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Liver Function Test Normal. Are The Reports Normal?

Posted on Tue, 14 May 2013

Question: Following specified the results that were obtained from liver function test
Billirubin total -1.28 mg/dl
Billirubin direct - 0.36 mg/dl
Billirubin indirect - 0.92 mg/dl
Ast/sgot - 28.0 u/l
Alt - 40.9 u/l
Alkaline phosphate - 56 u/l
Total protein - 6.90 g/dl
Albumin - 4.5 g/dl
Globulin - 2.40 g/dl
Ggt - 34.51 u/l

Kindly let me know do my liver functions normally

Answered by Dr. Maruti Karale (1 hour later)

Hi XXXXXX!
Thanks for the query.

You have borderline increase in bilirubin.
Rest of the parameters of your liver function test are normal.
Sometimes borderline increase in bilirubin can occur due to fatty liver, acute febrile illness or hepatotoxic drugs.

Are you alcoholic?
Do you have any chronic medical illness?
Do you have recent history of acute febrile illness?
Are you on any medicines?
Are you obese?

I am waiting for your reply.
Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Maruti Karale (38 minutes later)

Thank you for your input

Weekly once I will take alcoholic and I weight around 64kgs and I am not obese

What steps do I need to follow to keep liver healthy.
For last six months I feel congestion in the chest sometimes and on mornings I will be getting black phlegm..

I am nou sure whether I have chronic diseases plz advice me on the same

Answered by Dr. Maruti Karale (3 hours later)

Hello XXXXXX!
Thanks for reply.

Alcohol can cause slight increase in bilirubin.
Ultrasonography of abdomen will help you to rule out any significant liver pathology and for evidence of cholelithiasis.

The symptoms of chest congestion and black phlegm does not seem to be much significant.
Get a chest X-RAY, ESR and complete blood count (CBC) done for your symptoms of chest congestion and black phlegm to rule out chest infection.

Udiliv tablet may help to decrease bilirubin.

Hope I answered your query.
For further queries if any,I am happy to help.
Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Maruti Karale (41 minutes later)

Hi XXXXXXX

Thanks for your valuable suggestion.

I will take test in lab for the ones which you had been recommended.

Regarding diet what food items should I need avoid?

Thanks,
XXXXXX

Answered by Dr. Maruti Karale (2 hours later)

Hello XXXXXXX
Thanks for reply.

You need to avoid high fat diet.
You can have high carbohydrate diet and low fat diet with adequate amount of proteins.
You can eat fresh fruits and vegetables. Fruit juices are recommended.

Avoid alcohol and hepatotoxic drugs.

Thank you.

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Above answer was peer-reviewed by : Dr. Shanthi.E