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What Causes Elevated Liver Enzymes?

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Posted on Mon, 8 Sep 2014
Question: Hi I am 57 years old am type two diabetic.take blood pressure medicine and was recently diagnosed with sgpt of 52 and shot of 62 also total bilirubin of 1.7.how can I treat this to bring these levels down?
doctor
Answered by Dr. Lohit K (1 hour later)
Brief Answer:
RElax. Needs more information

Detailed Answer:
Hi,
I went through the query and understood your concern.

You should continue drugs for high blood pressure and diabetes.
Some of the drugs commonly used by diabetic for co-morbid conditions like lipid lowering drug can cause raised in liver enzymes so if taking any drug just discuss with your doctor.

Your liver enzymes are slightly raised and no need to worry much as this will get back to normal without any medications. Your total bilirubin also raised. So I want few more information on your investigations like what is direct and indirect bilirubin levels, HbA1c and urine bilirubin and urine urobilinogen levels. These will help in pointing the cause for your problem.

For now drink plenty of water and have nutritious food. Avoid fatty food. Get back with the information required.

I hope this information helps you. Feel free to ask for any further queries. I will be glad to answer them.
Wish you good health and faster recovery.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Lohit K (6 hours later)
Direct biliburin is1.1H
Indirect bilirubin is.6
doctor
Answered by Dr. Lohit K (3 hours later)
Brief Answer:
Suggest liver problem or obstruction to drainage

Detailed Answer:
Hi,

Raised direct bilirubin suggest some problem in liver or in the drainage. So check for urine bilirubin and urine urobilinogen levels to find the cause. Also better to look for HBa1c level and HAV level (to find if infected with hepatitis B and Hepatitis A).

Also you need to monitor liver enzymes as the current level needs no extra management but if it increases then needs to be concerned. For now have only high calorie nutritious food and avoid alcoholic beverages, any extra medications if not absolute necessary. These will help you.

Hope this information helps you.

Wish you good health.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Lohit K (20 hours later)
Hi I had a test done today and everything is in range except for SGPT
Which is now 58
The reading in XXXXXXX wad 62 but this is now the only out of range reading.hepatitis was negative.
doctor
Answered by Dr. Lohit K (2 hours later)
Brief Answer:
You are in good health. Be relaxed

Detailed Answer:
Hi,

Its great news. No need to worry as I told you. Your enzymes levels are coming to normal. You just need to continue food habits as explained before.
You are in good health.

Feel free to ask for any further information or queries.
I wish you a very good health.

Regards
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Lohit K

General & Family Physician

Practicing since :2007

Answered : 1648 Questions

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What Causes Elevated Liver Enzymes?

Brief Answer: RElax. Needs more information Detailed Answer: Hi, I went through the query and understood your concern. You should continue drugs for high blood pressure and diabetes. Some of the drugs commonly used by diabetic for co-morbid conditions like lipid lowering drug can cause raised in liver enzymes so if taking any drug just discuss with your doctor. Your liver enzymes are slightly raised and no need to worry much as this will get back to normal without any medications. Your total bilirubin also raised. So I want few more information on your investigations like what is direct and indirect bilirubin levels, HbA1c and urine bilirubin and urine urobilinogen levels. These will help in pointing the cause for your problem. For now drink plenty of water and have nutritious food. Avoid fatty food. Get back with the information required. I hope this information helps you. Feel free to ask for any further queries. I will be glad to answer them. Wish you good health and faster recovery. Regards