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Fluctuating SGPT, Taken Lamivir. What Is My Current Condition?
Dear Sir, I m 40 years male found HBsAg + in 2006 HBeAg negative but SGPT was 79, a bit fatty liver , HBV DNA + 1.0 x 10 (4) then I go under medication (Lamivir 100mg) after 3 years in August 2009 HBV DNA found negative but continue medication. Further test in May 2010 HBV DNA found negative then I leave medication, meanwhile SGPT always fluctuating in between 50-90. after leaving medication SGPT fluctuated same as earlier. Recently SGPT increased to 120 in last August 2 days back SGPT found 124. May I know what is my current condition and what should I do?
Fri, 12 Sep 2014
Hello,
Your SGPT levels are almost three times the upper limit of normal, this suggests reactivation of the disease. I would advise you to Get a HBV DNA viral load done and in case it is detectable you would need to start treatment. It would have to be a medicine other than lamivudine as now better drugs are available.
I would also suggest you get a USG and complete LFT done.
I would advise you to consult a gastroenterologist who would guide you regarding the further management plan
Hope this helps
Do get back in case you have further queries
Regards
Dr Samir Patil
Your SGPT levels are almost three times the upper limit of normal, this suggests reactivation of the disease. I would advise you to Get a HBV DNA viral load done and in case it is detectable you would need to start treatment. It would have to be a medicine other than lamivudine as now better drugs are available.
I would also suggest you get a USG and complete LFT done.
I would advise you to consult a gastroenterologist who would guide you regarding the further management plan
Hope this helps
Do get back in case you have further queries
Regards
Dr Samir Patil
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