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Dr. Andrew Rynne

Family Physician

Exp 50 years

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i am suffering from high sgpt/ sgot levels from past

Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4258 Questions

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Posted on Tue, 29 Jan 2019 in Liver and Gall Bladder
Question: i am suffering from high sgpt/ sgot levels from past 1 year. Current LFT and ultrasound reports are attached..i feel bloated and have suffered from severe gas related problems in past 30 days. sometimes i also feel pain in lower right abdomen. in my Recent visit to my family doctor, he suggested reheptin tablet twice daily for 3 months. i have read some negative feedback about this medicine. i dont smoke and rarely drink. pl advise how to get out from this condition without much further pain.
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Answered by Dr. Prof. Kunal Saha 3 hours later
Brief Answer:
No medicines need to be taken

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone carefully through your query and understand your concerns. However, I did not find any reports attached. The first thing I would need to ask is for the reason that made you seek medical attention or to get the tests done. The next thing to ask is whether you are diabetic, whether you have any specific symptoms, and whether you are on any medication.

I would be able to comment further after hearing your inputs in relation to the questions I have asked. I would not insist you to take any supplements or any medicines. Please note any sort of medicine is an additional burden on the liver since it has to metabolize it. So, irrespective of the feedback of the medicine, I would strongly urge you to discontinue it.

I will wait for your response as well as for you to upload the reports. Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Prof. Kunal Saha 57 minutes later
attaching the reports now. sgot sgpt 70 and 113 my sugar level is normal. reasons /symptoms: 1. feel bloated and frequent constipation 2. last week, severe gastric pain in the night post which my doctor told me to go through the test. Higher liver enzymes level was first dettected last year in a routine medical check up.
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Answered by Dr. Prof. Kunal Saha 2 minutes later
Brief Answer:
Not concerned about the liver enzymes. But manage gastritis properly.

Detailed Answer:
Thanks for writing back. Unfortunately I do not see any attachment. You can upload the attachments using the facility on the upper right of this page. Alternatively you can email the attachments to YYYY@YYYY with the query id 382569 and my name mentioned in the subject.

Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper.

In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Prof. Kunal Saha 3 hours later
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. Prof. Kunal Saha 0 minute later
Hi, I have provided some attachments. Please review them.
doctor
Answered by Dr. Prof. Kunal Saha 17 hours later
Brief Answer:
Regular morning walk is essential. No other medical intervention needed.

Detailed Answer:
Sorry for the inadvertent delay in responding. I have checked the reports. It seems to be a case of XXXXXXX (non-alcoholic steato heptitis or fatty changes in liver with no associated alcoholism). Please mention if you are diabetic. Unless you are diabetic no treatment needs to be done. Prolonged sitting is a risk factor to be avoided. You need to walk regularly in the morning (or at least at some time of the day). Increase your fiber food intake and that should take care of the constipation. I have already given suggestions on the gastric issues.

Regards
Above answer was peer-reviewed by : Dr. Kampana
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