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What Do My Following Test Results Indicate?

Posted on Tue, 13 Jan 2015

Question:
Hi Doctor,
SGOT 189/SGPT 146 is high And vitamin D is 9, ultra scan is normal, cholesterol 203,triglyceride 246,hdl 33, ldl 121,vldl 49, after doctor advise i am using liveril(forte),
Ursocol 30 Daily twice and uprise-d3 once in week. i started using fast 15days with controlled diet and workouts also stop drinking. fast three day i am feeling dizziness throughout full day what would be the problem Workouts or tablets? kindly suggest.

Answered by Dr. Tushar Kanti Biswas (28 minutes later)

Brief Answer:
Dizziness -causes of

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

Silymarin-liveril(forte),a polyphenolic flavonoid, with hepatoprotective(antihepatotoxic)& antioxidant effect does not cause dizziness .
Ursocol 30 also does not cause dizziness.
Uprise-d3 once in week also does not give rise to dizziness.
Your symptoms is partly due to controlled diet and work-out. It may be partly due to withdrawal. Take plenty of fluids and ease on dieting & work-out.Withdrawal effect,if any will pass off eventually.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

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

Follow up: Dr. Tushar Kanti Biswas (2 hours later)

Sir is good meditions which I am using? Can I continue? Normally how many days will take to reduce sgtp sgot?

Dear Sir I forget mention my problem was started with loose stool, later went doctor and he suggested me for tests then all these came out, lthen doctor ask me start liver medition after using 2days lose stool stopped and then turn to dark stool, is it because of liver or stomach? when SGPT & SGOT are high is stool will be dark ? or do suggest me to check with Gastroligist ?

Answered by Dr. Tushar Kanti Biswas (10 hours later)

Brief Answer:
Continue medications

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
I have gone through your blood report.
You are having Vit. D deficiency. You have to take Vit. D supplement 60,000 units once a week for 08 weeks,then 1000 Units daily .
Your Triglycerides (TG) and LDL levels are also high. For high TG (goal <150 mg/dl) the drug of choice is fenofibrate(160 mg daily orally-standard dose) and for high LDL(goal<100 mg/dl)-the drug of choice is Atorvastatin (10 mg daily orally-standard dose) for at least 03 months and then repeat serum lipid profile.
Loose stool after treatment can go dark, because you tend to get constipated with drug therapy. However black tarry stool is abnormal.
High SGPT & SGOT can be due to chronic liver disease e.g Cirrhosis of liver which may be associated with esophageal varices-which can bled and cause dark tarry stool called melena. I don't think this could be in your case.
Elevated SGPT & SGOT levels return to normal only when the underlying liver pathology regresses; it cannot be said precisely how many days it will take it to return to normal levels.

You need to continue rest of medications which are prescribed by your doctor. These are good medications.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Tushar Kanti Biswas (2 days later)

Sir thank for your advice, I am getting new symptoms, always hunger, I eating like frequently every two hours Still giddiness and light fever?

Answered by Dr. Tushar Kanti Biswas (3 hours later)

Brief Answer:
Hunger would be natural due to dieting and physical exercises.

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

You are dieting as well as doing physical exercise; hunger would be but natural.
If any systemic disease is causing fever, it is more likely to reduce your appetite.
Increased and proportionate appetite is otherwise sign of good health.

Regards

Dr. T.K. Biswas

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Above answer was peer-reviewed by : Dr. Ashwin Bhandari