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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should I Do Having Fatty Liver, Over Weight And Elevated SGOT, SGPT And Globulin?

My age 29, Recently got general health check-up done. All tests are normal except in the LFT. In LFT, Globulin is 1.86, SGOT is 46.6 & SGPT is 130.2
In the Ultrasound, The liver is slight fatty but all else is normal. Had Jaundice 6 years back and had malaria 4 years back which relapsed after 4 months.
I drink alcohol occasionally, do not smoke, am overweight by 3-4 kg, have a desk job and am not exercising. Food habits are not too bad as far as eating oily food is concerned.
Please advise further line of action
YYYY@YYYY
Tue, 24 Dec 2013
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Internal Medicine Specialist,  's  Response
Dear patient.
Greetings from health care magic!!! I am Dr Thakker and shall be answering your question.

I can understand your anxiety about the abnormal liver function tests. I shall try my best to answer your question and guide you through it.

In your case the SGPT is 130 and SGOT is 46. Thus SGPT/SGOT ratio is more than 2. This is suggestive of alcoholic liver disease. Your ultrasound suggests that you have a fatty liver.

Both of these are because of the alcohol intake. I would like to know more details of your drinking habits, with regards to frequency, amount and the nature of alcohol consumed. I would advice to abstain from alcohol. Since this is early alcoholic disease these findings will reverse on stopping alcohol. I would also advice you to take a low fat diet.

In case you do not heed to the advice, you may land up with cirrhosis of liver which is irreversible. Liver transplant is then the only way out for you.

I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.

Yours sincerely,
Dr Thakker.
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What Should I Do Having Fatty Liver, Over Weight And Elevated SGOT, SGPT And Globulin?

Dear patient. Greetings from health care magic!!! I am Dr Thakker and shall be answering your question. I can understand your anxiety about the abnormal liver function tests. I shall try my best to answer your question and guide you through it. In your case the SGPT is 130 and SGOT is 46. Thus SGPT/SGOT ratio is more than 2. This is suggestive of alcoholic liver disease. Your ultrasound suggests that you have a fatty liver. Both of these are because of the alcohol intake. I would like to know more details of your drinking habits, with regards to frequency, amount and the nature of alcohol consumed. I would advice to abstain from alcohol. Since this is early alcoholic disease these findings will reverse on stopping alcohol. I would also advice you to take a low fat diet. In case you do not heed to the advice, you may land up with cirrhosis of liver which is irreversible. Liver transplant is then the only way out for you. I hope this helps you out. If you have any more questions, please do not hesitate to write back to me. Yours sincerely, Dr Thakker.