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What Does The Following Medical Report Indicate?
1. January 16th 2010: Had a full blood check up and i noticed the following:
SGPT (ALT): 233.2
SGOT (AST): 81.2
Serum Alk. Phosphatase: 203
Accordingly i went to a liver specialist and had an ultrasound which concluded an enlarged liver size 18cm and i was told that i have what is called a "Fatty Liver". Then i was asked to have some medicine and to have a check for Viruses A,B & C in addition to SGPT, SGOT and GGT
2. February 15th 2010, i did the lab tests, and the results were as follows:
Viruses were negative (No viruses)
SGPT (ALT): 163
SGOT (AST): 61
GGT: 356
i was terrified by the GGT but the Dr told me that this number will be lowered after the enzymes are back to their normal range.
I was also given some more meds for an additional 2 months.
3. April 4th 2010
I had the lab tests results as follows:
SGPT (ALT): 63.4
SGOT (AST): 78.5
GGT: 537
i was still terrified of the number, but the Dr comforted me and told me that this is normal, but he modified the medicine to lower the GGT and asked me to come back after 2 weeks.
4. April 20th 2010
I had the lab tests results as follows:
SGPT (ALT): 133.4
SGOT (AST): 69
GGT: 410
i.e: i was eating junk food at this time
At this point i decided to visit another specialist to have a second opinion, who ordered additional tests (SGPT, GGT, ANA, LKM -Ab, AMA & ASMA) and gave me a couple of meds to have and asked me for a strict food diet for the remainder of the month.
4. May 26th 2010: Donated blood for an open heart surgery patient ( the hospital made a full viruses lab test for the blood and they told me that every thing is ok)
5. June 09th 2010
results as follows:
SGPT(ALT): 124.8
GGT: 312
ANA by IF: Negative
AMA: Negative
LKM - Ab: Negative
ASMA: Positive
Till now i couldn't conclude what i have, is it just a fatty liver, or is it metabolism syndrome or autoimmune hepatitis or PBC. I'm not sure if what i have done for the past six month is the right thing? could you please advise me what do i have, or what should i do. If i understand correctly, The ANA test was the most important test to ensure that i'm not suffering from any of the above mentioned liver diseases and only ASMA is not indicative of a certain disease.
6. July 5th 2010
SGPT(ALT): 120
SGOT(AST): 58
GGT: 212
7. August 1st 2010
SGPT(ALT): 140.5
GGT: 226
I do not suffer any symptoms, i work for around 14 hours per day. And i'm very uncomfortable with these results.
What do u suggest Dr.?
SGPT (ALT): 233.2
SGOT (AST): 81.2
Serum Alk. Phosphatase: 203
Accordingly i went to a liver specialist and had an ultrasound which concluded an enlarged liver size 18cm and i was told that i have what is called a "Fatty Liver". Then i was asked to have some medicine and to have a check for Viruses A,B & C in addition to SGPT, SGOT and GGT
2. February 15th 2010, i did the lab tests, and the results were as follows:
Viruses were negative (No viruses)
SGPT (ALT): 163
SGOT (AST): 61
GGT: 356
i was terrified by the GGT but the Dr told me that this number will be lowered after the enzymes are back to their normal range.
I was also given some more meds for an additional 2 months.
3. April 4th 2010
I had the lab tests results as follows:
SGPT (ALT): 63.4
SGOT (AST): 78.5
GGT: 537
i was still terrified of the number, but the Dr comforted me and told me that this is normal, but he modified the medicine to lower the GGT and asked me to come back after 2 weeks.
4. April 20th 2010
I had the lab tests results as follows:
SGPT (ALT): 133.4
SGOT (AST): 69
GGT: 410
i.e: i was eating junk food at this time
At this point i decided to visit another specialist to have a second opinion, who ordered additional tests (SGPT, GGT, ANA, LKM -Ab, AMA & ASMA) and gave me a couple of meds to have and asked me for a strict food diet for the remainder of the month.
4. May 26th 2010: Donated blood for an open heart surgery patient ( the hospital made a full viruses lab test for the blood and they told me that every thing is ok)
5. June 09th 2010
results as follows:
SGPT(ALT): 124.8
GGT: 312
ANA by IF: Negative
AMA: Negative
LKM - Ab: Negative
ASMA: Positive
Till now i couldn't conclude what i have, is it just a fatty liver, or is it metabolism syndrome or autoimmune hepatitis or PBC. I'm not sure if what i have done for the past six month is the right thing? could you please advise me what do i have, or what should i do. If i understand correctly, The ANA test was the most important test to ensure that i'm not suffering from any of the above mentioned liver diseases and only ASMA is not indicative of a certain disease.
6. July 5th 2010
SGPT(ALT): 120
SGOT(AST): 58
GGT: 212
7. August 1st 2010
SGPT(ALT): 140.5
GGT: 226
I do not suffer any symptoms, i work for around 14 hours per day. And i'm very uncomfortable with these results.
What do u suggest Dr.?
Wed, 31 Dec 2014
Thanks for your question on HCM.
And thanks for your detailed reports and description.
GGT is marker for alcoholic liver damage.
So if you are taking alcohol then this elevated GGT are explained.
Alcohol causes fatty liver and this fatty liver cause slight nonsymptomatic derangement in liver functions.
So you need to strictly follow these advice for fatty liver.
1. Avoid alcohol if you are taking.
2. Weight reduction.
3. Avoid junk food containing fried stuff, cheesy and oily food.
4. Start liver protective drugs.
And thanks for your detailed reports and description.
GGT is marker for alcoholic liver damage.
So if you are taking alcohol then this elevated GGT are explained.
Alcohol causes fatty liver and this fatty liver cause slight nonsymptomatic derangement in liver functions.
So you need to strictly follow these advice for fatty liver.
1. Avoid alcohol if you are taking.
2. Weight reduction.
3. Avoid junk food containing fried stuff, cheesy and oily food.
4. Start liver protective drugs.
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