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What Does This Blood Report Indicate?

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Posted on Wed, 2 Nov 2016
Question: I have Ibs, and fissures for which i had operation 5 years ago, i am having pain in my muscles specially hands, i went to doctor , he recommended few tests, most are normal, but B12 is 200, and SGPT is 400, is there anything to worry?

doctor
Answered by Dr. Dr. Happykumar Kagathara (4 hours later)
Brief Answer:
It is necessary to find out cause for hepatitis

Detailed Answer:
Hello,
1) Vit-B12 value of 200 after weekly injections is not worry, as unrequired Vit-B12 will be excreted in urine through blood
2) SGPT value of 400 is concern. For this you must do whole Liver Function Test, USG abdomen, Tests for hepatitis-B, Hepatitis-A.
3) Muscle pain is present due to presence of overall flu-like symptoms.
4) Do you have mild fever, abdominal pain? What about your appetite, habit of consumption of alcohol?
5) Mentioned treatment is appropriate for hepatitis but it is suggestible to find out cause for hepatitis.
6) As liver function for production of energy would be decreased in hepatitis, you should take high carbohydrate, fat-free diet.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Happykumar Kagathara (19 minutes later)
4) Do you have mild fever, abdominal pain? What about your appetite, habit of consumption of alcohol?

I don't have fever or abdominal pain, appetite is good, not a drinker.

Here are full reports which were conducted.

ELISA ANA IIF - Negative
Serum TSH - 1.26 Normal in range 0.35 to 5.50
Serum Vit B12 - 286 Normal at lower End in range 211-911
Serum CRP (C- REACTIVE PROTEIN) 0.8 Normal at lower End 0-6
Glucose - 95 L range 100-140
RA FACTOR - 1.4 range 0-20
SERUM CREATININE - 0.73 range 0.67-1.17
SGPT/ALPT (SERUM) - 200 SHOULD BE <50

So what test i need now and what food i should take and avoid.

Thank you
doctor
Answered by Dr. Dr. Happykumar Kagathara (12 minutes later)
Brief Answer:
Liver function test and USG abdomen

Detailed Answer:
Hello,
1) You did only SGPT test which is part of liver function test. In presence of such high value of SGPT, you need to do full liver function test.
2) For evaluation of liver structure and size, USG abdomen is also recommended
3) In hepatitis, liver function would be decreased (capacity to produce protein, carbohydrate and to digest lipid will be decreased). Therefore you should take diet which has less fat-content, more carbohydrate content, and more protein content.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Happykumar Kagathara (41 minutes later)
sorry i mentioned SGPT 400 in first, it is 200.
Also last question, could SGPT be high if i had injury somewhere in body or it is totally related to lever.

AS i have IBS from many years and my lever has not been very good from start, although i have got checked it many times and everything looked fine.

Thanks
doctor
Answered by Dr. Dr. Happykumar Kagathara (2 hours later)
Brief Answer:
SGPT is exclusively related to liver

Detailed Answer:
Hello,
SGPT is an enzyme produced from liver during metabolism in liver tissue.
It is exclusively related to liver condition only.
I understood from your second query that actual SGPT is 200 instead of 400 but still it is considered as high
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. Happykumar Kagathara

General Surgeon

Practicing since :2006

Answered : 444 Questions

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What Does This Blood Report Indicate?

Brief Answer: It is necessary to find out cause for hepatitis Detailed Answer: Hello, 1) Vit-B12 value of 200 after weekly injections is not worry, as unrequired Vit-B12 will be excreted in urine through blood 2) SGPT value of 400 is concern. For this you must do whole Liver Function Test, USG abdomen, Tests for hepatitis-B, Hepatitis-A. 3) Muscle pain is present due to presence of overall flu-like symptoms. 4) Do you have mild fever, abdominal pain? What about your appetite, habit of consumption of alcohol? 5) Mentioned treatment is appropriate for hepatitis but it is suggestible to find out cause for hepatitis. 6) As liver function for production of energy would be decreased in hepatitis, you should take high carbohydrate, fat-free diet.