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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High Bilirubin And SGPT Levels. Is It From Food Poisoning And Stress? Possibility Of Liver Disease?

hello, goodmorning. im from ph, and i just wanna ask coz my boyfren went to doctor n found out in the test results Bilrobin level is 10 and sgpt level is 1996. please let me know how is this? im so worried coz its too too high. as doctors said where he consulted that possibly just coz of stress n food poisoning . where in fact as i knew if sgpt is high in the blood then there must be some problem in liver or heart. im seeking help badly. my heart is sinking. karren
Tue, 29 Jan 2013
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Gastroenterologist,  's  Response
Hello, karrenjose,
Yes, your boy friend seems to have significant liver disease.
Only thing is, what is causing the liver damage ?
Alcohol is number one cause of liver damage, followed by viral
infections like Hepatitis-B and C. Acute Type-A hepatitis can
cause elevated enzymes and bilirubin also. This is from eating
or drinking contaminated food or drinks. This is usually self
limited in majority of cases and gets better in about 4 weeks.
All the liver tests should return to normal. Hepatitis could be
drug related. auto-immune or certain genetic enzyme deficiency
can cause liver damage. Diabetes , very high cholesterol can be
associated with fatty liver.
Hope you can discuss these with your doctor.
I wish him well.
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General Surgeon,  Dr. Grzegorz Stanko's  Response
Hello!

Thank you for the query.

For sure bilirubin level 10 and SGPT 1996 is way to high and can not be caused by stress. He is suffering from jaundice which can be caused by liver disease (viral liver infection, liver cancer, liver cirrhosis, alcohol abuse, medicines abuse) or bile ducts obstruction.
It is advisable for him to have additional tests - abdominal ultrasound, GGTP and AP level, amylase, HBsAg, anti-HCV.

Hope this will help.
Regards.
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High Bilirubin And SGPT Levels. Is It From Food Poisoning And Stress? Possibility Of Liver Disease?

Hello, karrenjose, Yes, your boy friend seems to have significant liver disease. Only thing is, what is causing the liver damage ? Alcohol is number one cause of liver damage, followed by viral infections like Hepatitis-B and C. Acute Type-A hepatitis can cause elevated enzymes and bilirubin also. This is from eating or drinking contaminated food or drinks. This is usually self limited in majority of cases and gets better in about 4 weeks. All the liver tests should return to normal. Hepatitis could be drug related. auto-immune or certain genetic enzyme deficiency can cause liver damage. Diabetes , very high cholesterol can be associated with fatty liver. Hope you can discuss these with your doctor. I wish him well.