What Do The Following SGOT And SGPT Levels Indicate?
This is just mild elevation of SGPT and SGOT
Detailed Answer:
Hello Mr XXXXXXX
1) I would like to know about your complete liver function test (LFT), your diet habbit, habbit for alcohol intake, hepatitis-B and hepatitis-C virus status, USG abdomen if done.
2) Purpose to ask is, if you have liver disease where bilirubin is above normal value along with elevated SGPT and SGOT, then Liverol forte might have beneficial liver protective effect.
3) Values of SGPT and SGOT, mentioned by you are not that much elevated that particular medication would be required for that. But yes, without knowing full history, liver function test it is not advisable to comment about beneficial role of this medication.
4) Generally when value of SGPT and SGOT increase three-fold than normal value then it require medical attention. Elevated value suggest that liver cells has high work load, either due to more raw material to work or due to decreased function of liver cells
Hope I have answered your question. If you have any further questions I will be happy to help
srconjugated(dpd method)-0.2mg/dl
srunconjugated-0.8mg/dl
sr total protein(biuret method)-7.9g/dl
sralbumin(bromocresol green)-4.7g/dl
srglobulin-3.2gm/dl
albumin;globulin-1.47;1
sr phosphatase(pnppwithamp buffer)-94.5u/l
sgpt-78.6u/l
sgot-62.3u/l
ggtp-74.8u/l
by seeing all these report dr has advised me to have liverol forte for one month ang after one month get tested again please let me know will this medicine is ok
and will i will be cured
Not sure to continue medicine based on reports
Detailed Answer:
Well,
After seeing your complete report, I am not sure whether Liverol forte has any protective role.
But yes you need few precaution to get it worsened
1) reduce fat (lipid, oil) content in diet
2) Take carbohydrate rich (sugar) diet, providing that you are not a patient of diabetes.
3) Do regular mild or moderate exercise
I also suggest when you do follow-up blood test after some time, add lipid profile test (for blood cholesterol) in that
Just diet and life modification
Detailed Answer:
Hello,
I apologize for late reply
I would suggest just diet and life modification as I mentioned in previous comment. There is no need for any liver protective medications for such minimal changes.
Enzymes are only mildly elevated and you can continue medication
Detailed Answer:
Hello,
1) Of course there is no harm in continuing this medication.
2) I agree your SGPT and SGOT are not normal. But they are only mildly affected that it can not be considered as significant as to consider for initiation of any particular medical treatment.
Regards
You must stop alcohol
Detailed Answer:
Hello,
I apologize for late reply
If you have history of alcohol drinking associated with these findings then YES you must stop it. Because once liver start getting damages from alcohol then such damages are irreversible. You also need medications to control symptoms and to slow progression of disease.
sir i have been consuming beer from the past six months on regular basis .is this the reason why my sgpt and sopt have increased.i did not face any symptoms
the reason why i tested myself for sgpt and sgot was that one week ago suddenly my body was compleatly chilled and i thought i got a panic attacki went for eeg test and it was also normal after that i was suggested forthis sgpt and sgot test.
if you think i require any medicine please let me know.and please mention me the symptoms which i can face .
No need for any medications
Detailed Answer:
Hello,
I apologize for late reply,
1) Consumption of BEER, for 6 months is not responsible for your condition.
2) Your these SGPT and SGOT levels do not require any kind of supportive medicines.
today again i went for the sgpt and sgot test and the sgpt was 75 and sgot was 42.and i went for the hcv rapid,ag card test forhepatitis b and c and the report was non reactive.now suggest me what can be the cause of increase of sgpt
No need for so frequent and so many blood tests
Detailed Answer:
Hello,
First of all there was no need to undergo tests for hepatitis.
Even if you consume alcohol slight in higher amount or if your diet has more of lipid then these minimal elevation would be there, but these values are insignificant to consider as damage on liver or to start any treatment.
As a precaution just take care not to take alcohol much and to reduce fat-enriched food in diet (oil, ghee, butter).
