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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Level Of ALT With Swollen Lymph Node, Fatigue And Migraine

Good evening, I just received test results for CBC with diff and everything is in normal range except my ALT (SGPT) is 79. I went to the doctor with swollen salivary gland and lymph node on the right side of my neck, bad fatigue, recent ocular migraines, recent fast weight gain, and just overall not feeling well. Current medications are Vyvanse (30 mg/day) and daily vitamins. Any idea of what I could be looking at?
Thu, 18 Dec 2014
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Infectious Diseases Specialist,  's  Response
Thanks for your query at HCM!
The SGPT in your case is on higher end but not abnormal , it must be three times more than normal value to say it is high. You can start some liver tonics. It does not appears to be the cause of your problems. I feel your problem is infection of sub-mandibular glands. I would like to know if you have fever? It is some viral/sub-bacterial infection. You may require some prescriptions drugs like antibiotic for the cure. You can visit a local physician and get examined. Some investigations might be needed.

Take care!
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Suggest Treatment For High Level Of ALT With Swollen Lymph Node, Fatigue And Migraine

Thanks for your query at HCM! The SGPT in your case is on higher end but not abnormal , it must be three times more than normal value to say it is high. You can start some liver tonics. It does not appears to be the cause of your problems. I feel your problem is infection of sub-mandibular glands. I would like to know if you have fever? It is some viral/sub-bacterial infection. You may require some prescriptions drugs like antibiotic for the cure. You can visit a local physician and get examined. Some investigations might be needed. Take care!