not give me any prescription and told me that we can ultrasound if you want.
One more thing,
I probably would not have found out about this if I was not sick for some fever and body ache so I just did all the blood tests. I was suppose to quit drinking as I am not a drinker.
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Answered by Dr. Binu Parameswaran Pillai (1 hour later)
Brief Answer:
Possible causes

Detailed Answer:
good day,
Thank you for contacting health care magic.com.

The liver function test abnormalities indeed could be from an infection. Most commonly a viral infection. Fever and body ache indicate that. You need to do a full liver function test ( LFT) few days later and if it is still high, need to do following tests.

1) Hepatitis serology ( which is normal in your case).

2) Anti SMA antibody, Anti LKM antibody.
3) Iron studies
4) Serum Ceruloplasmin.
5) Fasting blood sugar, Lipid profile
6) Ultrasound of liver.

In obese persons, fat deposition in liver is a common cause of liver enzyme elevation. No particular food restriction can be advised, but if you are obese and has fatty liver, it is better to start a low carbohydrate and low fat diet which may improve your situation.

regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Binu Parameswaran Pillai (51 minutes later)
Thank you very much for your reply. I don't have fever and body pain now. Hepatitis tests were clear. So I should conduct 2,3,4,5,6 recommended tests or wait little bit. When should I do sgpt and sgot again. I am not obese and how about spicy food. How about exercise, there is no restriction right? Well the viral infection go away by itself as I dont touch alcohol now. I had ezithromycine 250mg 6 tablets for fever etc. Thanks!
doctor
Answered by Dr. Binu Parameswaran Pillai (24 hours later)
Brief Answer:
Avoid excess oil

Detailed Answer:
Hi,
Moderate Spicy food is okay, but try to avoid excessive oily/fatty foods.
You could certainly wait a bit and recheck full liver function tests. Based on that, we can decide on the above mentioned tests.
You may exercise,no issues. Viral infection doesn't need antibiotics.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1435 Questions

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What causes elevated SGOT and SGPT levels?

Brief Answer: Possible causes Detailed Answer: good day, Thank you for contacting health care magic.com. The liver function test abnormalities indeed could be from an infection. Most commonly a viral infection. Fever and body ache indicate that. You need to do a full liver function test ( LFT) few days later and if it is still high, need to do following tests. 1) Hepatitis serology ( which is normal in your case). 2) Anti SMA antibody, Anti LKM antibody. 3) Iron studies 4) Serum Ceruloplasmin. 5) Fasting blood sugar, Lipid profile 6) Ultrasound of liver. In obese persons, fat deposition in liver is a common cause of liver enzyme elevation. No particular food restriction can be advised, but if you are obese and has fatty liver, it is better to start a low carbohydrate and low fat diet which may improve your situation. regards