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What Does Elevated SGOT And SGPT Levels Suggest?

Posted on Sat, 27 Sep 2014

Question: my sgpt is225 and sgot is 239 . cholestrol is 223 and direct ldl chloestrol is 164

Answered by Dr. Dr Samir Patil (32 minutes later)

Brief Answer:
Consult your doctor as soon as possible

Detailed Answer:
Hello Mr XXXXXXX
Your SGOT and SGPT are more than 5 times elevated.
This suggests that there in inflammation in the liver
I would avdice you to consult your doctor
I would advise you to get a complete Liver function test with INR,
I would also suggest you get an ultrasound to check the status of the liver tested for hepatitis B and C along with an ultra sound

Do You drink alcohol? If yes you should stop immediately

Have you ever had similar Rise in SGOT and SGPT in the past
What is your weight and height

Please consult your doctor and get these tests done immediately.

Do get back in case you have further queries
Regards
Dr Samir Patil

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

Follow up: Dr. Dr Samir Patil (8 minutes later)

yes i drink alchol regulary . i have done ultrasound there is no symptoms of hepatitis b and c . can u suggest me any medication

my weight is 85 kg and height is 6 feet

Answered by Dr. Dr Samir Patil (56 minutes later)

Brief Answer:
stop alcohol

Detailed Answer:
Hello,
I would advice you to stop alcohol completely.
I would also need to know your serum bilirubin.
I would advice thiamine and B 12 supplements. Incase the bilirubin is normal Then multivatimin supplements alone should help. In case bilirubin is high I would advice pentoxyphyline. Please consult your doctor to get a prescription
Repeat shot and sgpt after 3 weeks
Regards
Dr Samir Patil

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

Follow up: Dr. Dr Samir Patil (16 hours later)

hello dr. XXXXXXX

thanks a lot for your guidance . sir to be XXXXXXX with you i cannot consult any doctor in my city cause everybody knows me here .and if i consult here my family is going to come to know about my drinking habit which i dont want them to know.

sir i will stop alcohol totally . i m uploading my reports please can u suggest me what medicines to take . just one more thing is it a very serious matter as if i drink alcohol can it be risk to my life .

your guidance is appreciated .
thanks
deepak khandelwal

Answered by Dr. Dr Samir Patil (2 hours later)

Brief Answer:
Stop alcohol

Detailed Answer:
Hello Mr XXXXXXX
I have gone through your reports
I would advise you to get anti HCV done.
It is not a cause for worry immediately but it can lead to serious liver disease and could be life threatening in case alcohol is continued.
I would advise you to stop alcohol completely.. You could consult a psychiatrist in case you are unable to stop. I would advise thiame b 12 supplementation. Only completely stopping alcohol should bring down SGOT and SGPT levels down within a span of three months.
For your raised LDL cholesterol levels
I would advise regular exercise 20 _ 40 min three to 4 times a week( brisk walk)
Avoid fried food, fast food, sweets
Avoid alcohol
And repeat lipid profile after 6 months in case the cholesterol levels are still high. You will need a lipid lowereing drug like rosuvastatin for which you will need a prescription.
Hope this helps
Regards
Dr Samir Patik

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