There is no need to worry too much or to do so frequent blood tests for these values of SGPT and SGOT.
Rapid test is satisfactory and first test to do
Detailed Answer:
Yes, rapid card test for HCV antibody is very sensitive and it is recommended to use as a first test. If this test comes positive then only RNA test for hepatitis-C virus is recommended.
Check for vitamin levels
Detailed Answer:
Hello,
1) Your symptom of fatigue is not associated with SGPT, SGOT issue.
2) Most common cause for it is vitamin deficiencies and therefore it is recommended to check Vit-D and Vit-B12 level along with next scheduled blood investigation.
3) Also hydration status of body is contribute to this issue, you should maintain hydration by drinking minimum 2 lit of fluid (water, juice etc.) per day.
Vitamin-D level is slightly low. Test for vitamin-B12
Detailed Answer:
1) EEG test is to detect abnormal brain electrical activity. It has no concern with your present symptom of fatigue
2) Habit of drinking 2-3 lit of water daily is good
3) Vit-D level is slightly on lower side (20-50 ng/ml). You should take one intramuscular injection of vitamin-D supplement
4) In addition, you should check Vitamin-B12 level.
Check for vitamin-B12 and electrolytes
Detailed Answer:
Hello,
1) Marginal deficiency of vitamin-D is not specific cause for fatigue, but yes vitamin deficiency is associated with generalised tiredness, lethargy
2) If you have not done electrolytes tests then along with Vitamin-B12, I recommend to do serum Calcium, Sodium, Potassium (If not done in past 2-3 months).
3) Your symptom of fatigue is minor and generalized symptom to such vitamin deficiency or electrolyte imbalance.
sr sodium(ion selective electrode)-141.3mmol/l
sr potassium(ion selective electrode)-3.91mmol/l
srchloride(ion selective elecrode)-103.4mmol/l
srbi-carbonate-23.5mmol/l
is that normal only vitamin b12test is left
Normal electrolyte profile
Detailed Answer:
Hello Mr. XXXXXXX
Yes, Your electrolyte profile is within normal range.
Fatigue might be non-specific symptom
Detailed Answer:
Good morning Mr XXXXXXX
I apologize for late reply
It must be generalised symptom rather than any correlation with any specific condition.
In case you planning blood investigations to be done, it is advisable to add vitamin-B12 test in that
Yes you can continue this medication
Detailed Answer:
Hello,
Yes, you can continue.
My explanation about this medication was; your report was not that much abnormal that this medicine is required.
in the mean time i even tested for the sgpt and sgotand the report was sgptwas 90and sgot was 41 sir i am very much worried so please let me know is it a matter of fear .i have taking the medicine liverol forte on continue basic then why my sgpt has increased please reply me as soon as possible.i am really worried.
This elevation is acceptable
Detailed Answer:
Hello,
I apologize for late reply
1) This minor fluctuation is value is within acceptable range. There is no need to worry for such minor changes unless you have symptoms of abdominal pain, jaundice, nausea.
2) SGPT and SGOT increase suggest increase load on liver tissue for metabolism and it might occur from consumption of alcohol, fat-enriched diet, excessive high dose of pain killers.
3) But as I mentioned increase of SGPT from 75 to 90 is acceptable (upto 100-120) and SGOT is near normal 42 and 41
Yes you can take medicine but its role would be questionable
Detailed Answer:
Hello,
I apologize for late reply.
1) Yes you can take medicine to lower down SGPT level, but its role for such marginally elevated SGPT level is doubtful. Instead I suggest to start with diet modification first, i.e. protein rich diet, carbohydrate rich diet (provided you do not have diabetes), low fat containing diet, use of omega-3 fatty acid containing oil for food preparation
Nominal evelation in liver enzyme does not need medicine
Detailed Answer:
Hello,
1) Iis role of questionable because for such nominal evelation in liver enzymes does not warrant strict need for medicine support. And even if you taking medicine, it will not harm to your digestive system