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Is SGPT Level Of 109 A Cause For Concern?

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Posted on Mon, 16 Nov 2015
Question: i have been diagnosed with mild hepatomegaly with fatty infiltration grade 3(ultrasound) and parenchyma is bright and coarse in echotexture 
...everything in my blood reports is normal except my sgpt level is 109, sgot,ggt and bilirubin is in normal limits......negative results for hepatitis c and b..
1. Can it be fibrosis or cirrhosis?

I used to consume heavy amount of alchohol but after test i have completely stopped it..i am a over weight also

i have my canadian immigration medical coming this week...is it fine or cause problems in my medicals
doctor
Answered by Dr. Amit Jain (1 hour later)
Brief Answer:
presence of fibrosis canbe confirmed with fibroscan

Detailed Answer:
Hello. Thanks for putting your query in hcm. Since ultrasound is showing only coarse echotexture, fibrosis or cirrgosis cant be excluded. For confirming you require few tests like fibroscan to see for degree of fibrosis
and endoscopy for presence of varices. Increase in sgpt is due to alcohol intake and overweight. So what you have to do is continue with abstinence from alcohol, take tablet udiliv and capsule evion. Do dieting and exercise to reduce your weight. I am not sure that this will cause any problem in medical test. In most test sgot or sgpt is not done. However this you have to confirm yourself from the concerned official. I hope I have answered your query and this will help you. Wish you a good health.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Amit Jain (29 minutes later)
but sir as i asked mr XXXXXXX XXXX on hcm..he told that it could not be fibrosis and cirrhosis as in these the liver begins to shrink?
doctor
Answered by Dr. Amit Jain (5 minutes later)
Brief Answer:
liver size do reduce in cirrhosis but not not in fibrosis

Detailed Answer:
Welcome back. In fibrosis even of high gradenliver size remains normal. However in cirrhosis the liver size do reduce. Wish you a good health.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Amit Jain (11 minutes later)
THANKS FOR YOUR ADVICE...
LAST QUESTION
SO CAN WE RULE OUT CIRRHOSIS?
doctor
Answered by Dr. Amit Jain (4 minutes later)
Brief Answer:
as per ultrasound report there is no evidence of cirrhosis

Detailed Answer:
Welcome back. Yes I dont think there is cirrhosis as pwr report of ultrasound. If you dont have any further query then close the discussion and rate the answer. Wish you a good health.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Amit Jain (13 hours later)
SIR THANK YOU SO MUCH...I AM SORRY I COULD NOT REPLY IN THE NIGHT....

I AM CLOSING THIS WITH MY FINAL QUESTION...

1. I AM ATTACHING MY CHEST X RAY REPORTS...PLEASE CHECK EVERYTHING IS FINE (HEART , LUNGS ETC) FOR MY UPCOMING MEDICALS?
doctor
Answered by Dr. Amit Jain (5 hours later)
Brief Answer:
CXR is normal

Detailed Answer:
Welcome back. Yes CXR is absolutely normal. Wish you a good health
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Amit Jain

Gastroenterologist

Practicing since :2000

Answered : 1524 Questions

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Is SGPT Level Of 109 A Cause For Concern?

Brief Answer: presence of fibrosis canbe confirmed with fibroscan Detailed Answer: Hello. Thanks for putting your query in hcm. Since ultrasound is showing only coarse echotexture, fibrosis or cirrgosis cant be excluded. For confirming you require few tests like fibroscan to see for degree of fibrosis and endoscopy for presence of varices. Increase in sgpt is due to alcohol intake and overweight. So what you have to do is continue with abstinence from alcohol, take tablet udiliv and capsule evion. Do dieting and exercise to reduce your weight. I am not sure that this will cause any problem in medical test. In most test sgot or sgpt is not done. However this you have to confirm yourself from the concerned official. I hope I have answered your query and this will help you. Wish you a good health.