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What Does This Liver Function Test Result Indicate?

Posted on Thu, 22 Jan 2015

Question: Hi Sir,
I am XXXXXX. My age is 63 yrs, Ht is 176 cm & Wt 87Kg. My sgot is 84u/l, sgpt 50u/l, ggt 96u/l, biliburin- direct0.22mg/dl, protein total8.7gm/dl, albumin-serum3.2gm/dl, serum globumin5.5gm/dl. HBA1c 7.1%, average blood glucose 157mg/dl. My UltraSound report says slight decreased hepatic span with minimal coarse hepatic echotexture & simple hepatic cyst measuring apx 15x15 mm, small calculus in GB apx 06MM. I am non-alcoholic. I never had hepatitis. I have been advised ursocol 300 twice daily & Evogard-EC(Vit E&C) capsules once daily for 30 days . Please advise.

Answered by Dr. Dr.P.Ratnakar Kini (4 hours later)

Brief Answer:
Get a fibroscan done

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
I went through your post.
Your liver enzymes are slightly out of range.
Your albumin globulin ratio is less than one which may indicate chronic liver disease.
The ultrasound scan also shows slightly decreased liver span with coarse echotexture which means there is a likelihood of chronic liver disease.
I would advise you to get a fibroscan done to know whether you have early cirrhosis of liver.
Also get tested for Hepatitis B and C.

I hope that answers your question.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (3 hours later)

My HBsAg is non-reacti & Anti HCV is Negative.I have no discomfort in stomach.

How serious is the case expected. can the disease be cured.

Answered by Dr. Dr.P.Ratnakar Kini (18 hours later)

Brief Answer:
Need to confirm the diagnosis first

Detailed Answer:
Hi,
Kindly get the fibroscan done first. We need to confirm the diagnosis first.
Get back to me with the scan report.
Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (2 days later)

Sir,
can early cirrhosis be reversed/stopped from causing further damage.
I have been advised to take Ursocol300tabxbd & evogard-EC(vit E&C)CAPXOD.
Your opinion please. what are these med for.

yours sincerely
XXXXXXX

Answered by Dr. Dr.P.Ratnakar Kini (56 minutes later)

Brief Answer:
Cirrhosis is irreversible

Detailed Answer:
Hi,
Cirrhosis is irreversible.
But further damage can be prevented by treating the underlying cause.

in your case cirrhosis is not confirmed yet.
Based on the information you have given I mentioned cirrhosis is a possibility.
Kindly get a fibroscan done to see whether you really have cirrhosis or not.

The medications you are taking are liver supportive medications which may prevent some amount of damage and also aid the bile flow.

I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar