Question: This is in continuation of my previous query posted on Jul-6,2015. Dr. XXXXXXX Varshney have suggested to take below tests:
1. HBsAg to rule out Hepatitis B.
2. Anti HCV Antibody to rule out Hepatitis C.
3. Ultrasound Abdomen- to see for liver status and particularly fatty liver.
We also consulted gastro-enterologist in my neighbourhood and he added additional test: ANA By Immunofluoroscence method.
All the 3 blood tests shown as negative i.e. normal. Ultrasound scan report shows shape & size of liver, Kidneys pancreas etc. as normal. scan report summary:
1. BILATERAL POLYCYSTIC OVARIES
2. FEATURES OF CERVICITIS
3. NO OTHER SIGNIFICANT ABNORMALITIES DETECTED

For your reference, I am attaching our last conversation below:
My wife had taken blood test recently and the report shows below liver parameters higher than reference range. Can you suggest any possible reason for this as well as possible health tips that can be taken to control these liver test parameters?

Thanks, XXXX

ALKALINE PHOSPHATASE PHOTOMETRY 135.3 U/l M:53 to 128 - F:42 to 98

ASPARTATE AMINOTRANSFERASE (SGOT )PHOTOMETRY 34 U/l F: 0 to 31

ALANINE TRANSAMINASE (SGPT) PHOTOMETRY 39.8 U/l F: 10 to 28

Detailed Answer:
Welcome to Healthcaremagic.
Hi, I am Dr XXXXXXX Varshney , I have read your query in detail , I understand your concern.
In the reports , her liver enzymes are raised which requires evaluation of the cause. Most common causes of such liver derangement's are Alcohol, Viral hepatitis, Non alcoholic fatty liver disease.
In case she is taking any drugs for any purpose particularly any pain killers, then that might be the cause.
She would require further work up to rule out the cause of this derangement.
I would advise following investigations:
1. HBsAg to rule out Hepatitis B.
2. Anti HCV Antibody to rule out Hepatitis C.
3. Ultrasound Abdomen- to see for liver status and particularly fatty liver.
If there is fatty liver in the ultrasound and all other tests for hepatitis B and C are negative, then i would keep the possibility of Non Alcoholic Fatty Liver Disease (NAFLD).
As far as the treatment is concerned, it would depend on the case.
For NAFLD, she would require to reduce weight, reduce fat in diet and if required your doctor may prescribe you Ursedeoxycolic Acid for the same.
This is my personal opinion based on details available here. If you still have any other query, you may please ask me.
Stay Healthy.
Dr XXXXXXX Varshney , MD