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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Elevated Level Of SGPT In LFT. HBsAg Is Reactive. Had Jaundice In The Past. Feeling Weakness, Fatigue, Headache. What Is The Treatment?

I am 32 years old.I just had my LFTs blood test 3 days ago and my bilurubin direct,total,indirect values , Gamma GT,Alkaline Phosphate are normal.But my SGPT( ALT ) value is 54 IU/L where normal range on report shows it must be lower than 45 . I am carrier of Hepatitis B virus as my HBsAg is reactive while my DNA test by PCR shows no virus. In the past about 10 years ago i had Jaundice with only raised Bilurubin values and i had my other tests which revealed that i had reactive HBsAG result but i never had higher value of SGPT(ALT) in these recent past 10 years.This is the first time it is raised slightly.I had a couple of antibiotics and other medicines last week before this test for my tooth infection.After that i had feeling like weekness,fatigue,headache and some cold sweats.I went for my tests 3 days ago which showed this higher SGPT(ALT) value.I have given specimen for my DNA test by PCR for HepB virus for which i am waiting result. May i know what could be the reason for this higher SGPT(ALT)? I am feeling a little better now,what could be the remedy or treatment for this higher value? Thank you for your opinions.
Mon, 23 Jul 2012
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Endocrinologist,  's  Response
Yes your SGPT is high but only mildly elevated. if the viral load was negative previously it could be that you have acute hep B which spontaneously cleared. HBV DNA with PCR would help . Also HBeAg would be useful. Some drugs can also cause mild liver enzyme elevation. Get an ultrasound done to screen for changes of chronic liver disease... . If I were you I wouldn't worry too much.
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Elevated Level Of SGPT In LFT. HBsAg Is Reactive. Had Jaundice In The Past. Feeling Weakness, Fatigue, Headache. What Is The Treatment?

Yes your SGPT is high but only mildly elevated. if the viral load was negative previously it could be that you have acute hep B which spontaneously cleared. HBV DNA with PCR would help . Also HBeAg would be useful. Some drugs can also cause mild liver enzyme elevation. Get an ultrasound done to screen for changes of chronic liver disease... . If I were you I wouldn t worry too much.