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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done liver function test. What is the state of my liver?

this the result of recent Liver Function Test ALKALINE PHOSPHATASE PHOTOMETRY 197.4 U/l M:53 to 128 - F:42 to 98 BILIRUBIN - TOTAL PHOTOMETRY 1.12 mg/dl 0 - 1.2 BILIRUBIN -DIRECT PHOTOMETRY 0.26 mg/dl 0 - 0.3 BILIRUBIN (INDIRECT) CALCULATED 0.86 mg/dl 0 - 0.9 GAMMA GLUTAMYL TRANSFERASE (GGT) PHOTOMETRY 404.3 U/l M: 0 to 50 - F :0 to 30 PROTEIN - TOTAL PHOTOMETRY 8.7 gm/dl 6.0 - 8.3 ALBUMIN - SERUM PHOTOMETRY 3.65 gm/dl 3.2 - 5.0 SERUM ALBUMIN/ GLOBULIN RATIO CALCULATED 0.72 Ratio 0.9 - 2.0 ASPARTATE AMINOTRANSFERASE (SGOT ) PHOTOMETRY 110 U/l M: 0 to 37 - F: 0 to 31 ALANINE TRANSAMINASE (SGPT) PHOTOMETRY 66.6 U/l M: 0 to 37 - F: 0 to 31 Pl analyse and inform my state of liver
Wed, 31 Oct 2012
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Internal Medicine Specialist 's  Response
Hi, your alkaline phosphatase is slightly elevated and the SGOT / SGPT as well. There are multiple reasons for this sort of enzymes elevation, however this is not normal and you should get further testing. Whenever I see a pattern of enzyme elevation like yours I think of medication induced toxicity, or autoimmune liver diseases such as Primary biliary cirrhosis and primary sclerosing cholangitis.
Please follow up with your liver doctor for further recommendations. You also need a liver ultrasound or CT scan to make sure you don't have any lesions in your liver.
Hope that helps.
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General Surgeon Dr. Grzegorz Stanko's  Response
Hello!

Thank you for the query.

You have GGT and AP significantly elevated. This two are enzymes which are elevated when there is some bile ducts blockage. As your bilirubin is also elevated it is advisable for you to visit your doctor as soon as possible. Such condition in most cases is caused by gall stones which has stuck in bile duct. This should be treated as soon as possible as it can result with acute pacreatitis.
To treat it ERCP should be performed. Before this, you should have abdominal ultrasound and amylase level in blood and urine.

Hope this will help
Regards
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Done liver function test. What is the state of my liver?

Hi, your alkaline phosphatase is slightly elevated and the SGOT / SGPT as well. There are multiple reasons for this sort of enzymes elevation, however this is not normal and you should get further testing. Whenever I see a pattern of enzyme elevation like yours I think of medication induced toxicity, or autoimmune liver diseases such as Primary biliary cirrhosis and primary sclerosing cholangitis. Please follow up with your liver doctor for further recommendations. You also need a liver ultrasound or CT scan to make sure you don t have any lesions in your liver. Hope that helps.