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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Consistently Elevated Liver Enzymes, Lowers Temporarily With Liver Supplements. Stopped Alcohol Consumption. What Could The Cause Be?

Sir History of my Elivated SGOT/SGPT My childhood onwards my Total serum bilirubin is above 1.5 mg/dl. On 2010 when I done my blood test(Because of back pain ) there was a slight increase in SGOT and SGPT - Both around 44mg/dl. Next year 2011 I repeated the same and found that SGOT is 110 and SGPT is 170 and bilirubin is 2.25. I consulted a doctor and he prescribed a liver supplement for 6 months and SGOT and SGPT back to normal and bilirubin reached 1.75. After that I stopped liver supplement(Around 3 months now) . Two days back I done my LFT again and results showing elevated SGOT and SGPT . Results are below S.Bilirubin Total : 2.25 mg/dl S.Bilirubin Direct : .80 mg/dl S.Bilirubin Indirect : 1.45mg/dl Serum SGOT : 90 U/L Serum SGPT : 110U/L Serum Alkaline Phospate : 56 U/L Normal range Serum Protiens - Normal Creatinine - Normal range HBsAg Eliza - Negative Anti HCV - Negative Alcahol consumption(wkly once/twice) - Stopped on 2011(As per Dr advice)
Wed, 25 Jul 2012
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General & Family Physician 's  Response
Hello
Your history and reports suggest that you may be suffering from a harmless type of jaundice called as GILBERT SYNDROME.
It is a inherited metabolic disorder and a common cause of unconjugated hyperbilirubinemia.
Although other liver enzymes are found to be normal in this condition, but they are high in you ,may be because of other reasons,which should be explored.
These other reasons could be alcohol,abnormal lipid profile,persistent intake of herbal supplements etc.
You must consult a Gastroenterologist and get investigated properly to arrive at the diagnosis.
Thanks
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Consistently Elevated Liver Enzymes, Lowers Temporarily With Liver Supplements. Stopped Alcohol Consumption. What Could The Cause Be?

Hello Your history and reports suggest that you may be suffering from a harmless type of jaundice called as GILBERT SYNDROME. It is a inherited metabolic disorder and a common cause of unconjugated hyperbilirubinemia. Although other liver enzymes are found to be normal in this condition, but they are high in you ,may be because of other reasons,which should be explored. These other reasons could be alcohol,abnormal lipid profile,persistent intake of herbal supplements etc. You must consult a Gastroenterologist and get investigated properly to arrive at the diagnosis. Thanks